HomeMy WebLinkAbout2711 LOKER AVE W; ; CB950355; PermitB U I L D I N G P E R M I T Permit No: CB950355
Project No: A9500515
Development No:
03/13/95 12:31
Page 1 of 1 Jt7//
Job Address: "Z"'7-r7 LOKER AV WEST Suite:
Permit Type: MISCELLANEOUS
Parcel No: 209-081-21-00 Lot#:
Valuation: 0
Construction Type: VN
Occupancy Group: Reference#:
Description: BUILD W/H ENCL. RUN GAS AND
: ELECTRIC AND INSTALL FLOOR SINK
Appl/Ownr: SAN DIEGO PROPERTY SERVICES
5833 AVENIDA ENCINAS--#1:z-3 ---
619
1037 03/13/95 0001 01 02
C-PRMT 74-00
Status:
Applied:
Apr/Issue:
Entered By:
930-9230
ISSUED
03/13/95
03/13/95
MDP
CARLSBAD, CA. 920--08 .,
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*** Fees Required *:k'* ,,---\C;,;)IC*~-.,/,'.,,.F.ee.\f Coli~ted & Credits *** ______________________ / ___ , r ·,\ ',~ \"l"' ___ • --,, _ -, / .1:,, /'..!. ___ , -. ____________________ _
/ \. ; \ , \,~ / / ,· '\_ Fees : ; 7 4: • 0 Q_ -:, ; __ '<> __ ; \ ' , ,. , -, ,, ' ' , , ' \ Adjustments: / _ ~-\,_: 00 // · T~J:a1, Cr'.~df~,s: \ . oo
Total Fees : 1 , 7-4,,:'9 O / , ,\?'.-'~:tal P~?~t!p;ts: \ . O 0
; / ,. ,\ Balanc;e)-Due: \ 7 4. o o
Fee description / ,,,,,.,~ ,J / ''<~·--:-.,,,.,,::::::.~.-~:.:::.::~-.::::.."':,1Jrti5ft'/ \ Fee>',?T)ni't Ext fee Data
-Mi see llaneous -Fee i #~{5 i ___ ,-=::_~,;;~~~_;;;~~ O /)7; ~~] ~ -:-------34.0 O -PLUM
Miscellaneous Fee i4t2<: .. ,,/ : riy'\~,, ... :'2:;;\ .,/2o_A~Q0v,c;.,"" ' ,i 20. 00 ELEC
Miscellaneous Fee \#3 , _'\._,.,,,_} J/i >"\' 01 ,:' 2t9'-;~-0~ f ; 20. 00 PERMIT
* MrscELLANEous TofAL \ ,, \;:!.:...---. .. L: t y -,tr)J / 1 14. oo
\ \ ~ "'( t r,?( i (, ,::;/ I ' \ , 'l, i --. i __ '" I , \ ' "-."). ,.,, .. -"' ,''' / ',i.-,,,. ' \ "' / \ti -,, /' / /
'. ',; l'-lCORf-ORATE:0 ,,
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CITY OF CARLSBAD
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/
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2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 ~
I
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PERMIT APPUCATION q r.~s ~ PLAN CHECK NO. .) .,,) _)
City of Carlsbad Building Department
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 ESf. VAL,__ _________ _
1. Pf:RMIT TYPE PLAN CK DEPOSIT. _______ _
VALID.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 __________________ _
2. PRClJECI' INFORMATION
Address J{"i 1 I :J."117 \O\(c;f(_ t::.\\J u..,c<;l
FOR OFFICE USE ONLY
Buildmg or Suite No.
Nearest Cross Street Qp. \o
mt o.
CHECK BEWW IF SUBMI'l'l'ED:
[J 2 Energy Gales [J 2 Structural Gales [J 2 Soils Report [J 1 Addressed Envelope
S ' P E
DESCRIPTION OF WORK ~( 1 {L-;A-<i7 ct..L ,/\.~
SQ. FT. # OF STORIES # OF BEDROOMS # OF BATIIROOMS
:.{. WN IACI PERSON (If different from applicant)
NAME (last.name first) ADDRESS
CITY STATE ZIP CODE
4. APPllCANT ;fcoN'l'RACIOR D AGENT FOR CON'l'RACIOR
NAME (last narfiefirst) ADDRESS
DAY TELEPHONE
dOWNER dAGEN'I' FOR OWNER
CITY STATE ZIP CODE DAY TELEPHONE
5. PkoPERTI oWNRll -,
NAME 10ast name first) t" ~~"C.. CO:,,--t vr-'c--, C<;ij;~~ \.:.C:>r..,J
'L. 1 ~ lo\ u::112. \
CITY STATE ZIP CODE DAY TELEPHONE
6. coNTMcfoR -
NAME (last name first) Sf'-1-J t>, 19:\ 0 ~~''\ Sc12.U\U.~DRESS "?;;B ,5$ A:;etvf-\lA O;G1}v ~~ .::tr,,-/,).5
t:/?.O-q).. SC!J CITY C~"L, ~~AD STATE GA . ZIP CODE P'j-Z,()c'> '6 DAY TELEPHONE
STATE LIC. #GfJ).755: IJCENSECIASS CITY BUSINESS LIC. # /71::.)"2,';;2.$5
ast name 1rst
CITY STATE ZIP CODE ,_.' ,DAY TELEPHONE STATE UC. #
1. WoRRlffis' 00MPRNSA11oN
Workers' Compensation Declaration: I hereby affirm that I have a cernhcate of consent to selt-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 many manner
so as to become subje~W<yWrrkers' Compensation Laws of Galifornia.
SIGNATU~~'---f>td'E ,3 -/"3 -~_s .
8. oWNER-BOIW DE
Owner-Builder Declaration: I hereby afhrm that I am exempt from the Contractor's License Law for the followmg reason:
[J 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.).
[J 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 tH!s SECTION FOR NON-RESIDENTIAL BO!LD1NG 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 [J 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 CJ NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0~ 000 _
IF ANY OF TIIE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY 'MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS TIIE APPLlCANT
HAS MET OR IS MEETING TIIE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND TIIE AIR POILUTION CDNTROL DISfRICT.
9. wNStROcnoN LRNDING 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
1o. APPUCANT cmtl1FIC::JrnON
I certify that I have read the apphcanon 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 Garlsbad to enter upon the above mentioned property for inspection
purposes. I ALSO AGREE 10 SAVE INDEMNIFY AND KEEP HARMLESS TIIE CfIY OF CARISBAD AGAINST AIL IJABILITIFS, JUDGMENTS, CDSTS
AND EXPENSF.S WHICH 'MAY IN ANY WAY ACCRUE AGAINST SAID Cl1Y IN CDNSEQUENCE OF TIIE GRANTING OF TIIIS 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 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 365 days from the date of such permit or if the building or work authorized by
such permit is suspended or abandon~time after the · ced for a period of 180 days (Section 303(d) Uniform Building Code).
APPLICANTS SIGNATU~ --DATE:
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB950355 FOR 03/29/95
DESCRIPTION: BUILD W/H ENCL. RUN GAS AND
ELECTRIC AND INSTALL FLOOR SINK
TYPE: MISC
STE:
.
INSPECTOR AREA PD
PLANCK# CB950355
OCC GRP
CONSTR. TYPE VN
LOT: JOB ADDRESS: 2711
APPLICANT: SAN DIEGO
CONTRACTOR:
LOKER AV WEST
PROPERTY SERVICES PHONE: 619 930-9230
OWNER: PHONE:
REMARKS: MW
SPECIAL INSTRUCT:
PHONE: ?..£_
INSPECT~.___•
UNABLE TO UNDERSTAND/STATIC/
TOTAL TIME:
--RELATED PERMITS--PERMIT#
SE900011
SE900012
.SE900013
SE900014
SE900015
SE900016
CB900967
CT9O0018
PD900019
CO940074
CB950090
TYPE swow swow swow swow swow swow
MISC
CT
PUD
STATUS
ISSUED
ISSUED
ISSUED
ISSUED
ISSUED
ISSUED
EXPIRED
EXPIRED
EXPIRED
ISSUED
ISSUED
·coFo
PLUM
CD LVL DESCRIPTION ACT COMMEN-TS
$q~ 1? ,h"ti~eel/BoltingjWelding~ ____________ _
----------------------------------
***** INSPECTION HISTORY*****
DATE
032195
031695
031695
031695
DESCRIPTION
Underground/Under Floor
Frame/Steel/Bolting/Welding
Rough/Topout
Rough Electric
ACT INSP
AP PD
CO PD
CO PD
CO PD
COMMENTS
NOT PER PLAN
FINAL BUILDING INSPECTION
DEPT: BUILDING ENGINEERING .FIRE PLANNING U/M WATER
PLAN CHECK#: CB950355
PERMIT#: CB950355
PROJECT NAME: BUILD W/H ENCL. RUN GAS AND
ELECTRIC AND INSTALL FLOOR SIN~l---------,
ADDRESS: ~:2'71l_LOKER AV WEST. ' ij~trE~o//lE~ jvv~
CONTACT PERSON/PHONE#: MW/TROY/930-9230 ~ APR -41995 u
SEWER DIST: CA WATER DIST: CA
INSPECTED A~ BY: f-"\,, '
INSPECTED
BY:
INSPECTED
BY:
COMMENTS:
By /
D:A==T=E======-=-=-=-=======7==--------------
INSPECTED: t/)S APPROVED DISAPPROVED
DATE
INSPECTED:
DATE
INSPECTED:
APPROVED
APPROVED
DISAPPROVED
DISAPPROVED