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Home My WebLink About2777 LOKER AVE W; ; CB941253; PermitCARol"4,s PERMIT APPLICATION _0-PLAN CHECK NO.qk •-•Itc3{.J ollCity of Carlsbad Building Department 2075 Las Palmas Dr.,Carlsbad,CA 92009 (619)438-1161 (11oFoc‘e EST. VAL PLAN C2CDEPOSIT 1.PERMIT TYPE VALID. BY DATE From List 1 (see back) give code of Permit-Type: For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: Net Loss/Gain of Dwelling Units 2.PROJECT INFORMATION FOR OFFICE USE ONLY Address .77 7 e F2„Ngas_cir.Suite No. Nearest Cross Street /3 3 er9.. LEGAL DESCRIPTION Lot No.Subdivision Name/Number Unit No.Phase No. CHECK BELOW IF SUBMITTED:0 2 Energy Calcs 0 2 Structural Calcs 0 2 Soils Report 0 1 Addressed Envelope ASSESSOR'S PARCEL 4711sIG PROPQSD USE DESCRIPTION OF WORK Fitj..w.C._P-44-ck u NR5 ret. IC_ SQ. FT.#OF STORIES #OF BEDROOMS J #OF BATHROOMS .5.curd TACT PERSON tit aitterent trom applicant) NAME (last name first)ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 4.APPLICANT U CONTRACTOR U AGENT FOR CONTRACTOR OWNER UAGENT FOR OWNER NAME (last name first)ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 3.PROPERTY OWNER NAME (last name first)a'•y ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 6.CONTRACTOR 6 6 S ArvbErt5 NAME (last name first)12-(•PE77 co "43-k -e4-4;(DDREss o LIP-4"--;4e,t-144 CoQ_DEQ -/ 72 CITY STATE a 4.ZIP CODE 9 a IgiA) DAY TELEPHONE 4/5"9 7 So.t..)e-,--KrATE #LICENSE CLASS CITY BUSINESS LIC.#k Fr3 z - a— DLSIGNER NAME (last name first)ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE LIC.# 7.WORKERS' COMPENSATION Workers' Compensation Declaration:I hereby affirm that I have a certificate of consent to sell-insure issued by the Director ot Industrial 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 POLICY NO.EXPIRATION DATE Certificate ot 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. SIGNATURE DATE 8.OWNER-BUILDER DECLARATION Owner-Builder Declaration:1 hereby attirm that I am exempt from the Contractors License Law for the tollowing 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.If, however, the building or improvement is sold within one year ofcompletion, 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) licensed pursuant to the Contractor's License Law). O 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]). SIGNATURE 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 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? O YES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O YES 0 NO IF ANY OF THE ANSWERS ARE YES,A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9.CONSTRUCTION LENDING AGENCY I hereby attirm that there is a construction lending agency for the pertormance ot the work for which this permit is issued (Sec 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10.APPLICANT" wtrugumoN I certity that I have read the application and state that the above information is correct.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 AU. LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF TIES 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 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). APPLICANTS SIGNATURE DATE: WHITE:File YELLOW:Applicant PINK Finance I 0 ammummumen ammommumemoi List 1 -Permit-Type From the following list, determine the permit-type that best describes the work you propose to do.Please put the code of thatpermit-type in the blank at the top of the page on the front of this application.Residential permits (only) also require theidentification of the structure-type to be accnciated with the permit.Choose a structure-type from "List 2 -Structure-Types" and putits code in the appropriate blank on the front of this application. Residential Permits Code Description APT Apartments -new construction. CONDO Condominiums -new construction. CVNNR Conversion. Convert all or a portion of a non-residential building to residential use,creating one or more newresidential units. CVNRN Conversion. Convert one or more residences in a building to non-residential usage. CVNRR Conversion. Increase or reduce the number of dwelling units in a residential structure through interior modifications(i.e.: a four bedroom house converted to a duplex, with 2 bedrooms each). DEMO Demolition permit. (Also specify type of structure from List 2). DUP Duplex -new construction. MOHO Mobile home, renovation, repair, or addition of accessory structure not yielding a new living unit. MOHON Mobile home, pre-fabricated house, or trailer installed (plumbed, wired) in a mobile home pprk (see distinction fromsingle-family residence, below).. RAD Residential addition/alteration, creating no new dwelling unit(s). RREISSUE Residential permit re-issue. RREPAIR Residential building repair.Damage, fire, etc. RREPLACE Residential building replacement (no additional units). SFA Single-family, attached -new construction.A one-family house attached to one or more other houses, with one or more common walls extending from foundation to roof at, or forming,a lot line.Has own plumbing and heatingsystem (e.g.: townhouse, row house, half-plex) SFD Single-family, detached -new construction: A one-family house with open area on all four sides.May have an attached or detached garage, or a business.May be a detached "granny flat".May be a mobile home or trailer on anindividual lot, but not in a mobile home park. Non-Residential/Accessory Permits Code Description COM Commercial structure, new construction. CREISSUE Commercial permit re-issue. CREPAIR Commercial building -repair.Damage, fire, etc. CREPLACE Commercial building -replacement. C11 Commercial tenant improvement. DEMO Demolition permit. ELEC Electrical permit, for electrical work only. HOTEL Hotel or motel (including Managed Living Unit hotel)-new construction. HOTELR Hotel renovation. INDUST Industrial structure, new construction. ITI Industrial tenant improvement. MECH Mechanical permit, for mechanical work only. MISC Miscellaneous.Use only if proposed work doesn't fit another activity type. PATIO Patio and/or deck. PLUM Plumbing permit, for plumbing work only. POOL Gunite pools and spas. RETAIN Retaining wall permit. SIGN Sign construction/installation permit. SOLAR Solar energy system installation permit (specify structure type to be served). SPA Factory-made or Gunite. List 2 -Structure-Type (Use with Residential Permit Only) From the following list, determine the type of residential structure that best describes the structure on which you will be working. Please put the code of that structure-type in the appropriate blank at the top of the page on the front of this application. Code Description SFA Single-family, attached.A one-family house attached to one or more other houses, with one or more common walls extending from foundation to roof at, or forming, a lot line.Has own plumbing and heating system (e.g.: townhouse,row house, half-plex). SFD Single-family detached: A one-family house with open area on all four sides.May have an attached or detachedgarage, or a business. May be a detached "granny flat".May be a mobile home or trailer on an individual lot, but notinamobile home park. MF2-4 Multi-family, 2 to 4 units.A residential structure on a single lot, containing two, three, or four dwelling units. Units may share master heating, plumbing, or electrical service (e.g.: duplex, triplex, quad-plex). MF5+Multi-family,5 or more units.Same as MF2-4, except the building has a t least five attached units on the same lot. MOHO Mobile home, pre-fabricated house, or trailer installed (plumbed, wired) in a mobile home park (see distinction fromsingle-family residence, above).