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Home My WebLink About2819 LOKER AVE E; MULTI-PERMIT FILE; CB010848; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07/02/2001 Mechanical Permit Permit No: CB010848 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: 2819 LOKER AV EAST CBAD MECH 2090830700 Lot#: 0 $1,500.00 ASCHUNET INSTALL ROOF MOUNT HEATERS Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 02/28/2001 JM 07/02/2001 07/02/2001 3617 07 /02/01 0002 01 SOUTHCOAST HTG & AC W H CB Q REAL EST LTD PARTNERSH C/0 LINCOLN PROP CO N C INC CGp 4055 OCEANSIDE BL OCEANSIDE CA 92056 30 EXECUTIVE PARK #100 IRVINE CA92614 Total Fees: $232.00 Total Payments To Date: $0.00 Balance Due: $232.00 Mechanical Issue Fee Install/Furn/Ducts/Heat Pumps Fee Fireplace Installation Fee Exhaust Fan Fee Installation/Relocation Vent Fee Hood Fee Boiler/Compressor to 15HP Fee Other Additional Fees TOTAL PERMIT FEE$ Inspector: /l!M...~·~ 3 0 d- o 0 Q, FINAL APPROVAL Date: ?bl /11 I j L $15.00 $27:00 $0.00 $0.00 $0.00 $0.00 $0.00 $190.00 $0.00 $232.00 Clearance: _____ _ NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which ou have reviousl been iven a NOTICE similar to this, or as to which the statute of limitations has reviousl otheiwise ex ired. , PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 ii WWWI I 2 L Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Assessor's Parcel# Description of Work J.,( / / I 11-t:;/Jtlll ca /,,, Existing Use SQ. FT. l n,rt,, hi ,e...11 :.3 Proposed Use # oj Bedrooms,J~ / Vqru,vs.. rr<-"'''"~ Total # of units # of Bathrooms Name Address City State/Zip Telephone# Fax# 117 . ~.)*·~11,,&,~?~!,1 Name State/Zip Telephone# Name State/Zip Telephone# (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. ~violation of Section 7.0,l}.J tr/any appl" a~a erm7)iubj~ the plicanw a civil penalty o not more tha?five hundred dollars [$500)). 9, tlt'IC Cf/ f . V,t-V II' YIS t'f 'tlC.rfre. e_r;,1~fc/-, 05t -rt>~ ( 7d" Designer Name / U/0 s1} State License# ~ 7' Address City State/Zip Telephone 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 _'.'f}he work for which this permit is issued. ,S. 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 co pensation insurance carrier and policy number are: Insurance Company ~ Policy No. 7tJ8J. &f F :J Expiration Date t/-/ .. t)I (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS) D CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failu o secure wo~';.~ nsation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dolla ($ 0001, in a~,~ e cost of compensation, damages as provided for in Section 3706 of the Labor.;ode, i7erest and attorney's fees. SIGNATURE --~-.-DATE a-;.~·-() I hereby affirm that I am exempt from Contractor's License Law for the following reason: D 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). 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 with contractor(sl licensed pursuant to the Contractor's License Law). D 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. D YES ONO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contractedwith 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 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? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D 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. 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 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 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 180 ays 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 co ed for a p · d 80 days (Section 106.4.4 Uniform Building Code). DATE ~ --J.t--t:II -------------- YELLOW: Applicant PINK: Finance UNSCHEDULED BUILDING INSPECTION DATE 1/21fel r I INSPECTOR /? Cl?::, ----- PERMIT# C{3/08f{</ PLAN CHECK# ----- JOB ADDRESS ~SIC/ t...r:Jf</ZI< // V. £ff5, CODE DESCRJPTION ACT f/-P COMMENTS EsGil Corporation In Partnership with Government for Building Safety DATE: 6/28/01 JURISDICTION: City of Carlsbad PLAN CHECK NO.: 01-848 PROJECT ADDRESS: 2819 Loker Ave East SET:11 PROJECT NAME: Acushnet -Addition of Direct Fire Heaters O~ANT ~ 0 PLAN REVIEWER 0 FILE [ZI The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. D The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. D The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. D The applicant's copy of the check list has been sent to: !ZI Esgil Corporation staff did not advise the applicant that the plan check has been completed. D Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Telephone#: Date contacted: (by: ) Fax #: Mail Telephone Fax In Person !ZI REMARKS: Applicant only provided one set of plans. By: Doug Moody Esgil Corporation D GA D MB D EJ D PC Enclosures: 6/21/01 tmsmtl.dot 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858) 560-1468 + Fax (858) 560-1576 I, ·' EsGil Corporation In Partnership with Government for Building Safety DATE: 3/9/01 JURISDICTION: City of Carlsbad PLAN CHECK NO.: 01-848 PROJECT ADDRESS: 2819 Loker Ave East SET:I PROJECT NAME: Acushnet -Addition of Direct Fire Heaters D APPLICANT dl JORI§:) D PLAN REVIEWER D FILE D The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. D The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. 