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Home My WebLink About2777 LOKER AVE W; MULTI-PERMIT FILE; CB152233; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 07-21-2015 Permit No: CB152233 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 2777 LOKER AV WEST CBAD PME 2090813000 AMAZON DSD2: INSTALL ELEC Lot#: 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: BRANCH CIRCUITS FOR CONVEYOR SYSTEM (BY SEPARATE PERMIT): 1 50A & 10 20A Owner: ISSUED 07/16/2015 JMA 07/21/2015 07/21/2015 PROGRESSIVE ELECTRIC CO. S&S PROP ACQUISITION L LC 590 AUGUSTA DR SAN MARCOS, CA 92069 619-741-1593 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 501 SPECTRUM CIR OXNARD CA 93030 $0.00 $160.00 $0.00 $0.00 $160.00 Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: Inspector: EXP~RED PERMIT PERMIT HAS EXPiRED IN ACCORDANCE WITH C.B.C. SECTION 106.4.4 A~IAENDEO BY C. , .C S.04.030 DATE~\.'t \6\ \~.\~NATURE_J-\.-f.~py--- FINAL APPROVAL Date: Clearance: _____ _ $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as 'faes/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 vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired. i;t FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: OPLANNING OENGINEERING OBUILDING OFIRE OHEALTH OHAZMAT/APCD {Cityof Building Permit Application Plan Check No.Ll::,IS• 2'2.3_3 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov www.carlsbadca.gov Date ? / J t, f I '( I JOB ADDRESS SUITE#/SPACE/1/UNITII rPN 2777 Loker Ave West Carlsbad CA 92010 B --- CT/PROJECT II rOT# rHASE/1 r OF UNITS r BEDROOMS II BATHROOMS I TENANT BUSINESS NAME rONSTR. TYPE I occ. GROUP , ~;;. ~ L'.L,,J DSOZ DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Electrical Branch Circuits fo~~nveyor -~ .ftp~~) I ..,,lfio~ UJ-8V 'BPtl "" IO -2£) A I 2D Y EXISTING USE I PROPOSED USE !GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE rlR CONDITIONING I FIRE SPRINKLERS Commercial Commercial YESQ. NoO YES0No[Z] YESONoO APPLICANT NAME Progressive Electric Co PROPERTY OWNER NAME S&S Prop Acquistion LLC Primary Contact ADDRESS ADDRESS 12622 Ocaso Drive 501 Spectrum Court CITY STATE ZIP CITY STATE ZIP San Diego CA 92128 Oxnard CA 93030 CA 93030 PHONE rAX PHONE IFAX 760-801-0092 EMAIL EMAIL peckevin@gmail.com CONTRACTOR·BUS. NAME DESIGN PROFESSIONAL Progressive Electric Co Progressive Electric Co ADDRESS ADDRESS 12622 Ocaso Drive 12622 Ocaso Drive CITY STATE ZIP CITY STATE ZIP San Diego CA 92128 San Diego CA 92128 PHONE rAX PHONE 'FAX 760-801-0092 760-801-0092 EMAIL EMAIL peckevin@gmail.com peckevin@gmail.com I STATE LIC. 469198 STATELIC.11 !°LASS l°'TYJU~~~~ 469198 C-10 . . -(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 subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). Workers' Compensafion Declaration: / hereby affirm under penalty of perjury one of the following cfedarations: D 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. [Z] I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfomiance of the work for which this pemiit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. Oak River Insurance Co Policy No. 2200008125·141 Expiration Date 10-01-2015 This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the performance of the work for which this pem,lt 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' ompensation c era is unlawful, and shall subject an employer to criminal penalfies and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damag provided for in ecti 3706 of the L interest and attorney's fees. RS CONTRACTOR SIGNATURE OAGENT DATE 7-11,.-;s" I hereby affirm that I am exempt from Contractor's Ucense Law for 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 D I, as owner of the property, am exclusively conlracting 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 controctor(s} licensed pursuant to the Contractor's License Law}. I am exempt under Section ____ Business and Professions Code for this reason: 1. \ personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes Do 2. I (have/ have not} signed an application for a building pem,it for the proposed work. 3. I have contracted with the following person (firm} to provide the proposed construction (include name oodress /phone/ 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 / 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/ type of work}: RS PROPERTY OWNER SIGNATURE -0AGENT DATE ----· ..,,. --· ' '/_~ ,. ; ,, ...:: -,~ 'i],1 /_,\ ! ,_._,'A}'.;t,;?111~~1{!~' /.',.-: 11 ,,,,, "J ,.•, 0_1,,', '-~ ~, , ___ '-~---__ --~-• •• -.,. •·r-•------• -.._-..,--= ___ ,...,.._. ·-···· ..