HomeMy WebLinkAbout2711 LOKER AVE W; MULTI-PERMIT FILE; CB092165; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
12-22-2009 Miscellaneous Permit Permit No: CB092165
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2711 LOKER AV WEST CBAD
MISC Subtype: OTHER
Parcel No: 2090814300 Lot#: 0
Valuation: $0.00
Reference #:
PC#:
Project Title: SOFT DEMO OF PARTITION WALLS,
CEILING, DOORS & FRAMES TO PREP OF NEW TENANT
Applicant: Owner:
CASPER'S CONCRETE CUTTING CO., KING ROBERT LEE
8110 COMMERCIAL ST
LA MESA, CA 91942
619-589-6001
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees: $65.00
Inspector: ~
PERMIT FEE
17 27TH AVE
VENICE CA 90291
Total Payments To Date: $65.00
FINAL APPROVAL
Date: VI 701 f
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Balance Due:
Clearance:
ISSUED
12/22/2009
JMA
12/22/2009
12/22/2009
$65.00
$0.00
$0.00
$65.00
$0.00
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 vou have nreviouslv been niven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise exnired.
--------_..,___.
'~
Building Permit Application Plan Check No.CB(f1 2-l Co S-
1635 F9raday Ave., Carlsbad, CA 92008 Est. Value ~ CITY OF 760-602-2717 / 2718/ 2719
Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD www.carlsbadca.gov Date 1z/z7~f o 4. i-)v1AA'-
;,. JOB ADDRESS Lo 1<£.fl. Av-(:...vv,t . SUITE#/SPACE#/UNIT# IAPN \.,!'--2.7tl ' ---
CT/PROJECT# ILOT# I PHASE# I# OF UNITS I # BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. lYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
I ef,e, ff 17 ~t1M' L.. I .,-, 0 JV' 0 f ,7 A~ Tl ,-I C,,.., WA t.,o..S.1 ,' 6Z..t0 C...l.ct ... r/Vb ,, Doo iZ-'> + f,-2.,1111 f. S
I... Fo~ L£.~~ ~tto-o?-g 1/l &..-t::>J IV~
EXISTING USE I PROPOS~D USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS CC)"" W\ (c. ,11 ... c.. , .+-"-YESO #_ NOD YES O NO O YES O NO 0
CONTACT.NAME (If Different Fam App/leant) APPLICANT NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE rAX
PHONE rAX
EMAIL EMAIL
PROPERTY OWNER NAME z 7 / I LoKez. Av~ L.L (:... • f_ONTRACTOR BUS. Nl.! C.,4 s,? Co,vc... f.. f. TE.. C,v711 N '-
ADDRESS FLetf r 4rtU.-,E,..T , (v, 1E 1(; tJ ADDRESS
g,ct~C-~f-, DfLlV~ 572.i o 302..S" enc STATE ZIP CITY
V1tu..G;.V
STATE ZIP AI-L.~aAo C..A q'l.ooB 4"'1"-tl\/6 ,, C.111 c::t 1'1 7 "l
PHONE 'FAX PHONE 'FAX 7&,o .. '-l~fJ · S S.C:O &,t'i -SE,f -&:,oo I '-=' ,q _ t,,c::, i -L/ 70 'J
EMAIL EMi (U.r, C.@ e A-$PU C'OM p JIµ y. ~o ;11.
ARCH/DESIGNER NAME & ADDRESS I STATELIC. # STATELIC.# rss ,f-1 ICllYBUS.LIC.# l..( i 12.i '1 lo 0 Z..l., b (
.. (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair ant structure, pnor to its issuance, also requires the applicant for such permit to file a si1:(ned statement ttiat 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 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)).
• ~rkers' Compensation Declaration:/ hereby affirm under penalty of perju,y one of the following declarations:
l(,!_ I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
D I have and will maintain workers' compensatiollJlaS req,uired by Sectionf_?00 of the LJlb2r Code, for the performa~ce pf the work fpjlij:h thisfjmit is issued. My workers' compensation in uranc carrier and policy
number are: Insurance Co. 2 V IZ-1 C. f,/ /1"1 Fi:.l-tt.lf,AJ ,-,~ 'II ,u+,vt.£:, Policy No. WC. ef I,:,; "1 Z b 2-Expiration Date fO \ ~O I 0
Tu]s section need not be completed if the permit isior one hundred dollars ($10b) or less.
gJ Certificate of Exemption: I certify that in the perform f the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' o pen lion coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars {&100,000), in
addition to the cost of compensation, damage id for in Section 3706 of the Labor code, interest and attorney's fees.
Ji$ CONTRACTOR SIGNATURE DATE I 1.,.
I hereby affirm that I am exempt from Confractor's Ucense Law for the following reason:
D -l;as-owner·of-the-properly·ormy-employees·with-wages-as-theirsole 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 properly, 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).
D I am exempt under Section _____ .Business and Professions Code for this reason:
1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 Yes O No
2. I {have/ have not) signed an application for a building permit for the proposed work.
3.1 have contracted with the following person {firm) to provide the proposed construction (include name address/ phone/ conlractors' 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/ phone/ 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/ type of work):
.Ji5 PROPERTY OWNER SIGNATURE CIAGENT DATE
Is the applicant Of 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
Presfey-Tanner Hazardous Substance Account Act? D Yes D No ·
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes D No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D 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.
Lender's Name Lender's Address
I certify thatl have read the application and state that the above information is conectand 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 represenlalive of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I 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 construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Offici under the provisions of this Code shall expire by limitation and become null and void if the building orwolk authorized by such permit is not commenced within
180 days from the date of such permit or if th ing r 11< authorized by such permit is suspended or ab1mdone/l at any time after the wolk is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE
City of Carlsbad Bldg Inspection Request
For: 02/16/2011
Permit# CB092165 Inspector Assignment: TP ---
Title: SOFT DEMO OF PARTITION WALLS,
I
Description: CEILING, DOORS & FRAMES TO PREP OF NEW TENANT
Type:MISC Sub Type: OTHER
Job Address: 2711 LOKER AV WEST
Suite: Lot: 0
Location:
OWNER KING ROBERT LEE
Owner:
Remarks: CAN YOU FINAL?
Total Time:
CD Description Act Comments
19 Final Structural AP'
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act lnsp Comments
Phone: 0000000000
.Inspector: L
Requested By: NA
Entered By: CHRISTINE
@~~~
2711 LOKER AVE.
· CARLSBAD. CA
07/24/09
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2711 Loker Carlsbad (139% of Scale); Olson Construction Carlsbad; 6-11-2009 7-41-49; 12/9/2009 02:16 PM
Ct? oq 2-t 0.s-
12/19/94 15:11
Page 1 of 1
B U I L D I N G P E R M I T Permit No: CB941658
Project No: A9402454
Development No:
Job Address: 2711 LOKER AV WEST
Permit Type: MISCELLANEOUS
Parcel No: 209-081-21-00
Valuation: O
Construction Type: NEW
Suite:
Lot#: 0013 12/19/94 0001 01
C-PRMT
O'') .:.
50-00
Occupancy Group: Reference#:
Description: REMOVE WALL ADD EXIT DOOR A/B
: PER KELLEY
Status:
Applied:
Apr/Issue:
Entered By:
619 930-9230
ISSUED
12/19/94
12/19/94
DC
Appl/Ownr : SAN DIEGO PROPERTY SERVICES
5835 AVENIDA ENCINAS--#123 ---... ·· ·-
CARLS BAD , CA 9 4 Q <f9 -....,.,
,, ('.> ; . \ :':"'-··,"'--.,
Fees Required ~,{~ -· \ '>** *'.\ -· f'.ees· £ollected & Credi ts * ** *** ' / ,,. '\ '... \ ' ....,.. . : ,~ : / 1 \ -----------------------/ ----< ' ~::l.-----------.:-<__ ,7 .--.... -----------------------
/ t "-., ,./ /' .. \ , / .,...\ \ \ Fees: ; 50.0b, __ .., ,--,,j.,,-' ,
Adjustments: / , ~\,. 00 •ro.:.e~~~Cr.idfhs :\ . 00
Total Fees: / /·5-o-.::_:o 0, .-r , f'-Otal Palit(e:t}·t·s: \ . 0 0
/ (~";) / 'C~·-, ",. .. _ .--•• ~~---~al.3.nc.e ~f~""e,; \ 5 0 • 0 0
Fee description : :------· I ,..._""·,.._,,._~,:;,· -""·;::·:::,:..~---, l:;ffe~s '. Fee,:/Oni t Ext fee Data __________________ j __ --... ------~ -I ___ :';~----~~;:_:~~ -· ,'..tf,/ __ _:._;/,..,. ---: -----------------
Miscellaneous Fee/#{())' -~ > ,Jj jr6.oo/,/Jl\ f\~.-_::-:·_,/1 ; ' 50.00 REMWALL * MISCELLANEOUS TOTA!,·-· /;'J..A"'-, "~<' .. ;"° ---·-<·-<-;::: , --50.00
i ">-. J I 1 '·\ 0';,; t~ {',,,·r-.\'\;: 1· I \ ....._ : I 1"1) '' . , :_ !-i \ ' ,J·..t . .......__ >, 11/ '. (~"':,:!/ f ~--\HJ C . ·9,-,•,1 : "'··-.)'7~ v;:11 /J/1' ./ /
/ / 1, :~'fl>,' ~" -~:# / , I \ -~l I
L--INCORPOR,\TEO ,.
