The URL can be used to link to this page

Home My WebLink About2785 LOKER AVE; ; CB972605; Permit.......V 1"F.BUILDING PERMIT Permit No:CB97260509/15/97 13:34 Project No:A9703309Page1of1DevelopmentNo:Job Address:2785 LOKER AV WEST Suite:Permit Type:ELECTRICALParcelNo:209 -081 -26 -00 Lot#:9140 09/15/97 4001 01 02Valuation:0 Construction Type:NEWOccupancyGroup:Reference#:Stf:ISSUgsb•00Description:ELECTRIC LINE -110 VOLT Applied:09/15/97Apr/Issue:09/15/97EnteredBy:JMAppl/Ownr :CHARLES E THOMAS AND COMPANY 213 321 -842013701SALMAAVENUEGARDENA,CA 90249***Fees Required ******Fees Collected &Credits *** Fees:20.00 Adjustments:.00 Total Credits:.00 Total Fees:2.0.0u Total Payments:.00 Balance Due:20.00 Fee description TJ111t3 Fee/Unit Ext fee Data Enter "Y"for Electric IssuFee >10.00 Y Enter "Y"for Remodel >10.00 Y *ELECTRICAL TOTAL 20.00 75)9 77)F5) NE'V.7 Li PERMIT HAS EXPIRED N ger-VIDANCE WITH U.B.C. SECTION 106.4.4 DATE.SIGNATURE ---_____ FINAL .OVAL. INSP.DATE,,._._,.._ C -4A •A CIE CITY OF CARLSBAD 2075 Las Palmas Dr.,Carlsbad,CA 92009 (619) 438-1161 maisimm FOR OFFICE USE 07)Y74.(2465PERMIT APPLICATION 0 - CA ,PLAN CHECK NO. CITY OF CARLSBAD BUILDING DEPARTMENT u EST. VAL. 2075 Las Palmas Dr., Carlsbad CA 92009 0 Plan Ck. Deposit,•s?. (760) 438-1161 /./Foftv'Validated B Date 1.PROJECT INFORMATION...22_1..oc r Address (iitchrdet2.#)lie"-Buc----iness 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 Description of Work tAvynerti_42.SQ. FT440 #of Stories # of Bedrooms # of Bathrooms 44t1410--o 2.CONTACT PERSON Of (lifferont.from applicant) Name Address City State/Zip Telephone #Fax # 3.APPLICANT eContractor....:;..13Agent for Contractor 0 Owner 0 Agent for Owner Name Address City State/Zip Telephone # 4.PROPERTY OWNER •- Name Address City State/Zip Telephone # "CONTRACTOR =COMPANYNAME • (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 exem tion.An ll n of Section 7031.by any applicant for a permit sub'ects the applicant to a civil pe alty of not more than five hundred dollars MOOD.6 2.1 ?>eligt> Name Address let JAIL City State/Zip Telep o e State License #1`JLicense Class Ws110Ff City Business License #(1/07.514((;) Designer Name Address City State/Zip Telephone State License # S.WORKERS' COMPENSATION.•„ Workers' Compensation Declaration:I hereby affirm under penalty of perjury one of the following declarations: Vellrave 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 ermit is issued.My worker's compensation ins ance carrier and poll num er are: InsuranCe Company 41-P'tilie Lye /1.414 Policy Nitokkagt444Z9731e Expiration Date0 % (THIS SECTION NEED NOT BE COMP IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 01001 OR LESS) O 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:Failu to secure workers' compensa coverage is unlawful. and shall subject an employer to criminal pen es and civ 'nes up to one hundred thousand dollars (00,0 0,in to f co nsation. damages as provided for in Section 3706 of Labq od i an may's fees. SIGNATURE DATE 7.OWN DE•.E•.• I hereby affirm t 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 e 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). 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: 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 COMPLETE THIS. SECTION FOR NON-RES/DEN77.4L BUILDINO-PERMITELONLY.'' 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. 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 APFIJOAPITVERTIRCATION • 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 Citi. 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 c mmenceet in 365 days om the date of such permit or if the building or work authori d by suc permit is suspended or abandoned at any time after th wo co •for a '•A 80 da •(Section 106.4.4 Uniform Building Code). ,LICANT'S SIGNATURE 40 Allrf DATE WHITE: File YEL •Applicant PINK:Finance .M err M ••••••••••••••••M MINIMMIN NICITYOFCARLSBADINSPECTIONREQUESTPERMIT#CB972605 FOR 09/16/97 INSPECTOR AREADESCRIPTION:ELECTRIC LINE-110 VOLT PLANCK#CB972605OCCGRPTYPE:ELEC CONSTR.TYPE NEWJOBADDRESS:2785 LOKER AV WEST STE:LOT:APPLICANT:CHARLES E THOMAS AND COMPANY PHONE:213 321-8420CONTRACTOR:PHONE:OWNER:PHONE:REMARKS:C/JACK/213/321 -8420 EXT 268 INSPECTORSPECIALINSTRUCT:INSPECT AROUND NOON IF POSSIBLE TOTAL TIME: --RELATED PERMITS--PERMIT#TYPE STATUS AS920042 ASTI ISSUED CD LVL DESCRIPTION ACT COMMENTS 33 EL Service Change/Upgrade A16-ar-7 ,9.ofes e It4// /# #M17 (SEAL IV-dr) *****INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS