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Home My WebLink About2711 LOKER AVE W; MULTI-PERMIT FILE; CB041845; PermitVdSS~ . ' ,y,",.,, ~ City of Carlsbad · ~ ~~ (: 1635 Faraday Av Carlsbad, CA 92008 05-19-2004 · C,., "&"nv Electrical Permit Permit No: CB041845 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2711 LOKER AV WEST CBAD ELEC Status: Parcel No: 2090812100 Lot #: 0 Applied: ISSUED 05/19/2004 RMA 05/19/2004 05/19/2004 Reference #: Project Title: AXEUS-ADD 100 AMP-3 PHASE SUB-PANEL Applicant: CHAMBERS ELECTRIC INC P O 2156 92079 760 598-5498 Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMP Remodel/Alteration per AMP Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees Additional Fees TOTAL PERMIT FEES 0 0 100 0 Entered By: Plan Approved: Issued: Inspect Area: Owner: PACIFIC STARR ESSEX-CARLSBAD LL C C/O JOHN F PIPIA 650 SIERRA MADRE VILLA AVE #100 PASADENA CA 91107 $10.00 $0.00 $0.00 $100.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $110.00 Total Fees: $110.00 Total Payments To Date: $0.00 Balance Due: $110.00 Inspector: Clearance: ______ _ NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which ou have reviousl been iven a NOTICE similar to this or a to which the statute of limitations has reviousl otherwise ex ired. FOR OFFICE USE ONLY PLAN CHECK NO. C]30Lflcf lf5 PERMtT APPLICATION CITY O~ CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VA~. _________ _ P.lan Ck. Deposit -------9"'-1--- Validated By __ ....--i.-----l''-l' L,-7'-i~-K-4--Date,_-,----.,5~l [ -+-+-q {---b L{-t- ~~e'M.l1R"~,~~~~T,,z:1-a_J,""""+-."'"'"·"'°-l·:,u:l122:;;?::i::}'":;:~s:~t::c.r'.:;f~::;;;:~::;;;.::.~,g 27// ,C..p,Kff)S (/$, t/;V=> Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot !\lo. Subdivision Name/Number \,Jnit No. Phase No. Total # of units Assessor's Parcel # . U'Z--T/IJ/c:.Jfi.. Existing Use ..So,!J ;P"9,?td'2.-Cv/2-'. ~7 co,t$/C:-c.d? Proposed Use Description of Work SQ. FT. # of Bedrooms # of Bathrooms Name Address . City Tel11phone # Eillt®-NJB((m._@~MTd~AM~~~:,m~~~~~~7~~:i~:~;:,~~I,~~~tl~3:2:J~~,&PiG;:J:tf~if~£,~J1tcl1IG~:;~:,7i~?J:~i"~}1~~~ (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professiol')s Code] or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five ndred dollars [$500]). ~ ;pt; .5 IC:. c. ,-.0, J/3tJX: Z w r#/'Ja:;5 . 207 7. ,:::i 5;?3 -S-8" Name City State/Zip Telephone# State license# Z)?c:::J$g'J City Business License # / Z / 2. J Z. ? Designer Name Address City State/Zip Telephone State License# _________ _ ~IW-~:fQW.&m~W{J~::3':Zi~:[,E:~7td::l~,:I!:r'2~~~~.~~::~r~:i!~IZ"~~I:2tli;~:t~::f:tf:t-;~·~Y2if~,.t;'&T::lbl~\SZ/f~~)l?L:E-,'',,',l,'.:'IXL:',::..,, Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O I have and v,,ill maintain a certificate of consent to self-insure for workers; compensation as provided by Section 3700 pf the Labor Code, for the performance of the work for which this permit is issued. ~ J have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: ~/~ Insurance Company 57/J7f_;=vl>(P Policy No.@271/o/"5 -2.0cJ 7' Expiration Date c/7 ~,;'L.:? r (THIS SECTl9N NEED NOT BE CO,MPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit js issued, I shall not employ any person in any manner so as to become suhject to the Workers' Compensation Laws of California. WARNING: Failure to-secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, in erest and attorney's fees. SIGNATURE _ _,,;,~~~-?<~~=---==---------------''-,-----DATE b. /7,, .-t:> -i:-.i,\~:ir.iw,· N~"E:& ·1~.sk;i:;:i::.l>i.lJ\liA!iii"nfit;;i:tz:\!:.{,O".'.",.t;:'it ~;iJi':A1:li-1::!:%'l7i-~¼'t~;:,G,t~''1:'tLj~0l.,\e2~t:r~i,fI,;;.,,\i.,;,.;~·t:.~~av.t~t,:iJ.,;t',':,,~t,>~,~,,;,i;:.,\·-";E[&i;~ii:1.f::·5,-z.~ ,'!~~--~ ~f\,1; nJY.~~~~~:!i..,~~-~~~....,r,:..)•,f'~,l'.M<>~~\'.~~~-----~Wn~'f;J;;;,,_~~];..~nM\~,..:"-~n..;..t_.n ,,...........,..,,~1i:n~;.~o.i,:;~i;..,.\o. ,',l>;<,<~~~'»,},}'..>f..;..~,.-, O..n~•~•"--'>.,/4.. ... >.n~,~~,_\l',;II, -,..r,.,.,_ ·1 hereby affirm that I am exempt from the Con~ractor's License Law for the following reason: 0 I, as owner of the property or my employees· with wages as their sole compensation, will do the work and the structure is not intended c;>r offered for sale (Sec. 7044, l;!usiness and Professi1>.ns Code: The Contractdr's License Law does riot apply to an,owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year-of completion, the owner-builder will have the burden of proving that he did not build or improve for. th!! purpose of sale) • . ,0 I, as owner of th!! property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractcir(sl licensed pursuant to the Contractor's License Law). ,0 I am exempt under Section ______ Business and Professions Code for this reason: 1. 