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Home My WebLink About2760 LOKER AVE W; ; CB950422; Permit(tj.747 0 /23/95 iS:28 Page 1 of 1 B U I L D I N G P E R M I T Job Address: 276U LOKER AV WEST Suite : Permit Type : ELECTRICAL Parcel No: L0t#: Valuation: Construction Type: NEW Occupancy G1oup: 0 Description : TEMP. POWER POLE Reference#: Permit No: CB9S04Ll Proiect No: A9500h00 Development No: 1182 03/23/95 0001 01 02 C-PRMT 20.00 Status: ISSUED Applied: 03/23/9~ Apr/Issue : 03/23/95 Entered By : MDP Aopl/Ownr : POWER PLUS 619 471-$494 1167 LAW STREET SAN MARCOS , CA AA* Fees Requ ired Fees: Adjustmen ts : Total Pees : Pee descript ion Enter "Y" for Elr=- Enter "Y" f or Tem * ELECTRICAL TOTAD \t ,, I .00 .00 2U.00 Ext fee ~ata 10 .0ll Y 10.0U Y 20 . (10 CLEARANCE -U-!i!.=-1!.-1--~~'--, CITY OF CARLSBAD 2075 Las Paltnas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION PI.AN CHECK NO. q ( 1 L{ V~ City of Carlsbad Building Department 2075 Las Palms Dr •• tarlsbad, CA 92009 (619) 438-1161 EST.VAL. ___________ _ t. PERM11 iYPE 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. PRQJECT INFORMATION FOR OFFICE USE ONLY Address J ? £ t) I)}, j,. q k e y ,f tft.!2! or suite No. Nearest Cross Street LEGAL DESCRIPTION Lot No. subd1V1s1on Name/Number Unit No. Phase No. CHECK BEWW IF sOBMII !ED: D 2 Energy Cales D 2 Structural Cales D 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE DESCRIPTION oF woRK / 11 s fa II a # OF BEDROOMS # OF BATI-IROOMS I I) I DAY TELEPHONE ADDRESS 1/7..f' W rt1e. ~y ZIP CODE f ;J.tJ.)t) DAYTELEPHONE 'f.t-/CJ-7~,2 L/ ADDREss // c 7 ;-ow Sr crrYSet 17 /f4 arc tJ..5 STATE {'q-ZIP CODE 9 ;l &/ r DAY TELEPHONE ~ 7 /-Jo/9'-I STATE UC. #SJ,Jff( LICENSE CLASS C (" / CITY BUSINESS UC.# 'f'3 3 7t1t'J DESIGNER NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE UC. # 7. Wrnu<Elts' CDMPENSAllON Workers' Compensauon Oeclarauon: I hereby affirm that I have a ceruficate of consent to self-insure issued by the Director of Industnal 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 s+Qf~ f-v11 d POLICY NO. '3(JC3S)..> EXPIRATION DATE I I-/-?S' Ceruficate of Exempuon: I ceruly that in the performance of the work for which this permit 1s issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE A. dWNER-B0llDER OECI.AltA'ndN Owner·Buuder Declaration: I hereby atbrm that I am exempt from the Confractofs License Law ior the 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 property who builds or improves thereon, and contracts for such projects with contractor(s) 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 pennit 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 !fits sEClloN FOR NdN-RESibEN IIAL BOILblNG PERMl!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? DYES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES 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 YF.S, A FINAL CERTIFICATE OF oa:uPANCY MAY NCIT BE~ AFfER JULY 1, 1989 ~ nm APPUCANT HAS MET OR IS MEIITING nm RF.QUIREMENTS OF nm omCE OF EMERGENCY SERVICES AND nm AIR POUlfllON OONTilOL DISilUCT. 9. CDNS'IROCl10N LENOlNG AGENCY 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) CIVIi Code). LENDER'S NAME LENDER'S ADDRESS 10. APPUCANI CERl1FICAl10N I ceruly that I have read the apphcauon and state that the above mlormauon 1s correct. I agree to comply with ail 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 AlSO AGREE 1U SAVE INDEMNIFY AND KEEP HARMLF.SS nm CTIY OF CARISBAD AGAINSf AIL UABILITIES, JUDGMENTS, CDSfS AND EXPENSES wmrn MAY IN ANY WAY Acx::RUE AGAINSf SAID CTIY IN OONSF.QUENCE OF nm GRANTING OF nns 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 abandoffl any time afcyjjhe»ork is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPUCANl'S SIGNATURE C;1:,,,,,.Lt ~ ~ DATE, :? -,23--~ Wl-IlTE: File~ Applicant PINK: Finance , . PERMIT# CB950422 DESCRIPTION: TEMP. POWER POLE TYPE: ELEC CITY OF CARLSBAD INSPECTION REQUEST FOR 03/27/95 STE: INSPECTOR AREA PLANCK# CB950422 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 2760 LOKER AV WEST APPLICANT: POWER PLUS PHONE: 619 471-5494 CONTRACTOR: PHONE: I OWNER: REMARKS: RS/MICHELLE/471-5494 SPECIAL INSTRUCT: PHONE: M~ INSPECT~~--.......a.---'-----------~ \. TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS _32 ___ E_L ~c_o_n_s_t_._s_e_rv--1_·c_e_f_A_g_r_i_c_u_1_t_u_r_a_1~~~--------------------------- --------------------------------~ --------------------------------~ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS