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HomeMy WebLinkAbout2738 LOKER AVE W; ; CB020808; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-21-2002 Miscellaneous Permit Permit No: CB020808 Building Inspection Request Line (760) 602-2725 Job Address: 2738 LOKER AV WEST CBAD Permit Type: MISC Subtype: REPAIR Parcel No: Lot#: 0 Valuation: $59,400.00 Reference #: Project Title: FOUNDATION REPAIR Applicant: DESIGN/BUILD TENANT IMP. SUITE B 9770 CARROLL CENTER RD. SAN DIEGO, CA 92126 619-954-9519 Total Fees: $240.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Owner: Total Payments To Date: PERMIT FINAL APPROVAL $0.00 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/19/2002 JM 03/19/2002 03/21/2002 3520 03/21/02 0002 Ol 02 Balance Due: $240.00 $0.00 $0.00 $240.00 CGP 240-00 $240.00 Inspector: Date: /:-1--I ~ .....-0' :2---Clearance: ------ NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or amul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any L,..J.l<lf"' v r . I I i ii r . . f Ii . i . . FOR OFFICE USE ONLY PLAN CHECK No CBtJ24oA EST. VAL.1J~LftJO ~ ~ PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit I V,l;d,ted By , & t !_ Date _ff{Fv 1. PROJECT INFORMATION Business Name (at this address) Subdivision Name/Number Unit No. Phase No. Total # of units ~Jf,Z/ Assessor's '){eel!' Existing Us.}) .J-OP/-C13 -r?-4-oo v P'PJ4£ Proposed Use OPpe,s Des~tio~of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms ~.At '2--' /Jy ~ t I t•Jf ~~~ Bt,li::? ff} 1JAr:n.;;ta 2. CONTACT PERSON llf different from a pllcant c?l\-1~ Name State/Zip Telephone# Fax# 3. 4H PROPERTY OWNER 4,~M Name City State/Zip Telephone# 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 an}:l'pplicant for a permit subjects the appli t to a civil penalty of not more than five hundred dollars [$500[). · 0 (! ~ I I ":)r z_ ~ i, Sb fl '7J Name Address State/Zip Telephone # State License # _Ll{.q~~·-f{J~;n2\---~~~--License Class _ _,'2---------City Business License # 1kt 30:lb Designer Name 1 1 .h State License # -..,~-~~------ Address City State/Zip Telephone 6. 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 the work for which this permit is issued. Jg 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 insurance carrier and policy number are: ( _ ti Insurance Company .?'~ Pr \ N Q Policy No. j (p\..f 16 q {J -f) '2, Expiration Date / -f 6 tC:5 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars 1$~0,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE (A/. ~~C> DATE 3 I 7-0"z... 7. OWNER-BUILDER DECLARATION ~"""--'--'-----'=---=--~~-~~-, I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 I, as owner of the property or my employees with wages as their sole ~pensation, 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 n~ apply to an owner of property who builds or improves thereon, and who does such work himself or thro his own employees, prov· ed that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of comp ·on, the owner-bu1lde ill have the burden of proving that he did not build or impr7 for the purpose of sale). 