1 ·personaljy plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2, I (have I have not) signed an application for a building permit for the proposed work. · 3. I have contracted. with the following person (firm) to provide the proposed construction (include name / address I phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address I phone number/ contractors license number):·------------------,.------~--------------------,-- 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number I type of-work):. _______________________________________________________ _ PROPERTY OWNER SIGNATURE _____________________ _ . DATE ________ _ t9MPiHA¾[i:[(L's~lIPMcifflQ'~$JP.~tT.id1!iIDBJflfii!iRM!iJ:Wortm}~i5iiJZ:i±uiii':lal~i:i~~?~)]i~l~i~i~ii:;;:t1:::t1r.'.::~12aI~i'i ls the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections-25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance_Account Act? v O YES @ NO Is the applicant or future building occ_upant required t!) obtain a permit from the air pollution control district or air quality management district? D YES jil NO ls the fac;:jlity to be constructed within 1,000 feet of the outer boundary of a school site 7 0 YES 'Jii NO IF ANY OF THE ANSWERS.ARE YES, A FINAL CERTIFICATE OF OCCUPANCY'MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS.OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work for-which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S ADDRESS _______________________ _ LENDER'S NAME:_;;:;;;;:::;:;;;;;::;;;::::;;;;;::;:;;;:;;::::;::::;:;;;;;;:::::;;:;;:;;;;;:;;:;::;::;;:: tlt~§l:SmJQ~1tnefttUIW.e;m10111rll1$t:-~~~J2'i~~~~I~~~~~!~~~~;~~7irh.~~M~1-:i&~~~E!1tfil-g~~~i18~~~~;z;1~0~~S~~~~~~~;_;1~~:;:;~:;~.~?hf1 I certify that I have read the'application and state that the above information is correct·and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating ·to building construction. I hereby authorize represe!ltatives of the Citt of Carlsbad to enter upon the above mentioned ·property for inspection purposes. -1 ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, , JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY.WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or constructipn of structures over 3 stories in height. EXPIRATION: Every permit issued by ttt'e building Official under the provisions of this Code shall ·expire by limitation and become null and void if the building or work authorize_d by such pe_rmit is not commenced within 180 days from.the cf.ate of such permit or, if the building or work authorized by such permit is suspended or abandoned at any time after the work is _commenced for a period.of 180 days (Section 106.4.4 Uniform-Building Code). ~ / APPLICANT'S SIGNATURE~~ DATE' 3 L!'._7 ~ Y ,,,----WHITE: File YELLOW: Applicant. PINK: Finan~e 7 ' C rf ~· ~o _ 1-: 30 City of Carlsbad Bldg Inspection Request For: 05/20/2004 Permit# CB041845 Title: AXEUS-ADD 100 AMP-3 PHASE Description: SUB-PANEL Type: ELEC Sub Type: Job Address: 2711 LOKER AV WEST Suite: Lot 0 Location: APPLICANT CHAMBERS ELECTRIC INC Owner: Remarks: 760/801-7874 Total Time: CD Description 39 Final Electrical Act Comment /1-f Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Inspector Assignment: Phone: 7605985498 Inspector: Requested By: JACK Entered By: CHRISTINE ,;J,. 10-1,3,5 'l fro~~~ \:, ~~4 '°LC!>c) l c. (c_ -AA,-l... ~c."l PNL "2" (EXISTING) PNL "2B" (EXISTING) 6r'c. BY 41313~ ... MAY 19 ZDD4 1ty-on;ARESBAD BUILDING DEPT. 2B-14,16 PS-10,12,22 2B-18,19 CHAMBERS ELECTRIC, INC (760) 598-5498 P.O. Box 2156 San Marcos, CA 92079 Lie. No. 780885 <( (.) ... iz ~ <( ,:: ....J co (/) (.) Cl.. ::::> ... ~ w . ~ ~ 0 ~o ~ ....J _g LL ~ ~ I'- N SCALE: NTS REV I DESCRIPTION SHEET 1;l \ ,) ,, CHAMBERS . ELECTRIC, INC ' PNL 11111 PNL "2" PNL "2B" ' PNL "3" PNL"3B" 800A 3P 4W 208/120V (EXISTING) (EXISTING) (EXISTING) (EXISTING) (NEW) MAIN ELECTRICAL SERVICE (760) 598-5498 (EXISTING) P.O, Box 2156 NEW 2" CONDUIT WITH San Marcos, CA 92079 100A 3P FUSED ,V 4-1/0 THHN CU Lie. No. 780885 DISCONNECT WITH 1-#6THHNCU 200 KAIC TYPE 'T" FUSES ~ ,v EXIST. 2" CONDUIT WITH Cl) 100A 3P FUSED 4-3/0 THHN CU <( Cl) DISCONNECT WITH 1-#6THHN CU 200 KAIC TYPE 'T'' FUSES () -~ ::::, PANEL "3" (EXISTING) -0 ... 200A 3P FUSED BUSS:225A MAIN:MLO 3-PHASE 4-WIRE -c Cl) DISCONNECT WITH m .c: 200 KAIC TYPE 'T" FUSES I # I DESCRIPTION I BRKR I II I BRKR I DESCRIPTION I# I ~ WATTAGE WATTAGE 0 A I B I C A I B I C .c 1 SPARE 1P20 720 1P20 CONFERENCE ROOM LIGHTING 2 U) Cl) 3 SPARE 1P20 180 1P20 KITCHEN RECEPTACLE 4 200A 3P FUSED 5 SPARE 1P20 1360 1P20 COPY RM & OFFICE LIGHTING 6 --DISCONNECT WITH 7 SPARE 1P20 180 1P20 KITCHEN RECEPTACLE 8 '-Cl) 200 KAIC TYPE 'T" FUSES 9 SPARE 1P20 180 1P20 KITCHEN RECEPTACLE 10 m ~ 11 SPARE 1P20 180 1P20 KITCHEN RECEPTACLE 12 C: -13 SPARE en () 1P20 720 1P20 OFFICE RECEPTACLES 14 ca 15 SPARE 1P20 720 1P20 OFFICE RECEPTACLES 16 17 SPARE 1P20 720 1P20 OFFICE RECEPTACLES 18 :::> Cl. 200A 3P FUSED 19 SPAl'lE 1P20 720 1P20 OFFICE RECEPTACLES 20 ... DISCONNECT WITH 21 SPARE 1P20 1200 1P20 SODA MACHINE 22 w • 200 KAIC TYPE 'T" FUSES 23 SPARE 1P20 1200 1P20 SODA MACHINE 24 a., ......... ~ 25 COPY ROOM RECEPTACLE 1P20 180 828 1P20 GARBAGE DISPOSAL 26 ~ PNL "4'' 27 COP)' ROOM RECEPTACLE > E (EXISTING) 1P20 960 540 3P100 SUBPANEL "38" 28 29 COPY ROOM RECEPTACLE 1P20 180 0 30 <( 31 CONFERENCE ROOM RECEPTACLE 1P20 180 720 32 ca 1 00A 3P FUSED 33 CONFERENCE ROOM RECEPTACLE 1P20 180 1P20 SPARE 34 DISCONNECT WITH 35 CONFERENCE ROOM RECEPTACLE 1P20 180 1P20 SPARE 36 '-s.... 200 KAIC TYPE 'T" FUSES 37 STEREO EQUIPMENT 1P20 430 1P20 SPARE 38 a., C) ~ PNL "5" 39 CONFERENCE ROOM RECEPTACLE 1P20 180 1P20 SPARE 40 (EXISTING) 41 COPY ROOM RECEPTACLE 1P20 180 1P20 SPARE 42 ~ ca ·-1 TOTAL WATTAGE PHASE "A": 4678 0 0 TOTAL WATTAGE PHASE "B": 4140 TOTAL WAIIAGE PHt,SE "C"· 4000 _J TOTAL WATTAGE: 12818 TOTAL AMPERAGE: 62A Cl) "HOUSE" (EXISTING) ~ C: ~ ·-PANEL "3B" (NEW) ...J I'--I BUSS:225A MAIN:MLO 3-PHASE 4-WIRE N ~ I # I DESCRIPTION I BRKR I WATTAGE II WATTAGE I BRKR I DESCRIPTION I# I A I B I C A I B I C 1 CUBICLES 1,3,5 1P20 720 1P20 SPARE 2 3 CUBICLES 2,4,6 1P20 540 1P20 SPARE 4 5 SPARE 1P20 1P20 SPARE 6 7 SPARE 1P20 1P20 SPARE 8 SCALE: NTS 9 10 11 12 REV DESCRIPTION 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 ~ TOTAL WATTAGE PHASE "A": 720 TOTAL WATTAGE PHASE "B": 540 TOit,6 ):!llt,Ilt,GE El::IASs "C"· 0 SHEET 2 OF 2 TOTAL WATTAGE: 1260 TOTALAMPERAGE: 7A , ... B U I L D I N G 07/30/96 11:52. P E R M I T Permit No: CB961 ~.7,.: Page 1 of 1 Project No: A9601978 Development No: Job Address: 2711 LOKER AV WEST Permit Type: PLUMBING Parcel No: 209-081-21-00 Valuation: 0 Suite: Lot#: Occupancy Group: Reference#: Description: RUN WATER LINE-SOFT WAT-ER FOR : CONTROLED ENVIRONMENT FACILITY-NEXTEC Construction Type: Status: Applied: Apr/Issw?: Appl/Ownr : BOYD ROGERS PLUMBIN<, 2525 FORTUNE WY VISTA CA 92083 Entered By: 619-727-7040 /' / i I / APPROVAL /1r~SP. ,--=---DATE -2~ ,CLEARANCE _______ , CITY OF CARLSBAD 2075 Las Palrnas Dr., Carlsbad, CA 92009 (619) 438-1161 NEW ISSUED 07/30/!::16 07/30/96 RMA PERMIT APPLICATION PLAN CHECK NO. City of carlsbad Building Departll!nt 2075 Las Palms Dr., carlsbecl, CA 92009 (619) 438·1161 1. PIDQdl1' 1YPE From List 1 (see back) give code of Permit-Type: ___________ _ For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: _____________________ _ Net Loss/Gain of Dwelling Units __________________ _ 2: PRQJECf INFORMATION FOR OFFICE USE ONLY Address 2 71 I LI) Ke~ f} ye_ tJ~ilding or Suite No. Nearest Cross Street LEGAL bEscRlPtioN Loe No. SubchVIs1on Name/Number Omt No. Phase No. CHE.CR S£wW IP s0BMll'I£O: . D 2 Energy Cales [] 2 Structural Cales [] 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCfI, EXISTING USE PROPOSED USE 'l:=11) i/2 o a.,Me()) -F' PA@ 0 1 i.>-ry; SQ. IT. # OF STORIES # OF BEDROOMS # OF BATIIROOMS 3. WN l'ACI PERSON (1f dmerenf from apphcanO NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE NAME (last name.first) ~s r 'il-o fd.., -z,.S'~r'F&t/2.:rV Ale µ),,1-y CITY Jf.~ ((4. STATE C:-A. ZIP CODE -Jt..-/Jrf [ DAY TELEPHONE Jt..?; '7/) .I) tJ s. ~:~~;!;;:~t) Jl/8)( 7<{2,~ ADDRESS ~ 7/7 /_..t:J )<,e,a /lf/12., CI~ {3:;..,t2-J...66 fl d_ STATE C74'. ZIP CODE 9'.ptJOR DAYTELEPHONE '4-Jf?-S-..>-!J 1 6. mN'I'RAciok NAME (last name first) ADDRESS CITY STATE STATE UC.# ZIP CODE " UCENSE Cl.ASS CITY BUSINESS UC. # ast name 1rst .. ~--·-- CITY STATE ZIP CODE DAY TELEPHONE STATE UC. # 7. WORKERS' CXJMPENSA'noN Workers' Compensation Declarauon: I hereby athrm that I have a ceruhcate of consent to self-insure issued by the Director of Indusmal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POUCY NO. EXPIRATION DATE cerut1cate ot i::xempuon: I ceruty that in the performance of the work tor which this permit 1s issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE s. oWNER-BLillJJER DEci.ARATION . Owner-Builder Deciarauon: I hereby afhrm that I am exempt from the Contractor's license Law for the following reason: D I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale.). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's Llcense Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's Llcense Law). 0 I am exempt under Section ----.,---Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's Llcense Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATIJRE DATE coMPLETE THIS SECTION FOR NON-RESJDEN'l'IAL BUILDING PERMITS ONLY: · Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES ONO IF ANY OF TIIE ANSWERS ARE YFS, A FINAL CERTIFICATE OF oa:tJPANCY MAY Nar BE~ AFfER JULY 1, 1989 UNu:SS TIIE APPUCANT HAS M1IT OR IS MEETING TIIE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICF.s AND nm AIR POILUTION OONTilOL DISTIUCT. 9. OONS"l'R0CIION LENDING AGRNCV I hereby affirm that there JS a construcuon lendmg agency tor the performance of the work tor which this permit 1s 1SSued (Sec 3097(1) C1VII Code). LENDER'S NAME LENDER'S ADDRESS IO. APPllCAN I CRR'l'MdrnON I certify that I have read the apphcauon and state that the above mformauon 1s correct. I agree to comply with all C1ty ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE 10 SAVE INDEMNIFY AND KEEP ~ nm Cl1Y OF CARI.SBAD AGAINSf AU. IJABIIITIE.5, JUDGMENTS, CXJSI'S AND EXPENSES WHICH MAY IN ANY WAY ACXllUE AGAINSf SAID Cl1Y IN OONSEQUENCE OF THE GRANTING OF TIIIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep 3:nd demolition or construction of structures over 3 stories in height. Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authbrized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPUCANT'S SIGNATURE DATE: ___ _ WI-IlTE: File YEILOW: ·Applicant PINK: Finance ,. .._., ,. (. CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB961372 FOR 07/31/96 DESCRIPTION: RUN WATER LINE-SOFT WATER FOR CONTROLED ENVIRONMENT FACILITY-NEXTEC TYPE: PLUM JOB ADDRESS: 2711 LOKER AV WEST APPLICANT: BOYD ROGERS PLUMBING CONTRACTOR: OWNER: REMARKS: MW/727-7040 SPECIAL INSTRUCT: WATER LINE TOTAL TIME: --RELATED PERMITS--PERMIT# TYPE SE900011 swow SE900012 swow SE900013 swow SE900014 swow SE900015 swow SE900016 swow CB900967 MISC CT900018 CT PD900019 PUD CO940074 COFO AS950017 ASTI CB951337 ELEC CD LVL DESCRIPTION PHONE: PHONE: PHONE: STATUS ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED EXPIRED EXPIRED EXPIRED ISSUED ISSUED EXPIRED ACT COMMENTS INSPECTOR AREA PLANCK# CB961372 OCC GRP CONSTR. TYPE NEW LOT: 22 PL sewer/Water Service &JC, t~ _ ff t 1k t..1 ;Vt:-~&: wtt#v St7ft-fw¥/ ------------'---/4~ 7Q r ,,,., .. , rl ., '' ..k.J_ ---------------- ------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS 0 7 ,· ;··,:_.·:"._·'--· ,A 7-24-1996 4: 15PM FROM NEXTEC OPERATIONS 619 438 5625 ,----,----====:::-i----~====-r-----....... . , " ' \ i l l t l ] P.2 \ \ . \ \ I i fMpa:sC:O iv A l.)t) l·vowi1t.. I 1luM,; w & i:t 73/4 C.o\~f ~-;; ~ (£F \rJ A'r t: (<, t.., \ N 1£ ,I . __..... --_, Ot6J'·cc.. T\VE-·. To 'B«.lN& 'SoF'f" WA·1C"R. T 0 Cor-s,·<eb t-L £'D i;'./\/V'\Ofc./Vt\1t::: w ·r -rACl/....lfL/.@.. JI E:. ~~./.EC dl \ \ L6~t=RA\J, e(\-t.L:S aADi (!_A· . f Cf(;).CO'l, l )Q>1.t 13 72.. CJ-# t}/IJ ftp f' / 09/26/95 09:00 Page 1 of 1 B U I L D I N G P E R M I T Permit No: CB951337 Project No: A9501953 Development No: Job Address: 2711 LOKER AV WEST Suite: Permit Type: ELECTRICAL Parcel No: 209-081-21-00 Lot#: 385! 09/2,5, l9S 0001 01 c-PRrrr -. "\ r. ·--i--: ;::_:, VN ISSUED 09/25/95 09/26/95 MDP Valuation: O Occupancy Group: Reference#: Description: INSTALL NEW SUB-PANEL AND NEW : ELEC. FOR FUTURE EQUIPMENT Appl/Ownr : SANCUSE ELECTRIC 8155 CENTER STREET LA MESA, CA. 91942 619 -.,"- Construction Type: Status: Applied: Apr/Issue: Entered By: 461-6033 * * * Fees Required *"I<*// ,,,., **·f;. ~-, /··, F~€:_s ·-D~~ected & Credi ts *** ---------------... ....::--, \,,,.~---\, z--.· ,: ~-/ /, -----,------------------------ .Fees: tro oo:-~, :' \_~_-,,.,,_;_·· /·, ''-.... • I ( \ \ \ \'" ~-/ ////-" A~~~=im;~==: 1/, ~-Q: ~-i-,~~_; ·-:;;; T!;_:1.~~J;ttt:\:'- / / .. , '·, _\, ·Baianc..e:-Due: \ Fee description / .::· -~ ... :~ :' --.<";,··uni ts\ \'F'eie/Un\i t .oo .oo 60.00 Ext fee Data , I ,. i -. ,.. \ • , , ------------------/-, :.-. ~:.----~} ~----,.--,r ~ ,, --. ,_ "7-. +' _;~·\-·.~ :--, -, _________________ _ Enter "Y" for ElecrtrJ::c: is~ue'···:l?ee~:,;~)-' .. '·:"~ :_,,:~-.,.:;, ... ~;~/ ' ;>/ 10. 00 Y Remodel/Alter Per; AI';I-1? ;:, . •.. > .. ·-::~~ _/,fO O -~{ \~ ." :2 5; 5 0. 0 0 * ELECTRICAL TOTA~ <'.: , / _t / __ /;-,--j.:::-jf; 60. 