HomeMy WebLinkAbout2800 LOKER AVE E; ; CB891807; Permit,.
11/20/89 14:37
Page 1 of 1
B U I L D I N G
Job Address: 2800 LOKER AV EAST
Permit Type: ELECTRICAL
Parcel No:
Valuation: 0
P E R M I T
Str:
Permit No : CB891807
Project No: A8903214
Development No :
Fl: Ste:
)6 1L 01 02
15-00
CK -J:t I 5 'i' 1 t./ Construction Type: NEW
Occupancy Group : Class Code: ., Status: ISSUED
Description: TEMPORARY POWER
CONTRACTOR LUSARDI
1570 LINDA VISTA DR
SAN MARCOS CA 92069
*** Fees Required ***
Fees:
Adjustments:
Total Fees:
Fee description
15.00
.00
15.00
***
Applied 11/20/89
Apr/Issue
Validated By: DC
Lie. C 207287 619 744-3133
Fees Collected & Credits ***
Total Credits:
Total Payments :
Balance Due:
Units Fee/Unit
.00
.00
15.00
Ext fee Data
---------------------------------------------------------------------------
Enter "Y" for Electric Issue Fee >
Enter "Y" for Temporary Service >
* ELECTRICAL TOTAL ($10 Minimum)
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
5.00 Y
10.00 Y
15.00
.iD
PERMIT APPLICATION -w
City of Carlsbad Building Department
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-ll6l
EST. VAL. ______________ _
1.
A
C
2.
PERMIT TYPE
COMMERCJ AL TENANT IMPROVEMENT
· ~INDUSTRIAL DNEW D TENANT IMPROVEMENT
DRESIDENTIAL DAPARTMENT DCONDO DsINGLE FAMILY DWELLING ADDITION/ALTERATION
DDUPLEX DDEMOLITION DRELOCATION DMOBILE HOME LECTRJCAL DPLUMBING
DMECHANICAL DPOOL DsPA DRETAINJNG WALL DsoLAR gli,:>THER 1€/1 p B,.~1/
Address 1.i!J"'O Lo,": c~ ..4 V~ (3AS:1
Nearest Cross Streets ,SE,,4 077'6.R. ?l.ACf"
PLAN CIC DEPOSIT ____________ _
VALID. BT ______________ _
DATE----------------
LEGAL DESCRIPTION Lot No. Subdivision Name/Nll11ber Unit No. Phase No.
CHECK BELOII IF SUIINITTED:
2 Energy Cales 2 Structural Cales 1 Addressed Envelo
ASSESSOR'S PARCEL EXISTING USE PROPOSEO USE
BLDG. SQ. FTG. # OF STORIES
3 . CONTACT PERSON
4.
5.
6.
7.
NAME J IM v.,(::;f\.,A.,1
mv S""31',._.1 hAR.C. r-J
SIGNATURE ' I ........__\6.L::::-:-:::-APPLICANT ~ CONTRACTOR
NAME
CITY SArJZ:-
PROPERTY OWNER
NAME
CITY
CONTRACTOR
ADDRESS
STATE c.A ZIP CODE
D AGENT FOR CONTRACTOR
ADDRESS
STATE ZIP CODE
O\INER
ADDRESS
STATE ZIP CODE
DAY TELEPHONE
DOIINER D AGENT FOR O\INER
DAY TELEPHONE
DLESSEE DTENANT
DAY TELEPHONE
NAME Lvs:AR,01 L/>"'-"S71' vcr/o,._,,, ADDRESS /.S-70 (...,,1,t..,,.[)A.
CITY ,S.,4/L,' PJAR. ~cs-STATE~,4
STATE LIC. # ?..a, z.o1
SIGNATURE
DES I GNER NAME
CITY STATE
WORKERS' COMPENSATION
ZIP CODE
LICENSE
TITLE
ZIP CODE
91..0~'
CLASS A e
DAY TELEPHONE 744-s1?3
Z-460> CITY BUSINESS LIC. #
,. DATE
DAY TELEPHONE STATE LIC. #
Workers• COf1'4)ensat1on Declaration: hereby affirm that have a certificate of consent to self·1nsure issued by the Director of Industrial Relations,
or a certificate of Workers' COf1'4)ensation Insurance by an adnitted 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. Cl.
