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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