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HomeMy WebLinkAbout2839 LOKER AVE E; MULTI-PERMIT FILE; CB983607; PermitB U I L D I N G 10/20/98 11:15 Page 1 of 1 Job Address: 2839 LOKER AV EAST Permit Type: PLUMBING Parcel No: Valuation: 0 P E R M I T Suite: Lot#: Permit No: CB983607 Project No: A9804695 Development No: Construction Type: Occupancy Group: Reference#: Status: NEW ISSUED 10/20/98 10/20/98 BT Description: EMERGENCY SHOWER Fees: Adjustments: Total Fees: Applied: Apr/Issue: Entered By: 619-449-5865 -·---·--·· ---,-:-::------- FINA A PROVAL i lNSP.~-,.~~-~DATE._ I CLEARANCE ________ , CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 FOR OFFICE USE ONL ?J .2, ,. PLAN CHECK NO. q O .AR €)7 PERMIT APPLICATION ~ CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palm as Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL.-------~~~ Plan Ck. Deposit.....,..--,.,_.---------- Validated By_,......:..p.__..:;__-,..--t---,,'7'-- ·1.~T INFORMATIO Date ______ --'=~:-=-1--1--"--- . . : . . ; -~ ' Lo 1M. t:A'? Address (include Bldg/Suite #) Business Name lat this address) fM::al? :f?'1 c,, Legal Description f(i)(LQ.J L~!f ~ \ 't;~J;n Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use #of Stories II of Bedrooms # of Bathrooms ..:.J.!J~f..-.;,..,.:Z..!.J=.l-l,,~=ll.U~~¥-!~~::::......:==-..!......,;;:..;..;;._-==:..:.=.=U-\::...-.=....;;.--+~~-?r--=...:i.~~=-i-,,-__..,.,'-'-'--=4-'.S.::c=..2-3J ~B Address City State/Zi Fax # D ~ntfor contractor··-·· O ov1ne~--fA8iinfiofowiier": ·:,·:: · · -:-· :·,-T,,.,~ : < --,·---:: -. ·· V\ "I,. 4 ~ 'l.-.:sqo7 Address City State/Zip Telephone# Nama 7:1B~r~ry;;;rfootb20 ®~tvld:~-~·~··:Co~·x~~~;,·:7;~t;~-~:·,'."ci;">p£00-j J(a0-]4-S-]COO Name i Address City l St~e/Zip Telephone'# ,5. ··:coNtRACTOR -·COMPANY NAME .. -, ...... ::· ~--,--....... , ....... ,~.,.·~=:."=:'-:'~--"'':'.:-::::::::-:-~:.~:: ':-:-·:~r'7~':::-:T·:-:-·~-·~-:::::-~----,-:. . . . ' ... , : (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 tor the alleged exam tion. Anv violation of action 7031. by any applicant to a permit subjects the applicant to a · I penalty of n ~o thC?e hi~ed doll:s ($5001). Name City State/Zip . ,, __ • T~phone # State License # 1!:,9'{?3 de License Class c-3 C::, City Business License # ~ 6-17 / Designer Name Address City State/Zip Telephone State License # ________ _ '6.--·woRKERS'COMPENSATION ...... -----........ ------·,··:--.. ,._, .. , .. --.:·:::: .. --~·,:.',:::::"·· ';:>~.:;:·.--:·'?::· ;.~~-·-' -·.:· Workers' Compensation Declaration: I hereby effirm 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. O 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 _______ _ (THIS 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 to become subject to the Workers' Compensation Laws of California. · WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall 1ubj11ct an employer to criminal ::,enalties and civil fines up to one hundred thousand dollars ($100,000), in addition to tha coat of compensation, damages H provided for in Section 3706 of the Labor code, interest and attomily'a fees. SIGNATURE_____________________________ DATE ________ _ 7 •. OWNER-BUILDER DECLARATION 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: Tha Contractor's License Lew 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•bulldar will have the burden of proving that he did not build or Improve for the purpose of aale). 