--.. ------~--~~ r---•·-· ~->'. -f •••• -,' ¾• _ ,-• _. Is tlle applicant or future building occupant required to submit a business plan, ac4\ely hazardous matertals registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of tlle Presley-Tanner Hazardous Substance Account Act? Yes No Is tlle applicant or future building occupant required to obtain a penmit from the air pollution control district or air auality management district? Yes No Is tlle facility to be constructed witllin 1,000 feet of tlle 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 • ., _ _._. ----·------ I hereby affinn that there is a construction lending agency for the performance of the work this pennit is issued (Sec. 3097 (i) Civil Code). Lender's Name None Lender's Address ~-' .. -----___ ,._ l,..... ...... --~-~- I certify that I have read the appDcation and statethattheabove infonmation is correct and thattheinfonmation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Cartsbad 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 penn1t is reqwred for excavations over 5'0' deep and demolition or construction of structures over 3 stones in height. EXPIRATION: Every penmit issued by the Building Official un r the provisions of · shall expire by !imitation and become null and void if the building or work authorized by such penmit is not commenced within 180 days from the date of such penmit or if the building or w authortzed by sue penmit · suspended or abandoned at any time after the work is commenced br a pertod of 180 days (Section 106.4.4 Unifonm Building Code). ~ APPLICANT'S SIGNATURE DATE STOP: THIS SECTION NOl REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CERTIFICATE OF OCCUPANCY f Commercial Projects 0 n I y J Fax (760) 602--8560, Email building@carlsbadca.gov or Mail the completed fonn to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. I CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP - Carlsbad CA PHONE I FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICKUP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) ASSOCIATED CB# MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) NO CHANGE IN USE/ NO CONSTRUCTION MAIL/ FAX TO OTHER: CHANGE OF USE/ NO CONSTRUCTION _,eS APPLICANT'S SIGNATURE DATE 'l. • ~[E~LEOW[Em I~ DEC 02 2015 ~ By Ccityof Carlsbad November 30, 2015 Permit Number: CB152233 S&S PROP ACQUISITION L L C 501 SPECTRUM CIR OXNARD CA 93030 Issue Date: July 21, 2015 PROGRESSIVE ELECTRIC CO. 590 AUGUSTA DR SAN MARCOS, CA 92069 RE: BUILDING PERMIT EXPIRATION ADDRESS: 2777 LOKER AV WEST PERMIT TYPE: PLUMB/MECH/ELECT PERMIT PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE Our records indicate that your building permit will expire by limitation of time on January 17, 2016 The provisions of CBC, Section 105.5 as amended by the Carlsbad Municipal Code state: "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 one hundred eighty calendar days from the date of such permit, or· if the building or work authorized by such permit is stopped at any time after the work is commenced for a period of one hunc;lred eighty calendar days, or if the building or work authorized by such permit exceeds three calendar years from the issuance date of the permit. Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work authorized by the permit by the Building Official within one hundred eighty calendar days of the date of permit issuance. Work shall be presumed to be stopped if the permittee has not obtained a required inspection approval of work by the Building Official within each one hundred eighty day period upon the initial commencement of work authorized by such permit. Before such work can be recommenced, a new permit shall be obtained to do so, and the fee therefore shall be one half the amount required for a new permit for such work, and provided that no changes have been made or will be made in the original plans and .specifications for such work, and provided further that such suspension or abandonment has not exceeded one year. In order to renew action on a permit after expiration, the permittee shall pay a new permit fee. Any permittee holding an unexpired permit may apply for an extension of time within which work may commence under that permit when the permittee is unable to commence work within the time period required by this section for good and satisfactory reasons. Ple~Sj check below indicating your intentions and return this letter to us. v Project abandoned. A new permit will be obtained prior to commencing work. No fee extension requested for 180 days. (must attach a letter of explanation) Renewal permit requested. If the project has been completed and only a final inspection is needed, please call the inspection request