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Home My WebLink About2772 LOKER AV WEST; ; CB040350; Permit)City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-02-2004 Miscellaneous Permit Permit No:CB040350 Building Inspection Request Line (760) 602-2725 Job Address:2772 LOKER AV WEST CBAD Permit Type:MISC Subtype:OTHER Status:ISSUED Parcel No:2091001100 Lot #:0 Applied:02/02/2004 Valuation:$0.00 Entered By:MEL Reference #:Plan Approved:02/02/2004 Issued:02/02/2004 Project Title:LEGGIO-OFFIC/OFFICE 11500 FT Inspect Area: Applicant:Owner: BURGER CONSTRUCTION LEGGIO JOSEPH A&TINA M STE 110 437 S HWY 101 2772 LOKER AVE W SOLANA BEACH CA 92075 CARLSBAD CA 92008 858-755-1800 Miscelaneous Fee #1 DEMON/BRNG WALLS $60.00 Miscelaneous Fee #2 $0.00 Additional Fees $0.00 TOTAL PERMIT FEES $60.00 Total Fees:$60.00 Total Payments To Date:$0.00 Balance Due:$60.00 Y2.•Cfs..)• FINAL APPROVAL Inspector: -7 -r ---,:7114"?Date:4'j%''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 aiven a NOTICE similar to this. or as to which the statute of limitations has previously otheiwise expired. FOR OFFICE USE ONLY ,PERMIT APPLICATION moo* .c4,9c PLAN CHECK NO.c186c0-53-eIP.r t EST. VAL.CITY OF CARLSBAD BUILDING DEPARTMENT 3 ..i 0 Plan Ck.Deposit1635 Faraday Ave., Carlsbad, CA 92008 0, -.P--_,<;?.-14iFoliva Validated By Al`((/'Date apzd et 1...;,.PROJECTINFORMATION::..e772 ecX---6/1'AY6 (2./00/73#L.D_v-7-Pa57:- Address (include Bldg/Suite #1 Business Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total # of units Assessor's Parcel #Existing Use Proposed Use09Itie6/7-42A-/ei'/".4v7 /4 / Description of Work SQ. FT.#of Stories # of Bedrooms # of Bathrooms 2.DONTACTPERSON (If different from appiicent)l. /1-'/-'./.44/0 cir/Aots<f)A-(---6-t7(-59'g kitlxe-/-4.93Y I.L./a7 . -j '4 .-2-/z:z.4-55-•a70-65-6 0307 Name Address City State/Zip Telephone #Fax # 3.APPLICANT adowaotor Adeoldectotootor,ElNitiek;:i 13:AgentfOrQwner '' .::...,I.!:..!:.7:::!::.1 ..i ':'.1!:. '!....E:if -9.41-,f r/4ti ..,6r 5-074/stepc -et//4--/A-e ft:ioo s -.0 GA crz-/zZ 8.re.•.cts75 -(7700 Name Address City State/Zip Telephone # 4.-PROPERMOWNER :::' VX>/7.496 eit/TrZ74.37%eat2s"&Afrr-1/A-/o.vi.v.4 iroil ---.772-Cb ,f.t-ed.Nalie /Z.ct.c7.431.3*73- Name Address City State/Zip Telephone # !8-CONTRACTOR COMPANYJ'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 any applicant for a permit subject e applicant to a civil penalty of not more than five hundred dollars ($5001). ,e3eire.-6./r 6-jp/../gr 1-57.5 -1/wy Gei 71-//e 306 -1(--/6429--0/-//.1-973e- 7 ss"./eto Name Address City State/Zip Telephone # State License #intl...97 License Class City Business License # /tve/171/4"7 fJ'•4V--6 31:241e S/715).---8HA-Ati ft WG.96 5.1 c/4.`-iziz -z-..-31%07e1:2 Designer Name Address City State/Zip Telephone State License # 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. /Er 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: Insurance Company Sr#7---6 )2/ti/J -Policy No.OCCO2'Z •2co5 Expiration Date 04 "6/'e>4. (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) ID 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 wor.-'...ation coverage is unlawful. and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (looio;...in ..e cost ....m..nsation,damages as provided for in Section 3706 of the Labor code. interest and attorney's fees.lartiFSIGNATURE-—aillormoom11....millf DATE Z 'Z *O¢' ij7.4.OWNER-BUILDERDECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O 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.lf, 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). O 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)licensedpursuant 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.0 YES ONO 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 number / contractors license number): 4.I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / 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 / address / phone number / typeof work): PROPERTY OWNER SIGNATURE DATE COMPLETE:THIS SECTION FOR:NO*RESIDENTML: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 0 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 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?0 YES 0 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 construction lending agency for the performance of the work for which this permit is issued (Sec.3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS ':1:,APPLICANTLCERTIFICATIONP :.: ' :::::::: 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 City 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 permit issued by the building Offici.under th.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 1:0 .ays fro e da -of ch permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commencedI -:.a per....4 180 •:s (Se.on • .,,. .4 Uniform Building Code). ..-/ APPLICANT'S SIGNATURE A.- - --DATE 2 '2"t*-'44 "_ WHITE: File YELLOW: Applicant PINK:Finance A.4cCA40t.City of Carlsbad Bldg Inspection Request-°. -00.44;41 ir.4.For:06/02/20044Thok Permit#CB040350 Inspector Assignment: Title:LEGGIO-OFFIC/OFFICE 11500 FT Description: Type: MISC Sub Type:OTHER Phone:6182472669 Job Address:2772 LOKER AV WEST Suite:Lot 0 Location:Inspector. APPLICANT BURGER CONSTRUCTION Owner:EPOUEUE L L C Remarks:DEMO INSP Total Time:Requested By:DAVE Entered By:ROBIN CD Description Act Comment 14 Frame/Steel/Bolting/Welding 4". Associated PCRs/CVs Inspection History Date Description Act Insp Comments