00 \ jf / {< ')~ .' \ "~ \t\: 'r:·--~-. ,· __ / \ \ \, ,r,-),-"' / '-( ' '·< 1'JCO:=:-=-i::r-::\~,~CD ",, H\3,1 ,,,,,.,/"~ _,.,., .. ·· ':,:z l:?>. ':}:\'' / i I \ L---__:~~--.a~.Q ~ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPIJCATION PLAN CHECK NO. q:5:.,. City of Carlsbad Building Department 20;r5 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 ESf. VAL _____________ _ 1. PERMIT 1YPE PLAN CK.DEPOSIT _______ _ VAIID.BY __________ _ From list 1 (see back) give code of Permit-Type: ____ f_L_f_L_-____ _ DATE'-------------- For Residential Projects Only: From list 2 (see back) give Code of Structure-Type: _____________________ _ Net Loss/Gain of Dwelling Units ___________________ _ 2. PROJECT INFORMATION FOR OFFICE USE ONLY Address 2.., l\ Nearest Cross Street LEGAL DESCRIPTION Lot No. Subd1vi ion Name/Number UmtNo. Phase No . .s--r 0.l.l\ \ Lo M~/J.I I D 2 Energy Cales D 2 Structural Cales D 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK SQ. Ff. # OF STORIES # OF BEDROOMS # OF BATHROOMS :{. WN IACI PERSON (If different from apphcanO NAME (last.name first) ADDRESS CITY STATE ZIP CODE 6 DAY ~LEPHONE 4. APPlJCANT U CONTHACTOR D AGENT FOR CON'I'MCIDR &l'WNER -· sr AGEN I FOR OWNER ( i ~ ,,,. ,... "\ NAME (last name first) . I ADDgE~S ~:::.&>'2-l t\J-a.-t.."16..L.. AQ()U..L&>ftli:,,j~ -1=-i,JL ---i..---h..... Lo\L.li..tL Ai..i(:;_ • I CITYL!.o..a.t.5Ch.Q STATE ?A, ZIP CODE C!~Qi. DAY TELEPHONE //..,1-'i \ 4"3e• !,;53"3 NAME (last name first)"i::,.,l~ ~,:_ ADDRESS ~~ ~'\Y'L s<: CITY LA ~ STATE LA--ZIP CODE °I L 'hl '2... DAY TELEPHONE ( kn 7 ) 4 l. \---bo ?3 STATE LIC. #S1ft?l.17 LICENSE CLASS L-to CITY BUSINESS LIC. # / 2..oo7Lq D£s!GN£R NAME (last name hrst) \\\ I A' ADDREss CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # 7. WORKERS' COMPENSA'l1oN Workers' Compensation Declaration: I hereby affirm that I have a cernhcate of consent to self-msure issued by the Director of Industnal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY (u.._ptJ(.k!.l.. 1Ml'.l~J.t\((;f POLICY NO. t>'3~0B ,J 53 EXPIRATION DATE If -,-ct(o Certificate of Exemption: I certify that m the performance of the work for which this permit 1s issued, I shall not employ any person many manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. oWNER-BOllDER bECl.ARA11oN Owner-Builder Declarauon: I hereby affirm that I am exempt from the ContractoPs license Law for the following reason: D I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's license Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale.). D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's license Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's license Law). [J I am exempt under Section _______ Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's license Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATIJRE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? DYES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES ONO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF ocnJPANCY MAY NOT BE~ AFfER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POUUTION OONTROL DISI'RICT. 9. CONS"lR0cnON LENDING AGENCY I hereby athrm that there 1s a construction lendmg agency for the performance of the work for which this permit 1s issued (Sec 3097(1) CIVIi Code). LENDER'S NAME LENDER'S ADDRESS 10. APPDCAN1 CEltliFICAIIU:N 1 certify that 1 have read the apphcanon and state that the above mformat1on 1s correct. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I AI.50 AGREE 'IO SAVE INDEMNIFY AND KEEP HARMLESS THE CI1Y OF CARISBAD AGAINSf ALI. LIABILITIFS, JUDGMENTS, CDSI'S AND EXPENSF.S WHICH MAY IN ANY WAY ACCRUE AGAINSf SAID CI1Y IN OONSEQUENCE OF THE GRANTING OF TIIlS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Expiration. Every permit iss \ilding Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such perm t ts t commen · d within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or aban ·me after work is commenced for a period of 180 days (Section 303(d) Uniform Building.Code). APPLICANTS SIGNATURE DATE: 61 rl-,'i'f':i- OW: Applicant PINK: Finance City of Carlsbad • =Hii tsi i lt~l •l§~ki iii,t@ii I DATE: 03/21/96 TO: SANCUSE ELECTRIC 8155 CENTER STREET LA MESA, CA. 91942 RE: BUILDING PERMIT EXPIRATION PERMIT NUMBER: CB951337 ISSUE DATE: 09/26/95 LAST INSPECTION: PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE ADDRESS: 2711 LOKER AV WEST Our records indicate that your building permit will expire by limitation of time on 04/03/96. The provisions of UBC, Section 303(d) state: "EXPIRATION. Every permit issued by the Building Official under the provisions of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within one calendar year from the date of such permit, or if the building or work authorized by such permit is stopped at any time after the work is commenced for a period of six consecutive calendar months or if the building or work authorized by such permit exceeds three calendar years from the issuance date of permit. Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work authorized by the permit by the building official within one year of the date of permit issuance. Work shall be presumed to be stopped if the permittee has not ob- tained a required inspection approval of work by the building official within each six month period upon the in1tial commencement of work authorized by such permit. Before such work can be recommenced, a new permit, or a renewal permit as specified below, shall be obtained. 1. PERMITS WHERE WORK HAS NOT COMMENCED. For permits where work has not commenced in the first calendar year from the date of issuance, a renewal permit may be obtained provided: (A) No changes have been made or will be made in the original plans and specifications for such work. (B) That the expiration has not exceeded three years from the original issuance date. (C) That the same edition of the model codes is in effect as used in the initial plan check. (D) That a fee equal to one-half the amount required for a new permit be paid. The renewal permit shall expire three calendar years from the date of initial permit issuance. 2075 Las Palmas Dr_• Carlsbad, CA 92009-1576 • (619) 438-1161 • FAX (619) 438-0894 CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB951337 FOR 10/03/95 DESCRIPTION: INSTALL NEW SUB-PANEL AND NEW ELEC. FOR FUTURE EQUIPMENT TYPE: ELEC JOB ADDRESS: 2711 LOKER AV WEST APPLICANT: SANCUSE ELECTRIC CONTRACTOR: OWNER: REMARKS: MW/DAVID/438-5533X106 SPECIAL INSTRUCT: TOTAL TIME: --RELATED PERMITS--PERMIT# SE900011 SE900012 SE900013 SE900014 SE900015 SE900016 CB900967 CT900018 PD900019 CO940074 AS950017 CB950355 TYPE swow swow swow swow swow swow MISC CT PUD COFO ASTI MISC PHONE: PHONE: PHONE: STATUS ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED EXPIRED EXPIRED EXPIRED ISSUED ISSUED EXPIRED CD LVL DESCRIPTION ACT COMMENTS 33 EL Service Change/Upgrade --------------------------------------------------------- ***** INSPECTION HISTORY***** DESCRIPTION COMMENTS INSPECTOR AREA TP PLANCK# CB951337 OCC GRP CONSTR. TYPE VN LOT: DATE 092895 092895 Service Change/Upgrade Rough Electric ACT INSP CO TP CO TP ND EQUPT/GEAR OPEN PLAN ND DN STRM WIRING OPEN,PLAN B U I L D I N G P E R M I T Permit No: CB950752 Project No: A95U1086 Development No: t , 06/08/95.13:17 Page 1 of 1 Job Address: 2711 LOKER AV WEST Permit Type: PLUMBING Parcel No: 209-081-21-00 Valuation: 0 Construction Type: VN Suite: Lot#: Occupancy Group: Reference#: Description: EXTEND EXISTING GAS LINE 619 CITY OF CARLSBAD 2227 06/08./95 0001 01 C-f'RMT Status: Applied: Apr/Issue: Entered By: 745-0224 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 02 27::0{) ISSUED 06/08/95 06/08/95 MDP PERMIT APPIJCATION PLAN CHECK NO. City of,Ca,rlsbac:I Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 FST. VAL ___________ _ I. PiltMI'r'l'YPE PLAN CK DEPOSIT ________ _ VAIID.BY ------------ From Llst 1 (see back) give code of Permit-Type: ___________ _ DA TE _______________ _ For Residential Projects Only: From Llst 2 (see back) give Code of Structure-Type: ___________________ _ Net Loss/Gain of Dwelling Units __________________ _ 2. PRQJECT INFORMATION FOR OFFICE USE ONLY IL 1..-_ 1, 1. .]jjlldmg or Suite No. rrv-= vvE.S.l LEGAL DESCRIP11ON Lot No. Subd1V1s1on Name/Number UmtNo. Phase No. CHECK BEWW IP sOBMITI'ED: D 2 Energy Cales D 2 Structural Cales D 2 Soils Report SESSO ' PARCE DESCRIPTION OF WORK ti f... .,.__ -eel\.. C SQ. Ff. # OF STORIES # OF BATHROOMS a_. wN IACI PERSON (If different from apphcanf) NAME (last.name first) ADDRESS DAY TELEPHONE CITY -6 STATE ZIP CODE 4. APPl1CAN I -B'l'RAcl'OR LI AGENT FOR CON IRACIOR LI OWNER LI AGEN'I' FOR OWNER NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE s. PROPER'IY OWNER NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 6. coNTRAC10R -n-rr-o.1 ' UJ UV\\, .a. •• l 1 ADD"...,SS '007 r r~r .a_ T NAME (last name first) I 'W'J ,_..,._ f'-' t-JII" ru:. (.J! / .J , 'C<...