1:8:1 The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. 1:8:1 The applicant's copy of the check list has been sent to: Elmer Glynn P.O. Box 7632, San Diego, Ca. 92167 D Esgil Corporation staff did not advise the applicant that the plan check has been completed. 1:8:1 Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Elmer Glynn Telephone#: 619-223-9016 Date contacted: ~ -tl-Ol (by:~ Fax #: e'52:, '-./ f(p ... o~:Z.6' Mail Telephone "' Fax .,,,. In Person D REMARKS: By: Doug Moody Esgil Corporation D GA D MB D EJ D PC Enclosures: 3/1/01 trnsmtl.dot 9320 Chesapeake Drive, Suite 208 + San Diego, .California 92123 + (858) 560-1468 + Fax (858) 560-1576 City of Carlsbad 01-848 3/9/01 PLAN REVIEW CORRECTION LIST TENANT IMPROVEMENTS PLAN CHECK NO.: 01-848 OCCUPANCY: F /S TYPE OF CONSTRUCTION: Unknown ALLOWABLE FLOOR AREA: SPRINKLERS?: YES REMARKS: DATE PLANS RECEIVED BY JURISDICTION: 2/25/01 DATE INITIAL PLAN REVIEW COMPLETED: 3/9/01 FOREWORD (PLEASE READ): JURISDICTION: City of Carlsbad USE: Warehouse/ Manufacturing ACTUALAREA:Unknown STORIES: HEIGHT: OCCUPANT LOAD: DATE PLANS RECEIVED BY ESGIL CORPORATION: 3/1/01 PLAN REVIEWER: Doug Moody This plan review is limited to the technical requirements contained in the Uniform Building Code, Uniform Plumbing Code, Uniform Mechanical Code, National Electrical Code and state laws regulating energy conservation, noise attenuation and access for the disabled. This plan review is based on regulations enforced by the Building Department. You may have other corrections based on laws and ordinances enforced by the Planning Department, Engineering Department, Fire Department or other departments. Clearance from those departments may be required prior to the issuance of a building permit. Code sections cited are based on the 1997 UBC. The following items listed need clarification, modification or change. All items must be satisfied before the plans will be in conformance with the cited codes and regulations. Per Sec. 106.4.3, 1997 Uniform Building Code, the approval of the plans does not permit the violation of any state, county or city law. To speed up the recheck process, please note on this list (or a copy) where each correction item has been addressed, i.e., plan sheet number, specification section, etc. Be sure to enclose the marked up list when you submit the revised plans. TENANT IMPROVEMENTS WITHOUT SPECIFIC ENERGY DATA OR POLICY SUPPLEMENTS (1997UBC) tiforw.dot ' ; _', I .: City of Carlsbad 01-848 3/9/01 Please make all corrections on the original tracings, as requested in the correction list. Submit three sets of plans for commercial/industrial projects (two sets of plans for residential projects). For expeditious processing, corrected sets can be submitted in one of two ways: 1. Deliver all corrected sets of plans and calculations/reports directly to the City of Carlsbad Building Department, 1635 Faraday Ave., Carlsbad, CA 92008, (760) 602-2700. The City will route the plans to EsGil Corporation and the Carlsbad Planning, Engineering and Fire Departments. 2. Bring one corrected set of plans and calculations/reports to EsGil Corporation, 9320 Chesapeake Drive, Suite 208, San Diego, CA 92123, (858) 560-1468. Deliver all remaining sets of plans and calculations/reports directly to the City of Carlsbad Building Department for routing to their Planning, Engineering and Fire Departments. NOTE: Plans that are submitted directly to EsGil Corporation only will not be reviewed by the City Planning, Engineering and Fire Departments until review by EsGil Corporation is complete. 1. Provide a statement on the Title Sheet of the plans stating that this project shall comply with the 1998 edition of the California Building Code (Title 24 ), which adopts the 1997 UBC, UMC and UPC and the 1996 NEC. 2. Please revise the overall length of the medium pressure gas line it appears to be greater than 450' to the regulator approximately 700' it appears the pipe sizing is adequate. 3. Please revise the low pressure calculations to show only 3 heaters are to be installed not 6. 4. Please revise the plans to show an approved gas valve installed immediately proceeding the regulator. Section1218.5 of the UPC. 5. Please provide a copy of the hazardous material report indicate occupancy of the location where the new heaters will be installed. Show that the location for the new heaters is not an area prohibiting this type of heating. 