line at 760- 602-2725. If you have any questions, please contact the Building Inspection Division at 760-602-2700. Maria Emery Senior Office Specialist · Community & Economic Development Building Division j 1635 Faraday Avenue Carlsbad, CA 92008-7314 j 760-602-2700 j 760-602-8560 f I www.carlsbadca.gov City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-05-2002 Electrical Permit Permit No: CB023355 • Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2777 LOKER AV WEST CBAD ELEC Status: ISSUED 11/04/2002 RMA 11/05/2002 11/05/2002 Parcel No: 2090813000 Lot#: 0 Applied: Entered By: Reference #: Plan Approved: Issued: Project Title: ASHWORTH-RE-INSTALL ELECTRIC TRANSITION SECTION Inspect Area: Applicant: NEAL ELECTRIC 1325 KIRKHAM WY POWAY CA 92064 858-513-2525 Total Fees: Electric Issue Fee $120.00 Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMP Remodel/Alteration per AMP Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees Additional Fees TOTAL PERMIT FEES Inspector: Owner: MOTION PICTURE INDUSTRY l~JB)~~~f'fj}_N C/0 MCMORGAN & COMPANY GGP ONE BUSH ST • SAN FRANCISCO, CA 94104 Total Payments To Date: $0.00 Balance Due: $120.00 0 0 0 0 FINAL APPROVAL Date: I~ ' ye}:2- $10.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $110.00 $0.00 $120.00 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 ariy 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 vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired. 02 120.00 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK Noa CJ bJJ55 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Address (include Bldg/Suite #J Business Name (at this address) Legal Description Lot No. Subdivision Name/Numbe-r Unit No. Phase No. Total # of units 01 If~ ?OVOrfs1mt/M,\J #of Stories # of Bedrooms Name 'tkd~'Ao#ei-tirY,oWrJ~il:;;,;,:p;, '.~· ;· Name Address City S.tate/Zip Telephone_# ~5~~:;,~tttr~~~W,9~~~AN.;X~ij;;:5J_;-z;~:;~2:<~~~~--~Zi'::':-~. ~-,1n:~~7~,~~:-,v,:~;1J:~;3I::;<~~-::~s:::: ~~il .. ~ (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 exe~tiof' Any v-e'af n. tSection 7031 l~y any app . ar permit s . \s 1 the applicant to civil penalty of not more than 'Z(J hundred dollsi 5l]J. 'ZS'Z':> Name ,_ Address -~"((c{fA\-1 , State/Z]P Tele,(lhoIne #·\ llv1vl Q State License# t lt> -S01S~tc License Class C I0-€)0'2-7'l~1:>.., City Bus!ness"License # :zy{2,'2.Lts11 Z,'-,6 ( 1-vT \0 Designer Name Address City State/Zip Telephone State License # _________ _ r~1:;~:~w.o-11~~fl~f~'ti•~'N.'$:~:r1.0N~ ,~":·~:~x.:~r:;~5~::;:.:~'.·;::'.!;J::;: 777.:-:,~~;:~~;~;,:;2::r, · ~:fL~·:•~ ~li,::-:,:~~:E!f.-:·rr:r~ .: :-:.: .. ,::, .::· ~ 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. '1v!7 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 asued. My worker's compensation insurance carrier and policy number are: L ).;,, ),.,. ln;;urance Company ·z:t--._ '{''::C""-. Q-.,..,-eV''Cv...,'-... ~'-~Sv-0-.V-C.~ Policy No. Gr k C) ') 72.{g(!/G~-OO Expiration Date O (p) P ::> (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) 0 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 workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred :~~:;~~::llars,:;;~on to the cost ~:m~ges as pro~::::r in.Section 3~:sT:f_t_~_,__L_tD_rcc,c_v_d_e_,~_·_t_e_re_rz__t_a_nd-attorney's fees. ~.i~~ttqw.&Eil'H°!'lli.ilQ~ij'J!:e:c.~~1i:1.1t~::~~;'.:1:~-i'.'.; ~~~: ·;:~:'::-"~::~ .. :.ii0.:>: ~ .. _ :·.:· I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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 ~ontracting 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. 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 / type of work):, _______________________________________________________ _ PROPERTY OWNER SIGNATURE _____________________ _ DATE _________ _ !MMPC£T.E{Tiii's~sec:r1oij; FOR':NOli[RESIOEflTIALBlJli;piNG!lPirr{IVfJ;is~i '::;;::;::,',' 'J{~>~;~" ~-}:-.r' · ''.;2\::f i' ;:8:;,\~:Jf'.:' . .'4;'<:,;_'.'fit::Y ·,::;\.;;: •;,.,,,c~_¥,:;:, 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 O 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 D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES O 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. :~.j.j]pJ.f~ltRl,JPT,lQ!'·H~N.Q!f:1~T'~G"FN¢:X .::. · 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~-:;:;::::::-:::-:-:,--;:;::-::;;;:;;::::;::::;-:-;--:-:::;::::;;:;::-:-:::-:::-;::;::::::-::::-:;;;;:;;;;;:;-::-:-:;::::;:::;-:-::::;:;:-:-:;::::,::;_;, .. ::-;;;:::.::.,.;;:,::, l~\~tAl?eijfC:A~.1!''