0 I, as owner of the property, exclusive! ontracting with licensed contractors to construct the proje9"1Sec. 7044, Business and Professions Code: The Contractor's License Law does not ly to owner of property who builds or improves the(eon, 7nd ntracts for such projects with contractor(s) licensed pursuant to the Contractor's License La 0 I am exempt under Section Business and Professions Code for this reason: 1. materials for construction of the proposed pr¢'erty improvement. 0 YES ONO 2. I (have I have not) signed a application for a bullqing permit for the proposed work. 3. I have contracted with e following person (firm) to~ovide the proposed construe~ (include name I address I phone number I contractors license number): 4. I plan to provide p ions of the work, but I have hired the ordinate, supervise and provide the major work (include name I address I phone number I contractors · ense number): ___________ __..-___ .,._ ______________________________ _ 5. I will provide ome of the work, but I have contracted (hired) the persons to provide the work indicated (include name I address / phone number / type of work}: __________________________________________________________ _ PROPERTY OWNER SIGNATURE DA TE -----------COMPLETE THIS SECTION FOR NON-RESIDENTIAL 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? 0 YES m NO 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 "fi 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. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a c struction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i} Civil Code}. LENDER'S NAME ~.__V.,,,.__A-_________ _ LENDER'S ADDRESS ____ ~-~--~-~~~------------ 9. APPLICANT CERTIFICATION I certify that I have 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 Cit~ 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 pennit 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 180 days from the date of such pennit or if the building or work authorized by such pennit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Unifonn Building Code). APPLICANT'S SIGNATURE DATE -----~-~-~~--- WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 04/11/2002 Permit# CB020808 Title: FOUNDATION REPAIR Description: Type:MISC Sub Type: REPAIR Job Address: 2738 LOKER AV WEST Suite: Lot 0 Location: APPLICANT DESIGN/BUILD TENANT IMP. Owner: Remarks: Total Time: CD Description 19 Final Structural Associated PCRs Inspection History Date Description 04/03/2002 11 Ftg/Foundation/Piers 04/02/2002 11 Ftg/Foundation/Piers Act lnsp Comments AP RB CO RB SEE NOTICE Inspector Assignment: RB --- Phone: 6199544725 Inspector: Requested By: RANDY Entered By: CHRISTINE ~~ /J tz_ >ki l'JJ<,; £ i~ /rd~ ~ ~.I/~ ~ k~ /r pl lkgt:eJ,1~5' b7v/ l'<v"/4-1./ a,rj :!/JI u6/()-J!J ~l,..,_ ~.:~ Lc-o~ h~ - ~ 2f f.tL B -4 ttJs.pe. c.A-~-Q ~ ,-0 ac+ ~ ~-ka-s-~ -------------···-----· ACORD. CERTIFICATE OF LIABILltY INSURANCE OP-ID 4t-mj OATE(MMIOOIYYYY) WHITE-4 01/05/10 PROOUceR THIS CERTIFICATE IS ISSUED-AS A MATIER OF INFORMATIOI Snapp & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Insurance Services, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 438 Camino del Rio So. #112 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW San Diego CA 92108 Phone: 619-908-3100 Fax:619-908-3110 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Colonv Insurance Co . INSURERS: Hartford rire :tnsuranoe Co. 19682 S.P. White Construction, Inc. INSURER C RSOl: Indemnitv Comnanv Dba: White Construction 5937 Da:rwin Court, Suite 100 INSURER 0: Evoreat Ha.tional :rna'IJ.