6. Please contact the City of Carlsbad Building Official to determine if approval from the Fire Department is required. To speed up the review process, note on this list (or a copy) where each correction item has been addressed, i.e., plan sheet, note or detail number, calculation page, etc. Please indicate here if any changes have been made to the plans that are not a result of corrections from this list. If there are other changes, please briefly describe them and where they are located in the plans. City of Carlsbad 01-848 3/9/01 ' ' I Have changes been made to the plans not resulting from this correction list? Please indicate: Yes D No D The jurisdiction has contracted with Esgil Corporation located at 9320 Chesapeake Drive, Suite 208, San Diego, California 92123; _telephone number of 858/560-1468, to perform the plan review for your project. If you have any questions regarding these plan review items, please contact Doug Moody at Esgil Corporation. Thank you. .. I ; I : City of Carlsbad 01-848 3/9/01 VALUATION AND PLAN CHECK FEE JURISDICTION: City of Carlsbad PREPARED BY: Doug Moody PLAN CHECK NO.: 01-848 DATE: 3/9/01 BUILDING ADDRESS: 2819 Loker Ave East BUILDING OCCUPANCY: F /S TYPE OF CONSTRUCTION: Unknown BUILDING AREA Valuation Reg. VALUE PORTION ( Sq. Ft.) Multiplier Mod. Air Conditioninq Air Conditioning Fire Sprinklers TOTAL VALUE Jurisc;liction Code cb By Ordinance 1994 UBC Building Permit Fee 1 ... 1 1994 UBC Plan Check Fee Type of Review: D :omplete Review D Structural Only D Repetitive Fee ~Repeats * Based on hourly rate Comments: D Other 0 Hourly 1.51 Hours* Esgil Plan Review Fee ($) I I $163.41 I $130.731 Sheet 1 of 1 macvalue.doc PLANNING/ENGINEERING APPROVALS . . . RESIDEN'FIAL ADDfflON MINOR 1<$10,0DD.OOJ iq~.' .:-~,PIA~ CAMINO REA~ •' . .. : . . . CAi'LsBAD COIIPANY STORES ; VILLAGE FAIRE · COMPLETE ~FFICE ~UILDINC OTHER--~~-~--_.----~-........ -~-·-<-:-?_'tr-~-------·-..;..___ '. ~~ . . ., . · PLArHRQa,y,Q , 9:b. DATE _3..._/ :l __ [o_...f_· __ . DATE _D_,_ff,...U~C)/ __ _ • ... , TITLE 24 REPORT Title 24 Report for: Acushnet -Warehouse Heating 2819 Loker Ave. East Carlsbad, CA Project Designer: t ...... ' Report Prepared By: Steve Balderrama, CEPE Stueven Engineering Consultants 425 W. 5th Ave. Suite 103 Escondido, CA 92025 (760) 735-8577 Job Number: Date: 02/15/2001 The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is authorized by the California Energy Commission for use with both the Residential and Nonresidential 1998 Building Energy Efficiency Standards. This program developed by Gabel Dodd/EnergySoft, LLC (415) 883-5900. EnergyPro 2.1 By EnergySoft Job Number: User Number: 3429 CB01084B 2819 LOKER AV EAST CBAD : ASCHUNET _....,_L~:TALL ROOF_ MOUNT _HEATERS \ /4 ~ BUILDING 4 ' I -' PLANNING iJ e 1.i I, I 1. j/J.., ~~~,~~=~M . HEAL1H DEPT i tff , HAZ MAT/ AIR QI/AL I ~d ~~~ C . _, S;: Jc(..,.__.b. 3 I .L--/ To FROM BLDG GRADING l.ETIER ~ '--"' r. APPLICANT APPLICANT !;:S 0 CL-W) 1 ~:~ciiiA ·SCHOOL FORM . ~ ~~ cJ'wil)/2..,.-:JI -fo e..--:c,, 1 1 0.·Jlr;JI@.. FC. ,::_, '-kchm; /Iµ~ PE&MWORKSHEET (?..)CIY(...A, --u 'Cf/ 7~·' BlDGFEESCOMPLETE I (--i IO I ol I' p fl) (j) 1~ eJ -{c ,, 7 /?-/a I :rs,~ ---~ <> ,.c: __ ~1 ' 09/14/§8 '.[4: 26 Page 1 of 1 B U I L D I N G Job Address: 2819 LOKER AV EAST Permit Type: ELECTRICAL Parcel No: 209-083-16-00 Valuation: o P E R M I T Suite: 2 Lot#: Occupancy Group: Reference#: Description: ADD 100 AMP 3 PHASE SUB-PANEL Permit No: CB983094 Project No: A9804017 Development No: Construction Type: NEW Status: ISSUED Applied: 09/14/98 Apr/Issue: 09/14/98 : FOR RECEPTICALS-PORTABLE COOLERS-DOS GRI Appl/Ownr: R J PORTRATZ P.O. BOX 208 BORREGO SPRINGS ----- 760 CA FINAL APf iovAc-- ,NSP. 'Ii DATE~-• CLEARANCE CITY OF CARLSBAD ,, Entered By: RMA 767...:46~'fj49 09/14/98 0001 01 02 C-PRMT 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION FOR OFFICE USE ONLY PLAN CHECK NO. i3 _J't'7'f L( CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL _________ _ Plan Ck. Deposit _______ .,,......_ Validated By _ _,,,...,,,.,..._---.,,..,....-;-'=""''-<+-v Date ---------1--f--'--+--l-.......,.....,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 # A-D'D IOOA"Yl"P Existing Us~ P.4Mf2,,. /cicb)R 3~4-? ' SQ. FT. Proposed Use ! { V ...,,-:r_, /;ES)/»6 Cb.()U/cvD&?X5-R£c£f'T.5 ~B Co(X..6i25 Description of Work #of Stories # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone # Fax# i~T:~~!\Ml~t:e~c~;l::OAi~nt19~~~tr~~~~t~~~~;~~~~~~~j-;/J · 9ja)s,( 76 7 ..:~6 8Z Name Address City State/Zip Telephone# r~.-~-~Mf5RAJ~05;;; ;,,, -<,::_:_~ii~:~~;5/;/",/jjf'-~k--/J!U1~i5;'-~---: 'C>~-?69? Name Address City ·s.tate/Zip Telephone# ;5;·: :·:COfl!TRAC,:'QI:(~ .co~~ANV~N"Me< --/.','.,J'1"",."". ,,. ' •• -~ ' i' ' (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 -?I<) exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of n~ore than five hundred dollars ($500]). ( b R. ..::r {ft,7]2,,472.. f.D 1 88?{ J) O'i? ~ .,$pg;,.Q6$;,: Lr'. 9c2x, f(' 7 cJ ? "'"-t(,/ 61,? / Name Address City State/Zip Telephone# State License# c~o 6.1~6? I License Class C ::z' a City Business License# J;). D 2 IO 5 & er Pe:>::z::aA r 2-- Designer Name Address City State/Zip Telephone State License# le(~ 62 / :6, .. :.:wottk~as?t~p1vl~N$ATJON'.~,~~-.. ~:,,,L...:::_~...;,,: .. _, ,_. -··· ·. ,· ··--··:·. ·:·:--... · ... : . .:·. 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. ia/" 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 ~ed. My worker's compensation insurance carrier and policy number are: . Q _. 