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Home My WebLink About2786 LOKER AVE W; ; CB981749; PermitB U I L D I N G P E R M I T PeLmit No: CB981749 Project No: A9802320 Development No: 06/05/98 15:50 Paqe 1 of 1 Job Address: 2786 LOKER Permit Type: ELECTRICAL Parcel No: Valuation: Occupancy Group: Description: TEMPORARY AV WEST 0 POWER POLE Appl/Ownr : POWER PLUS 436 N QUINCE ST ESCONDIDO CA Fees Required *** Fees: Adjustments: Total Fees: Fee description Enter "Y" for Elect Enter "Y" for Tempo Suite: Lot#: Reference#: 760 7768 06/05/98 0001 01 C-PRMT 02 Construction Type: Status: Applied: Apr/Issue: Entered By: 839-9430 20.00 NEW ISSUED 06/05/98 06/05/98 RMA *** .00 .00 20.00 Ext fee Data 10.00 Y 10.00 Y 1 I CLEARANCE ===:~-- CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 · PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST.VAL._~~~~~~~~~- Plan Ck. Deposit ---.r-t,C7"----- Validated B1 _-+-,,,,..,,..--..,;1=------ Date __ __,~-+--++......_~------~ 1. PROjECT INFORMATION /t '2. 7~~ Ct.I, 1-ok-er nv e Address (include Bldg/Suite #) 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 De~~~Sn ot_]i/o/rk n SQ. FT. #of Stories # of Bedrooms # of Bathrooms -I-,., Ti.,., q +em;o rol.Vt', Pole 2. CONTACT PERSON (It different from applicant) ---- Name Address City State/Zip Telephone# Fax# 3. APPLICANT 0 Contractor a Agent for Contractor 0 Owner 0 Agent for Owner Gt mer ~ (i,,11(1 J-i cfC, F >J; 5rD,,, Name I Address City State/Zip Telephone # 4. f:? PROPERTY OWNER, oe/ Co>15f; ]36b J:'qrt:2 '711 ':i {.)/ Name Address City S.tate/Zip Telephone # 6. CONTRACTOR -COMPANY 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 7031.6 by any applicant for a permit subjects the applicant to a civi1,ipe9alty of not i:2ore than five hundred dollars [$5001). fower flC<J" (it'JG iV, 0. u,'11ce 51: c,>Ct>/ft?f,e,ld C..A-/920?§" p&;-9~70 Name Address City State/Zip Telephone# License Class----------City Business License # --------State License # ---------- Designer Name Address City State/Zip Telephone State License # ---------- 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. fl I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company ti e'Ct 1-h r 0.$ ( ~r ,. Policy No. C 000'5/J I(} L (THIS SECTION NEED NOT BE COMPLETED IF THE ERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS} Expiration Date /-/ -'f J 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' compensatio coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($1 ), in addition to f compensation, damages III provided for in Section 3706 of the L~r code, I~~ and attomay's fees. SIGNATURE DA TE " .-5" ,... F If 7. OWNER-BUILDER DECLARATION -~----:::;::::::=: .. ---··-----. 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 I address I phone number I 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 I 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 I address I phone number I type of work): _______________________________________________________ ~ PROPERTY OWNER SIGNATURE _____________________ _ DATE ----------~ COMPLETE THIS SECTION FOR NON:RESIDENTJAL 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, 26533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D 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. 8, CQ.NST!IUCTION LENDING MENCY 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 ________________________ _ 9. APPLICANT CERTIFICATION 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 6'0" 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 commenced within 366 da from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after t or · ommenced~ a p of 180 days (Section 106.4.4 Uniform Building Code). _ ~ APPLICANT'S SIGNATURE ~ "c,(_ DATE t: ... _s ,-yo --------------- PINK: Finance 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 that permit-type in the blank at the top of the page on the front of this application. Residential permits (only) also require the identification of the structure-type to be associated with the permit. Choose a structure-type from "List 2 . Structure-Types" and put its code in the appropriate blank on the front of this application. Residential Permits Code Description ' APT Aoartments · 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 new residential 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. MOH ON Mobile home, pre-fabricated house, or trailer installed (plumbed, wired) in a mobile home park (see distinction from single-family residence, below). RAD Residential addition/alteration, creating no new dwelling unit(s). RREISSUE Residential perm.it re-issue. RREPAIR Residential building reoair. Damage, fire, etc. RREPIACE 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 heating system (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 an individual 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. CREPIACE Commercial building · replacement. CTI 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. IN DUST Industrial structure, new construction. Ill 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 aooropriate blank at the top of the page on the front of this aoolication. 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 detached garage, or a business. May be a detached "granny flat•. May be a mobile home or trailer on an individual lot, but not in a mobile 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). MFS+ Multi,family, S 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 from single-family residence, above). PERMIT# CB981749 DESCRIPTION: TEMPORARY POWER TYPE: ELEC CITY OF CARLSBAD INSPECTION REQUEST FOR 06/12/98 POLE STE: INSPECTOR AREA PLANCK# CB981749 ace GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 2786 LOKE:R AV WEST APPLICANT: POWER PLUS CONTRACTOR: PHONE: 760 839-9430 PHONE: OWNER: REMARKS: C/MICHELE/839-9430 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION PHONE: ~ ~ INSPECTOR~& ACT COMMENTS _3_2 __ E_L _c_o_n_s_t_._s_e_rv_i_c_e_f_A_g,r_r_i_c_u_1_t_u_r_a_1_ fl £ IY/1i- ~--------------------~-------------------- *'**** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS