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HomeMy WebLinkAbout2765 LOKER AVE W; ; CB152161; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-13-2015 Demolition Permit Permit No: CB152161 Building Inspection Request Line (760) 602-2725 Job Address:2765 LOKER AV WEST CBAD Permit Type:DEMO Full Demo:N Status:ISSUED Parcel No:2090811800 Lot #:0 Applied:07/10/2015 Entered By:JMA Occupancy Group:Reference #:CB151811 Plan Approved: 07/13/2015 PC #: # Dwelling Units:0 Structure Type:Issued:07/13/2015 Bedrooms:0 Bathrooms:0 Inspect Area: Project Title:NORDSON:INTERIOR DEMO IN PREP FOR TI CB151811 Applicant:Owner: BURGER CONSTRUCTION REALTY ASSOCIATES FUND VIII L P CIO TA ASSOCIATES REALTY 131 ABERDEEN DR 1301 DOVE ST #860 CARDIFF CA 92007 NEWPORT BEACH CA 92660 858-755-1800 Building Permit $0.00 Plumbing Fee $0.00 Other Fee $65.00 Additional Fees $0.00 TOTAL PERMIT FEES $65.00 Total Fees:$65.00 Total Payments To Date:$65.00 Balance Due:$0.00 FINAL APP OVAL (Inspector:Date:/'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 annul 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 fees/exactions of which you have previously been oiven a NOTICE similar to this. or as to which the statute of limitations has previously otherwise expired. r' THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:©PLANNING ©ENGINEERING 0 BUILDING OFIRE ©HEALTH E3 HAZMATIAPCD rBuilding Permit Application Plan Check No.CB (5---2...(0City of 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Ph: 760-602-2719 Fax: 760-602-8558Carlsbademail: building@carlsbadca.gov Plan Ck. Deposit www.cadsbadca.gov Date 7//0 (I 1-- SWPPP JOB ADDRESS SUITES/SPACES/UNIT!APN 2 ".7*.0/4erAsf•C --- CT/PROJECT #LOT #PHASE ##OF UNITS # BEDROOMS # BATHROOMS BUSWESS NAME NSTR.9 TYPE OCC. GROUP PrdAoh ilielif) DESCRIPTION OF WORK: includ7quzre F o(Affected Area(s)1''P-0 w p )` ?A.t.,orn e..1171.-.1 >/--7-4.',/,-/il7 --"LtefrIleal,/ EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESE#NOD YES ONO0 yEsD No0 APPLICANT NAK1E . Primary Contactfil 714eltedff#1719‘7•014A/S PROPERTY07.11,r.#d....x .iii.i2.it ADDRESS .4 ADDRESS / /741°r.e A pa ik goi 44-,At .Leke.v Av.e.()_i____+71.. CIg 41.TATE ZIP zi CITY gTE4vo PAV.'.1(9/,.FAX E IL FAXPH Y./ EMAIL .\EMAIL // frr?1/7V'F--9e.--&40.....).y_rrDft-{GN PROFESSIONAL NTRACTOR BUS. NAME ..\imADDRESS 6 d, v lik e ADDRESS CITY a 1 ...-- b -WST 1"9,6fP CITY STATE ZIP .i4 PHONE FAX PHONE FAX EMAIL EMAIL 5 STATE LIC. #STATE LIC.#et/7 CLASS1.CITY%S.ly.0 z 45?) (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 theapplicant 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 Division3 of theBusiness 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)). WORKERS'COMPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: DI 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.0 I have and will maintain wortvle'c pensation, as required by Section 37000 Labor Code err the perfranceof the work for whihthis _Ipermit'iss .y workers' compensation insu iejo.___!Irpolicy number are: Insurance Co.9.-t-RTi 6evottex.oce /// ....#0.9i/00p lzwl Expiration Date //ii•' Tdsection need not be completed if the permit is for one hun red dollars ::.— Certificate of Exemption:I certify that in the pert.ance of the irk for which this .-'it 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'•mpensatio coverage is unlawful,nd shall subject an employerto criminal penalties and civil fines up to one hundred thousand dollars (8100,000), in addition to the cost of compensation, damages a .p •.-•.in -ction 370...••code, interest and attorney's fees././E5 CONTRACTOR SIGNATURE ..Agillia .....a.....41r 0 AGENT DATE ?/400r / OWNER -BUILDER IDECLARA (ION I hereby affirm that I am exemptfit'Contractor'License Law for the following reason:0 I,as owner of the property or m -mploy.s 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 i .-•f 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).DI,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: 1.I personally plan to provide the major labor and materials for construction of the proposed property improvement.OYes EN° 2.I (have / have not) signed an application for a building permit for the proposed work. 3.I have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 4.I plan to provide portions of the work, butI have hired the following person to coordinate, supervise and provide the major work (include name I address / phone / contractors' license number): 5.I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address / phone / type of work): ASPROPERTYOWNER SIGNATURE DAGENT DATE 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?Yes No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?Yes No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?Yes 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I catify thatI have lead the application and statetate above InfometionIsconect and that the information on the plans Is accwate.I agree to comply with allcityordinances and State laws relating to building consbuction. I hereby authorize representative of the Cityof 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 pennit is required for excavations over50' 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 perrnit is not commenced within 180 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 commencedfora period of 180 days (Section 106.4.4 Uniform Building Code). ..eAPPLICANT'S SIGNATURE DATE STOP STOP:THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email building@catisbadca.aovor Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO*:(Office Use Only) C•ONTACT NAME OCCUPANT NAME A•DDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA P•HONE FAX E•MAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP:CONTACT (Listed above)OCCUPANT rusted above) CONTRACTOR (On Pg. 1) ASSOCIATED CB# MAIL TO:CONTACT (Listed above)OCCUPANT (Listed above) CONTRACTOR (On P.1)NO CHANGE IN USE/NO CONSTRUCTION MAIL/FAX TO OTHER:CHANGE OF USE /NO CONSTRUCTION .AKAPPLICANT'S SIGNATURE DATE Inspection List Permit#:CB152161 Type:DEMO NORDSON:INTERIOR DEMO IN PREP FOR TI CB151811 Date Inspection Item Inspector Act Comments 12/14/2015 19 Final Structural PD AP Tuesday, December 15, 2015 Page 1 of 1