9q Insurance Company S7A: r~ Ev &t:> Policy No. / '17 / :2 9o Expiration Date__,..S=--------.,L-- (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) 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 . o ' compensation coverage Is unlawful, and shall subject an employer to criminal pe altieijnd civil fines up to one hundred thousand dollars ($1 · a 'tion to the cost of compensation, damages as provided for in Section 3706 of the b r trfd '.J!.l~rest and attorney's fees. }1 ~IGNATU~E .. DATE _ _,__l_(,--'~------"--- :.1. '-7 ;0Vi/NEfl"·qv,L.1t,111~.""' _)1Qr,I :i;' ·"";-,<,·;-i::'::'-.,.;,,.,;,"·'·" ':.--... ···· ····:· ··· ·, ·. · , -.• I hereby affir pt 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 / 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 _________________ __,a,____ DATE ________ _ ~OMPt.:fr~.:i°l:fiS,SECT!(:iN;E(:)R./{Q/V-RlfSiDEN·TfAfliuitblN.(f Pi!Fir,,1ts::C:>~f:,Y~·:_::. •_ · --0 ·: .•. : •• ' • • • ; • • · •·• " · " ...... • 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 J8{'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 ~O Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES ~NO IFANY 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. /~.;-'.~,,~_~9Jl~Tfll;JC'.'(1Qtfli~Plf'{~-~9Er,IC:V.'. ;:C -~ · ,._. : .. ,:_ -.. . .. , ,. I hereby affirm that there i a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME -----~~-----------: ~.; · ::·.AP.~tlCAJ'ff~Eij IFIC~T(QN'.:,.::;,:,:.:. · . 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 Cit\< 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 excava · r 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by t uildi'c .,,..,:mrr,;,.i..rrmt,er the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is no days from the date of such permit or if the building or work authorized by sue permit is suspended or abandoned at any time after the a period of 180 days (Section 106.4.4 Uniform Building Code). DATE YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB983094 FOR 10/08/98 DESCRIPTION: ADD 100 AMP 3 PHASE SUB-PANEL FOR RECEPTICALS-PORTABLE COOLERS-DOS TYPE: ELEC GRI INSPECTOR AREA PLANCK# CB983094 OCC GRP JOB ADDRESS: 2819 LOKER AV EAST APPLICANT: R J PORTRATZ CONTRACTOR: CONSTR. TYPE NEW LOT: STE: 2 PHONE: 760 767-4687 PHONE: OWNER: REMARKS: C/767-4687 SPECIAL INSTRUCT: TOTAL TIME: --RELATED PERMITS-- CD -LVL DESCRIPTION PERMIT# TYPE CB982534 ITI 39 EL Final Electrical --------------------------------------------------------- PHONE: INSPECTOR STATUS ISSUED ACT COMMENTS OJ~ ----------- /Jf_ ______ _ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS k , l, r B U I L D I N G P E R M I T Permit No: CB982259 Project No: A9802990 Development No: 07/16/98 13:03 Page 1 of 1 Job Address: 2819 LOKER AV EAST Suite: 2 Permit Type: ELECTRICAL Parcel No: 209-083-16-00 Valuation: 0 Lot#: Occupancy Group: Reference#: Description: NEW 400 AJvJP 3 PHS METER MAIN : NO PANEL-DOS GRINGOS Appl/Ownr: R J POTRATZ ELECTRIC P.O. BOX 208 760 9122 07/16/98 0001 01 02 ,Construction Ty't,;f~MTNEW 410-00 Status: ISSUED Applied: 07/16/98 Apr/Issue: 07/16/98 Entered By: RM.A 767-4687 1 CLEARANCE ________ _...~ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 FOR OFFICE USE ONLY PLAN CHECK NO. qg 1259 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit ~ Validate~ '7 ~~ Date -f / {-b(q(f'. Address (include Bldg/Suite #) LE!9._al D~cription ") '°" 09 .::::.Ovi. -C>lf ~ -o 1. + <.\ Unit No. Phase No. Total # of units ~~essor's Pare~ 1-::-,~~ ~ V\~t'l::tc Proposed Use t---f (A- Description of Work #of Stories # of Bedrooms # of Bathrooms Name Address City '.?-~:.:;'~QPl\l:I:!:tACTOR :.-CPll/lP,t\~Y-:NAl"/'le~~-' · ·. ·, ;·~-.; _:' ·.'.' :: --:-. (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 · • 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]). cO'&a'L.....,-~ f,<01 ~ ' /U;(J.o S,.te,.<JGS . 7b7~'16<g7 Name State License # (p /;). 0 7 / '.{2J ?~--r.a.., Designer Name / State License # /#/ ;)t.o7 / Address City State/Zip T Address City Stii'te/Zip ~6,'_ WO:akE8S'COMP.j:Ns.Aflo'N .. /;: ... ,.~;· ... :::.·:··::··:..-.: :: ~ -----·-· .. '.,_.:,. ·-·--· -~·:· .. -~-·:·:--.. · __ ·:.--=:·: .. Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O 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. lvr"' 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 ~ued. My worker's compensation insurance carrier and policy number are: , 1 9;? 0 CJO _. a 0 Insurance Company S-r.lr'7<:E" P:::-~ IU b Policy No. /-, 7 /0 -7 tf Expiration Date £ -/-{ .1 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) D the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers''>'ef11P8!J'.Silr€f9R;'.l;pr$'0of alifornia, WARNING: Failure to secur thousand dollars ($100,0 '?' ~ sa I coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred SIGNATURE'----r--:,,"";,1~'-77~-~,...:;...------::---:---:---::--:------- t"/~. --· .. jJW~ER"Blii_i: · E6, rfa·mw-:'""/-""· ... , , . .., .. _., ·,. .. ; . , --:/--·-.=.,. >; ._ w~ t e of compensation, damages as provided for in Section 3706 of the Labor code, Interest and attorney's fees. DATE 7-/6-9§? 