%~ Co. Carlsbad CA 92008 / -INSURER E: COVERAGES \ 7 ANY REQUIREMENT, TERM OR CONDmo F MN CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH HIS CERT!FICA TE MAY BE ISSUED OR '"' POUC"5 OF INSURAHC< us,eo ~ve BEEN ,ssu,o ,0 '"' INSURffi "''"D MOVE FOR THE~~RIDD INDOCAT<0.1•mvnHST ... ~NG MAY PERT AJN, THE INSURANCE AFFORDED Tl-iE POLICIES DESCRIBED HEREIN IS SUBJECT TO All THE TE , EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LMTS SHOWN MAY BEEN REDUCED BY PAID CLAMS. 'i'.m' 'NsRi TYPE OF INSURANCE "'POLICY NUMBER OATE:M~PNOONYlc oAT"'~W~" LIMITS GENERAL LIABILITY 10/01/09 1~01/10 EACH OCCURRENCE $1,000,000 -Vf\Mf\UC. HJ n.c1 111:LI A X COMMERCIAL GENERAL LIABILITY GL950965 PREMISES (Ea occurence) s 100,000 -~ CLAIMS MADE ~ OCCUR MEO EXP 1/',ny one person) s 5,000 I PERSONAL & ADV INJURY sl,000,000 -GENERAL AGGREGATE s 2,000,000 -GEN'L AGGRECATE LIMIT APPI.IES PER: PRODUCTS. COMP/OP AGG s 2,ooo,ooo il POLICY n fg& n LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT s 1000000 -0/01/09 (Ea accident) B AtNAUlO 72UECKR7873 10/01/10 ,__ ALL OWNED AUTOS BODtl Y INJURY -I (Per person) $ X SCHEDULED AUTOS -X HIREOAUTOS BODILY INJURY -(Per accidont) s X NON-OWNED AlJT06 - -" PROPERTY DAMAGE $ (Per ,ccident) GARAGE LIABILITY I ~ AUlO ONLY· EA ACCIDENT $ ~ AN'fAUTO OTHER THAN EAACC $ AUTO ONLY: AGG $ EXCESSIUMBREUA LIABILITY ~1· 10/01/~ EACH OCCURRENCE $ 10 I 000 I 000 C ~oc~ D CLAIMS MADE 10/01/09 ,.AGGREGATE $ 10 I 000 f 000 ~ $ ~ OEOUCTIBLE ·-..;;:: $ RETENTION $ " $ WORKERS COMPENSATION ANO !}ooooosas:01 x lr~~~~ I 1~Eri· D EMPLOYERS' LIABILITY 01/01/10 01/01/11 E.L. EACH Act\oeNT WY PROPRIETOR/PARTNERJEXECUTiVE S 1000000 OFFICER/MEMBER EXCLUDED? E.L. DISEASE· E~MPLOYEI S 1000000 ~~~~~~Sbelow / E.L DISEASE· POLC(UMIT s 1000000 OTHER I '· \ DESCRIPTION OF OPERATIONS I LOCA:I /VEHICLES I EXCLUSIONS ADDEO BY ENDORSEMENT I SPECIAL PROVISIONS Re: Operations of th named insured subject to the terms and conditions of the policy. 10* days notice of cancellation in the event of nonpayment of premium. CERTIFICATE HOLDER CANCELLATION C:ITYOFC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL. ENDEAVOR TO NAIL 30* DAYS WRITTEN City of Carlsbad NOTICE TO THE CERTIFICATE HOLDER-~ TO THE LEFT, BUT FAILURE TO 00 SO SHALL Attn: Building Dept. 1635 Faraday Ave IMPOSE NO OSUGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Carlsbad CA 92008-7314 REPRESENTATIVES •• A~~~ . ·. . ·, :· . ,:, . . .... ·-----. ACORD 25 (2001/08) © ACORD CORPORATION 1988 n r FOUNDATION PLAN ,----------------------EXIST. FINISI-IED GRADE AT <1 Li • • • BE~EARTH 1, EXISTING 2'-6' +/-! EXISTING ~C~T CONCRETE 1 POUR STRIP TO REMAIN/ WALL PANEL / ,---+-----EXIST. •4 RE6AR/DOlLEL6 •48' 0/C TO EXTEND INTO NEW 6LA6 MIN. 2'. HRE RE6AR DOES NOT EXTEND 2', EPOXY '4 RE6AR INTO FOUR STRIP MIN. 4', W/2' EXPOSED. NO 6FECIAL INSPECTION REGlllRED . NEW 4' THK ca-JC. 6LA6 ~--<rc•2000 P51J W/ f3 • 24 EA. WAY. 6AeE FER SOILS ENGR RECCM1ENDATION. ti "'L.l ...... Ll( I.I _r: • = '\,..... -·m··e:11~if · ffi lffill 11 11 I~ 2'-0' MIN. LAP • ~ <1 • s:iill 111) L ~111 m,-C'''- ' ---REM0\11:D WET SOIL 36' DEEP x 3' WIDE, EXPOSE FOOTING AND 6ACK FILL WITH NEW SOIL. FER SOIL ENGR RECOl"NENDATION. ---EXISTING CONC. SLA6 FOUR STRIP (II& D0l1.EL5 • 16' OCJ ~---------EXISTING FOOTING WALL PANEL@ BERMEO LANDSCAPE I' • I'-"' /