The URL can be used to link to this page

Home My WebLink About2717 LOKER AVE W; ; CB970246; Permit\ . - """'l 01. 02 98 .oo 2446 02,u.19, c~tn t-• • n tt t PP RO VAL IN "~) _ DATE f/;AL-~ Cll:Ar{A NCE---f'd(?_j_f_7 -M':C-- CITY Of C1'RLS81'~ (619) 43S-l 161 Dr Carlsbad, CA 92 2075 LaS pa\r{laS ., PERMIT APPLICATION FOR OFFICE USE 0~ Y PLAN CHECK N0.7 o},.Lf, EST. VAL. e CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 Plan Ck. Deposit jE; ZV Validate~__,..,~~----)tA..., _______ _ Date ~t(i7 1. PROJECT INFORMATION 'd'"l \J L o"'e.r-1=\'1e· UJ<2..S"t Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Description of Work # of Bathrooms /tJ~~1}.)6 A/, fft:i4n;;><s 2. CONTA~T PElm>N (If clff.-.nt from 81)1111c:entl Name Address 3. APPLICANT Contractor O Agent for Contractor ' ~-\-ne. c \., on: c a \ ":I:. l"1 c · I 4 ~ Name Address 0 Owner ~ O.!'!>e\l City 0 Agent for Owner ~-$-\-e..\i::.. City State/Zip State ip Telephone# Fax# Telephone# 4. PROPERTY OWNlifl 0~ C. <::../ ~ '1 nh o<:.\e ~r of'e Address 1GC\e:,o 'I; o... 10"2.on 5-t"t ~lo So~e o _ <:t:\ Name City State/Zip Telephone# 5 qo) • '"Tl ~0 6. CONTRACTOR • COMPANY NAME (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, commending 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 .11..permit subjects the applicant to a civil e._enalty of not more than five hundred dollars [$5001). I'.::>~ t<lc.c\, o,n. ca\. -:r:.-, e. Io'-\~'"\ V.. o ~e\\e <:;\. , ~~ ~ ~ 'Son l):e o C\;;\ C\o>'d \ 5 · 11 00 Name Address City State ip TelephonAte #.~¥7 • /t / State License # G (j 5 lo$;;} License Class C., ~ C City Business License # I.--<-<!, -------- Designer Name Address City State/Zip Telephone State License # ---------- 8. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of trork for which this permit is issued. g'" I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation in~urance carrill( and policy ,number are: 1 J \ ~ <?!I. Insurance Company 11, e Cu 'b' ,c. :r" ~ e f'nn • +\_ Policy No. 0 ~5b'S<Y?)O Expiration Date __ 1 __ o __ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR-,,\E HUNDRED DOLLARS ($1001 OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure secure worker,· compensation coverage la unlawful, and ahall subject an employer to criminal penahies and civil fines up to one hundred ~ thousand dollara ( 0 ,000), in ad to the coat of compensation, damages H provided for In Section 3706 of the Labor code, Interest and attorney's faes. '<!I SIGNATURE DA TE ~ -II -9 7 7. OWNER-BUILDER DECLARA rom the Contractor's License Law for the following reason: 0 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 en 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). 0 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 Lew 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 end Professions Code for this reason: 1. I personally plan to provide tha major labor and materials for construction of the proposed property Improvement. 0 YES ONO 2. I (have I have not) signed an application for • building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone number I contractors license number)=---------------------------------------------- 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number I type of work): _______________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ ~ COMPLETE THIS SECTION FOR NON-RESIDENTJAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration foi:,>' or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES [!I"" NO Is the applicant or future building occupant required to obtain e permit from the air pollution control district or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES ~O 0 YES (!('No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. B. CONSTRUCTION LENDINO AOENCY I hereby affirm that there is e construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME __ N __ o_n_L ________ _ LENDER'S ADDRESS _______________________ _ 9. APPLICANT CERTIFICATION I certify that I hava read the application and state that the above information is correct and that the information on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned property for Inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS 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 n commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after th k is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). (frPPLICANT'S SIGNATURE DATE ~ -1 I-9 7 PINK: Finance FINAL BUILDING INSPECTION DEPT: BUILDING ENGINEERING ~ PLANNING U/M PLAN CHECK#: CB970246 ~ PERMIT#: CB970246 PROJECT NAME: INSTALL 4 HEATERS, (1) SOK BTU (3) 40K BTU GAS AND ELECTRICAL ADDRESS: 2717 LOKER AV WEST WATER DATE: 04/09/97 PERMIT TYPE: MECH i~ I§; re; F-n \\f rp ~ CONTACT PERSON/PHONE#: RES PER PETE /~ APR -9 1997 .J/ SEWER DIST: CA WATER DIST: CA -:.:JI =======================================================f -=====~======= ........ ====- INSPECTED DATE I BY: t\. l\~ INSPECTED: S ~ ) APPROVED _ DISAPPROVED _ INSPECTED BY: INSPECTED BY: DATE INSPECTED: DATE INSPECTED: APPROVED DISAPPROVED APPROVED DISAPPROVED ------------------=---------------------------=============================== COMMENTS: CITY OF CARLSBAD INSPECTION REQUEST FOR 04/09/97 PERMIT# CB970246 DESCRIPTION: INSTALL (3) 40K 4 HEATERS, (1) 50K BTU INSPECTOR AREA TP PLANCK# CB970246 OCC GRP BTU GAS AND ELECTRICAL TYPE: MECH JOB ADDRESS: 2717 LOKER AV WEST APPLICANT: 1ST MECHANICAL, INC CONTRACTOR: OWNER: REMARKS: RES PER PETE SPECIAL INSTRUCT: TOTAL TIME: STE: CONSTR. TYPE NEW LOT: PHONE: 619 550-1100 PHONE: ;J PHONE: INSPECTOR ~--!JL.-=:~~~~~~~~-J' --RELATED PERMITS--PERMIT# TYPE C0940074 COFO STATUS ISSUED CD LVL DESCRIPTION ACT COMMENTS 19 ST Final Structural 4/l__ ______ _ 29 PL Final Plumbing 39 EL Final Electrical 49 ME Final Mechanical =f=--- ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 040897 Final Combo CA TP RES PER PETE 032697 Final Combo co TP 032597 Final Combo NS TP RESCHEDULE FOR 3/26 030597 Gas/Test/Repairs AP TP