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 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 / 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 / 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):. ________________________________________________________ _ 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 ?WNO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES p'No 0 YES ffi>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. t~.;.,,.£.CQN~T~WCTIQl\f;~pJN9-M~N.C.:v.r.'·!'k' . ; ::;.~;, , .. ~· ~-.. T ....... ,-., 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 19X :, ,APR'-,ICAN1t~~RTI.F!PATtQN-::.":;'.;'J.:;.'.' :>>':·:;··, :tT:/ ~-. : ; . . ;,..:-:;.::.~~:,,_-:.::;:-::;:::-:-:._::--:: .:-:::: --~;. ?.·, ::.7.::-:::·:=...,,:-. ,,:-. __ :::-: .. -:--.. ::--:-.. -:::._:.:--::,7. -:::7::--:'. .. :-::--::-.:::;.,"~ .. :::. -:-. -:--;---:--:;:-::--:--~ 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 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building work authorized by such permit is not c or abandoned at any time after the wo c1a under tj)e provisions of this Code sh~il expire by limitation and become null and void if the building or ith' 65 ays from the date of such permit or if the building or work authorized by such permit is suspended r eriod of 180 days (Section 106.4.4 Uniform Building Code). ~-/~-f c,:::;::> APPLICANT'S SIGNATURE --+.&r-~6=:.,f:-~+----------------DATE e ff YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB982259 FOR 08/11/98 DESCRIPTION: NEW 400 AMP 3 PHS METER MAIN NO PANEL-DOS GRINGOS TYPE: ELEC INSPECTOR AREA PLANCK# CB982259 OCC GRP JOB ADDRESS: 2819 LOKER AV EAST APPLICANT: R J POTRATZ ELECTRIC CONTRACTOR: CONSTR. TYPE NEW LOT: STE: 2 PHONE: 760 767-4687 OWNER: REMARKS: C/R.J./767-4687 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION PHONE: PHONE: INSPECTOR ___ !)_if/ _______ _ ACT COMMENTS 39 EL Final Electrical !}_/> _______ _ ------------------ ------------------------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS ,.-- SIEMENS ES.A .SAN DIE~q __ F,~x.:619-279-3453 Jul 9 '98 14:38 P.01 SIEMEN July 9, 1998· To: Attn: From: Job: Re: C.E.D. San~ee Mike Ward i Bob Falar I Dos Gringo$i. 2819 Lokerj:Ave. Carlsbad, CA ! ! : i ! i Please be advised that it is ·acceptable for Bob· l?otratz Electric to tap e~41sting Siemens/ITE pull section with tap lugs per N.~.c~ requirements. Contractor must comply with attache~ torq~e values. . 1 · Siemens takes n6 r~sponsibility for faulty installations. I ! I ! · i. I Siemens Energy & Autohiiation, Inc I i Thank you, J A "5eJ'tS ~~ Bob Falar Application En9ine$r 4669 Murphy Canyon Road Suite 210 San Diego, OA 92123 Tel: (619) 569·8016 Fax: (619) 279-3453 1 · i SIEMENS E&A SAN DIEGO Fax:619-279-3453 I "'-'l ,_.., • -· ·---. •! f' , Jul 9 '98 14:35 P.01 r ! i i i '! ' . ' I I I ' NOTE THIS EQUIPMENT J-L4.$ BEEN TESTED AND INSPECTED BEFORE SHIPMENT. SH1PPIN(3-CONDITIONS MAY HAVE LOOSENED SOME CONNECTIONS, BEFiQRE ENF:RGIZING, IT 1$ RECOMMENDED THAT THE TIGHTNE$S OF ALL CONNECTIONS BE CHECKED. BELLEVILLE WASHSR ·NUTS THREAD FORMING SCREWS Bolt Tor, ue Screw Toraue In lbs.-in. Size Lbs. -in. ' Lbs. -fl. Size Uoto.187dia Over.187dia ; 1/4-20 72 I 6 AL cu AL cu I S/16-18 144 I 12 8-32 30 50 30 so I 3/8-16 240 20 ,10·24 30 50 30 50 1/2-13 264 22 1/4-20 $0 72 50 72 BREAKER CONNECTING MACHINE SCREWS ~WS! Torcue in inon lbs #10 : 20 1/4"1 72 BRANCH LOAD cc!,t.,oUCTORS -PANEL MOUNTED DEVICES This switchboard is designed for installation of conductors per NEC 373-6 refer to branch circuit d wices for cable site and torque. · EXCEPTIQNS FOR 3811 WIDE ENCLOSURES (1) 400 ampere twin mo~ JDS, JX06, JXO2t HJ06, SJD6, CJC6, SHJO6 and SC.JDS type are limited to ~maximum of (1) 500 MCM OR (2) 250 MCM CU-AL perpole. i . As a minimum, wire bendin~ ispace as required (NEC Tables 373(a) and 373(b)) for thts product is based on wi :or cable sizes per table 810-16 of the NEC. Circuits 110 amps and less are s=m the 60"0 aluminum column. Above 11 O amps circuits are sized from the 7: ,. aluminum oolumn. 400 amp circuits are based on (2) 250 or (1) 500 kcmil cabl~ t:ier phase. 600 amp circuits and greater are sized · based on multiple 600 kcmi ,;;ables per phase. FIELD WIRED ObNNECTORS • TIGHTENING TORQUE iorque au wire oonn¢cltoro where not marked on the devio~ or eompo- nent, to the values inAioated in the table below: Hex Head Screws; Slotted Head Screws SooketSize Tcprque Torc:iue Lbs. -in. AWG (Across Flats) Lb~ -in. Wire Small Hole Large Hole 7132• °$0 Size #6-Max. 1/0 Max. 1/411 200 #14-10 20 35 5/16. !:S75 #8 25 40 S/SM 1375 #6 35 45 112• 500 #4 -45 s11s• 1600 #3-1/0 -50 ' J' CONNECTORS USED TO TE;f!MINATI; FleLo MACE: CONNECTIONS ARE SUITABLE FOR use WITH OU OFt AL EiO CeG. C OR 76 OEG. C RATED CONDUCTORS, UNLESS Nf D CTHEFIWISE ON THE DEVICES. CAUTION: IF A PANEL80A ~ IS INS'TALLEC IN THE SWBD ANO MORE THAN 10% OF' THE BREAK R POLES OR FUSIBLE UNIT$ AFIE! SUPPL.YING LIGI-IT~ ING ANO/OR APPLIANCE= 'IFICUITS, THEN THIS UNIT IS NOT TO EXCEED 42 CIRCUITS, (NEC AFITICLE 384.14 & 384.'15). ALSO, IF THIS UNIT IS useo AS SERVICE. EQUIPMENT,. IT ii~ LlMITEC TO SIX CISCONNSCTS (NEC ARTICLE 2~,7"1), I, BOLTED PRESSURE EXC$PTION: WHEN OA8LES ARE MOUNTED DIRe:cn..Y TO 80LTEC PRESSUF!E SV{ITOH TeRMINAL..S. RE~EFl TO CASILE SEL.eCTION INSTRUCTIONS ON SWITCl-jl'.