.YJ;IH:!fl.QAnQN::t,: :(: T:»:·~ :, :t:' !;, :iS.!.;} 'J :'J;,'f. . ·;JA.:i1/4i?1:f&::o~1~:., ;;::;:-\ ,,,< -:~~;; ,.j \::,: "..::. ,¼,,i;.,,L', -,:· 1{:, 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 Cit~ 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 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 180 days from the date of such permit or if the building or work authorized by such permit is suspended 9r abandoned at any time after the work is commenced for a R riod of 180 days (Section 106.4.4 Uniform Building Code). WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 12/04/2002 Permit# CB023355 Title: ASHWORTH-RE-INSTALL ELECTRIC Description: TRANSITION SECTION Type: ELEC Sub Type: Job Address: 2777 LOKER AV WEST Suite: Lot 0 Location: APPLICANT NEAL ELECTRIC Inspector Assignment: RB --- Phone: 7604~41203 Inspector: ----- Owner: MOTION PICTURE INDUSTRY INDIVIDUAL ACCOUNT PLAN Remarks: Total Time: CD Description 39 Final Electricc1I Act Comment Requested By: JOE MOORE Entered By: KAREN fl2 ______ _ Associated PCRs/CVs lnsgection Histor~ Date Description 11/20/2002 34 Rough Electric 11/20/2002 , 44 Rough/Ducts/Dampers 11/19/2002 34 Rough Electric 11/19/2002 39 Final Electrical 11/18/2002 34 Rough Electric 11/13/2002 34 Rough Electric Act CA WC AP PA NR co lnsp RB RB RB RB RB RB Comments INSP ON 11/19/02 SEE NOTICE ATTACH. -OK TO RELEASE METER FOR STE B on corrections SEE NOTICE 11/18/2002 09:08 NEAL ELECTRIC~ 17604768418 Providing Electrical Services To whom it may concem, · The installation of a new transition sec;tion to the main electric room at 2777 .Loker avenue West has been installed so as to comply with ~he ne.tiona.l electric code ancl the manufacture speci.:ficntion.s, All bol1:s ~nd nl,\ts lcic~fed at the bus were tighten to the manufllcture spe~i:fications located Eit tb.e inside of the transition s~ction front panel. Jf th.ere are any qµestion$ concerniri.g Lbe trnns.i.tion sectiq.n or its components please feel free to ~all and we wm be .happy to a.uswer your q~le!itions. Thank you. Harold D Ca.rlisl.e llI Project E1\gi.1.,eer Neal EJectric (858) S 13-2525 (858) 513-9494 fx NO.480 ho Ol11ga• 1325D Ktrk~em Way• PDwav •CA• 92064 • 858,5!3·2525 • FAX 858-~1~·6484 .t_www.noalQl11~rlc,c11m • Lii:ijn11e N11mb11r CIQ·B02588 (;102 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02/16/2001 Electrical Permit Permit No:CB010695 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2777 LOKER AV WEST CBAD ELEC Status: Parcel No: 2090813000 Lot#: 0 Applied: ISSUED 02/16/2001 JM 02/16/2001 02/16/2001 Entered By: Reference #: Plan Approved: Issued: Project Title: NEW 800 AMP 3 PHASE SERVICE Inspect Area: Applicant: DYNA ELECTRIC 9505 CHESEPEAKE DRIVE SAN DIEGO CA 92127 858-712-4700 Total Fees: $60.00 Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMP Remodel/Alteration per AMP Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees TOTAL PERMIT FEES 1804 02/16/01 0002 01. 02 Owner: CGP S0,;.i{} MOTION PICTURE INDUSTRY INDIVIDUAL ACCOUNT PLAN C/O MCMORGAN & COMPANY ONE BUSH ST SAN FRANCISCO, CA 94104 Total Payments To Date: $0.00 Balance Due: 0 0 0 0 FINAL APPROVAL Date:,2 ' ).../' t) f Clearance: $10.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $50.00 $60.00 $60.00 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 capactiy 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 ou have reviousl been iven a NOTICE similar to this, or as to which the statute of limitations has reviousl otherwise ex ired. FOR OFFICE USE ONLY • 'PERMIT APPLICATION PLAN CHECK NO. O]{JI-CC/ 5 CITY OF CARLSBAD BUILDING DEPARTMENT · 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL.--------,--- Plan Ck. Depo:.:s:.:;it:.-+.-r---,---r-- Validated By_._'-'...__...,_1--1-,---1--,--~- Date ______ -r.::_,...,_-->:r-""'--t--- Address (include Bldg/Suite #)L P.'11? u.>, J?/(i;fl?. 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 Use # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone# Fax# ~P.ifil1FArf:iFf::;;~15fiiai'd'toi-;.;i: :'.".l:'."l=~Jl\eni1:Yorf."C1,hf~,-::rr,-, oWne"rl\ :;r:,::,.;lf'"g· ei\W6"1--0wn1i'i·:--:r:-:;:;3ry-::,:'"_"::~,-:';:~;:::::~~t",:n.'.,,·;:; ;:_;xr::":'t~:~ {~"i.-\J ~-~->r11tJ..Jn:f..!!ef< :r.···'oPM~1<s """ ~s-p.5 t~~l!f'9.e;_ ~g ... <:.4tt,)>.1;--& & 9tlli3 · ~~~--21_,_~k~ Name Address City State/Zip Telephone# f4-"\~?.¥ROPERl?l{"WNEtt."·-:"~:, ·:) ,\i'.f ~:'-:-"':~ ,1 ~/;;::: ,-:-f1 :_~t-:':/·:~;-~::::~.: ,:,\)"'"_.;~,:~~~ ~;~--:~~:.~{::~_/;:.tr /,,~:'t./+.~:·~: ,!h ~-::r -:?~~ <:·f,~~----~~ ::''J :i.._.~-{:, :; ):,~..,~t ;~;:, .. ::. ;:: :;'::~~\--t ;n --:t~,::;--,":;:t~-: -::t:..':p~'f.\,; -·--·7;z~T&N;';r·--~" , ~-~~;s=-·z,;~151~·~;;;; .. ~--~~~;;;"t51@· ·2-A:··-,-· .... -, ... Kt:=:·yi·1· ~Af'f2. __ ;, , ..... Name Address City S.tate/Zip Telephone# (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 subjects the applicant to a~il penalty of ?