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HomeMy WebLinkAbout2774 LOKER AVE W; ; CB900073; Permit01/17/90 14:34 Page 1 of 1 B U I L D I N G Job Address: 2774 LOKER AV WEST Permit Type: SIGN Parcel No: 209-081-25-00 Valuation: 1,600 Construction Type: NEW PERMIT Permit No: CB900073 Project No: A9000088 Development No: Str: Fl: Ste: 2694 01,. .._ '' V 0001 01 02 ~+sos, 62-00 Occupancy Group: Class Code: Status: ISSUED 01/17/90 01/17/90 CD Description: PLEX LTRS SIGN "LANGERT" *** Fees Required Fees: Adjustments: Total Fees: *** 62.00 .00 62.00 *** Applied Apr/Issue Validated By : Fees Collected & Credits Total Credits: Total Payments: Balance Due: .00 .00 62.00 *** Fee description Units Fee/Unit Ext fee Data Building Permit Plan Check Strong Motion Fee * BUILDING TOTAL CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 37.00 24.00 1. 00 62.00 PERMIT APPLICATION a w City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 [619) 438-1161 1. PERMIT TYPE A COMMERCIAL TENANT IMPROVEMENT D INDUSTRIAL C' 0RESIOENTIAL ONEIi D APARTMENT 0 TENANT IMPROVEMENT 0CONDO 0SINGLE FAMILY OIIELLING 0ADDITION/ALTERATIDN 2. 0DUPLEX 0DEMOLITION 0MECHANICAL 0POOL PROJECT Address ;;l. 7 7 '/- Nearest Cross Streets 0RELOCATION 0MOSILE HOME 0ELECTRICAL 0PLUMBING OsPA 0RETAINING IIALL OsoLAR OoTHER. _____ _ F ) LEGAL DESCRIPTION Lot Unit No. Phase No. CHECK BEL(J,j IF SUBIII TTEO: 0 2 Energy Cales 02 Structural Cales 02 Soils Report D 1 Addressed Envelope PROPOSED USE 3. 4. 5. 6. 7. ASSESSOR'S PARCEL BLOG. SO. FTG. CON~CT /lPE~~ NAME~~ Cl TY SIGNATURE EXl ST I NG USE ADDRESS / STATE ZIP CODE DAY TELEPHONE CONTRACTOR _JJ~E~ A q AGENT F~R 0\/NE ADDRESS '10 /D ~~ ZIP CODE DAY TEL HO E (2..._ 0TENANT {L" .£} i/._ 0LESSEE ADDRESS,;) 77 T ~ ZIP CODE r'o 713 DAY TELEPHONE ~~1:0DRESS STATE ZIP CODE -ll!JoL&~'tr-7 u CENSE CLASS C!. Cf-S DAY TELEPHONE ;;J./-f fl ;)J--?o 7'P CITY BUSINESS LIC. # Workers I Con,::,ensat ion Dec la rat; on: her. by a or a certificate of Workers' C~nsat insurer thereof filed with the Bui ldi TITLE DATE DAY TELEPHONE STATE LIC. # to self-insure issued by the Director of Industrial Relations, n aanitted insurer, or an exact copy or duplicate thereof certified by the Director of the rtment (Section 3800, Lab. C). EXPIRATION DATE tor which this permit 1s issued, I shall not efll)loy any person in any manner of Cal1fornla. -90 8. 0 I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D I as owner of the property or my efll)loyees with wages as their sole COff1PCnsat1on, will do the work and the structure is not intended or offered for sale (Sec. 7044, Buslness and Professlons Code: The Contractor's Llcense Law does not apply to an owne?r of property who bu1lds or irrproves thereon,, and who does such work himself or through his own efll)loyees, provided that such ifll)rovements are not intended or offered for sale. If, however, the building or improvement 1s sold w1thin one year of c~letion, the owner-builder will have the burden of proving that he d1d not build or i~rove for the purpose of sale.>. 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the proiect (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or 1fll)roves thereon, and contracts for such projects with contractorCsl licensed pursuant to the Contractor's License Law). D I am exen-pt under Section-----------Business and Professions Code for this reason: (Sec. 7031.5 Bus;ness and Professions Code: Any City or County wh1ch requires a permlt to construct, alter, lffl)rove, demolish, or repair any structure, also requires the applicant for such permit to file a signed statement that he 1s licensed pursuant to the provisions of the (Cha ter 9, with Section DO of 01v1s1on 3 of the Business and Professions Code) or that he is exefll)t therefrom, leg t1on of S t1on 7031 .5 by any applicant for a permit subJects the applicant to a civil penalty of not more th DATE (-/7-90 Js the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sect, ons 2S505, 25S33 or 25534 of the Pres lcy-T anner Hazardous Substance Account Act' DYES Js the applicant or future building occupant required to obtain a permit from the air pollution control d1stdct or a1r quality management district' DYES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES IF ANT OF THE ANSWERS ARE TES, A FINAL CERTIFICATE OF OCCUPANCY NAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS !ET OR IS !IEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POI.LUTION CONTROL DISTRICT. 9. CONSTRUCTION LENnING AGENCY hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE I certlfy that I have read the application and state that the above informat1on 1s correct. I agree to CC>l11)lY with all C1ty ordinances and State laws relating to building construction. I hereby authorize represcntat1vc~ of the City of Carlsbad to enter upon the above mcnt1onC'd property for inspection purposes. 1 ALSO AGREE TO SAVE INDEMNIFY AND K.EEP HARMLESS THE CITT OF CARLSBAD AGAINST All LIABILITIES. JUJGM(NTS, COSTS AND EXPENSES IIHICH NAT IN ANT WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. 10n. Every permit i ssued by the Building Otf1c1al under the provisions of this Code shall expire by l1m1tat1on and become null and void if the building au~PJ:1zed by such permit 1s not coorne ced w1th1n 180 days from the date of such permit or 1t the building or work authorized by such permit 1s suspended o '?"at y t1me after the work 1s c need tor a period of 180 days (Section 303(d) Uniform Building Code). ~ ANER ~ON TRACTOR D BY PHONE YELLOW: Applicant PINK: Finance APPROVED BY:-------- DATE: ----------