· 12-c-1002-01 Rliv. 4 '. ". ···'"'f•! I i ' ,, ; ! I l '· f l l l ' i l ' i : t l . ~ '.--, ' ' 11.5 ~,tj<a0'.5 <:f,.,.t.::>tot.e:' £,..r.<l6 ))1,/.}'0::,/l.A-Yvl /2 "l I q ~ c':3)11-f5'7 F;>,~'/?.J::::-. T~T 1Y)1!f~~ ~B~1 -J-¾cu CWh b )l;STJ/..X:. c.Jrb,e_, EX/S Tit.16 B U I L D I N G PERMirr Permit No: CB981743 Project No: A9802010 Development No: 06/051/98 il'13: 57 Page 1 of 1 Job Address: 2819 LOKER AV EAST Permit Type: PLUMBING Parcel No: 209-083-08-00 Valuation: O Suite! Lot#: Occupancy Group: Reference#: Construction Type: NEW cB9s1 s10 77f,5 0 .. ,,,~~Aic.?ti...w-1 = .rsspEo ~ ' 0' irpj_$-1 . .,~,W;. <.ho 6 /~5 Ii)., 8 I', Description: UNDERGROUND PLUMBING ONLY FOR : DOS GRINGOS 760 943-7727 Apr/ Is ittl1i~ 0 6 / 0 5 ;g'130.1 Entered By: RMA .00 .00 APPROVAl INS.c..;..,. ~ ......... __ DATE t. J tj / f ~ CLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 q fJ / 5 ID PERMIT ,APPLICATION FOR OFFICE USE ONLY PLAN CHECK NO. q!/ 7 lf3 CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit ----ft-,<9--il:::::::<-1r-"1f--:::::-- Validated B ~ Date __ -1-+,1-1:....>:-l-'=!--,IF------- .1. PROJECT INFORMATION, " , . 2 g'j 0\ LOrd::fL f)V t. t: . S v ,1~ i:., Address (include Bldg/Suite #) .X (ARLS"~AD i-c T r 74-ZI Business Name (at this address) Legal Description -Lot No. Subdivision Name/Number {l 2 o'?\ -o a ~ -o 2 + o ~ --r-M-n---t1tc, UnitN2,:__ Phase No. Total # of units , 11--\ :P • o K-/ v11t!U:::t-' ~c t t;-1-U\r--l I Assessor's Parcel # . :--, Existing Use u r::\Obt.£;\l,oiurt-.D ~Lv M t~tr-i-6 ' Proposed Use Description of Work SQ, FT. #of Stories # of Bedrooms # of Bathrooms CONTACT'PERSON.(ifdiffere~t-from applicant) ....... Name Address City State/Zip Telephone # Fax# ·3.. APPL]CANT HA sCf.(l -&[~~~ ~-Agen~)2t~orc;~t,t~~-~:0~s~~or,§}~i:~: .. :: -i~:s\e .· ..... i~··:~ q}o~ Name Address City State/Zip Telephone# 4. :PROPERTY OWNER: W-\:\SUM. ~ML 't.sr1t,·.t. Name (._l@ · · ... ,:1·'c~"T~(v,:·s··-: . .-~ t ~.-,~ ;;;.~--<~~~~-~-:-::·,t~~ . Address City State/Zip ( (.\\)4:-S~ -4 8 60 Telephone# 5; CONTRACTOR -COMPANY NAMif -~' , •,• (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 ~gtion 7031.5 ~ny applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). H Asi'!-/L (vl'-lS7 · Mb I . ~--,l :S E°>-t'll.,{l\f} ....,,1y l A: U>~A-Cl4. C\\.f-,$-,,z.7 Name Address City State/Zip Telephone# State License# b'5D~~3, License Class b City Business License#---,-----+-- '~(={ C-HiT&'::J--. '2.0( M t-l\... ? '2.bi:. t)h_ fll\l'\,l_ CA o\C\ "'),S,S' -5&6_1 Designer Name Address City State/Zip Telephone State License # _________ _ :6. . , .. ~ ':~t . --• -.. ,d;-,' -·. 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. 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 permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company____________________ Policy No.____________ Expiration Date _______ _ (T¥sECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) ~ 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 Workers' Compensation Laws of California. cyJ workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ( 01 in addition to the cost of compensation, damages as provided for in Section 3706 of the La~o,r code, interest and attorney's fees. SIGNATURE_LJ":M,.±::J=.==~=:::__________________ DATE b / ~ Cit 7. ',OWNER-BUil ER D LARATION " ,_.:·. ·. . -~ ... . .... ·-· ,·.: __ ·._-:.,., · · .- 1 hereby affirm that I am exempt from the Contractor's License Law for the following' reason: 0 I, as owner o 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 riot 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 / 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):. ________________________________________________________ _ : . ' ~ -. ' -, , _,' .f : 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 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 O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 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. ·,,:_..,. , -· ~ " ;, ,, I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(il Civil Code). LENDER'S NAME \'::5-: ~t\ ~ LENDER'S ADDRESS ______________________ _ 9. APPLICANT CERTIFICATION ":. ,-,~ --, -· .~ ,' !::. N,; N< -:· <,-, , .<'. -' \{ : -. --~ ,.._ ' - 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 Cit\' 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 req irf for rvations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit is u d ~y e jluilding Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such per it n t o enced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time afte t o k i ommenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE -'--'dl'-<:N---,,l<F---~-~---------------DATE _i=-1[1-s-..1.(_q.:..y:...... _____ _ WHITE: File YELLOW: Applicant PINK: Finance ·, PERMIT# CB981743 DESCRIPTION: UNDERGROUND DOS GRINGOS TYPE: PLUM CITY OF CARLSBAD INSPECTION REQUEST FOR 06/18/98 PLUMBING ONLY FOR INSPECTOR AREA PD PLANCK# CB981743 OCC GRP CONSTR. TYPE NEW STE: LOT: JOB ADDRESS: 2819 LOKER AV EAST APPLICANT: HASLER CONSTRUCTION CONTRACTOR: OWNER: REMARKS: C/JOHN/943-7727 SPECIAL INSTRUCT: PHONE: 760 943-77~27 PHONE: PHONE: d I___:. INSPECTO~....:'------'--w-:,,1..___ __ =--__ __;:;= TOTAL TIME: --RELATED PERMITS-- CD LVL DESCRIPTION PERMIT# GR960026 SE970003 RW970014 AS970026 AS970033 CB971483 WM970028 FAD97017 CO980005 TYPE GRADING swow ROW ASC ASC ITI WMETER FADD COFO STATUS ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ACT COMMENTS / _21 __ P_L _u_n_d_e_rg_r_o_u_n_d_J_u_n_d_e_r_F_l_o_o_r ___ 1 __ t:_r_fV_k'L---__________ _ -------------------------------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION 061598 Underground/Under Floor ACT INSP CO PD COMMENTS t • L D I N G P E 8. N I T Perrni t N,:,: CB9622<!.6 A 9 6 u ~: i :~: '-:c 1112·;,;96 '.t.2::55 f\:'4~f(?. 1 ()f 1 Job Addre3s: 2819 LOKER AV EAST Permlt Type: ELECTRICAL Parcel'No: 209-083-07-uo V~luation: 0 (Jc,:·up,Iincy (~roup: 00scription: TEMP. POWER POLE Appl/Ownr : · POWER PLUS 2'.:'71 Ll-~W STREET Suite: Lot#: Ref erenc«=·#: 619 Pro j ,?ct i":(,: Develc,pruent N<i: 1.iO;~ J.1./2(1/ "ft, {~~01 r).~ o:: Construct ion Typ;;-f-=:t<i\1 Status: IS:.:.UE.[1 .Applied: .i.1/20 / 9 6 Apr/Issue: 11/20/96 Entt2!r•::d By: MDP t;71-546:S SAN MARCOS, CA. 92069 f1~r?Z: 20.00 Adjustr111:,n ts~ Total FE>t~S: 2o~cc ------------------------------------------- ' \ \ ', ,\ ' _,~ ,: ' ,..._.,, ' " ·, · 'l'.ot,;1:J.. .. Cr1:'·di ts:,, . oo r'f',1·:-~--1 'oa_'!;;:IT1~r1ttc: ', . oo ·i .. ;1 .. ~1;0~--~ri~~~; . . 20. oo Fee description -· . ,,. /. Uh:i:ts . , F04/(fn1:U: \. Ext fee Data -----------------------1---,---_,., __________ /:.,·,· ,· -,5,::··, ---'.:., .··, '·: . ./ --\·--------------- Enter "Y" for Elt:1ctri<: JZz:su,::-· Fee >_... .., 10.00 Y Enb:i:!r "Y'' for Temporary ·s~:cv.i.c12· ,, ·y -<.--· · lo. oo Y 1: ELECTRICAL TOTAL , /':J ./ ':/ .. ,_ . 20. 00 ' c"~ ; , :-! ' ,: ' !'ft· I:' ... ·: ---~-·-'--/ j •/ ·' . {'·/_,-,_, ·~; .· j f! ,-\ 't ' , ..;,-,._ }" ~.: ... h \ r: '),·, '. \,'. 1 : ,i : w .,_:: ... t\ .. ::.~ ~; _:,,., r. ; ~, 1 • 1c,:::,,:wo::,.<,T:::0 ' ' ' : ',_ \ '\ ' . \ '\ ' ' :--, ' '', '\," "'· ) ~' \ '. ., : ', I... ' \ .... ' I / PPROVAL H'!SP. . DATE ~ft' CLEARANCE~dr 2t&(' CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA_ 92009 (619) 438-1161 P~ APPLICATION ' - PLAN CHECK NO. City of carlsbad Building Departaent 2075.Las Palms Dr., Carlsbad, CA 92009 (619) 438-1161 ESr. VAL ____________ _ 1. PERMIT 1YPE PLAN CK DEPOSIT _______ _ VAIID.BY __________ _ DATE'-------------From Ijst 1 (see back) give code of Permit-Type: ___________ _ For Residential Projects Only: From Llst 2 (see back) give Code of Structure-Type: ___________________ _ Net Loss/Gain of Dwelling Units _________________ _ 2. PRClffiCf INFORMATION FOR OFFICE USE ONLY mt o. O 2 Energy Cales a_ 2 Structural Cales O 2 Soils Report O 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE DESCRIPTION OF WORK~.) ~li( Ot.. fi;.:p f dlAH. y' po/ e SQ. IT. # OF STORIES # OF BEDROOMS PBQPQSED USE # OF BATifROOMS 3. WN IACI PERSON (1f different from applicant) . NAME (last name first) ADDRESS CITI STATE ZIP CODE DAY TELEPHONE . NAME (last name first) f'2u.,'-o ~ I V\ ADDRESS ' b s-o He:i i-e I t ; ,/ c,, I e fl). #-Lo/ CITI s ~ D / STATE Cei_, ZIP CODE -z__ f 0. r, DAY TELEPHONE '2.. L 'Z, z., · NAME (last name first) r ~ J?> / .w, ADDRESS I I 6 7 L ~ Sf- cI1Y s.::>~ ~l-05' STATE~ ZIP CODE 1 i,,LJ6 r DAY TELEPHONE ·y 71--s yci V r STATE LlC. #51'3596 LlCENSE CLASS L. '1 I CITI BUSINESS LlC. # ? ~ / 7i:JO DESIGNER NAME (last name hrst) ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE STATE LlC. # 1. WORKERs' dJMPENSA'MON Workers' Compensation beclarauon: I hereby affirm that I have a ceruhcate of consent to self-insure issued by the Director of Industnal 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 Inspe<;tion Department (Section 3800, Lab. C). INSURANCE COMPANY? trf; POLlCY No30 63 S°zr EXPIRATION DATE -/ -9 7, SIGNATURE DATE 8. oWNER-BUilDER OHclARA'fioN Owner-Builder Declarauon: I hereby afhrm that I am exempt from the ContractoPs 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 Llcense 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 Llcense 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). rJ 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 Llcense 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]). SIGNATIJRE DATE COMPLETE ffils 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? 