HomeMy WebLinkAbout2717 LOKER AVE W; ; CB951093; Permit\
08/10/9~ 10:08
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B U I L D I N G
Job Address: 2717 LOKER AV WEST
Permit Type: PLUMBING
Parcel No: 209-081-21-00
Valuation: 0
Construction Type: NEW
P E R M I T
Suite:
Lo t#:
Permit No: CB951093
Project No : A9501 591
Development No :
Occupancy Group: Reference#:
31.13 OB/".0/9'. JC~U , ,
Sta-tu~~
Applied:
ISSUED
08/10/95
08/10/95
RMA
Description: INSTALL GAS & AIR LINE TO DRYE
: NEXTEX APPLICATIONS
Appl/Ownr : BOYD ROGERS PLUMBING
2525 FORTUNA WAY
VISTA, CA 92083
Apr/Issue:
Entered By:
619-727-7040
*** Fees Required *** *** , Fees Collected & Credits *** --------------------------------------------
Fees:
Adjustments:
Total Fees:
Fee description
27.00
.00
27.00
Total Credits:
Total Payments :
Balance Due:
Units Fee/Unit
.00
.00
27.00
Ext fee Data
---------------------------------------------~----------------------------
Enter "Y" for Plumbing Issue Fee
Gas Piping System * PLUMBING TOTAL
> r
)
CITY OF CARLSBAD
7.00
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
20.00 Y
7 .00
27 .00
..
PERMIT APPLICATION ~ w PLAN CHECK NO. 5/093
City of Carlsbad Building Department
2075 Las Pal-s Dr., tarlsbad, CA 92009 (619) 438-1161 EST.VAL'--~~~~~~~~~~-
PLANCIC D
I. P£llMI I IYPE
VAUD.BY_-><=:;_.,__~-c,,,,:--1-,--+....-~
DATE·--------f-,1-1--Ho"-+.;.+-->r-~
A -x] Commercial LI New Building (Xl'enant Improvement
B -D Industrial a New Building D Tenant Improvement
C -D Residential D Apartment D Condo D Single Family Dwelling D Addition/ Alteration
D Duplex D Demolition D Relocation D Mobile Home D Electrical D Plumbing
D Mechanical D Pool D Spa D Retaining Wall D Solar D Other ____ _
2. PROJF.Cf INFORMATION
Nearest Cross Street P't}omar ~~QQr~ ~a t No.U IVJs1onaffiUmber LEGAL OESCRlP11oN
CHECK BEIDW IF SUBMII IED:
D 2 Energy Cales D 2 Structural Cales D 2 Soils Report D 1 Addressed Envelope
FOR OFFICE USE ONLY
Omt No. Phase No.
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK Install Gas Line & Air to Dryer
SQ. FT. # OF STORIES
3. WN IACI PERSON (if dltierent from apphcanO
NAME ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
4. APPllCAN I x::efON I RACIOR LI ACEN I FOR CON I RAC IOR
NAME ADDRESS
OOWNER OAGENI FOR OWNER
BOYD ROGERS PLBG.CO.
CITY VJ' ~ S. PlldPEklY ~ STATE CA ZIP CODE
2525 Fortune Way
g 2 Q 8 3 DAY TELEPHONE (619)727-7040
NAME NEXTEC
Cl~~had 6. CD
NAME
Applications, rrte)J?RESS 2717 Loker Avenue West
STATE CA ZIP CODE 92008 DAY TELEPHONE ( 619) 438-5533
BOYD ROGERS PLBG. co. ADDRESS 2525Fortune Way
CITY vista ZIP CODE 9 2 0 8 3 DAY TELEPHONE ( 619 ) 7 2 7 - 7 0 4 0
LICENSE ClASS CITY BUSINESS LIC. # 4 4 3 4 0 0
DESIGNER NAME
STATE CA
STATE LIC. #4 4 224 7
ADDRESS C36
CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. #
1. Wdlooms' WMPf:NSA:tiON
Workers' Compensation Oeclarauon: I hereby affirm that I have a certificate of consent to sell-insure issued by the Director of Industnal
Relations, or a cenificate 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).
01/01/96
SIGNATURE DATE s. oWNER-B01IDER DFfiARATION
Owner-Builder Oeclarat1on: I hereby affirm that I am exempt from the Contractors 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).
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 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-RESIDENTIAL BUILDING PERMITS ONLY:
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?
[J 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?
C YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
[J YES D NO
IF ANY OF THE ANSWERS ARE YF.S, A FINAL CERTIFICATE OF oa:uJ>ANCY MAY NOf BE ISSUED AFTER JULY I, 1989 UNUlSS THE APPUCANT
HAS MET OR IS MEETING TIIE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POUUTION CDNlROL DISI'RICT.
9. WNSmOCnON Lf:NDCNG Alif:NcY
I hereby afhrm that there 1s a construcuon lending agency tor the performance of the work tor which this permit 1s issued (Sec 3097(1) CIVIi Code).
LENDER'S NAME LENDER'S ADDRESS
to. APPUCAN't cElt'l1FlcA11oN
I certify that I have read the apphcauon and state that ihe above iniormauon 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 AISO AGREE 1U SAVE INDEMNIFY AND KEEP HARMLESS TIIE Cl1Y OF CARL'iBAD AGAINST AIL UABIIITIES, JUDGMENTS, aJSfS
AND EXPENSES wmrn MAY IN ANY WAY ACX:RUE AGAINST SAID Cl1Y IN CDNSF.QUENCE OF nm GRANTING OF nus 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 pe it 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 aba on at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
DATE: J.. 1 //Yr {j_S
PINK: Finance
'·02/16/96
DATE
09/05/95
09/05/95
09/05/95
INSPECTION HISTORY LISTING
FOR PERMIT# CB951093
INSPECTION TYPE
Gas/Test/Repairs
Rough/Topout
Rough/Topout
INSP ACT COMMENTS
PY
RI
PY
AP
RI MW/DARRYL/727-7040
WC
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