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Home My WebLink About2768 LOKER AVE W; 101; CB931204; Permit1 ! 4 I ( f B ·r I :. r T ~ G E et rr ~ \. , ., Iir~vn. ( 1' Pr t C I~ N A 1 l A 1 i AV WF.ST l l t ) 1 i; rr: i r .... v pt : (', '\le : < ·u ti n: ttttcn y Let#· NE.w 1ip u1 y r , .... p: r<>nc #: [ f""l: 1r,t ion: INS"'ALL A:lDTT ... rNAL J::'LE"""f,... "" App:IOwr.t * * * F r AJiu.tm nt "'C,t"d l r (" EXI r,.NC.. PAcE:/ no AM 4h(V [1-{A E RO LASK I, MARK ,76H LOK RAVE l A&.... BA..,, CA . Re. jUlr E:;ntc1. 'Y for El b. • Ph E 0 * E~cc=Rr~AL 1 1A 2075 Las Palmas Dr., Carlsbad, 4620 1 VOS/93 0001 ')1 C-PRMT 4 & l . 0 () .00 02 210.')C ,.. k I< Ex.i.. + t tt , y (619) 438-1161 PERMIT APPUCATION PLAN CHECK NO. City of carlsbad Building Department a V 2075 Las Pal11BS Dr., carlsbad, CA 92009 (619) 438-1161 ESf.VAL'------------- PLAN CK DEPOSIT ___ =------ 1. P£kMl 1 NP£ VAIJD. BY~~~~-4>""4'1iC...4,-,,,....&j.~- DATE·-~~~~~~--'1..1..1,,&-+,:;..._- A · 181 Commercial O New Butldmg U Tenant Improvement B . D Industrial U New Building D Tenant Improvement C · U Residential O Apartment O Condo U Single Family Dwelling U Addition/ Alteration 0 Duplex O Demolition O Relocation O Mobile Home O Electrical D Plumbing U Mechanical D Pool D Spa D Retaining Wall D Solar U Other ____ _ 2. PRClJECf INFORMATION FOR OFFICE USE ONLY Address ')...?-b& Lol<.S~ AV~, Wi!.Sf Bmldmg or Suite No. 10\ Nearest Cross Street ?~AR. At~T RD- LEGAL DESCRil>'noN Lot No. sulxhVIston Name/Number Umt No. Phase No. cHECR BEIDW IF sOBMII IED: D 2 Energy Cales D 2 Structural Cales a 2 Soils Report D I Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK ADl)ITION OF ElJ=:.CTIZ.tGAL-S€.R.\/1c:..P- SQ. FT. # OF STORIES 3. WN IACI PERSON (If dtfferenf from apphcanf) NAME Mft/U:.. BROl.ASK\ ADDRESS Z."1-b8 LOKE.RAVfE..,Wf!-ST CI1Y CA~LS BAS> STATE CA... ZIP CODE c::t'?DO & DAY TELEPHONE 4 3 'o-'i'55 2 4. APPUCAN'l IIIWNlkACtuR DAGEN I FOR WNikACIOR uuwN.cK DAGEN I FOR OWNER NAME D'WIDCOU-f!:-'Y ADDRESS IL./1()-C.. SvMMl• ltVE. CI1Y CA-Rl:>t PF STATE CA. ZIP CODE <!\ "200 J: DAY TELEPHONE S. PROP£RIY OwNIM NAME JORDON & ASSCPCfATES -cLr.~Rf~\_ 1920 MAIN STREET, STE. 620 • CI1Y IR~~E STATE CA ZIPCODEQ27]4 DAY TELEPHONE A A.(~ U91~0'--' 6 . :f!~17:t£C..m1c eu:_c_"ln.,G ADDREss l'-l?O--C.. SUM"",., Me.. c11Y ~1,:,:: sTATE CA z1PcoDE quo-r DAYTELEPHoNE 1-53<./36£/ STATE IJC. # C-/0 CI1Y BUSINESS IJC. # <!)/v CI1Y STATE ZIP CODE DAY TELEPHONE STATE IJC. # 1. wultk£RS' mMP£Ns,muN Workers' Compensation Declaration: I hereby afhrm that I have a certificate of consent to self-msure 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 POIJCY NO. EXPIRATION DATE Cernhcate of Exemption: I certify that m the performance of the work for which this permit 1s issued, I shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE D-.:J DATE I I :?;, Ci~ ere