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HomeMy WebLinkAbout2717 LOKER AVE W; ; CB951093; Permit\ 08/10/9~ 10:08 Page 1 of 1 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 HIT <RETURN> TO CONTINUE •••