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Home My WebLink About2740 LOKER AVE W; ; CB961328; Permit07/22/96 12:27 Page 1 of 1 B U I L D I N G P E R M I T Job Address: 2740 LOKER AV WEST Suite: Permit Type: ELECTRICAL Parcel No: Lot#: Valuation: 0 Occupancy Group: Reference#: Description: TEMP. POWER POLE FOR PEDI. Permit No: CB961328 Project No: A9&0190 4 Development No: 8662 07/22./96 0001 01 02 C RT 20.00 Construction Type: VN Status: ISSUED Applied: 07/22/96 Ap1/Issue: 07/22/96 Entered By: MDP Appl/Ownr : POWER PLUS 619 471-5494 1167 LAW STREET SAN MARCOS, CA. Fees Required Fees: Adjustments: Total Fees: Fee description Enter "Y" for Ele t Enter "Y" for Tern * ELECTRICAL TOTA IN~ CLL. . CITY OF CARLSBAD .00 .00 20.00 *.,_* Ext fee Data ~------------------10.00 Y 10.00 Y 20.00 ~ PRO I\ ~ OAT~-~ LE 7.,<>..r., 'fl, ~ • IV 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPUCATION PLAN CHECK NO. Cf{o -\ ~"2-,f City of Carlsbad Building Department 2075 Las Palms Dr., carlsbad, CA 92009 (619) 438-1161 EST.VAL ___________ _ 1. PERMIT 1YPE PLAN CK DEPOSIT ________ _ VAIJD.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. PRQJF.CT INFORMATION FOR OFFICE USE ONLY Add~L~ ~):itiif/ J;o k-tr Jf~]e)ng <W•te No. Nearest Cross Street p (), I() m IJ"'" r r f I? d mt o. CHECK BEWW IF SOBMII IED: tJ 2 Energy Cales tJ 2 Structural Cales O 2 Soils Report tJ 1 Addressed Envelope ~~7usoJjg~~c~ORK I '1 s .;.() H 1-~::;TINGfo~v r()w~,-PROr:/f.;;SE SQ. IT. # OF STORIES # OF BEDROOMS # OF BATIIROOMS 3. WN IACI P.EltSON (tf diflerenf from apphcant) NAME (last name first) ADDRESS Cl1Y STATE ZIP CODE DAY TELEPHONE p .5-r Cl1Y ZIP CODE I" I DAY TELEPHONE J.. 3 2 ,.. j-1/ '" NAME (last name first) fJ W ~ CI1Y ..Shn l1dr~P.$STATE ~ STATE UC. #5')..J.!:f-P{ ADDRESS ·J( 7 <>,... u/ ZIP CODE r ).,fl'-" DAY TELEPHONE v .JJ ADDru:ss I It 7 /...aw ..Sr,. ZIP CODE q,,) p C 'i"DAY TELEPHONE t/ 7 I ,..y if 9'-( LICENSE CI.ASS C~/ CI1Y BUSINESS UC. # DESIGNER NAME (last name hrst) ADDRESS Cl1Y STATE ZIP CODE DAY TELEPHONE STATE UC.# 1. WoR.KERS' mMPENSATION Workers· Compensation IJeclarauon: I hereby alhrm that I have a ceruhcate of consent to sell-msure issued by the Dtrector 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 t~ Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY s fe ~ rt/ n d POLICY NO. 3()/" fj-, b~f£.:Oi DATE // "' / -'f ~ I cerufy that m the performance of the work for which this permit 1s issued, I shall not employ any person m any manner the Workers' Compensation Laws of California. -/~__..-DATE '7 .-. / 7 .-. tj>(' wner· u1 er ara on: ere ya 1rm a am exemp rom e n ac o s cense e o owmg reason: tJ 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.). tJ 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). tJ 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 COMPLEI'E IRIS SECrtON FOR NON-RESIDENTIAL BUILDING PERMll'S 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 tJ 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 tJ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES tJ NO IF ANY OF TIIE ANSWERS ARE YES, A FINAL CERlmCATE OF cxx:uPANCY MAY NITT BE~ AFfER JULY 1, 1989 UNliSS TIIE APPUCANT HAS MIIT OR IS MEIITING TIIE REQUIR.EMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND TIIE Am POll.UTION CDNTROL DISfRICT. 9. mRS'IROC'nON LENDING AGENC.'Y I hereby affirm that there 1s a construction lending agency for the performance of the work for which this permit 1s issued (Sec 3097(1) CtVII Code). LENDER'S NAME LENDER'S ADDRESS 10. APPDCANI CRRl1FICAl10N I cerofy that I have read the application and state that the above information 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 AL50 AGREE TO SAVE INDEMNIFY AND KEEP HARMLF.SS TIIE crIY OF CARISBAD AGAINST All. UABIUIIF.S, JUDGMENTS, CDSI'S AND EXPENSFS WlflCH MAY IN ANY WAY ACCRUE AGAINST SAID crIY IN CDNSEQUENCE OF TIIE GRANTING OF nos 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 [ om the date of such permit or if the building or work authorized by such permit is suspended or abandoned at an · e ter the work is c~en for a period of 180 days (Section 303(d) Uniform Building Code). APPUCAN'rS SIGNATURE -or.-DATE: 7~/;tr-'I/ YELLOW: PINK: Finance