INSURANCE COMPANY POLICY NO.l/C't;"O// 7 EXPIRATION DATE
Certificate of Ex~t1on: certify that in the performance of the work for which th1s permit is issued, I shall not
so as to become subject to the Workers' COf1'4)ensat ion Laws of California.
SIGNATURE DATE
8. OWNER-BUILDER DECLARATION
Owner-Builder Oeclarat1on: I hereby affirm that I am ex~t from the Contractor's License Law for the following reason:
D I as owner of the property or my ~loyees with wages as their sole c°"""nsation, wi ll do the work and the structure 1s not intended or offered for sale
(Sec. 7044, Business and Professions Code: The Contractor's L 1 cense Law does not apply to an owner of property who builds or improves thereon., and who
does such work himself or through h1s own ~loyees, provided that such improvements are not intended or offered for sale. If, however, the building
or improvement is sold within one year of COflllletion, 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 w1th contractor(s)
licensed pursuant to the Contractor's License Law).
D I am ex~t under Section-----------Bus ,ness and Profess 1 ons 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 ex~t therefrom,
and the basis for the alleged ex~tion. Any v1olat1on of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not
more than five hundred do l l ars [S500J ) .
SIGNATURE DATE
COMPLETE THIS SECTION FOR NON·RESIDENTIAL BUILDING PERMITS ONLY:
Js the applicant or future build1ng occupant requir~ to submit a business plan, acutely hazardous materials reg1stratlon form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tamer Hazardous Substance Acco<.nt Act?
DvEs B<o
Is the applicant or future building occupant req~ired to obtain a permit from the air pollution control district or air quality management district?
DYES ~o
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
DvEs ~o
IF AIIT OF THE ANS\IERS ARE YES. A FINAL CERTIFICATE OF OCaJPANCT MT NOT BE ISSUED AFTER JULJ 1, 1989 IMLESS THE APPLICANT HAS IIET OR IS IIEETING THE RECIUIREIIENTS
OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
9. CONSTRUCTION LENDING AGENCY
hereby affirm that there is a construction lending agency for the performance of the work tor which this permit is issued (Sec 3097Ci) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10 . APPLICANT'S SIGNATURE
I certify that I have read the application and state that the above information 1s correct. I agree to COfll)ly 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 ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUOQIENTS, COSTS ANO EXPENSES WHICH MY IN ANY WAT ACCRUE AGAINST SAID
CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
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 author 1Zed by such permit is not commenced with ,n 180 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).
~ D O\INER ~ONTRACTOR Dev PHONE
WHITE: File YELLOW: Applicant PINK: Finance
APPROVED BY:--------
DATE:
PERMIT#•, CB891807
DESCRIPTION: TEMPORARY POWER
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 12/29/89 INSPECTOR AREA PD
PLANCK# CB891807
OCC GRP
TYPE: ELEC
JOB ADDRESS: 2800
APPLICANT: LUSARDI
CONTRACTOR: LUSARDI
OWNER:
LOKER AV EAST
CONSTRUCTION
REMARKS: T3/MH/CHURIS/744-3133
SPECIAL INSTRUCT:
TOTAL TIME:
--RELATED PERMITS--
CD LVL DESCRIPTION
PERMIT# TYPE
CB880793 SIGN
32 EL Const. Service/Agricultural
CONSTR. TYPE NEW
STR: FL: STE:
PHONE: 619 744-3133
PHONE: 619 7714-3 33 M?l PHONE: /7 J\
INSPECTO(d.,L_~_~_,_61 ........... ~~~~~~-
STATUS
ISSUED
ACT COMMENTS
M_ ______ _
*'**** INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP COMMENTS