\more than five hundred dollars [$5001). 'b>!All/LEtrJZJC le, 'Js-p,; t11~-P1:&~Jt,r" "';)12 51141 v,e-k>, {,!:.i_. *12-:, :'?S-6:-Zl~-<1~ Name Address City State/Zip Telephone # State License # ?<-Jt:J; ?5? License Class t-Ji) City Business License # ?/,,'?:)(::>OD Designer Name Address City State/Zip Telephone State License # _________ _ lii.f,;-,, fflKERS~elfMR£NSA1,tdN~.7:!~: \~ '?JJ:f::!/,J?}\','·v~;~ ,---''>;:,',',-;' '.z.'7:;:r-t"~J;j:Y '/ '<,~~::t;·Vf(/~{\~-~5·:Y;"/~:'-:,;, ',,.\:\~-~~\'tZ~ ~r~·-.',. '••,::,:-~·~,_:;•-ill-',,',,!,(.,.,--,, Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: JZ[ 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. 0 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____________________ Policy No .. ____________ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPl£TED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) 0 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 workers' c tlon coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), In itlo ost of co sation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE'.--:-::-~~~~Mf!I!~~~~~~-:-:-:-:::-:::-:---:--::-::-:::---,--:-:--:-::-:-:-:-:--:-:-:-:--DATE 6/• /t, -pf ~?Jl,~l&~~fJ~j]i(Q.~li;g C,,,i ,=.-.«T,ii:f' ' ';:;;f;~~·;::-',:l:][~~~-:~;~i'~t_:~_:f ::.2~~~-~!i::~i~-:~Si:~t~'w-:;1,[~~~:i-i..:.}::_\(:{;<l~~~~-~-S'f:,,;:J:~~±~:~{;~~~:.;121:,~:2-,::~.)~~~,£.~::~ ;1f·~~-:t~::~} I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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). 0 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). · 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 I 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/ type of work): ________________________________________________________ _ PROPERTY OWNER SIGNATURE ____________________ _ DATE __________ _ !c.ot,iip~.if~iHis;sic;rioNiso's"0NoN'JlesiefE'&ffAi:'.i3°0jlmNGiPE[MjifsfoN'ii,.~t2-:C·;: . .{,.;J:,:;."';i0;;-rsi';.'.;~1-~.;--;;,;·:.E;y,'-.':K·:,·::;'.lr;:· :;. 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 O NO ls the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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. r~r~IN'.:~T-R.QQJ;ie1f,~NP)~(ii.A.~]Nc.Yt:'.:-::~~~;;,;::r fit:Z,~ff~;:7.; :! i_fft]]--:'Til£}/f Z,; ::<:,;--~ T?i •-f~}f';, -, · · ::',;:. 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 f /!'lflf' LENDER'S ADDRESS ______________________ _ r~~-~~ee1;.tcA:~~t~1;R:1:tf!@i1:•P.N!.~\:t:r>-~.1 ~-:;,~rI~~::1:~:~:-.:_~,\~~~~\~~;;£~2~;~z-,;~,:-r:r:r:~~?::f~j~~;rrt.*~~:~,!Dt~~~~~J;z~i:m~s:~::sc~:~:~;:.:f:J;_;:~:·,~:r~r1~0;EJ 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 Citt 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 Official under the P. isions 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 180 daii of such per ·1 or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of.. cla on 106.4. niform Building Code). DATE _GJ,"'---'-J,--""'/,'----t>__,/ ___ _ PINK: Finance ·UNSCHEDULED BUILDING INSPECTION DATE_~2~/k(J==-+-/_41 __ ( l PERMIT# ____ _ .-. PLAN CHECK# ____ _ JOB ADDRESS __ -z_-=---; __ -?_1.___L=()..;;;;/G __ t l---'_-,1.fi:0:......,;.._,;,=----VJ~~;...;;...i..:..------- DESCRIPTlON __________________ _ CODE DESCRIPTION s'f 7't41-t/t c~ ACT COMMENTS ft/Jkv B U I L D I N G P E R M I T Permit No: CB941215 Project No: A9401723 Development No: 09/26/94 09:46 1 Page 1 of 1 Job Address: 2777 LOKER AV WEST Permit Type: PLUMBING Parcel No: 209-081-30-00 Valuation: O Construction Type: NEW Occupancy Group: Description: UNDERGROUND PLUMBING : FOR PERMIT 94-1184 Suite: Lot#: Reference#: ONLY 619 CITY OF CARLSBAD 8783 09/26/94 0001 01 C-PRMT 02 27-00 Status: Applied: Apr/Issue: Entered By: 458~9440 ISSUED 09/26/94 09/26/94 MDP APPROVAL ·r:P. -,4r..::;;. ____ DATE 1e}1l/4-J-'i-1 -~\~ANCE-----1 -----------=---- 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 L_ PERMIT APPUCATION PLAN CHECK NO. ({ ~ -\-L. \ S- City of Carlsbad Building Department 2075 Las Palmas Dr •• Carlsbad. CA 92009 (619) 438-1161 EST. VAL _____________ _ 1. PmtMIT TYPE PIAN CK DEPOSIT ________ _ VAUD.BY __________ _ DATE'---------------From Llst 1 (see back) give code of Permit-Type: ___________ _ For Residential Projects Only: From Llst 2 (see back) give Code of Structure-Type: _____________________ _ Net Loss/Gain of Dwelling Units _________________ _ 2. PRClJECT INFORMATION FOR OFFICE USE ONLY Address ~ 7 7 ? .,2' o .l::l)e A I/~ '<.l<"S?ffiiiidmg or suite No. Nearest Cross Street LEGAL otscRiPiioN Lot No. su&hVIslOn Name/Number 0mt No. CHECK BEIDW IF sOBMl'I IEO: D 2 Energy Cales D 2 Structural Cales D 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE DEscruPTioN oF woRK u / C. 0 f.J lei {u11-Vy t A.) SQ. Ff. # OF sloruEs # OF BEDROOMS l. WN IACI PERSON (Ir dmerent from apphcanO NAME (last name first) ADDRESS CITI 4. APPUCANI UCON IRACIOR NAME (last name first) STATE ZIP CODE o AGEN I FOR CON I ftACIOR ADDRESS DAY TELEPHONE o OWNER o AGEN I FOR OWNER CITI STATE s. PROPERTI oWNER v1.a() :._z1 () ,A,,) NAME (last name first) /' r 11 tr ZIP CODE DAY TELEPHONE CITI STATE ZIP CODE DAY TELEPHONE 6. OON'i'iW;luk ;:> / ~ :;> J'. NAME (last name first) / \ ' 4' • / e C l::)' er 0-vf. ADDRESS 4,t,SO r//'fu'L)t{.k,l Phase No. CITI S!i-t/ ;) /e f O STATE (P //-· ZIP CODE f 2 /;).