HomeMy WebLinkAbout2700 LOKER AVE W; ; 87-287; Permiten z 0 ~ a: • ... u w C
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~ I hereby 1ttlrm th1t I am licensed under
~lelona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Proleaalons Code, and my license is in
lull force and effect.
I hereby affirm that I am exempt from the Contrac· tor's License Law lor the touow,ng reason (Sec 7031 5
Business and Professt0ns Code Any city or county wh1tt. re· quires a permit to construct. alter. improve. demohsh, or
repair any structure, pnor to ,ts issuance also requires !heap· pltcant for such permit lo hle a si~ned statement thal he 1s 1,censed pursuant to the prov1s1ons ol the c;on1rac1or s
License Law (Chapter 9 commencing w1lh Section 7000 ot
Orv1s,on 3 ol the Busmess and Proless1ons Code) or that 1s ex· empt lherelrom and the basis tor !he allegeo exemption Any
v1otat10n of Section 7031.? by an appltcant tor a perm,1 sub• 1ects the applicant 10 a CIV11 penalty ol not more than five hun dred dollars ($500)
I I I, as owner of the property, or my employees with wages
as their sole compensa1t0n. will do the work. and the strut· lure 1s not intended or otlered for sale (Sec 7044. Business
and Protesst0ns cooe The Contract<>f's ltcense Law does nol apply lo an owner ol prope~y who builds 0< improves
thereon and who dOes sucn work himself or through his own
employees, provided that such ,mprovemenls are not intend-ed or olfered for sa~ II. however, the bu1ldmg or improve·
ment 1s sold w1thm one year ol complet1on, !he owner·bmkter will have lhe burden ol prov,ng 11\al he did nol build Of im·
prove tor lhe purpose of sale)
r I, as owner ol the property, am exclusively contracllng
Wllh hcensed contractors to construct the prOJect {Sec 7044.
Business and Protess1ons COde The Contractor's license
Law does not apply to an owner ol property who builds or 1m· proves thereon. and who contracts tor each proiects with a contractor(s) hcense pursuant 10 the Contract0<'s License
Law)
·1 As a homeowner 1 am improving my home, and the lotlow 1ng conditions exist 1. The work 1s bemg per1onned prior to sa~
2 I have hved ,n my home for twelve months prior to complehon ot this work
I have not claimed this exemphOn during the last three years
0 I am exempl under Sec . B & P C
10< lh,s reason-------------
)C I hereby affirm that I have a certificate ot consent 10
sell-insure. or a certificate of Workers· Compensahon In-
::~~:-:~a ceru~e 1ft()°!~fY2 ~· Labor Code)
coMPANvGolden Eagle~ X Copy 1s hied with the city
0 Certified copy 1s hereby furnished _
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit
1s tor one hundred dollars ($100} or less)
.::::J I certify 1hat in the performance ot the work for which ~ perm111s issued. I shall not employ any person in any
manner so as to become subJect to the WOt'kers· Compen-
satton Laws of Calltornia.
NOTICE TO APPLICANT: If, after making this Certificate
of Exemption. you should become subject to the Workers·
Compensation provisions of the Labor Code. you must
forthwith comply with such provisions or this permit shall
be deemed revoked.
0 I hereby affirm that there is a construction lending
agency for the performance of the work for whlch this per·
mil Is issued (Sec. 3097, Civil Code)
Lender's Name ______ _
Lenoer·s Address, ____________ _
USE BALL POINT PEN ONLT & PIUSS HAIIU ....... ,., .. ___ ,,.,., ·-. ·--······· --··-·-···-
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT ' 2075 Las Palmas Dr., Carlsbad, CA 920~9-4859 (619) 438-1161 1 ' ·..-
JO~ESS ..J..-/,1'-fAvqf , ~· ST •IOATE OF APPLICATION! BUSINESS LICr VALUATION s1;f1" ~----LOKER AVE. WEST "'"'~ PALCMAR AIRPORT ROAD 4-3-8=1-15635 17tso
'1& ~BSOCK M AJIU,~l~jff ~b~li81~1!t~~ CONTRACTOR CONTRACTORS PHONE • ZONif7
Graphic Solutions 6~9-239-1335
OWNER'S NAME I OWNER'S PHONE
Bedford Properties 438-2636 CONTRACTOR'S ADO RESS STATE LICENSE NO. BUILDING sa. FOOTAGE
1750 Kettner Blvd. SD 92101 389113
OWNER'S MAI l , NG ADDRESS
1,1i1 P:!'~'!m,r_Airport RD. , Suite 201 , Carlsbad 92008 (JfflW"EA DESIGNER'S PHONE
Same
OESCRIPTION OF WORK (.:? ) c .. '"'1.-;r::at,,. ~ in-• .. 11 .,,;,.,..,..,, DESIGNER'S ADDRESS STATE LICENSE NO.