ya 1rm t a am exempt rom w or t e o owmg 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 Llcense 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 Llcense 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 Llcense 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 Llcense 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 IBIS sECnoN FOR NON-RESIDENTIAL ButIDING 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 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? DYES D NO Is the facility to be constructed within~} 000 feet of the outer boundary of a school site? 0 YES NO IF ANY OF 1lIE ANSWERS ARE YES, FINAL CERTIFICATE OF ~ANCY MAY NOf BE~ AFl'F.R JULY 1, 1989 ~ 1lIE APPLICANT HAS MET OR IS MEJITING 1lIE RF.QUIREMENTS OF 1lIE OFFICE OF EMERGENCY SERVICES AND 1lIE AIR POLLlfllON CDNlROL DISIRICT. 9. OONS'IROCIIDN LENDING AG£NcY I hereby afhrm that there 1s a construction lendmg agency tor the performance of the work tor which this permit 1s issued (sec 3097(1) C1VII Code). LENDER'S NAME LENDER'S ADDRESS lo. APPIJCAN'f cmtl1FIC.\:l10N I certify that I have read the apphcauon and state that the above mtormauon 1s correct. I agree to comply with all City ordmances 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 Al.SO AGREE 10 SAVE INDEMNIFY AND KEEP HARMIJI.SS 1lIE CTIY OF CARISBAD AGAINSf AU.,UABlllTIFS, JUDGMENTS, CDSTS AND EXPENSES WIIlCH MAY IN ANY WAY ACX:RUE AGAINSf SAID CTIY IN CDNSF.QUENCH OF 1lIE GRANTING OF 1lilS 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 penru, ffi ,u,pmded o, abaodooed a< aoy •~ afu,-<he wo,k ffi comm'""" fo, a period of 180 day, (Se«ioo 303(d) ""'7'q. 7;~ Code). APPIJCANT'S SIGNATURE /'\ /) /) DATE: .3 ::D~~TE: File YEil.OW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB931204 FOR 05/09/94 DESCRIPTION: INSTALL ADDITIONAL ELECTRIC TO EXISTING SPACE/ 200 AMP 480V 3 PHASE TYPE: ELEC JOB ADDRESS: 2768 LOKER AV WEST APPLICANT: BROLASKI, MARK CONTRACTOR: OWNER: REMARKS: BJN/ SPECIAL INSTRUCT: TOTAL TIME: PHONE: PHONE: PHONE: INSPECTOR AREA TP PLANCK# CB931204 OCC GRP CONSTR. TYPE NEW STE: 101 LOT: 619 438-4552 CD LVL DESCRIPTION ACT COMMENTS 34 EL Rough Electric t:!tt? &1::;4'",R A-f 41//LZ: 1,v.1Ae."' ,f't4"4 ~~ ~ ~~~~~~~~~~~~~~~ DATE 112393 111893 111593 110993 DESCRIPTION Business License Final Electrical Final Electrical Rough Electric ***** INSPECTION HISTORY***** ACT INSP NR TP CO TP NR TP PA TP COMMENTS NEED PLAN REV/AS BUILTS BLDG LOCKED SDGE TO RECONNECT@ SERV •--/ ti-~g .-93 UNSCHEpr;L.r:.:o I:ISPf.CTI?H :A~E--~-->-.J-7_>_~~~=--IHS PECTon ___ /_/_· ....-z...-. ______ _ ~ q3-/Joi/ PLANCK '------ ..:-o B ADORES S ____ c9_7"'---"~"'"'Q ___ ?o=-=-.L..~..=...;=---"-'(A)=----....... 1wo~/'-------- 0~L) -~ -r;-c..£ TI:1z A.r,.,.ll.IVE: _____ TIH.E LE.AVE: _____ _ CD LVL DESCRIPTION P~-UT9 G/lS/09 Z:-/ !\CT COZU1ENTS ~--------------- /