>'--" t.;;;X....U..D CITY GS c.... STATE c.J4 ZIP CODE Cj-w'J. ~ SK' 2..01 13 STATE LIC. # t/53(Jf8. LICENSE CLASS C2:k._ ast name 1rst CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # 1. WoRKERs' CDMPENsA'nbN Workers' Compensation Declaration: I hereby affirm that I have a cernhcate ot consent to self-msure issued by the Director of lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE Ceruhcate of Exemption: I certify that m the performance of the work for which this permit 1s issued, I shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. oWNER-BUilDER DEGLARA.1'10N D D D Owner-Bmlder Declaration: I hereby afhrm that I am exempt from the ContractoPs License Law for the followmg reason: I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's Llcense Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's Llcense Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's Llcense Law). I am exempt under Section _______ Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's Llcense Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500]). SIGNATURE DATE COMPLETE THIS SEC110N FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? DYES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES ONO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF Da:UPANCY MAY NOT BE~ AFTER JULY 1, 1989 UNLESS THE APPllCANT HAS MET OR IS MEETING THE REQUlREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE Aill POLLUTION OONTR.OL DISTIUCT. 9. WNS'l'ROCl'ION LENDING AGENCY I hereby affirm that there 1s a construction lendmg agency for the performance of the work tor which this permit 1s ISSued (Sec 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS lo. APPLICAN r CfiltliFICAIION I certify that I have read the application and state that the above mformauon 1s correct. I agree to comply with au city ordmances anct State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE 10 SAVE INDEMNIFY AND KEEP HARMLESS THE CTlY OF CARISBAD AGAINSf ALI. llABILITIES, JUDGMENTS, OOSfS AND EXPENSF.S WHICH MAY IN ANY WAY ACX:IUJE AGAINSf SAID CTlY IN OONSEQUENCE OF THE GRANTING OF TIIlS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Expiration. Every permit issued b th Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized bys h p rmit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or a e at ny ~a~er the w_:ir~is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPLICANT'S SIGNATURE ~ DATE: ___ _ WHITE: File YELLOW: Applicant PINK: Finance ,. ' ...., CITY OF CARLSBAD Y '! INSPECTION REQUEST PERMIT# CB950752 FOR 06/30/95 DESCRIPTION: EXTEND EXISTING GAS LINE TYPE: PLUM JOB ADDRESS: 2711 LOKER AV WEST APPLICANT: TOTAL PLUMBING CONTRACTOR: OWNER: PHONE: PHONE: PHONE: INSPECTOR AREA TP PLANCK# CB950752 OCC GRP CONSTR. TYPE VN LOT: REMARKS: RS/ INSPECTOR SPECIAL INSTRUCT: THIS GAS INSPECTION IS IN THE "CLEAN.-tt::-~~"/-:".I~N=S~P~O-N~6~/~2-8-- COULD NOT LOCATE GAS LINE. TOTAL TIME: --RELATED PERMITS-- CD LVL DESCRIPTION PERMIT# SE900011 SE900012 SE900013 SE900014 SE900015 SE900016 CB900967 CT900018 PD900019 CO940074 AS950_017 CB950355 TYPE swow swow swow swow swow swow MISC CT PUD COFO ASTI MISC STATUS ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED EXPIRED EXPIRED EXPIRED ISSUED ISSUED ISSUED ACT COMMENTS _23 __ PL _G_as_f_T_e_s_t_J_R_e __ p __ a_i_r_s ______ !f-------------- ------------------------------,------ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS B U I L D I N G P E R M I T Permit No: CB950086 Project No: A9500094 Development No: 01/09/95 10:48 . l\ Page 1 of 1 Z7 Job Address: ·~ LOKER Permit Type: ELECTRICAL Parcel No: 209-081-21-00 Valuation: O Construction Type: NEW AV WEST Suite: Lot#: Occupancy Group: Reference#: Description: ADD 200 AMP 3 PHASE PER KELLEY Appl/Ownr : LEIDER, ROBERT 619 770 SYCAMORE AVENUE #54_7_,3._ VISTA, CA 92083 CITY OF CARLSBAD 0220 01/09/95 0001 01 C-PRMT Status: Applied: Apr/Issue: Entered By: 754-1967 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 02 110.00 ISSUED 01/09/95 01/09/95 DC PERMIT APPUCATION City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 1. PERMIT 1YPE From List 1 (see back) give code of Permit-Type: ___________ _ For Residential Projects Only: From List 2 (see back) give <:ode of Structure-Type: ____________________ _ Net Loss/Gain of Dwelling Units __________________ _ 2. PROJECI' INFORMATION Address '5L 7 ,c 2-.G O/< ~ /9 c.)e, ~ . Buildmg or Suite No. ,;r"7 // Nearest Cross Street LEGAL DESCRIPTION Lot No. Subd1vmon Name/Number CHECK BEWW IF s0BM1'1'1ED: O 2 Energy Cales D 2 Structural Cales D 2 Soils Report O 1 Addressed Envelope PLAN CHECK NO. FSr. V.AL'------------PLAN CK DEPOSIT ________ _ VALID. BY. ___________ _ DATE'-------------- FOR OFFICE USE ONLY OmtNo. Phase No. ASSESSOR'S PARCEL EXISTING u5;o PROPOSED USE DEscRIPTioN oF woRK A -:J:;:, :z: ,,._., 2-0 & A ~ S? o Z3 a->,,,;;-/'-./ t:---c SQ. FT. # OF STORIES # OF BEDROOMS # OF BATHROOMS :{. WN IACI PERSON (If dmerenf from applicant) NAME (last.name first) ADDRESS CITY V IS 7--,,::J STATE C, tQ ZIP CODE 9 DAY TELEPHONE 4. APPIJCANT 0CONIMCIDR DAuENTl'Ul:lCUNTHAGlUl:l DUWNEH. OAGENl'FOROWNER NAME(lastnamefirst) L.,~/v~ {306 ADDRESS 7 70 S #C,~,rv>?00£° A-UC ~C,I/ 'IC#'JC/.l3 CITY ti/ S /,::/ STATE (3 /,() ZIP CODE '7 ;2,0 CT 0 DAY TELEPHONE b /,;l -/ .J_.,,... ;f".