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Home My WebLink About2722 LOKER AVE W; G; CB941329; PermitB U I L D I N G 10/19/94 16:47 1 Page 1 of 1 Job Address: 2722 LOKER AV WEST Permit Type: MISCELLANEOUS Parcel No: 209-081-28-00 Valuation: O Construction Type: VN P E R M I T Suite : G Lot#: Permit No: CB941329 Project No: A9401833 Development No: 9207 10/19/94 0001 01 02 Occupancy Group: Reference#: C-PRMT 30-00 Status: ISSUED Description: DEMO NON-BEARING WALLS : NO NEW CONSTRUCTION Appl/Ownr : LANE, VIRGINI A *** 2734 LOKER AVE WEST #M CARLSBAD, CA. 92008 Fees Required *** Fees: 30.00 619 Applied: 10/19/94 Apr/Issue: 10/19/94 Entered By: MDP 431-7233 *** Adjustments: . 00 Total Credits: . 00 Total Fees: 30. 00 Total Payments: . 00 Balance Due: 30.00 Fee description ~ Units Fee/Unit Ext fee Data ---------------------------------------------------------------------------Miscellaneous Fee #1 * MISCELLANEOUS TOTAL 3 0. 00 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 30.00 PERMIT 30.00 PERMIT APPLICATION PLAN CHECK NO. City of Carlsbad Building Department 2075 Las Palms Dr., carlsbed, CA 92009 (619) 438-1161 EST.VAL. ___________ _ I. PERMIT lYPE PLAN CK DEPOSIT ________ _ VAllD.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. PROJF.Cf INFORMATION FOR OFFICE USE ONLY ress 2-7s2 mt o. CHECK BEIDW IF sOBMII !Eb: D 2 Energy calcs D 2 Structural calcs D 2 Soils Report I NAME (last name first) ADDRESS CITI STATE ZIP CODE DAY TELEPHONE 6. OON'!'RACIUR NAME (last name first) ADDRESS CITI STATE ZIP CODE DAY TELEPHONE CITI BUSINESS UC. # STATE UC.# Workers' Compensation beclarat1on: I hereby afhrm that I have a ceruhcate of consent lO self -insure 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 POUCY NO. EXPIRATION DATE Ceruhcate of Exemption: I ceruty that in the performance ot the work tor which this penmt 1s 1ssuec1, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of califomia. SIGNATURE DATE 8. oWNER-BOfiDER DF.Cl.ARATION Owner-Builder Declaration: I hereby afhrm that I am exempt from the Contractor's Llcense Law for the lollowing 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). 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]). SIGNATIJRE DATE coMPLETE IBIS sECtioN FOR NON-RESIDEN liAL BUILDING PERMITs ONLY: Is the applicant or future building occupant required lO 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 ONO 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 D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES ONO IF ANY OF nm ANSWERS ARE YES, A FINAL CERTIFICATE OF cxx:lJPANC'{ MAY Nar BE~ AFTER JULY I, 1989 UNU:SS nm APPUCANT HAS MET OR IS MElillNG nm REQUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND nm AIR POILUTION CDNTROL DISTIUCT. 9. OONs'ntOCnoN LENDING AGENCY I hereby afhrm that there ts a construction lending agency for the performance of the work tor which this permit 1s issued (sec 3097(1) C1VJl code). LENDER'S NAME LENDER'S ADDRESS lo. APPUCANI CERIUICAl10N I ceruty that I have read the appltcauon and state that the aoove mlormatton ts correct. I agree to comply with all City ordinances and Stace 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 AlSO AGREE 10 SAVE INDEMNIFY AND KEEP HARMLESS nm CTlY OF CARIS8AD AGAINST AIL UABIIJTIF.S, JUDGMENTS, CDSTS AND EXPENSES WIBOI MAY IN ANY WAY ACXll.UE AGAINST SAID CTlY 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 th building or work authorized by such such permit is suspended or aba APPUCANT'S SIGNATURE Building Official under the provisions of this Code shall expire by limitation and become null and void if the rmit is not commenced within 365 from the date of such permit or if the building or work authorized by at any time after the work is need for a period of 180 days (Section 303(d) nifo Building Code). ~ PINK: Finance