.., '/
~ F/P F LR ELEV NO OCC GP EDU
STORIES
vO NO --
I I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAO FIRE SPA ooc.No~4v~~·ti~itm.M!)t AREA CONST
YO N 0 vO NO vO NO 214.: 14
QTY. PLUMBING PERMIT -ISSUE '"19 QTY. MECHANICAL PERMIT -ISSUE 3oo SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS i.JP TO 100.000 BTU BUILDING PERMIT 001·810·00·00·8220 /..Zo/-
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 001·810·00·00·8221
------9,46---EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001 ·810·00-00-8821
-
EACH GAS SYSTEM I TO 4 OUTLETS __ l-----· -·-BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001 ·810·00·00·8222
'--· -I-----
EACHGASSYSTEMSORMORf =+ METAL FIREPLACE ELECTRICAL 001·810·00·00·8223
---------
VENT FAN SINGLE DUCT MECHANICAL 001·810·00·00·8224 EACH INSTAl . ALTER . REPAIR ".'0TER PIPE __ .
EACH VACUUM BREAKER . MECH EXHAUST HOOD DUCTS MOBILEHOME 001 ·810·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER S0!,(!11 T T." A. n ~~0·00·8226 ,/
EACH ROOF DRAIN ( NSIDE l DRYER VENT ST~m,u~.fi~' ~ l.'-~ W 519·92·33 /. ...,,. .L----·--TOTt.L MECHANICAL FIRE SPRINi<LERS 001·810·00·00·8227
--· I PUBLIC FAtit1'(1E~Jee ~ !rl>e-s 10·00-00·87 40 TOTAL PLUMBING
St,a BRIDGE FEE 360·810·00·00·87 40
QTY. ELECTRICAL PERMIT · ISSUE QTY. MOBILE HOME SETUP Peit\tl~f.RtltA~l1C.AAn
NEW CONST EA AMP SWT BKR CAR PORT lnc\Jlfl nDMS:NT ---.. . .;.~.,;:OcJH~~l35 -
I PH 3 PH AWNING LA COSTA TIF 133·810·00·00·8835
EXIST BLOG EA AMPISWT BKR GARAGE FMF
I PH 3 PH LICENSE TAX 001·810·00·00·8162
REMODEL ALTtR PER CIRCUIT MFF 880·519·92·57
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYSI
CREDIT DEPOSIT
TOTAL ELECTRICAL I TOTAL TOTAL FEES PAYABLE I d-/1~
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT' AND DO HEREBY Expirahon Every perm111ssued by lhe 8u1ld1n9 Ott1c1al under the prov,s,onsof1h1s 1r AN OSHA PERM:T IS REQUIRED FQA EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code shall expire by limrlation and become n!,1 and void II lhe build,ng or work 5 O" DEEP AND 0£MOLITION ()fl CONSTRUCTION OF authonzed by such permit ,snot commenced .w1tt11n 1 BO days from 1he date of such
DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT I~ permit or ,I Iha bu1ld1nPt or work aulhonzed by such perm,t 1s suspended or STRUCT\JM.S OVER 3 STOfllES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNl Y AND STATE LAWS GOVERNING BUILDING CON abanADned at anv hme I ter the work JS commenced tor a oeriod of 180 da•s .
STAUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO :;J, A . l:t ~-· CONTRACTORl( APPROVED' 1Y op~/;; KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND AP ~URE ~ER 0
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE , BY PHONE [J
GRANTING OF·THIS PERMIT ...J". I ·13 fr"11
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I ~7-TYPE ' DATE INSPECTOR I . r~
BUILDING . I
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL ' ii REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
MASONRY 1 'I REQ IF INSPECTORS GUNITE OR GROUT 1 INSPECTION CHECKED APPROVAL DATE
SUB FRAME D FLOOR D CEl)...ING SOILS COMPLIANCE
SHEATHING D ROOF D S~EAR PRIOR TO
FOUNDATION INSP FRAME I
; STRUCTURAL CONCRETE EXTERIOR LATH ! OVER 2000 PSI
INSULATION I PRESTRESSED i CONCRETE INTERIOR LATH & DRYWALL J POST TENSIONED
l CONCRETE .. PLUMBING FIELD WELDING '
0 SEWER AND BUCO D ~LICO HIGH STRENGTH
BOLTS UNDERGROUND 0 WASTE [ WATER
TOP OUT D WASTE D WATER SPECIAL MASONRY
TUB AND SHOWER PAN I . '
GAS TEST ' l PILES CAISSONS
D WATER HEATER D SOLAR 1/fATER
I
ELECTRICAL I I
D ELECTRIC UNDERGROUND G UFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPPRARY .
D BONDING D POOL I
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1l'W'tD riw'1\? ,bTOJ ,QSBJQblllf .sr~·S\f
MECHANICAL I .. I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS
' I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL ' I
PLUMBING J . ELECTRICAL J
MECHANICAL I
I
I • ' GAS ' -~ ,
~ -' 'J ' .
EUJJ.L,Q It~ e ::>! 0tv..Y ' ~/ J --r V I rf (J,.f,M/ i.,1 .. "' I
SPECIAL CONDl'rlONS ! I V I 'I
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