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 cf 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 / phone number / contracto·rs 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 _________ _ 1C0Mi>LETi:-tHIS sEctioN FOR NON-RESIDBmAL'BUILbiNd PERMiTifDNlY,~-i:',:i>;:~~"':.!';'f7~""-;-':r'~7~f~'f:r,~·:..:::,.~.;'-·:ir-(-::t:,·?i~;:··? , .. ,. -.... , · '-~ · . ·· Is the .applicant or future building occupant required to submit a business plan, acutl!IY hazardous materials registration form or risk management and prevention program under Septions 25505, 25533 or 25534 of the Presley-Tannar Hazardous Substance Account Act? D YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control distr~ct or air quality management district? O YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school sit::7 0 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. !8. --CONSTRUCTION i.EiiiDiNG AGENCY .. ,, ,. ,.,.,. ''.'·-~'.""",",,,,.-a:-• .. ,:·;;""'~:"rt'7tT:'""·:·"~!'!'~-.-,,.'.'"' ",-. '"'.''' :··•;·.".' .'·'.'.""'":-"'"" ---,,. ~,_,.,.,,~---· · ·:· · -· ·:-.. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 309711) Civil Code). LENDER'S NAME _____________ _ LENDER'S ADDRESS ________ .;._ _______________ _ .' • .-. I 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. DATE /C'J-;)_C)r 98 -~~----------- PINK: Finance PERMIT# CB983607 DESCRIPTION: EMERGENCY SHOWER TYPE: PLUM CITY OF CARLSBAD INSPECTION REQUEST FOR 11/12/98 STE: INSPECTOR AREA DH PLANCK# CB983607 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 2839 APPLICANT: SCOTT R CONTRACTOR: LOKER AV EAST CORMACK PHONE: 619-449-5865 PHONE: OWNER: REMARKS: C/SCOTT/449-5865 SPECIAL INSTRUCT: PAGER 960-7161 TOTAL TIME: --RELATED PERMITS-- LVL DESCRIPTION PERMIT# CUP90008 CO930060 AS930078 FA940004 CD 19 29 ST Final Structural PL Final Plumbing TYPE CUP COFO ASTI FALARM PHONE: l\ INSPECTOR ---P~·_ri ______ _ STATUS EXPIRED ISSUED ISSUED ISSUED ACT COMMENTS _jJ/J ________ _ _/I! __________ _ ------------------ ------------------ ------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION 102298 Underground/Under Floor 102298 Underground/Under Floor ACT INSP AP PD AP DH COMMENTS ON 10-22-98 BY D.H. B U I L D I N G P E R M I T 02/08/94 10:44 Permit No: CB940141 Project No: A9400203 Development No: Page 1 of 1 Job Address: 2839 LOKER AV EAST Suite: Permit Type: ELECTRICAL Parcel No: Lot#: Valuation: 0 Construction Type: NEW Occupancy Group: Reference#: Description: ADD 200 AMP 3 PHASE SUB PANEL Appl/Ownr: CUSTOM ELECTRIC 3011 LAURASHAWN LANE ESCONDIDO, CA. 92_9 .. 2.6 · - / \ . 1, ·c::,;:;:-,:-:·::-,!---1t:0 1<:· 619 CITY OF CARLSBAD Status: ISSUED Applied: 02/08/94 Apr/Issue: 02/08/94 Entered By: MDP 743-7858 \ . 00 .00 60.00 Ext fee Data PPROVAL IN~P. ~-DATE i/4);"' CLEARANCE-----• 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 ,._,' PERMIT APPLICATION (--"""r- PLAN CHECK NO. 1'-{-1 <-\ I City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 EST. VAL:..... ___________ ;:!, PLAN CK DEPOSIT _____ ..,......__ VALID.BY ______ ----':c--1"-:'-'r=- 1. PmtMl't TVPE DATE ___________ =,,__.y......