1852
, ... J: ...
f
I J
!
f I AL ,PPROVAL
I! NS P . .,__,_~-QI IE r:fl -I 0-2
, CLEARANCE _4@T: __ 12a___,;;;;;.;. __ • --,
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PER.MIT APPIJCATION
City of Carlsbad Building Department
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 FSf. VAL'-------------
I. PERMl'f 'NPE
PLAN CK DEPOSIT _______ _
VAIID.BY. ___________ _
DATE'--------------From list 1 (see back) give code of Permit-Type: ___________ _
For Residential Projects Only: From list 2 (see back) give
Code of Structure-Type: V@i'lot..:z:~:n~,oi-J / 1::'1vlt:."fl6erVl:( f:x'Cr J
Net Loss/Gain of Dwelling Units __________________ _
FOR OFFICE USE ONLY
mt o.
CHECK BElbW IF sOBMl'l'l'Eb:
O 2 Energy Cales D 2 Structural Cales D 2 Soils Report O 1 Addressed Envelope
;{. WN IACI PE850N (If dJfferenf from apphcanO
NAME (last.name first) ADDRESS
CI1Y STATE ZIP CODE DAY TELEPHONE
4. APPUCANT U CUNHlACTUH. D AGEN'l' FoR CON'l'MCl'OR
ADDRESS
D oWN£R D AGEN'l FOR OWNER
NAME (last name first)
CI1Y STATE ZIP CODE DAY TELEPHONE
6· ~~~~me first) 5fy-J DXe&O PllOP&n"t-/ j0/,r/.ADDRESS $0?>5 /IV&J.tiO~ aJe,:;:::,.J"I::, #-(1.._.J
CI1Y C..Afti..S&t{) STATE (pt-ZIP CODE 'fZ..001 DAY TELEPHONE (b/<'/)-'/30-Cft-30
STATE IJC. # /p&'J-755" IJCENSE CLASS & CI1Y BUSINESS IJC. #
DEslGNER NAM£ (last name hrst) AODR£ss
CI1Y STATE ZIP CODE DAY TELEPHONE STATE IJC. #
· 1. WORKERS' OOMPENSA11uN
Workers' Compensation Declaranon: I hereby afhrm that I have a cert1hcate of consent to self-msure issued by the D1rector of Industnal
Relati s, or a certificate o;~kers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
~y irect the insu~ereof filed with the Building Inspection Department (Section 3800, Lab. C).
INSU~CE COMPANY a 'f--e POIJCY NO. EXPIRATION DATE
Cert1hcate 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
B. oWN'ER-BUllDER bECIARA11oN
0
0
Cl
uwner-.tluuaer 1Jec1arat1on: I hereby afhrm that I am exempt from the Contracto?s License Law for the foliowmg 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 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.).
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).
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]).
SIGNATURE 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?
0 YES D NO
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 YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE~ AFfER JULY 1, 1989 UNLESS TIIE APPIJCANT
HA'i MET OR IS MEETING TIIE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND TIIE Am POIJ.UTION CDN1ROL DISI1UCT.
9. OONS'IROCl'loN LENDING AGENCY
I hereby afhrm that there 1s a construction lendmg agency for the performance of the work for which this permit 1s issued (Sec 3097(1) C1VJI Code).
LENDER'S NAME LENDER'S ADDRESS
to. APPLICANT CRRlfi/lCA'hON
I certify that I have read the application and state that the above mformanon 1s correct. I 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 'ID SAVE INDEMNIFY AND KEEP HARMLESS TIIE CTIY OF CARISBAD AGAINSf AIJ. IJABILITIFS, JUDGMENTS, CDSTS
AND EXPENSF.S WIIlCH MAY IN ANY WAY ACCRUE AGAINSf SAID Cl1Y IN CDNSEQUENCE OF TIIE GRANTING OF TIIlS PERMIT.
