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Home My WebLink About2732 LOKER AV WEST; ; CB950841; Permit06/23/95 14:01 DING Page 1 of 1 Job Address: 2732 LOKER AV WEST Permit Type: MISCELLANEOUS Parcel No: Valuation: 1,000 Construction Type: NEW Occupancy Group: B2 Reference*: Description: INFILL OF OPENING IN EXISTING : PRECAST CONC. PANEL PERMIT Suite: Lot#: Permit No: CB950841 Project No: A9501208 Development No: Appl/Ownr GENE CHAPO ASSOC 777 S. HWY.101 SOLANA BEACH, CA 619-481-7446 Status: ISSUED Applied: 06/23/95 Apr/Issue: 06/23/95 Entered By: TP *** Fees Required *** Fees: Adjustments: Total Fees: Fee description Miscellaneous Fee * MISCELLANEOUS T ected & Credits *** .00 .00 43.00 Ext fee Data 43.00 PERMIT 43.00 !461 06/23/95 0001 01 02 C-PRMT 43-00 !NSP. CLEARANCE APPROVAL DATE / OTY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las PaI BBS Dr., Carlsbad, CA 92009 (619) 438-1161 1. PERMIT TYPE 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 PLAN CHECK EST. VAL PLAN CK DEPOSIT VALID. BY DATE 2. PROJECT INFORMATION FOR OFFICE USE ONLY Address Nearest Cross Street °r e LEGAL DESCRIPTION Lot No. Subdivision Name/Number& rp&&3~ MAP Unit No.Phase No. CHECK BELOW If D 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope ASSFSSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK SQ.FT. IN OF STORIES # OF BEDROOMS # OF BATHROOMS 'A. UUW1AUI FEKiAJM (.it flitlerenl NAME (last name first£_ CI *s TH s. WY: io\ STATE CA ZIP CODE \Z&~I^ DAYVTELEPHONE 4. APPLICAIT1 O CONTRACTOR DA NAME (last name OWNER^JENT FOR UWNLK CITY STATE ZIP CODffi2o~15""DAY TELEPHONE 5. PROPEH1T OWNER NAME (last name first) CITY ADDRESS GU/D . STATE C/\DAY TELEPHONE O. CONTHAL.IUK NAME (last name first) CITY STATE ADDRESS ZIP CODE DAY TELEPHONE STATE LIC. #LICENSE CLASS CITY BUSINESS LIC. # TJESKJNbK NAML (last name first aTYCK_xrng/x «tmon STATE Workers Compensation Declaration: I hereby affirm that I have a certificate of consent to self-insure issued by the Director of Industrial 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 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. SIGNATURE DATE 8. OWNER-BUILDER DECLARATION Owner-Builder Declaration: i nereoy artirm tnat I am exempt trom the Contractors License taw lor tne 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 properly who builds or improves thereon, and contracts for such projects with contractor^) 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 THIS SELTl 1O1M FOR NON-RffSlPfiNTIAL BUILDING 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? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D NO IFANYOFTHEANSWERSAREYT^AFINALCERTIHCATEOFCa^AN^ HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9. UUHJ>"iHUiMMJ!jgiPlNG AGENCY ft/Pr __ T, r „ — I hereby affirm that therels a constructionnendlng agency tor the performance of the work tor which thTs permit is issued (Sec 3097 UJ Civil ^ LENDER'S NAME lNl/A\ _ LENDER'S ADDRESS10. APPLICANT .. ----- -.---.- . , I certify tnat 1 have read the application and state that the above information is correct. I agree to comply with all City ordinances and State 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 TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF C>RISBAD AGAWST All. IIABIUTlES,JUrx;MENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SATO 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 not 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 the work is commenced for a period of ISO days (Section 303 (d) Uniform Building Code). APPLICANTS SIGNATURE DATE: __ WHITE: FUe YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB950841 FOR 08/01/95 DESCRIPTION: INFILL OF OPENING IN EXISTING PRECAST CONC. PANEL TYPE: MISC JOB ADDRESS: 2732 LOKER AV WESTAPPLICANT:CONTRACTOR: OWNER: GENE CHAPO ASSOC. REMARKS: MW/RICK/929-9500X204 SPECIAL INSTRUCT: PHONE: PHONE: PHONE: INSPECTOR AREA TP PLANCK* CB950841 OCC GRP B2 CONSTR. TYPE NEW STE: /^ LOT: 619-481-7446, INSPECTOR TOTAL TIME: —RELATED PERMITS—PERMIT* TYPE SE900038 SWOW SE940033 SWOW AS940041 ASTI CD LVL DESCRIPTION 19 ST Final Structural 29 PL Final Plumbing 39 EL Final Electrical 49 ME Final Mechanical STATUS ISSUED ISSUED ISSUED ACT COMMENTS ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP 072695 Frame/Steel/Bolting/Welding AP TP COMMENTS FILL-IN WALL