__,_ A -U Commercial LI New Bmldmg U Tenant Improvement B -D Industrial D New Building D Tenant Improvement C -D Residential D Apartment D Condo D Single Family Dwelling D Addition/ Alteration D Duplex D Demolition D Relocation D Mobile Home D Electrical D Plumbing D Mechanical D Pool D Spa D Retaining Wall D Solar D Other ____ _ 2. PROJECT INFORMATION .Address &' FOR OFFICE USE ONLY Neargf Cross~tr~lr LEGAL DESCRIPTION Lot No. Subd1V1s1on Name/Number Umt No. Phase No. CHECK BEWW IF sOBMn'I'ED: D 2 Energy Gales D 2 Structural Gales a 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL PROPOSED USE DESCRIPTION OF WORK APP .-z..oo A-~p SQ. FT. # OF STORIES 3. WN IACI PERSON (If different from apphcanO NAME ADDRESS CI1Y ~ STATE ZIP CODE DAY TELEPHONE 4. Al'l'UCANT Pt 'RACloR DAGEN I FOR CONIMc'luR DOWNER DAGEN I FOR OWNER NAME Cu ~-tom G /e t1-<'~-ADDREss 3c11 J....a. \A 'f'a;::5-ha v.J..J J.....,..) .., 5~N'd-. ~o STATE ZIP CODE DAY TELEPHONE C.o· CI1Y STATE ADDRESS ZIP CODE DAY TELEPHONE 6. OONTRACl'oll NAME ADDRESS CI'IY STATE ZIP CODE DAY TELEPHONE DESIGNER NAME STATE LIC. u-Sozl$o.icENSE CLASS C -LO CI1Y BUSINESS LIC. # /Z tlJ O '-/I y:: ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE STATE LIC. # 1. WORKlffiS' OOMPENSATION ru 1cate o xempnon: cert! at m e per ormance o e wor or w 1c 1s permit 1s issue , s a not emp oy any person m any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. oWNER-BOllDER DECLARAllON owner-Bmider beclaratlon: I hereby affirm that I am exempt from the Contracto?s Llcense Law for the followmg 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 thatsuch 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(s) licensed pursuant to the Contractor's license Law). D 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 license Law (Chapter 9, co~mencing 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]). SIGNATURE DATE COMPLETE tHts 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? DYES 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? a~ D00 . Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCDJPANCY MAY NaI' BE~ AFTER JULY l, 1989 ~ THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF TI-IE OFFICE OF EMERGENCY SERVICES AND THE AIR POILUTION OONTROL DISfRICT. 9. mNS'IR0CIION Ll!NDING AGENCY I hereby afhrm that there 1s a construction lendmg agency for the performance ~f the work for which this permit 1s issued (Sec 3097(1) C.VIJ Code). LENDER'S NAME LENDER'S ADDRESS io. APPilCANT C£R.1'1Plc.\TION I certify that I have read the application and state that the above mformauon 1s correct. I agree to comply with all City ordmances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE 10 SAVE INDEMNIFY AND KEEP HARMLESS TI-IE CTIY OF CARISBAD AGAINSf ALL UABIIJ.TIES, JUDGMENTS, OOSfS AND EXPENSES WIIlCH MAY IN ANY WAY ACX:R.UE AGAINSf SAID CTIY IN OONSEQUENCE OF TI-IE GRANTING OF TIIlS 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 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 after the work is commenced for a period of 180 days (Section 303(d) Uniform B ildin Code File YEIJ..OW: Applicant PINK: Finance PERMIT# CB940141 DESCRIPTION: ADD 200 AMP 3 CITY OF CARLSBAD INSPECTION REQUEST FOR 02/28/94 PHASE .SUB PANEL STE: INSPECTOR AREA TP PLANCK# CB940141 OCC GRP CONSTR. TYPE NEW LOT: TYPE: ELEC . JOB ADDRESS: 2839 APPLICANT: CUSTOM CONTRACTOR: · OWNER: LOKER AV EAST ELECTRIC REMARKS: MH/743-7858 SPECIAL INSTRUCT: PHONE: 6i9 747223-7858 PHONE: PHONE: INSPECTOR --=~~------- TOTAL TIME: --RELATED PERMITS-- CD LVL DESCRIPTION 34 EL Rough Electric PERMIT·# CUP90008 CO930060 AS930078 TYPE CUP COFO ASTI --------------------------------------------------------- STATUS EXPIRED ISSUED ISSUED ACT COMMENTS ,4,?J ~ ,,,q.p~ L o/V~, /4,p ,.L#MV 571U,1// C//1.Lviff ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS Jos / , 'TI e. : ~ r /\ cf 0 c:. ~ :}-I' L o Ke r Av f ,::., I CUSTOM !ELECTRIC SHEETNQ. ______ OF ____ _ , . ,, . 