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Home My WebLink About2711 LOKER AVE W; ; CB950090; PermitB U I L D I N G P E R M I T Permit No: CB950090 Project No : A9500099 Development No : 01/10/95 08 :38 Page 1 of 1 ~7/1 Job Address:~ LCKER AV WEST Permit Type: PLUMBING Parcel No : 209-081-21-00 Valuation : o Construction Type: NEW Suite: Lot#: Occupancy Group: Reference#: Description: GAS LINE FOR DRYER FABRIC COAT : CORPORATION Appl/Ownr : SAN DIEGO PROPERTY SERVICES p 0 DEL MAR, ~** Fees Required F'ees : Adjustments: Total Fees : Fee description 619 CITY OF CARLSBAD 0233 01/10/95 0001 01 C-PRMT 02 27-00 Status : Applied: Apr/Issue: ISSUED 01/10/95 01/10/95 Entered By: DC 481-2821 .00 .00 27 .00 * ~ * Ext fee Data 20 .00 Y 7.00 27.00 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPUCATION PLAN CHECK NO. City of Carlsbad Building Department 2075 Las Palms Dr •• Carlsbad, CA 92009 (619) 438·1161 FST.VAL. ___________ _ i. PERMIT 1YPE PLAN CK DEPOSIT _______ _ VALll>.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:--------------------- Net Loss/Gain of Dwelling Units------------------ FOR OFFICE USE ONLY Building or Suite No. A"r w5-s r-.., LEGAL DESCRIPTION Lot No. SubchV1s1on Name/Number Unit No. Phase No. cAEcR BEWW IF s08Mll 1£D: 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 114s .,.~LLJIVt;.. o:71" ~..VS L1N6 SQ. IT. # OF STORIES # OF BEDROOMS # OF BATHROOMS 3. WN IACI PEl&JN (if different from appucanO NAME (last name first) ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE 4. APPUCAN I U CUN I RAC"lUH LI AC£N I FOR CUN I RACIOR ADDRESS LI OWNER LI ACEN I FOR OWNER NAME (last name first) CI1Y STATE ZIP CODE DAY TELEPHONE s. PROPER'IY OWNER NAME (last name first) \500 ~~~~\ 2...DO ~ NGCAJ po IZ..,\ 6. mN'l1tACIOR A:'N: Ce, I h' \ (~::'•./$ NAME (last name Ji{st) 12, f;Y2-,-x.r> C"' L'I ADDRESS SlllJ V/6-~ /~D , Iv-> J l,K.U " Cl1Y STA ZIP CODE DAY TELEPHONE STATE UC. #G{,2/$'5" LICENSE CIASS CI1Y BUSINESS UC. # DEslCN£R NAME (last name first) ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE STATE UC.# 1. WoR.KERS' aJMPENSA'lioN Workers' compensation Oeclarat1on: I hereby affirm that I have a ceruhcate of consent to sell-insure 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 ceruly 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 W sation Laws of California. a am exemp rom n ac o s cense w or e o owmg 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). 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]). SIGNATURE DATE COMPLETE rnls SECTION FOR NON -RESIDEN I IAL B0IU51NG 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? DYES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES D NO IF ANY OF nm ANSWERS ARE YES, A FINAL CERTIFICATE OF ocx;upANCY MAY NOT BE~ AFTER JULY 1, 1989 UNU.SS nm APPUCANT HAS MET OR IS MEJITING nm REQU1REMENTS OF nIE omCE OF EMERGENCY SERVICES AND nm AIR POillITlON CDNTROL DISllUCT. 9. WNS'IROCl10N LENDING AGENCY I hereby afbrm that there 1s a construction lending agency tor the performance of the work for which this permit 1s issued (sec 3097(1) C1V1l C@ej. LENDER'S NAME LENDER'S ADDRESS to. APPUCAN I cm nFICAnON I ceruly that I have read ifie apphcat1on and state that the above mlormauon 1s correct. I agree to comply with all City ordinances and Stale 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 ro SAVE INDEMNIFY AND I<EEP HARMU.SS nm crIY OF CARLSBAD AGAINST All. UABIUTIES, JUDGMENTS, CDSTS AND EXPENSFS WIDCH MAY IN ANY WAY Aa:RUE AGAINST SAID crIY IN CDNSEQUENCE OF nm GRANTING OF TIDS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep d demolition or construction of structures over 3 stories in height. Expiration. Every permit issued by the B · building or work authorized by such pe it such permit is suspended or abandon at n APPLlCAN'I"S SIGNATURE provisions of this Code shall expire by limitation and become null and void if the ithin 365 days from the date of such permit or if the building or work authorized by ork is commenced for a period of 180 days (Section 303(d) Uniform Building Code). DATE: ___ _