y the B · Bing Official under the provisions of this Code shall expire by limitation and become null and void if the
s ch pe it is not commenced within 365 days from the date of such permit or if the building or work authorized by
an one at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code¥
DATE: IH<?"-4
WHITE: File YEIJ.OW: Applicant PINK: Finance
.. ' ,..,
PERMI1r# CB941658
DESCRIPTION: REMOVE WALL ADD
PER KELLEY
TYPE: MISC
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 02/10/95
EXIT DOOR A/B
STE:
INSPECTOR AREA TP
PLANCK# CB941658
OCC GRP
CONSTR. TYPE NEW
LOT: JOB ADDRESS: 2711 LOKER AV WEST
APPLICANT: SAN DIEGO PROPERTY SERVICES
CONTRACTOR:
PHONE: 619 930-9230
OWNER:
REMARKS: BJN/TIM/438-5533
SPECIAL INSTRUCT:
TOTAL TIME:
--RELATED PERMITS--PERMIT#
SE900011
SE900012
SE900013
SE900014
SE900015
SE900016
CB900967
CT900018
PD900019
CO940074
CB950086
TYPE swow swow swow swow swow swow
MISC
CT
PUD
COFO
ELEC
PHONE: a PHONE:
INSPECTOR. -1.--------------
STATUS
ISSUED
ISSUED
ISSUED
ISSUED
ISSUED
ISSUED
EXPIRED
EXPIRED
EXPIRED
ISSUED
ISSUED
CD LVL DESCRIPTION ACT COMMENTS
14 ST Frame/Steel/Bolting/Welding __f"/ }Jo wl~ ~--
--------------------------------------
***** INSPECTION HISTORY*****
DATE DESCR~PTION
020395 Final Structural
ACT INSP
PI TP
COMMENTS
DEMO COMPLETE,ND SIDE DOOR
DEC-15-94 THU lU-Lu AM CSCV DEC-13-1994 16:56
FABRIC COATING CORPORATION
2717 LOKI!RAV!NUf • ~BAD, C.ALJ.fO.RMA 92008 • (619J.f31$.£SS33 • FAX: (619)438-5818
De~er 13, 1994
Mr. Da.xyl Laws
Th, L.n Complllly
1300 Briotol St., North
Suite200
N~ B,ach, CA 92660
This is a propoBod dzmng for il T enmt lmp~menu .md De-tno of aiff:ing w&ll topa.ntmr:
2711 A Lolte% Avenue and 27 ll .B Lol-c:x A~.
The T .l. comiats of adding an en1ergcmcy eat and a concrete pad (exterior} tu the e'Xi.clinS
cc:mcm• {Md for awen ta 2711 B.
Thankyou.
r. j
£0'd itllO.l
~i ;tg·
~(.? •• ,..-! ~ -.... oa '0~ \:,,. ~s
-~tl'l c::::> (.)
Tl 'J .
·----
--
c;m;t 7.c;7.v 11.
_,
G
B U I L D I N G P E R M I T
06/12/90 16:54
Permit No: CB900967
Project No: A90010S8
Development No: Page 1 of 1
Job Address: 2711 LOKER AV WEST Str: Fl: Ste:
Permit Type: MISCELLANEOUS
Parcel No: 209-081-21-00
Valuation: O
Coristruction Type: NEW
6081 06/12/90 C001 01 02
C··PFS'1T 3('.<. (h.''
Occupancy Group: Class Code: Status: ISSUE:!)
Description: COMPLIANCE CT 90-18 PUD 90-19 Applied 06/12/90
Apr/Issue
Validated By: DC
OWNER : ST. ANDREWS INVESTMENT Lie. OWNER 714 252-0606
*** Fees Required *** *** Fees Collected & Credits ***
Fees:
Adjustments:
Total Fees:
Fee description·
30. oo·
.oo
30.00
----------------~----------------------------
Total Credi.ts:
Total Payments:
Balance Due:
Uni ts · . 'Fee/Unit
.oo
.oo
30.00
Ext fee Data -----------------------------· -~-----~~ -----~----------------------
Miscellaneous Fee #1 > '30,00 30.00 COMPINSP
* MISCELLANEOUS TOTAL 30.00
, I ,'
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
\
,/ERMIT APPLICATION
·>city of Carlsbad Building Department
•
2075 Las Palmas Dr., Carlsbad, CA 92009 (619·) 438-1161 EST. VAL. ______________ _ . PLAN CK DEPOSIT ___________ _
VALID. BY ______________ _
1. PERMIT TYPE . DATE ______________ _
A · 0 COMMERCIAL
B • D INDUSTRIAL
C • 0 RESIDENTIAL
NE\./
ONE\./
OAPARTMENT
0 TENANT IMPROVEMENT
0 TENANT IMPROVEMENT
OCONDO OSINGLE FAMILY DWELLING 0 ADDITION/ALTERATION
ODUPLEX ODEMOLITION
OMECHANICAL OPOOL
ORELOCATION OMOBILE HOME OELECTRICAL OPLUMBING
OsPA ORETAINING WALL OsoLAR OoTH'!Jll/-+r-:::o.-f:,l-;C..::-:.J
7 11 -:Z.1'2.l '--01~-rz.. C,A,e,_~e,cye, C.A
Nearest Cross Streets 'Pl't",_c>,..... l't72. A-L e. Po 12.:r R.c,
LEGAL DESCRIPTION Lot No. Subdivision Name/Number
CHECK BELO\I IF SUBMITTED:
02 Energy Cales 02 Structural Cales D 2 Soils Report D 1 Addressed Envelope
.ASSESSO.R IS PARCEL EXISTING USE
C1 CJD.,../ 8
F
Unit No. Phase No.