-I DAY TELEPHONE ,Y.rtf'"' ? Y Y 0 STATE UC.# D£s1GNER NAME (last name hrst) UCENSE CLASS CITI BUSINESS UC. # ADORESS CITI STATE ZIP CODE DAY TELEPHONE STATE UC.# 1. WORKERS' WMPENsA11oN Workers' Compensauon Dedarauon: I hereby afhrm that I have a certthcate of consent to self-msure issued by the D1rector of lndustnal 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 Certthcate of Exemption: I certify that m the performance of the work for which this permit 1s issued, I shall not employ any person many manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE s. oWNM-DOllDM DECLARATION Owner-Bmlder Declaration: I hereby afhrm that I am exempt from the Confractofs License Law for the followmg 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 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). [] 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 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? 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? C YES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES ONO IF ANY OF TIIEANSWERS ARE YES, A FINAL CERTIFICATE OF OCDJPANCY MAYNUf BE ISSUED AFfERJULY 1, 1989 UNLESS 11IE APPUCANT HAS MET OR IS MEETING 11IE REQUIREMENTS OF 11IE OFFICE OF EMERGENCY SERVICES AND 11IE AIR POIJ.UTION CDNTROL DISTRICT. 9. OONSrnOCnON Lf:NDING ACiliNLi' I hereby afhrm that there 1s a construction lendmg agency for the performance of the work for which thIS permit IS ISSUect (Sec 3097(1) CiVII Code). LENDER'S NAME LENDER'S ADDRESS lo. APPDCANI CRRIIFICA'IION I certify that I have read the apphcauon and state that the above mformauon 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 MSO AGREE ro SAVE INDEMNilY AND KEEP HARMLFSS 11IE CITY OF CARISBAD AGAINST AU. IJABIUilli.5, JUDGMENTS, CDSTS AND EXPENSF.S WHICH MAY IN ANY WAY Acx:RUE AGAINST SAID CITY IN CDNSEQUENCE OF 11IE GRANTING OF TIIIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. PINK: Finance 0 .. B U I L D I N G P E R M I T Permit No: CB91171U Project No: A91U2203 Development L\lo: 12/20/91 14:52 Page 1 of 1 ,Job Address: 2777 LOKER AV Permit Type: PLUMBING Parcel No: 209-081-17-00 Valuation: o Construction Type: NEW Occupancy Group: Description: ADD SINK/WATER WEST Class Code: HEATER Appl/Ownr: DONJOY, SMITH AND NEPHEW 2777 LOKER AV WEST CARLSBAD, CA 9200·9· Fees: Adjustments: Total Fees: Str: 619 CITY OF CARLSBAD Fl: Ste: Status: ISSUED Applied: 12/20/91 Apr/Issue: 12/20/91 Validated By: DC 438-9091 ~CL- 569112/20/91 0001 01 02 C-PRMT *** 7,50 Y 2.50 10.00 20.00 WATERHTR U.B.C 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 - PERMIT APPIJCATION a V PIAN CHECK NO. City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 EST. VAL ____________ _ PLAN CK DEPOSIT _______ _ VAIID. BY __________ _ 1. PfillMI I l"YPE DATE'--------------- A -LI Commercial D New Bmldmg LI Tenant Improvement B -D Industrial LI New Building D Tenant Improvement C -LI Residential D Apartment D Condo LI Single Family Dwelling LI Addition/ Alteration 0 Duplex U Demolition U Relocation U Mobile Home U Electrical O Plumbing LI Mechanical D Pool D Spa D Retaining Wall D Solar LI Other ____ _ 2. PROJECI' INFORMATION FOR OFFICE USE ONLY LEGAL DESCRIP'I1ON Lot No. SubchV1s1on Name/Number 0mtNo. CHECK B£WW IF SUBMn'l'Eb: D 2 Energy Cales LI 2 Structural Cales LI 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL DESCRIPTION OF WORK / N STALL. A s IN I<. ~ # OF STORIES 3. WN IACI PERSON (n dtfferenf from apphcanf) NAME ADDRESS CITY STATE ZIP CODE 4. .APP.tlCAN'l NAME uCON'l'MCIOR DAGEN'l'FORWNIMC'loR ADDRESS CITY STATE ZIP CODE DAY TELEPHONE DOWNER DAGEN I FoR oWNER DAY TELEPHONE t..oK,Et( ,4-VE' w cST Phase No. DAY TELEPHONE f-31-10'} I 6. mNTitACltJR NAME ADDRESS CITY DESIGNER NAME STATE STATE UC.