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Home My WebLink About2824 LOKER AVE E; ; CB972394; PermitB U I L D I N G P E R M I T 08/26/97 17:29 Page 1 of 1 Job Address: 2824 LOKER AV EAST Suite: Permit Type: ELECTRICAL Parcel No: Lot#: Valuation: O Occupancy Group: Reference#: Description: TEMP POWER POLE Appl/Ownr: POWER PLUS 760 1167 LAW STREET SAN MARCOS, CA 92069 Permit No: CB972394 Project No: A9703042 Development No: 8499 <:JJ/26/97 0001 01 02 C-PRHT 20. oo Construction Type: NEW Status: ISSUED Applied: 08/26/97 Apr/Issue : 08/26/97 Entered By: JM *** Fees Required *** *** Fees Collected & Credits *** Fees: Adjustments: Total Fees: Fee description Enter "Y" for Temporary * ELECTRICAL TOTAL Pi_ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 .00 .00 20.00 Ext fee Data 10 .00 Y 10.00 Y 20.00 I II -•• ,_ FOR OFFICE USE ONLY PERMff APPLICATION PLAN CHECK NO. f7 Z3!f' CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 {619) 438-1161 EST. VAL. ____ ,....--r.--:-:::;:---~ Plan Ck. Deposit --~;...x.::;...i,,::...::__ __ Validated By--t--+.6==,..._....,,.+,,.,..----- Date~~~~ ...... "l,,....a:::..111<,.,__ ....... -+-~~~- Address (include Bldg/Suite I) j,i~ Name (et this address) Legel Description Unit No. Phese No. T otel I of umts Ass85$or' s Parcel I Existing Use Proposed Use Description of Work rr.2-hl' lot Stories I of Bedrooms # of Bathrooms ~:~:tot/TACT PEI\SON (If different frorriapplicantJ1;~:::,£.~;';(:: .:: •.. Fax I Name ~COMl'M :n~ (Sec. 7031.5 Business end Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, 1lso requires the applicant for such permit to file a signed statement that he is licensed pur1U1nt to the provisions of the Contractor's License Law (Ch1pter 9, co.mmending with Section 7000 of Division 3 of the Business and Professions Code) or th1t he is exempt therefrom, end the besis for the alleged exemption. violation of Section 13) .5 by any applicant for B permit subjpcts the applicant to a civil penalty of not mo~&Jhan five hundred dollars ($5001). /,,, .s , 7 ~ a 4/ ~ -f 5d-11 /f//q r, .1....s N1me State License I _....h-'A_._.5.;_..£"----'9'.'--f __ Address City Stete/Zip Telephone I License Class __ C'_.;;.C_/ ___ _ City Business License I -------- Designer Name Address City State/Zip Telephone St1te Ucen11 I---------- V.,t~.WQIUWIS:~COMPENSA notoii~= ... ~~~~~~>.U~~~~1: 11'~-~!]';:;-)~~~l~ .'-·~,:~ .• :(;~:~\-~ ~~.t~~~ . ..:..~!~L ,;~lJJ.~~'.~~"~~'{;5':ii'f~~~fl:~t·<l~~ ~i:~~;J~ • ~ '~. · .. : .. 1:; • .. -.~ Workers' Compenution Decl111tion: I hereby 1ffirm under penalty of perjury. one of the following declarations: 0 I hive ind will maint1in I certificate of consent to 1111-insure for workers' compensation IS provided by Section 3700 of the Labor Code, tor the performence of the work for which thi1 permit is issued. 0 I hive ind will m1int1in workers' compenS1tion, as required by Section 3700 of the Labor Code, for the performance of the work ·tor ·which this permit is issued. My worker's compeOSltion insu11nce::~ier end policy number are: /-/ -1ff lnsur1nc. Company C,9 r ~ L1:.. hP ~IC-q Policy No. C 0-() d\J / // IJ I Expi11tion D1te__._ ____ _ (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 IS to become subject to the Workers' Compensation Laws of California. WARNING: Flllure to aecure•workera' compensation cover1ge la unlawful, 1nd ahlll subject en employer to crlmlnll penlltlea and civil flnea up to ona hundred thouund dollar, ($100,000), In addition to the coat of compen11tlon, damages 1a provided for In Section 3706 of the lalM¥ coda, lntaraat end 1ttomay'1 fa••· SIGNATURE DATE--------- (1 •. > ;;'.:.O)YNER-BUILDER DECLARATION·•~;;\·,. }{-.,~-:: :-··:-~,·1.•t;,·,.; ;·,\~=': ., . ~:~~ :k I • • ' ~,t f ~·' ! • ~:i::~l~~~;~:: 1!f/.;!;if?&,ry.,(!;,~_£~~~~ilte.~~~~,_f::~~r:~~~1-,:,' .. ;:~ ·. . ' I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 I, IS owner of the property or my employe1S with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business end Professions Code: The Contractor's License Law does not apply to 1n owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements l!e not Intended or offered for s1le. If, howevar, tha building or improvement is sold within one ya1r of complation, the owner-builder will hive the burden of proving that he did not build or improve for the purpose of Hie). 