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Home My WebLink About2794 LOKER AVE; 103; CB911451; Permit0* CAN.Cit 01 Carlsbad10407r4OA--</Fock-uild frig DepartmentDATE:09/28/92 PLAN CHECK EXPIRATIONPC#CB911451 DATE:10/28/92TO:IRWIN,DEREK ADDRESS:2794 LOKER AV WEST #103/11550DELMARROADOCEANSIDE,CA 92057Youhaveappliedtohave your plans checked on the date shownabove,and you have not obtained your building permit. The provisions of Section 304(d)of the Uniform Building 'Code state: "Section 304(d)Expiration of Plan Review Applications for which no permit is issued within one year following the date of application shall expire by limitation,and plans and other data submitted for review may thereafter be returned to the applicant or destroyed by the Building Official. In order to renew action on an application after expiration,the applicant shall resubmit plans and pay a new plan review fee." Please check the appropriate box indicating your choice and return this letter to the BUILDING DEPARTMENT. PROJECT ABANDONED.I WILL PICK UP PLANS WITHIN 10 DAYS. PROJECT ABANDONED.PLANS MAY BE DESTROYED. If you have any questions,please contact the Building Department at (619)438 -1161. DORIS COSMAN Building Department 2075 Las Palmas Drive •Carlsbad,California 92009 -1576 •(619) 438 -1161 ........11111111111110111111111111 MIUMMIMMINM11.1111111111 a #es._PERMIT APPLICATION -1/4 e cA a PLAN CHECK _..NO.q d/City of Carlsbad Building Department t'..; 7i7:6 .;moor-- 2075 Las Palmas Dr.,Carlsbad,CA 92009 (619)438-1161 .1-...4w EST. VAL A `ems ./ el \p-a..i /F004 PLAN CK DEPOSIT -... VALID. BY I.PERMIT TYPE DATE A -LI Commercial U New Building LI Tenant Improvement B -0 Industrial 0 New Building 0 Tenant Improvement C -0 Residential 0 Apartment 0 Condo Cl Single Family Dwelling 0 Addition/Alteration 0 Duplex 0 Demolition 0 Relocation 0 Mobile Home 0 Electrical 0 Plumbing 0 Mechanical 0 Pool 0 Spa 0 Retaining Wall 0 Solar 0 Other 2.PROJECT INFORMATION FOR OFFICE USE ONLY A ..,Building or Suite No. Neares2.51/t4 tatER A/4 1./t.io ...5"OA/if" /e)3 4./Oil,ross S LEGAL DESCRIPTION Lot No.Subdivision Name/Number Unit No.Phase No.EL .c."(J.ek-TZ 13J-S /.*(/f s 5 Pntie-KCHECK BEWW It. Sui3MDTED: 0 2 Energy Calcs 02 Structural Calcs 0 2 Soils Report 0 1 Addressed Envelope ASSESSOR'S PARCEL 1 EXISTING USE PROPOSED USE DESCRIPTION OF WORK /4•40/A0 Co cv-Atisole.Aav0 0*$761i.sr /4 -rxi $ SQ. FT./000 se -etd.1 %AddR4EA)._. '.oc..3.UJNTAL-1 PFILXIN (it different from applicant) NAMEienieroti /0.p.v4.6tric.ADDRESS 477 y Gis)rex.e CITY CAOW-L.S4140 STATE Cs4 ZIP CODE /ZOO 8'DAY TELEPHONE 4.3 g 6 4 6 cp 4.APPEL MCONTRACTOR U AGENT FOR CON I RACIUR U OWNER U AGENT FOR OWNER NAME Eic rief.44.01 ADDRESS /„5"...St)104"- e.le/he Rio CITY arp4.*S./Ape STATE C4-ZIP CODE ft 057 DAY TELEPHONE 63o c (I / 5.PROPERTY OWNER NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 6.CONTRACTOR NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE LIC.#LICENSE CLASS CITY BUSINESS LIC.# DESIGNER NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE LIC.# 7.WOMEN-Sr COMPENSATION Workers' Compensation Declaration:I hereby affirm that I have a certificate of consent to self-insure issued by the Director of 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 6-6(-40(01/£I t..4 POLICY NO.Z.811551D EXPIRATION DATE 7-/-ty z_ Certificate of Exemption:I cernty that in the pertormance of the work for which this permit is issued,1 shall not employ any person in any manner so as to . Z._7 •.e subject to e Workers' Compensation Laws of California. SIGNATU •D ,/DATE le)"-9'/40 8.OWNER-:1li0 ER DECLARATION Owner-Builder Declaration:I hereby affirm that 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 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? CI 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? OYES 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 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 affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code). LENDER'S NAME LENDER'S ADDRESS 10.APPLICANT' CER111.1CATION I certity that 1 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 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 365 days from the date ofsuch 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). AP EPLICAN13GNATUR DATE:Ali WHITE:File YELLOW:Applicant PINK:Finance