# ZIP CODE UCENSE CIASS ADDRESS DAY TELEPHONE CITY BUSINESS UC. # CITY STATE ZIP CODE DAY TELEPHONE STATE UC. # 1. woruams• OOMPRNSA11oN Workers' Compensation Declaration: I hereby affirm that I have a cert1hcate of consent to self-msure issued by the Dtrectorof 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 POUCY NO. EXPIRATION DATE Certthcate 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 DATE s. oWNER-BUIID£ll IJECLARATION Owner-Bmider beclaratlon: I hereby afhrm that I am exempt from the Contracto?s License Law for the followmg 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 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, 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]). SIGNATIJRE DATE coMPLEfE THIS SECTION FOR NON-RESIDENTIAL BUJLblNG 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? LI YES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? C YES 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 YES, A FINAL CERTIFICATE OF OCCUPANCY MAY Nor BE~ AFfER JULY 1, 1989 UNLFSS nm APPUCANT HAS MET OR IS MEETING nm REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND nm AIR POU.UTLON CDN1ROL DISlRICT. 9. mNS1RUC110N llNDING ACRNCY - I hereby afhrm that there 1s a construcuon iendmg agency for the performance of the work for whtch this permit 1s tssued (Sec 3097(1) GlVII Code). LENDER'S NAME LENDER'S ADDRESS Io. APPllcANT CER'l'MCATION I ceruly that I have read the apphcauon and state that the above mformauon 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 AISO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS nm CTIY OF CARISBAD AGAINST ALL LIABIIITIF.S, JUDGMENTS, OOSIS AND EXPENSF.S WIDCH MAY 1N ANY WAY ACCRUE AGAINST SAID CTIY IN CDNSEQUENCE OF nm GRANTING OF TIIlS 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 permi is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). DATE: / 2-ltJ ~9/ WHITE: File YEIJ.OW: Applicant PINK: Finance B U I L D I N G P E R M I T Permit N0: CB911340 09/25/91 10:05 Page 1 of i Job Address: 2777 LOKER AV WEST Permit Type: . PLUMBING Parcel No: 209-081-17-00 Valuation: o Construction Type: NEW Occupancy Group: B2 Description: ADD FLOOR SINK FOR : MEDICAL EQUIPMENT Class Code~ DRAINAGE Project No: A910'.i!)24 Development No: Str: Fl: Ste: 4557 09/25/91 0001 01 02 . C-PRMT 10-00 CAs--k Status: ISSUED Applied: 09/25/91 Apr/Issue: 09/25/91 Validated .By: CD Appl/Ownr: PREMIER BUSINESS PROPERTIES 2010 MAIN ST 215 714 476 9122 IRVINE, CA 92714 .x * * Fees Required *** ·Fees-Collected & Credits -----. ~-----·-----~---------------------Fees: Adjustments: Total Fees: Fee description 10.00 .• 00 10·. uo Total C:t;edits:'-. T•:>tai Paym~nts: · . Balan'ce ·Due! . lJni ts . : _Fe.e/Vn.i b .00 .00 10.00 Ext fee Data --------------------------------.--------·G ------·---------------------Enter "Y" for Pluml?ing Issue Fee··. -> .. Each Plumbing Fixture o~; Trap . > . ,· .. , 1 . , , 2. 5-0 * PLUMBING TO'I'AL l • '> ·, \ r. CITY OF CARLSB 2075 Las Palmas Dr., Carlsbad CA 92009 ..• 7.50 Y · 2.50 10.00 ' PERMIT APPUCATION PLAN CHECK NO. City of Carlsbad Building Department 2075 Las Palmas Dr., carlsbad, CA 92009 (619) 438-1161 EST. VAL;..._ __________ _ PLAN CK DEPOSIT _______ _ VAIID.BY ___________ _ 1. PfillM.l'I' TYPR DATE _____________ _ A -LI Commercial D New Building LI Tenant Improvement B -D Industrial D New Building D Tenant Improvement C -D Residential D Apartment D Condo D Single Family Dwelling D Addition/ Alteration D Duplex D Demolition D Relocation D Mobile Home D Electrical Ji{Plumbing D Mechanical D Pool D Spa D Retaining Wall D Solar D Other ____ _ 2. PROJECT INFORMATION FOR OFFICE USE ONLY Ad~r7s-77 Lok.ER. ,4.<IE". wl:St Nearest Cross Street Building or Smte No. Sv,rs-.:/rtoo LEGAL DESCRIPTION Lot No. Subd1VJs1on Name/Number OmtNo. Phase No. CHECK BEWW IF SOBMl'l"l'Eb: [J 2 Energy Cales D 2 Structural Cales D 2 Soils Report [J 1 Addressed Envelope ss DESCRI OF WORK ADD F'L.ooR SIN!<.. ftJR f)A.AtNAGE aF Coot..-1.J./\11 IV1+1l:1<., (BAc.k:-vl' vsl:) Q. FT. # OF STORIES 3. WN 1'.ACI PRRSON (if different from apphcanO NAME ADDRESS CITY STATE ZIP CODE 4. APPIJCAN1' NAME OCONl'RAclOR DAGEN'l' FOR cON'l'RAclOR ADDRESS DAY TELEPHONE DOWNER D AGEN'l' FOR OWNER CITY STATE ZIP CODE DAY TELEPHONE S. PROPRRn OWNER NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 6. mN'l'RAclOR NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE UC.# IJCENSE CIASS CITY BUSINESS IJC. # eeNc PLU1t1/JIAIG 1. ~~~nON STATE Cft ZIP CODE 2:2001> DAY TELEPHONE STATE IJC. # Workers' Compensauon beclarat1on: I hereby afhrm that I have a ceruhcate of consent to self-insure issued by the Director of lndustnal 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 eeruhcate of £xempuon: 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 s. OWNER-BOIIDER OECIARATlclN Owner-Bmlder beclarat1on: I hereby afhrm that I am exempt from the Contracto?s License Law for 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 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, 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 viblation 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]). SIGNATUIIB DATE COMPLETE fffis SECTION FOR NON-RESIDENTIAL BU1LD1NG 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? 