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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 ., // _, /, ", // , ,-,)': ' / . ' ,' ""''\. ""-.., *** 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 ,, / CITY OF CARLSBAD / / / / / 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 ~ I -- 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