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HomeMy WebLinkAbout2819 LOKER AVE E; MULTI-PERMIT FILE; CB100497; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-25-2010 Miscellaneous Permit Permit No: CB100497 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2819 LOKER AV EAST CBAD MISC 2090831600 $0.00 TITLEIST Subtype: OTHER Lot#: 0 RECONFIGURE TWO PRIVATE OFFICES Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/23/2010 MOP 03/25/2010 03/25/2010 DBML INC CANOGA-RINCON LOKER INDUSTRIAL INC DEPT#207 814 DODSWORTH COVINA CA 91724 616 966-8666 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $184.00 PO BOX4900 SCOTTSDALE AZ 85261 MECH. &ELEC PERMIT Total Payments To Date: $184.00 FINAL~.P~VAL Date: & · ID Balance Due: $54.00 $130.00 $0.00 $184.00 Clearance: _____ _ $0.00 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 capacity 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 NOTIC similar to this or as to which the statute of limitations has reviousl otherwise ex ired. '' -~ «-~~ ~ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov SUITE#/SPACE#/UNIT# Plan Check No. \0,. ~ Est. Value Plan Ck. Deposit Date APN PHASE# # OF UNITS # BEDROOMS #BATHROOMS TENANT BUSINESS NAME CONSTR. 1YPE OCC. GROUP UJO I I PATIOS {SF) DECKS {SF) FIREPLACE AIR CONDITIONING YES)a7N0D FIRE SPRINKLERS YESD #_ NOD YES NOD CONTACT NAME (If Different Fom App/leant) APPLICANT NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL ADDRESS CITY STATE ZIP ZIP '71' PHONE FAX EMAIL ARCH/DESIGNER NAME & ADDRESS STATELIC.# (Sec. 7031.5 Business and Professions Code:-Any City or County which requires a permit to c0nstruct, 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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). Workers' Compensation Declaration: I hereby affinn under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consentto self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of lhe work for which this perm ills issued . ..qf 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 permil is issued. My workers' compensation insurance carrier and policy r numberare:lnsuranceCo. ")<:J-tt-r£ f::'VIJIJ PolicyNo. ~r'.Sf',S'-~oo:9 ExpirationDate 1-1-:J ~ 1 1 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 !he Workers' ·compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensatio~mages as provided for in Section 3706 of the Labor code, interest and attorney's fees. ,R5 CONTRACTOR SIGNATUREU ~ ,-1 , _.:=:) D AGENT DATE 3 -J 6 -, i) I hereby affinn 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 !heir sole compensation, will do !he work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors 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). O I, as owner of !he property, am exclusively contracting with licensed contractors to construe! the project (Sec. 7044, Business and Professions Code: The Contractors 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 lo the Contractors License Law). D I am exempt under Section _____ ,Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 Yes D No 2. I (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number): 4. I plan to provide portions of the work; but! have hired !he following person to coordinate, supervise and provide the major work {include name I address I phone/ 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/ phone/ type of work): _R$ PROPERTY OWNER