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? a YES [J NO Is the facility to be constructed within 1,000 feet of the outer boundazy of a school site? DYES D NO IF ANY OF TI-IE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAYNOf BE ISSUED AFfER JULY 1, 1989 ~ TI-IE APPUCANT HAS MET OR IS MEETING TI-IE REQUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND TI-IE AIR POU.UTION CONlROL DISfRICT. 9. OONS'TilOCIION LRNDJNC XGRNCY I hereby athrm that there 1s a construction lendmg 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. APPllcANT CEllW'lcA'nb.N I certify that I have read the apphcanon and state that the above mformauon 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 ALSO AGREE 10 SAVE INDEMNIFY AND KEEP HARMLESS TI-IE crIY OF CARISBAD AGAINSf AIL UABIIITIES, JUDGMENTS, cosrs AND EXPENSES WIIlCH MAY IN ANY WAY ACDlUE AGAINSf SAID crIY IN CONSEQUENCE OF TI-IE GRANTING OF TiilS 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. Evezy 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 abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). T;t:z~ DATI!, '1·2.S-9/ WHITE: File YELLOW: Applicant PINK: Finance DATE: TO: 08/21/92 Cit RECEIVED AUG 2 4 1992 Ans'd. ••.•••••••. PREMIER BUSINESS PROPERTIES 2010 MAIN ST 215 IRVINE, CA 92714 PERMIT NUMBER: ISSUE DATE: LAST INSPECTION: PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE RE: BUILDI~G PERMIT EXPIRATION ADDRESS: 2777 LOKER AV WEST our records indicate that your building permit will expire by limitation of time on. 09/25/92. The provisions of UBC, Section 303(d) s~ate: "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 one calendar year from the date of such permit, or if the building or work authorized by such permit is stopped at any time after the work is commenced for a period of six consecutive calendar months or if the building or work authorized by such permit exceeds three calendar years from the issuance date·of permit. :work shall be presumed tq have commenced if the permittee has obtained a required inspection approval of work authorized by the permit by· the building official within one year of the date of permit issuance. Work shall be presumed to be stopped if the permittee has not ob- . tained a required inspection approval of work by the building official within each six month period upon the initial commencement of work authorized by such permit. Before such work can be recommenced, a new permit, or a renewal permit as specified below, shall be obtained. 1. PERMITS WHERE WORK HAS NOT COMMENCED. For permits where work has not comrnenced in ti-1~ fi1--st calendur year frorr.. the date of iss1.1ance, a renev:al permit may be obtained provided: (A) No changes have been made or will be made in the original plans and specifications for such work. (B) That the expiration has not exceeded three years from the original issuance date. (C) That the same edition of the model codes is in effect as used in the initial plan check. (D) That a fee·equal to one-half· the amount required for a new permit -be paid. The renewal permit shall expire three calendar years from the date of initial permit issuance. 2075 Las Palmas Drive • Carlsbad, California 92009-1576 • (619) 438-1161 B U I L D I N G P E R M I T 06/28/90 13:11 Permit No: CB901086 Project No: A8901980 Development No: Page 1 of 1 Job Address: 2777 LOKER AV WEST Str: Fl: Ste: Permit Type: PLUMBING Parciel No: 209-081-17-00 Valuation: 0 Construction Type: NEW Occupancy Group: Class Code: Status: ISS_UED Description: INSTALL BACKFLOW PREVENTER CONTRACTOR *** Fees COLLINS GEN CONTRACTORS 1175 0 SORRENTO VALLEY RD · · SAN DIEGO, CA 92121 Required *** *** Applied 06/28/90 Apr/Issue Validated By: CD Lie. C NO 6194817700 Fee.s Co--llected & Credi ts * * * -------------------------~--~-----' -----; ,-.. --~'----------- Fees: Adjustments: Total Fees: Fee description 10.00, .oo 10.00 Tot~1 -· Credi tii: Total--Pa.yments:. · B<;1lance ,bu.e: • Units Fee/Unit .00 .00 10: 00 Ext fee Data -------------------~·----.:.:...----~.._J--.. -------.---~-~ _;, -~-. '-/ --------------------. . Enter "Y" for Plumbing Issue F-e)"e,,~_ > Each Vacuum Breaker '>---., * PLUMBING TOTAL j J t ... .LOO .. CllY OF CARLSBAD · z.so, 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 7.50 Y 2.50 10.00