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Home My WebLink About2819 LOKER AVE E; ; CB993378; PermitCity of Carlsbad 09/t4/1999 Miscellaneous Permit Permit No:CB993378 Building Inspection Request Line (760) 438-3101 Job Address: 2819 LOKER AV EAST CBAD Permit Type: MISC Subtype: Parcel No: Valuation: 209083~00 Lot #: $6.oo Reference #: Project Title: TITLEIST & FOOT JOY OTHER 0 Status: ISSUED Applied: 09/14/1999 Entered By: MDP Plan Appro~ 0'1r~f4,~~1i9!0aot Issued: 09/14/199,9,y:,,,_,·,· Inspect Area: ,~ · "·''' U/G PLUMBING & DEMO NON-BEARING PARTIONS 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 FINAL APPROVAL 9 ,.. (J --(Jo Date: 7 o EST LTD PARTNERSH " CON C INC Clearance: 0.00 0.00 0.00 $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 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 otherwise ex ired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT.APPLICATION • CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 1. PROJECT INFORMATION bll am.... Av re Address (inq ud', Bldg/Suite #) ftp f'J t..o 9 Of; :3 Lot No. 07 .... 0 '%" lr'\L Assessor's Parcel I Existing Use U,-JD~a.wtJ i) tL.11'1'8 •N!e ~ 'B A:r:t:t:a-OC?"".S ~1> l)eMo Description of Work SQ. FT. lot Stories FOR OFFICE USE ONLY (!) PLAN CHECK NO. 41-3'3 7 0 EST. VAL. _________ ~ Plan Ck. Deposit--------- Validated By __________ _ Date~-------------~ Total I of units I of Bedrooms # of Bathrooms 2. CONTACT PERSON (If diffef90t from epplicent) J ~'-B vrLtd:Yl-7.SS-2~ 1 __;::J..l...:;.!.;...........::.:::..=....:-=..~~~~~~~~~~-----------------------------=c..::..""---=--==::;___:,--..;::;.::._-,---=--~ Name Address City • State/Zip 3. APPLICANT [B'contractor O Agent for Contractor O Owner O Agent for Owner }5u~~ (QNS!f1-.vcne:>~ 411 $, Hr<ot-11A..J,4'f Name Address City IOI t11ro So~t1 f?eA:c.tt: State/Zip Telephone # 4. PROPERTY OWNER Name Address City State/Zip Telephone# 5. CONTRACTOR • COMPANY NAME (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 e IIOn. 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)). ~ '£:nw<-~ '5 ,+-.,:;;- Name Address License Class _6~~--~-----City State/Zip Telephone # City Business License I ( 7-0 '(OZ. f State License# Sol-{ '58'"] Designer Name Address City State/Zip Telephone State License # ---------- 6 . WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of per1ury 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 earner and policy number are: 1 I I Insurance Company :5z¥q ('u A.Jj) Policy No. 4 b -~ J Expiration Date "'1 -/ -00 (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 sub1ect 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 dollars ($100,000), in addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE------------------------------- 7. OWNER-BUILDER DECLARATION 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 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 maior labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (have I 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 I 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 I address I 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 I address I phone number I type of work):. __________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ COMPLETE THIS SECTION FOR NON-RESIDENT1AL 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? ~ 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 [)--1qo Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 8-lil'O 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. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30g7(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 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 per · s no commenced within 365 days from the date of such permit or if the building or work authorized by such permit 1s suspended or abandoned at any time a er the rk 1s com d for a period of 1 80 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE 9,. ft-f,91 \AIUITC· c :1... V CI I l"\\AI• /\ ...... ,;........ PINI(• ~in:a,nr• City of Carlsbad Inspection Request For: 9/20/99 Permit# CB993378 Inspector Assignment: PD Title: TITLEIST & FOOT JOY Description: U/G PLUMBING & DEMO NON-BEARING PARTIONS Type:MISC Sub Type: OTHER Job Address: 2819 LOKER AV EAST Suite: Lot 0 Location: APPLICANT BURGER CONSTRUCTION Owner: W H CB O REAL EST LTD PARTNERSH Remarks: PM PLEASE Total Time: CD Description Act Comments Phone: 8587551800 Inspector: # 1:- Requested By: JACK Entered By: CHRISTINE 21 Underground/Under Floor Af------ Inspection History Date Description Act lnsp Comments