SIGNATURE 0AGENT 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? Cl Yes Cl No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Cl Yes Cl No Is the facility to be constructed within 1,000 feet of the outer boundaiy of a school site? Cl Yes Cl 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 this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address '\", I certifythatl have read the application and state that the above Information isconectand 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 representative of lhe City of Carlsbad to enter upon lhe 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 permitissued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if lhe building or work authorized by such permit is not commenced within 180 days from the date of such pennit o~building or work authorized by such penntt is suspended or abandoned at any time after thework is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code) . .A'.S'APPLICANT'SSIGNATURE u I t5 , -===:, DATE -j, ·t, ~ID City of Carlsbad Bldg Inspection Request Permit# CB100497 Title: TITLEIST For: 04/08/2010 Description: RECONFIGURE TWO PRIVATE OFFICES Type:MISC Sub Type: OTHER Job Address: 2819 LOKER AV EAST Suite: Lot: 0 Location: APPLICANT DBML INC Owner: CANOGA-RINCON LOKER INDUSTRIAL INC Remarks: 1 ST AM STOP Total Time: Act Comments Inspector Assignment: PD . Phon~7045 lnspectoc: -¥ Requested By: DAVE Entered By: JANEAN CD Description 1g Final Structural ___ 'j_ _____ --· -----· --···· .... -----f-_____ -_ ---_-_____ -______ -__ -· Comments/Notices/Holds Associated PCRs/CVs Original PC# lns12ection Histo!Y Date Description Act lnsp Comments 03/29/2010 14 Frame/Steel/Bolting/Welding AP PD 03/29/2010 17 Interior Lath/Drywall AP PD 03/29/2010 34 Rough Electric AP PD (l' • (i ( V $ I._ I"\~ -r )-...,._.._I\\~/ THOMAS BROS COORDINATES : 2006, Page 1127, Grid 02 Wet batteries with Sufuric Acid ( (!) N 0 T F 0 R p u B L I C D I s C L 0 s u R .. -x LIGHT INDUSTRY 1-0 0 -wu 0 ~ o ..JU >-8 5 ~ ,.J ~ -u D. z -z < 0:: ~ 5:r:1-O ..Ju u -ww 0 ffi ~ Lil 0 ~~y<( I-uuu I-I", I", I", O 000 1IJ 000 -, C\IC\IN 0 0:: a. llJ 0 0 LEGEND ii·· MATERIAL>WmLIHG --PRO?t'RTY OOUNOAP't W' '/iASTF. STOl-'.;;Gf 8 ST<,.)RM UAASN §LANDSCAPING ~ &iAlr-S -CLIJ.\/FRf _.. OIRECltOUOFS.10:U.r.VJ.TCR.rU'jW ~ r'ROPAHEC'!LINDEf~STORGE All, f-ROPEP,Tf OR,:,ms CON" !ERfiF. _T? THIS LOCA_1L0!L VACANT LOT ,.u__ --------··--_ _, ____ ----------------------. I ..J ! a: w/~ 0 i :J (9i 1U ~ U~o >-V. < @ C1.) (Il ffi w ~ z Q: 0:: T~til\TGC( u~iu ul ~ ~8 0'o '21C\I WI ::, I ~ I -J i w I I I L_ ···-----------.. ~ )~.; ·,, ~.! .•t•,:1:;.,:) p A L (1,:,"T, •.tL•'r"U,1;;:: ,;;;:,., \,.J ' ,l._l""i:•, LIGHT INDUSTRY 1-fA!AHDOUS M!.,.TfP.IAL ':? -s \"/AME STOP.N:;E SJ-!EDS OFFICE USE ONLY REVIEWED BY: _____ _ DATE: TIONSYSTEM LIGHT INDUSTRY 0... <( :?! w 1--CJ) (/) Zf--- Q~o I-w ~ <( w ~ 0:::::, (l) wz n..W 0~ co r!'. -:::, w~ _j :,::: C/) (.) 0 ...J ...JO'.'. LL o, <X: _j '<"" 0 0 co (9 N I \ l E -I ~ ·-h---~-o,..,AR AIRPORT RO _ A O _________ ------- -··~--.... ----··-~----~--... ...._, _____ ............ -.. --~--....-..---. ~-,_ --_____ ,., --------·· I I """"t'ffl0-03 LIGHT INDUSTRY DEH:HM-952 (Rev. 07/02) LIGHT INDUSTRY & RESIDENTIAL ~Ou 8{1©8 """'"' Diego Health ~ N Ile v.5hrle-+-rt:tcur1)' 2 ?} \ °l L o Ke r Av c,:_ \::. • £ X / S // 1V(!f (!_ov[~ht!;J c.A J STATE CONTRACTORS UC.