0 YES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES ONO _IF ANY OF TIIE ANSWERS ARE YFS, A FINAL CERTIFICATE OF CXX:tJPANCY MAY NOf BE~ AITER JULY 1, 1989 UNIFSS TIIE APPUCANT HAS MET OR IS MEETING TIIE RF.QUIREMENTS OF TIIE omCE OF EMERGENCY SERVICES AND TIIE AIR POU.UTI0N OONTROL DIS11UCT. 9. dJNslR0CnON LENDING AGENCY I hereby affirm that there IS a construcuon lending agency for the performance of .the work for which this permit 1s 1SSued (Sec 3097(1) C1V1i Code). LENDER'S NAME LENDER'S ADDRESS 10. APPUCAN I CERIIFICAIIDN I cerufy that I have read the apphcauon and state that the above mformauon 1s 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 AISO AGREE 10 SAVE'INDEMNIFY AND KEEP HARMLFS5 TIIE CfIY OF CARI.SBAD AGAINST AIL IJABII.JTIFS, JUDGMENTS, CDSTS AND EXPENSF.S WlilCH MAY IN ANY WAY Acx:R.UE AGAINST SAID CfIY IN CDNSF.QUENCE OF TIIE GRANTING OF TIDS· PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep a_nd 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 of such permit or if the building or work authorized by such permit is suspended or aband t any time,aft~~or ·s commen ed or a period of 180 days (Section 303(d) Uniform Build~& Codeh,_ APPLlCANTS SIGNATURE ~ DATE: Lf-2C ·-/6 , WHITE: File YEI.J..OW: Applicant PINK: Finance 0 --. ~ PERMIT# CB962246 DESCRIPTION: TEMP. POWER POLE TYPE: ELEC CITY OF CARLSBAD INSPECTION REQUEST FOR 12/03/96 EAST STE: INSPECTOR AREA PY PLANCK# CB962246 OCC GRP CONSTR. TYPE VN LOT: JOB ADDRESS: 2819 LOKER AV APPLICANT: POWER PLUS CONTRACTOR: OWNER: REMARKS: MW/MICHELLE/471-5494 SPECIAL INSTRUCT: PHONE: 619 471-;15465 PHONE: PHONE: INSPECTOR --,~---------- TOTAL TIME: --RELATED PERMITS-~ PERMIT# TYPE GR960026 GRADING STATUS ISSUED CD 32 LVL DESCRIPTION ACT COMMENTS EL Const. Service/Agricultural --· --------------'-------- -----------'--------- ----------------------- *****INSPECTION-HISTORY***** DATE DESCRIPTION 112196 Const. Service/Agricultural ACT INSP CO TP COMMENTS UTL POLE -.. ,. ~. ~ '' 'NOV-20-1995 09:54 . P.02. :_> , .. ~~~·~;~;-~A 0 TE OTt7 uovi:..-..,o ~GROUND-SPECS ATT.ACl1CO --·sr Ml::ET fiEO·o -l~MM'L.'t.-l . .lRi'ttCJ 0 f.N,;;,~l-- l*AM_if __ ~uo C:,:0~\-\ ;&!:J. ··-··· ·---·-· PROJECT NO .. (,,,,0""\4;;--. ·_J .. Jo8 NO: ·o ~·o::· ADDRESS ;z:£? ~ :1 .. -~ .. -._k..o~ ?,'e7 ·... ..... MORATORIUM cfFECl ·AGENCY---------,-- TYPE--------..-------- POWERSOUFl~ CONTACT ClATe CHl'flCAL • PENDING STREET RESURFACING ,: . ·. ;;~-l MONTH-----,-----YEAR _______ _ ,__~ _ __.,,,__ __ ..._T_C_P_R_E_a_·o_l~J... ST EXC (• Pl:RMl1$ REQ'D ucusr i]SDG&E !-=.:'..'.:!~:.::_~:::_:~~:::_~:_~C:'.'.:A:.:L::.L=r.A25::l =· :::::::=::==:-----~,_:..:NO,::T.:_:E:::_:_::IN_::S:::_P_::E:.::C:_:A.::;E:.::O:_:'D:.:_:PR~l::::..OR TO SET' Erti°TYI~ 0 $TA TE METER 6 SEFIV!Ce T0~ETHeR ON INSPECTION POLE# ____ LADDER ARMS RE0'DO EXISTINGO . NEW MET!;A SET ON INSP~ & SVC COMPL STOP TRE116tl O 1• C i't~• rflCt/11 f'!!lte: Al!l'el'l~t:l ~~: , I 0 P.ESET & RESE~L METER ON INSPECTION 0 CHANGE METEf! ON INSPECTION TO CL .1 1-~~C=:..C~Dc:'..;:· ~'..:....'..'..'.!:.'..!,.c;:.!c;::.o~uN~T.!N~O~. :,,.':;~::::.;:'..;.!::,S~Q!:.:;;===;:f~==f;:C = ... rr==~~e-N,-:0:-, ---1 t I ':.i RELAT.EO W:0, II SUBDIYISI0N OVERHEAD SERVICES PROVIDE MINIMUM:GROUNO Cl.1:ARANC~ Or: _2 Ft. al point 01 atlachm&nl of aelVl~c wire:, ___ . Fr. over d~veway or parldng area ~ Ft. 111 OIJ1e°:r Umlt of vehlcular traffic -ft ___ ! __________ _ EXISTING GUYO MIOSPAN TAP0 NOTE: ST! lJG050Q53,6.. 9"""'oH,S00591 _o TEMP. 1~SPB 0 REWIR S / RELOC I. UPGRADES UG•!KI0544 _o OH-500$43 _o VOLT AGE PROBLE¥S c;,~~ .,. pe, 2 .. \~I~ to'!:. REMOVE UG-500539 _0 rl 01-1.50059s_D IWIRES. IWIRES WIRE SIZE TYPE LENGTH . z.-· 0 MAKE ALL CONNECTION BETWEEN OLD a. N~ PANEL PRIOR TO C0NSTRUC)'ION NOTES; TRANSFER OF SERVICE . 0 REATTACli AT W/H D J0IN,T MEET REQ'0 TO TFIJ.NSFER SERVICE ,IT TRENCH OGAS Diacq · 0C4TV sEc Hflat1T ~aLe ~o~e CON0tJIT ay O ctlsTOM£R: OsoG&E s1~ii CAIILll ~OLii BENO B~ OcusT D 900&!: VQ· -RADIUS !,CH eo S12.E _·__ . STRE0ET LIGHT SVC. PT tr HANCHOLE ~ D CUSTOMER O GOG,E O GTO. PAGE 11 CONSTRUCTION GRb~~ NO. C\'.)NCUIT BY Cl CUSTOMER O SOGl~ SIZE ACCT. 373.2 0 ACCT. ,oa.4 0 TRENCH. INSPECTED ,\ APPROVED BY 0;1.TE PAYM~liT 1lY CVGT; COL l'L I l;XCi;SSS MISC$ .2!:_~IRE ..L:PHASE l,..,.~=s.""OLTAGE 4:: METER CLIPS M41N S~ITCH lQ4?'-"' Mf;TERING: CJ CT'S CJ$1iLF-CONTAINEO : ·: · ' W'ffiT BY PASS FACILITIES REQ'D. U'TILITIE,S M~XIMVM co_NTRIBVTI0N TO FAULT OVRRENrA·Z-p:,Q.Mll'S If SOtU.E encounlti,, ~a.i¥do11, or 1oxlc n\aterlal wllU• pal'forrt\lt>g con~lrudlon of you, pro~, SOG41E wlll halt work lmmvalal•IY ;i,ig It wlll l;>1I your l'IIJIX'n,1~1111y to ,vmo•• ffJ1dlor ~fun up Ill hua,clovs or lo>tlC mater1&1 prror lo SOll&E continuing ~on11ructla~. · &D(UE shall h••• no liability or obila•t1011 whalao~•~r to cle~ up. remott ot ratnedlale . any huatdous or t,;,,d,:, m•1url'l11 e11,~,;»er,d durln11 the Qgu1n of ,;oralru~tlo~ u11lns It. 1, tllrou~h nvullo,nca pl S0G&E. FQREl,IAN Cl;i,lE COMPLETE Pl.ANNEA / PMA / TELEPHONE. . Aeo--i~~~ DATE t l • \ s, ·4(., C,,otomer-owned facllllle~ to 19cu1Ve e111catrl~ s•"''"" "'" •ubji,d to all "f)plicallle IO<al a/lei etalo of Cal1ft>1ni&lnsp,icl1011 a~monl)'t8QUlremenl&, Bulidlng lllldren;inll/ormwl•rbc•muatbCI poalfrd · prior to 11111ter set. lrifol?Tl~Uon on this ~nl!el I• ,oid alter 6 monllls rrom oate, Keep this no11., with l>UllOlng J>lllllllt . . : . 011iTRIOUTION: WHITE ORIGINAL: •-C:ntQmW WhlTE ~OP'f -Dlitrl;t Oper,il11n'J YELLOW• Planner GOLD• C.T. Or<!et ,07-Q~ll! (!:/86) TOTAL P.02 ': ' ~, ( ,. : ,, 'l . ':,, ·. ·., •''. ., ' ' i·-t t,,, ' ! ' ' .. I· i . ~: • .'11 :.-'. ~" t, :,_· \,, ... ,., ·' r:. ~=; ';,,, :~\' ,. i. 1 • I ... •·',, . ,. ' . •, ,,•.· ,-. ,., : '· ;,,·: :.,:, . r i:' I i • I f l. ... ,, ! . ,, ,:-: : .... t •• ' ' :: ;'.' ~:.:_::: _:. ·.:;,. •;' ,. ,. ~ . . . /,. ' ~ : ·,:-:.:-,. ····.•, -i.~ . ·:.:- t ~.\::::;