-/ '7 6 7 S. PROPERTI oWNill NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 6. mN'l'RACTdR >< ---. --...r? /2 CJ 13 €4z-,1 7 6 S C ,,... ,,--v,, o (i2.. ~ /-J -r NAME (last name first)L z., J v 'v"" '-' ADDRESS 7 cJ r1 u ~ CI1Y /.1 / 5 7-,() STATE C:., ~ ZIP CODE CJ 2-0 S,3 DAY TELEPHONE (,5 / 9 -7 )-Cj -/<;' ..( ) STATE LlC. #&5] o/f LlCENSE CLASS ~ / D CI1Y BUSINESS LlC. # DESIGNER NAME (last name hrst) ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE STATE LlC. # 1. WoR1<ERs' OOMPENSA11oN Workers' Compensation Declaration: I hereby afhrm that I have a cert1hcate of consent to self-msure issued by the Director of Industnal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY C:X: 4: ,___. EXPIRATION DATE SIGNATURE DATE 8. oMJill-BOMER DECTARA.TION Owner-Bmlder Declaration: I hereby athrm that I am exempt from the Contractor's License Law tor the toilowmg reason: 0 I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale.). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's Llc:ense Law). 0 I am exempt under Section _______ Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATIJRE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? DYES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES ONO IF ANY OF THE ANSWERS ARE YF.S, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE~ AFfER JULY 1, 1989 UNLF.5S THE APPUCANT ~ MET OR IS MEETING THE REQumEMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE Am POU.UTION OON1ROL DISfRICT. 9. rnNS'IROcl'ION LENDING AGENCY I hereby afhrm that there 1s a construction lendmg agency tor the performance of the work for which this permit 1s issued (Sec 3097(1) C1VII Code). LENDER'S NAME LENDER'S ADDRESS 10. Al'PllCAN1 CER1'1FICA'l10N 1 cernfy that I have read the application and state that the above mformat1on 1s correct. 1 agree to comply with all City ordmances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I AISO AGREE ro SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARISBAD AGAINSf AIL UABIIJTIF.S, JUDGMENTS, oosrs AND EXPENSF.S WIIlCH MAY IN ANY WAY ACXlUJE AGAINSf SAID CITY IN OONSEQUENCE OF THE GRANTING OF TillS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. 0 CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB950086 FOR 02/01/95 DESCRIPTION: ADD 200 AMP 3 PHASE PER KELLEY TYPE: ELEC JOB ADDRESS: 2711 LOKER AV WEST APPLICANT: LEIDER, ROBERT CONTRACTOR: OWNER: REMARKS: MW/438-5533 SPECIAL INSTRUCT: TOTAL TIME: --RELATED PERMITS-- CD LVL DESCRIPTION PERMIT# SE900011 SE900012 SE900013 SE900014 SE900015 SE900016 CB900967 CT900018 PD900019 CO940074 CB941658 TYPE swow swow swow swow swow SWOW. MISC CT PUD COFO MISC PHONE: PHONE: PHONE: STATUS ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED EXPIRED EXPIRED EXPIRED ISSUED ISSUED ACT COMMENTS INSPECTOR AREA TP PLANCK# CB950086 OCC GRP CONSTR. TYPE NEW LOT: 33 EL Service Change/Upgrade .d.t:! ______________ _ 8-:Z-. _ --.--......------------L5'L!_ ~..OL?IV-J'm«:) tv1/ll7 ,d't;l'-lfc;Vff. -------------------------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION 012095 Rough Electric ACT INSP AP TP COMMENTS SUB PANEL ONLY,DIST N/COMP t,;, kJ i ! fr I --------7 c () ':'\ ~ ~ 11·=,':',! ........ -----=o··--'C -·--·---fl I') tr--. L--···-··--_· I . _j BOB LEIDER ELECTRIC UC# 657019 770 SYCAMORE AVE. SUITE J473 VISTA, CA. 92083 (619) 754-1967 JAN. 8, 1995 1 i i i FABRIC COATING CORP. 2 ::::::::::::::::::=:=:::r··················::::::::J························:::::[ii.iih9:~g!i:::~~;:~s=r ____ -_,_,__ -_ -_ -···············t-·· ·······[····························· ~ __ -]__ r ----~·~1~~~~~~=-:-:=~::····l=-1-- : ii~iN.SERV.ICE;\:;i,:iiiER.GROU~D; AMPS.: 800; GROUNDING, &·~Fi;s·exisTING i i ............... __.i ............................ . 1 o ····· ... ······-r···························-r···························-r·····························r ·· i i ~ ; .~~.~::~·~:~~: .. ?9.\~MP 42 Cl~CUT 3 PHASE ~~!T!; .. M~9..!! .. 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