# 755747 DAVE MINTO ... , -=1 I I I ~~ ~ 1! I GENERAL BUILDING CONTRACTOR v «-\,' Q 0 ~~ 309 sqft ~ P.O. BOX 5096 COVINA, CA 91723 EMAIL dminto5684@aol.com 0 FFI CE 626 966-8666 F A X 626 915-3746 MOBILE 818 612-7045 11 i y I I ~-00 ~ '--I~"" I ,, c9 / ~~::s=c=-=--~ -~,, ~ ~ /,' 1/ 259 sqft ~ ,// ~"')-------;~--:::::=-::~-·1-._;..!-j --->.--- </ ! ! I ~ . , I I ' ~---<I I I . I // I ' i ~ ~ / i ! l, 231 sqff ~ J• 1--~I . I! -:-/" i !! !I ~-I ~ \! :L-~-11! ,~, ~ _ ii !r~ -~1 1 Ii· ( ( "--..)316 sqft N n I Li ! ~~-0 /}/ L ... ·~---·· -:~ >)' I A~-;,/-.--"·,. / :;J» ,, ½ ~ ~~ 1' / . // 87 sqft //i' -'::--·-\, d -~ / '~/ I // '· '----., ,,., _______________ ..JI ~~~ ~/ d/f/ rr~~~ --·----·[AJ'··--------.---........... ,----------11 ·-~ # ' d ;' ·. ..-.. ~ l : 1 1 f • ~ N Hc:u.shf\t":..~ ~Ac.,\,-\y ~'0? os~D _&"" ......,, ____ r-v~ !__{::, . 3, s/?" J:. 5 '? .1.t:'.f?.=._._ .:s?._t __ _ U-J!f }, S/8" {) f'"J ~c. If f;.$.,, f c f-z J j};o5e!l''~J f3.,...._~,v,.5 :+ f../'3'' /V?t,.,V Wo l I 11/ I('(' 7' I' DAVE . COOPER 315 sf ,-l o'Z ~ l;'..)'1..-\ -\~v) 0 <$ OPEN ! Ii ' 2 8( { [ck~r Ave. £ . L a, { 5 b o o1 , . C A OFFICE I Ii BRYAN Ii OPEN LAMB 11 !1 11 II li~ lw t==c:c=-f ·--......... -· \ r,Y't\ ••-}t/ Fnw-._!.r .S-'-(j (Id r /J'"/ ,1/ /'/ . ;;,.<'/ .•• " _____ ,. _..,.....,_7 ·1 .i JI p rul ii H : I ! . l I l 11 l 1 -i l Ii l.l r--..... c:-~-: --· ___ ... -.----· .---~1\J'i1-· - l 1· I l t I I I l = • I L ~i:-~..l\,,..\- S'iofiM.-We; {<r"" CB100497 2819 LOKERAVEAST TITLEIST \ RECONFIGURE TWO PRIVATE OFFICES MISC OTHER Lot#: DBML INC Co-1' City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-23-2004 Miscellaneous Permit Permit No: CB044221 Job Address: Permit Type: Parcel No: Valuation: Reference #: Building Inspection Request Line (760) 602-2725 2819 LOKER AV EAST CBAD MISC 2090831600 $0.00 ACUSHNET COMPANY DEMO Subtype: OTHER Lot#: 0 1 WALL/2600 SF OFFICE SPACE TO WAREHOUSE STATE Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 11/23/2004 SB 11/23/2004 11/23/2004 CANOGA-RINCON LOKER INDUSTRIAL INC DEPT#207 814 DODSWORTH COVINA CA 91724 616 966-8666 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $60.00 PO BOX4900 SCOTTSDALE AZ. 85261 PERMIT FEE Total Payments To Date: $0.00 Balance Due: $60.00 $0.00 $0.00 $60.00 $60.00 6112 11/23/04 ooo2 Ol. FINAL APPROVAL 2-i..r-os Date: _____ _ CGP 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 capacity 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 otherwise ex ired. 02 60-00 PERMIT APPLICATION FOR OFFICE l)SE 0,-(\IJ:Y v( 'l~( PLAN CHECK NO. <5\:, 6 y , ClTY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. ________ _ Plan Ck. [Jeµusit _ ~----___ __ Validati::d y __ ~---------- Date_ --(:;:-,-{-~--___ _ __ A-: c ustu:.z~ t: C.°--P117 '1ny Business Name (al tt1is address) ____ .}_ __ Lot No. Phase No. Total 11 of units + ed? I Proposed Use @-As:z}/~s Parcel /1 Existing Use &-h-t G rf/~ (!J(j pt 0escription of Work SQ. FT. __,/' dot Stories II of Beproorns (.,,.Jo..rta-MCJ .1s-e... If of Bathrooms ~F,,,;0;,.-r,f~Nl~~fl(lltfet~ti,tr9~';;j4ntf!:i.: f:.~.~ o ~ o/J.f~ c.e To. -. • j. ,,,, --· • "37 o. k Name . Address City State/Zip Telephone /1 Fax If @.~tJ9~AP.l!ii:IQAN:i:. ~·.a,l;,o,'g'oi-i'th1'cifor,Ji,.EJ;/4ge ' i.foffcoi'ifraotor,:' 0 'o.wner,. '--EJ'Ag~'n(fqi,p.wner -C • ~ -_· >_;;_'·::di . ,, ·;;,, -',-: ~ Q ;_; •. ". _, ;.,·t /' / _,.,• .. ,, ... Zi"Zi""'?~,)"/_,., .. , ........ ""'' ;r· ;j"'" -..... (.9·-,. .... ~'',,,,/ c.-rr I (p;4.(I) /<P, \f'(sU,O ame Address City $tate/Zip Telephone If ?4:t'.\.i.)lllQ!'-'fl:!i~A9.WNif.Hl'.~~:i!,J;i;!;:,J:::.:,~:f,\i.~·:;!/,;:,'~t,:.,tt.~:1ft.;, .. :: fb·;;·~~,~:\·:·fa.,-~-:-~~ft/;/·-:si:·:,:_,~ .. /;;;·-:.-e±;;/)}'l;;;~)·····_:i-,"~;;.,:•/.:; Name Address City State/Zip Telephone# m~v1e:~&iliR.'Ai!r®lS.¢QMimrif~1J~~MJ;:,tl':i.il\.i'~:i.\'r.:'i~.c~1\~.t:l···~i.:.:·,::~·,"·::-\.k. · · .. :-' { .:.:-· .-.. :;,. : .. -. ::-< '.1f::f., :-: ·:,:..i:-;._:,t: .:,:: -. : .. \ .. ;,0.?.a,~·;:.;:&:!'.!,~tit.'~~ (Sec, 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant tor such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is exempt therefrom, and the basis for the alleged . Any violation f Stiction 7031.5 by any applicant tor a permit subjects the applicant to a civil penalty of not more than five hundred dollars [~500}). (_ ri' c., C) C> Cov1 C. J.3 rJ G -6 Name Address City State/Zip Telephone If State License # ;t$'S 7 c./7 License Class 8 r / City Business License # /J. 0 2 3 9 C/ Designer Name Address City State/Zip Telephone State License # _________ _ ooiittimJiaEIDi.'$1id11MPMi&TfQ~j~Ji~ti\~~;,i..i/1.i:'.':~~~i:.'~::,·1 .. :.f;;;.J: .. !,',. ·: ';, ;,.:,.,:,: 2~:. :f,:,-.:'[',t ,:;,;:·~ .. -2,;,,'.,-,::,:>,:::,·.:,: .. /, . ' _.,,;.,;,; ,;,,;_:,·,;·:·'.·:·.,it ,.;,,;,>.> Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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. · ~ I have and will maintain workers' compensation, as required by Section 3700 of the L~bor Code, for the performance of the work for which this permit is issued. My worker's compe~sation insurance carri r and policy number are: Insurance Company __ ,_,_'f-""-"--'.,e_-'-,.k<.."-'-<~-----------Policy No. (!J>-t/6-e /.0 5:3S ,..0-'::f Expiration Date J ,-. / .,-8· '(' (THIS SECTION NEED NOT BE COMPLETED IF TH.E PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as ,to become S\lbject to e Workers' Compensation L11ws of California. WARNING: Fallur to acure worker•' compenaatie age 111 unlawful, end shall subject an employer to criminal penaltle11 and civil fine11 up to one hundred thousand dollars 100 000, add6 to the st of compe tlon, d_amagea as provided for In Section 3706 of the i.abor code, interest end attorn11y's fees. 'VJ !~!~~;;., '™. r ' "1:~fA',tr~'l,\;l;'1'1-/;',/r~!!ll:,i'IJt,;'.' ,i,,'l1,11W;,1,.1tlfN~;l,.1:f.;$\ji;~t~'li)',;:4,\il'.~F1\~~-,i~~i(if{:~;ii.·;,:;;,::,~;.':1:~~··f:,'!',,<l~ :j;i;'.:.,~r~~~:if f.f .:~,;~,~;;_~~JC~!:kf).:11:~.'...l'~::i!i~~!'* "i!·~' ii.:::;':·;.~\~;~ ( D-!1~~.J!YJlbll .. _, m..¥. .. ,,..~-aittl!~ w1,L .:i~'l~:1: rn~tfm~-i~"hl. i'!i .. t,_ .i .... __ :s:-·"·" ·---·"' ....:m..~-... '.E:--:r:.H ... __ ,it_ ---''L-.. -. I-<=., .. _ ...... _ , ____ ., .... -·--_ . -~.. _ i , ... _ it ... K:.... .... ... .. .. •• • • .... _ • • 1. • _. _ .:e: • .:-• I hereby affirm that I am exempt from the 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 ottered tor sale (Sac. 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 employetis, provided that such improvements are not intended or offered tor 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 tor 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 pe.rson 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 ________ _ [µ_QJVIR!!.§:fJiif.Ii:l!.