0 · I, is.owner of the property, 1m exclusively contracting with licensed contractors to construct the project (Sac. 7044, Business ind Professions Code: Tha Contllctor's License Llw does not 1pply to an owner of property who builds or improves thereon, ind contr1ct1 for such projects with contrector(1I licenHd pur1U1nt to the Cont11ctor's License Llw). 0 I em uempt under Section------Business and Professions Code for this reason: 1. I personally plan to provide the major labor ind materials for construction of the proposed property improvement. 0 YES ONO 2. I (hive I have not) signed 1n 1pplic1tion for a building permit for the proposed work. 3. I hive contracted with the following person lfirml 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): _____________________________________________ _ 6. I will provide some of the work, but I have contracted lhired) the following persons to provide the work indicated (include name I 1ddress / phone number / type of work):. _______________________________________________________ ~ PROPERTY OWNER SIGNATURE----------------------DATE~~~~~~~~~ [i;ollel.fJt.JltlS1S~CTIOttf.QR.Nf)~mil,9LJlUILD.IHQJl!£RMI.T.$;.Q"l,.Y~U:Ei•1'i:~"-t~~J\"Snt!ffls~~f~~~,;;rflcl1{~~;rt:x;, '.\ : Is th, 1;:plic:nt or futwre buildir.iil occup111t 1•quirt1d \o •ullmit • butainetlll plan, •cutely h1Z1rdous m1teri1la registration form or risk management and prevention progr1m under Sections 26505, 25533 or 26534 of the Presley-Tanner Heurdous Substance Account Act? 0 YES O NO Is the 1pplicant or future building occupant required to obt1in I permit from the 1ir pollution control distlict or 1ir qu11ity m1n1gement district? O YES O NO Is the f1cility to be constructed within 1,000 fHt of the outer boundlry of I school site? 0 YES O NO If AHY OF THE AHSWERS 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. iil\.~CQ.rttrfwCTIO,,. LENDING'.~GENcv~~w~1J1"'~~~l,;$i::.':~. ~~~~£1~;::.::::.;,:~~m:;.~"ct:r.:r~®&1;wm;.;s.~.a-~~1s;;;:,r:~:::;;-;_ .. : 1::~., · I hereby 1ffirm th1t there is I construction landing agency for the performance of the work for which this permit is iuued (Sec. 3097(il Civil Code). LENDER'S NAME LENDER'S ADDRESS -:--------------------------.. ~ ~ l: APPU CANT: CERT IF I CA TIO tt.. 11 ~ •• */,! '.".J'i :~1[{l~)}~ .. ·::;~,.,.',,;+. ... ,.;;..:/:(i~i.~:-~ -~i ~-f·~'.'~' ;'i{:7...'.;~tft~~:·iL'.f"'~~;~!~~J'r~~;f":"::\JL,'.;'.:..:~·; I ~ertify that I have raad tha applic1tion ind st1te that the above information is correct and that the information on the plans is accurate. I agree to comply with ~II City ordinances ind St1te laws rel1ting to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY 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 excevations over 5'0" deep ind demolition or construction of structures over 3 stories in height. '•· EXPIRATIO~: Every permit issu~d by the Building O~fi~ial under the provisions of this Coda shill expire by limitation and become null and void if the building or work 1uthonzed by 1~ch permit 1s no o.mmenced within 365 days fro the date of such permit or if the building or work authorized by such permit is suspended or 1b1ndoned It any time after the mmencad for~od 80 days (Section 106.4.4 Uniform Building Code). APPLICAN_T'S SIGNATURE · DA TE c,,, fl. t' -? 7 PERMIT# CB972394 DESCRIPTION: TEMP POWER POLE TYPE: ELEC JOB ADDRESS: 2824 LOKER AV APPLICANT: POWER PLUS CONTRACTOR: OWNER: REMARKS: C/MICHELE SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION CITY OF CARLSBAD INSPECTION REQUEST FOR 09/02/97 EAST PHONE: 760 PHONE: PHONE: ACT COMMENTS STE: INSPECTOR AREA PLANCK# CB972394 OCC GRP CONSTR. TYPE NEW LOT: 32 EL Const. Service/Agricultural .AP ~lz?~~ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS ~t n •-,,..---.-I '""!-. I I,-...,. 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