PROPOSED USE.
3. CONTACT PERSON
NAME ADDRESS
ZIP CODE CITY STATE DAY TELEPHONE
SIGNATURE
4. APPLICANT 0 CONTRACTOR 0 AGENT FOR CONTRACTOR
ADDRESS
OmlNER D AGENT FOR O\.INER
NAME
CITY STATE ZIP CODE DAY TELEPHONE
s. mPERTY OWNER o\.lNER AME $1"°, /l;r.J.~(:"'I',/_~ \1-.lvf.=':>'i"'r-fF-t•lT-OLESSEE OTENANT
l~Oo -S~\'>TD'-<;:,T, 1\foA2-j'l4 ~LTC:
c1TY N~ot2.r ~~ sTATE C.A.. ZIP CODE DAY TELEPHONE
6. CONTRACTOR
NAME
CITY
SIGNATURE
DES I GNER NAME
CITY
STATE
STATE L!C. # ____ _
STATE
ADDRESS
ZIP CODE
LICENSE CLASS _____ _
TITLE
ADDRESS
ZIP CODE
DAY TELEPHONE
CITY BUSINESS L!C. #
DATE
DAY TELEPHONE STATE LIC. #
7. WORKERS' COMPENSATION
8.
Workers• Compensation Declaration: I hereby affirm that I have a certificate, of consent to self-insure issued by the Director of Industrial 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 fSection 3800, Lab. C).
INSURANCE COMPANY POLICY NO. EXPIRATION DATE
Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
OWNER-BUILDER DECLARATION
owner-Builder Declaration: I hereby affirm 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 p~operty 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·bui lder 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. 704'4, 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 L i.cense Law).
D 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 requfres 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 Profess.ions 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 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 tac.it ity to be· constructed within 1,000 feet of the outer boundary of a school site?
Om ONo
IF ANY OF THE ANS\IERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS
OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
9. CONSTRUCTION LENDING AGENCY
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 IS NAME LENDER IS ADDRESS
10. APPLICANT'S SIGNATURE I certify that I have read the application and state that the above information is correct. I agree to comply w.ith 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 ALSO
AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JLOGIIENTS, COSTS AND EXPENSES IIHICH MAY IN ANY IIAY ACCRUE AGAINST SAID
CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
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 180 days from the date of such pe.rmi t 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).
CANT'S,~~ OcoNTRACTOR OBY PHONE
WHITE: File YELLOW: Applicant PINK: Finance
APPROVEif:sy, ---,-,-------:-'-
DATE:· __ ·----'----
UNSCHEl2!lU:P tNSPECTl_~!'.--=z ·
DATE /2-,ll C /1 I INSPECTOR / . / ~ 7 {
PERMIT t_______ PLANCK # t!.!J 1 O 6 C/ t 7
JOB ADDRESS -z.:? I I t.--o)<.,re..y(__
TIME ARRIVE: _____ TIME LEAVE: _____ _
CD LVL DESCRIPTION
~-
PERMITS
6/15/89
ACT COMMENTS
~ 8-&in~J .
_ ~o ::Dv.s/7. h'IA.()G /Ex//J&_/'~Jt.m/("
7
City of Carlsbad
· -=Htidihf.1•24·1¥hh,t4,ii
DATE: 11/25/91
TO: ST. ANDREWS INVESTMENT
1300 BRISTOL ST
NEWPORT BEACH, CA 92660
RE: BUILDING PERMIT EXPIRATION
PERMIT NUMBER: CB900967
ISSUE DATE: 06/12/90
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 12/09/91.
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 initial 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 Drive • Carlsbad, California 92009 • (619) 438-1161