§l'.tl:,Q.ifLO.t({iQfl:/Y.Q[V2Qg'gt.q/:'N.'UA~:~p)!,;.ij!N~itt;ijNl!;t§~Q~!J;Y;;,\'.i :.::ii' iJ.1:.i;,:-'.L~h'.i:C:;:·i1.::i/~~·:,=:-X, . .:.i:l~J,'cilti\:tf.:l';i;;},: .. (;'.,,. ',,. ;:, :,,/i; :'.A::•,• ,,j 1 :,;~\,:: ',):,i.' 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 ,b 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 ~ NO Is the facility to becl'onstructed within 1,000 feet of the outer boundary of a school site? 0 YES .If!> 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. l~;~:W[~.ij~,T.f.!V~:r,i9_ijfg1;~1i>J.~_9:(A'9.~,N.Q)'.:[:r{J\;~.£/~j:·: L,.,: .::. · ·): . ·-. .·-.: . .-, ,C .. ): : ·_,l.: .. :; -.:: ' i hereby affirm that there is a co'ffl°tion lending agency for the performance of the work for' which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME ______ V-=---------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 mentiQned property for inspection purposes. I ALSO AGIIEE 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 issue the building Official under the provisions of this Code shall expire by limitation and become null and void it the building or work authorized by such permit is not c mm need within 1130 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 co enc d lo[ riod-· tjo 18-~ days (Sec~.4.4 Uniform Building Code). APPLICANT'S SIGNATURE .y._---,,<----'"""--§jc..-'--"--i<--._.__)-----------DATE / I--ef J -l) Y YELLOW: Applicant PINK: Finance ·city of Carlsbad Bldg Inspection Request For: ·02/24/2005 Permit# CB044221 Inspector Assignment: Title: ACUSHNET COMPANY DEMO Description: 1 WALL/2600 SF OFFICE SPACE TO WAREHOUSE STATE Type: MISC Sub Type: OTHER Job Address: 2819 LOKER AV EAST Suite: Lot O Location: OWNER CANOGA-RINCON LOKER INDUSTRIAL INC Owner: CANOGA-RINCON LOKER INDUSTRIAL INC Remarks: demo final Total Time: CD _D_e_s-cr-ip-tio_n _______ MJ_ c Comment 19 Final Structural r Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Phone: 8186127046 Inspect& Requested By: SCOTT Entered By: CHRISTINE l 2 cg ~ °' l--0 ~ ~ ,-A 'J 'ii-E: +>< z;st-'$\ \.e-.p \ +< ~ L ci v-16b & J J AC ti.> V\ 1/\ t., \-Ce) VV\ ~t?v'\ j ' I -------------------~ l ! ! I-! l w I l w I l a:: l I I-: ! (/) I ! I l w I !- a:-I l ! w I I ::> I I u.. I I I ...J i w I I I i I I PY ·; i ?: (---~·1-_ _j' ACUSHNE:T COMP ANY ' 2819 LO!l:ER AVE !::A.ST.:; C:ARLSSf;';R, C.f _92908 ':· -... . . . . ... - :;:, --·. ' _--1-.-,..~.Y l .ht' -· ,... . . 1-,,,_ . . . ,-~ ::.:;__~ ~--7' · l.L.U-\ ~ P I ii3I _ _______,,.. ....+--~---1:1 . ,I I ,..,.,-• p A L 0 M A ~ I R p 0 R T R 0 A D .,...,.,,._,..,. ___ ...... -----~-------..... ----~-----·-------·~-- ~ ,, .,.=-777' .... \ \ -------------·- -, I _J -, I _J -, I _J -, I _, -, I _, -, I _, J ';, C v /. = ==o , D r ' f\. () ? -e.. l\ 1- "< (-)(u '?, ~ ~ - \I' ~ cs-- ~ ~r " 0 1\ C' p f> ") :r-< r ~ 1> (ft 1- City of Carlsbad 10/0~/19~ Miscellaneous Permit Permit No:CB993664 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 2819 LOKER AV EAST CBAD MISC Subtype: 2090830700 Lot#: $0.00 ACUSHNET COMPANY OTHER 0 ROOF PLATFORMS FOR MECH. EQUIPMENT Applicant: BURGER CONSTRUCTION STE 110 437 S HWY 101 SOLANA BEACH CA 92075 858-7 55-1800 Total Fees: $60.00 Miscelaneous Fee #1 Miscelaneous Fee #2 TOTAL PERMIT FEES lnspea FINAL APPROVAL Date: /O · /b " tJ1J Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Clearance: ISSUED 10/05/1999 MDP 10/05/1999 10/05/1999 PD $60.00 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 rig ht 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 vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise expired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 02 6(L,00 \ \ -y FOR OFFICE USE ONLY PERMIT APPLICATION . -PLAN CHECK NO, qj ·,;>~l( CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL _________ _ Plan Ck. Deposit ________ _ Validated By _________ _ Date. ______________ _ 1. -PROJECnNF.ORMATION l.o ·GA. --~- :·,· Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Asse~or's Parcel# rLlt r:,-6 /Uh s Existing Use Proposed Use Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms :2~ -c±1~cifi~e~-~~~-~;;~ c,~:·.: ;,:.~iJ~AJ..·a;~~·:':.·;·.:-:L/?/7 f,:/-/ f,J '( /0/ .tf /(() ~IP-f.l/i/4Cff Name "" Address City State/Zip Telephone # Fax # ~ 2.0?r :3. -APPLICANT :·~contractor.', :O·Age~t:.(o/:Ctjntt~cto~.:"·:~o,o~nef'.·.·:.'.Di~j:jent"'fcir~r'-': =:·: .. '-:. :, cg--St'1 S'S'"' )y-cx.) Name Address City State/Zip Telephone# ·4, · PROPERTY"OWNER' ~ ... ' --'·· ' -' Name Address City 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 . Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not;nore than five hundred dollars [$500)). bCYL-s vc~ 4-€A A.f3i....,tl:.. Name State License # _-5.=.CJ=--Lf_.__..::.?___,<?°~7.___ Address City State/Zip Telephone# License Class f$,( City Business License# I Z.C) 4o Z. lf' Design.er Name Address City State/Zip Telephone State License # _________ _ ·s. . 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. ~ave 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: LJ LJ .. Insurance Company $TP(tlz Fo r-J D Policy No. J~ 7 -9 9 Expiration Date . '3_ -/ Oo (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: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dolle 00, 0), · ddition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATU ~:;;:;::;:;;::::;::~=~=:(t_~~--:--:----------------DATE ________ _ 7. 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 improvemen~ 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 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 / address / phone number / type of work): ________________________________________________________ _ PROPERTY OWNER SIGNATURE _____________________ _ DATE _________ _ COMPLETE THIS SECTION·FOR NON-RESIDENTlliL: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 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. :s, , :CONSTRUCTION LENDING:AGENCYi, . . .. : . ·. _·_ ·:· _·_::.' ·_ . 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 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 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 menced wit · 65 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~ e work · comm period of 180 days (Section 106.4.4 Uniform Building Code)-/ ....... APPLICANT'S SIGNATURE _:::::;z'.f:::~~~~~:::_______________ DATE d .-j -'7 5' -, City of Carlsbad Inspection Request For: 10/7 /99 Permit# CB993664 Title: ACUSHNET COMPANY Description: ROOF PLATFORMS FOR MECH. EQUIPMENT Type:MISC Sub Type: OTHER Job Address: 2819 LOKER AV EAST Suite: Lot 0 Location: APPLICANT BURGER CONSTRUCTION Owner: W H C B O REAL EST LTD PARTNERSH Remarks: PM PLEASE-ROOF PLATFORM Total Time: CD Description Act Comments Inspector Assignment: PD --- Phone: 6198434002 Inspector:&;___ Requested By: JACK Entered By: CHRISTINE 14 Frame/Steel/Bolting/Welding Ct> '' ___________________ _ Inspection History Date Description Act lnsp Comments