3011 Laurashawn <--• ... r!:.SCONDIDO, CALIFORNIA 92026 CALCULATEDBY~Z---____ DATE z-7 _q ¼ (619) 743-7858 CHECKED BY ______ DATE ___ _ SCALE . . . ----~--;---~·-~~~~ ~~ ~ ..... --· ~---. - . ( ~-~0rr!N~4'&-0lzi7{-~CJ0,4,1),D_: _ t. ) ... i . . .. '. ·-;~.3.: ·:··?a~·~ i"-o-··. ·: ......... _. ..... . I ........ · I. . I ... P ..... "";-·:·· f .... --·I · : I · -· I if_:;i3· · f ·-~ · · 1-· .. ., ·· ·· · ··· ··;:··--· ·· · .. ·· · · \ ······· {{no·A 1 l ·-··-------.. ··· · ·· ·····:··.-· ········· ....... · · ......... .. I ......... 1 . el p .. /. ........ ;6D#3·· I· . ~ .:. ··;;, ........ _/ ............................ :.. . . .......... . . .. . ·r ....... · .... ·. · :·::·. . .. :: .... : ...................... ·.: .·:.·.·.·. ···: .. : ....... : .... ·:: ~···: ..... ·:.: ..... ·::. ·:·. :: .. :· ... ·::.:. ·. ::t. ............... . . ... .............. .. : - ... : .... .I_ ~L .. -·_ ··-.. _ ... I ,.,; .. ········ .. ··.-················:·· .. ····· .................... , ............ ·-, ................... :·· .. ··:V .................... ! . I J .. .. . . .. / . ~··· , '.. .. . :/,,,.. " · . ·· · ·· · · · • •· Pa ;J ~~ £ _ t z _6 · IY)~_-__y'6' g = ~Z!t · _ . I I· . T .... z~~ . ·~~. .. ...... T .~ ......... --· :·: ... · .... .. 2~-=> .z~:3 ..... 1--· ···--.... _ ...... . -I B~;~ ~. -·.· .... : _ _===· = -:· •······ -- C!tyof c~R~BAD . ·· : . . I --.... I . . .. . . .. ... . .. ~~ILDING Dl:PT·. .. . . L ---J -. -_ _l ·. /o:!a/ :~·;1J))e.c1ed. /.0..a"J '/000()j·~ yP 4 · A~ .. ~+. . ../1'~0 (!.:C.(.;.. :· .. rL.~?., .. 4,{J!J /oc4/ t::: U l L [1 I N c P E f~ d I T p,--1'""t1ll ·~ .Nc1 ~ (~E,9 J{l6 :.I-i:) Pr1·,j,?ct ~\1(,: A·:J~;·1i1 1;·,:11 [H?Velor,rn,?ll t Nv: t)7/U1/'.:i~i tJtt:41:! 1?1:1.(;:1e :t c,t 1 Job aJdress: 2839 LOKER AV EAS! Pr?Dn.'. t Tyr_:,e: 21,ECf'EJC.l>..L ~·,:t.ccel Ni,,_,: Va1uat:i.on: n C·~·n:::truct ic,n Typ1?: N£1/i Suite: 2963 07/01/93 00<;.i 01. 02 C-PRMT ~8u00 (1cccq;,,:1ncy Group: ~ti? f erenc,~ #: ::. ;,: 2t ·t U ~ : .'. ::, ~. t_: ;.: __ ·, Apt:<t -j i:-(1 : r: 7 / t · . ·-! tiescription: 150 l-v1iPS j PH PER PHILLI::·:; AJ;•f. /J:c::'. i.r;:·: ·.17/,'J :·:1:: r ,.-... ' '. Appl;Ownr : CUSTOM ELECTRIC 6 1 ·:1 7 4 3-7 :3 E, t: 3Ul1 LAURASHAWN AVENUE Ef,C'ONDIDO F CA 9202~,,, , .... .,---· / • :J(J • I) fJ / \ \ / / .,/ ., ~ .... ,, FIN).JZ APPROVAL INSP. --~.___-.. DATE /-:/4/21 CLEARANCE-----1 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPUCATION City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 1. PfiltMn WP£ A -D Commercial D New Bmldmg D Tenant Improvement B -D Industrial U New Building D Tenant Improvement C -U Residential D Apartment D Condo D Single Family Dwelling • . . . U Addition/ Alteration U Duplex U Demolition U Relocation U Mobile Home U Electrical O Plumbing U Mechanical D Pool D Spa D Retaining Wall D Solar D Other ____ _ 2. PROJECf JNFORMATION fll~1 ~<) K'e-e A~e /ia-!J + Bmldmg or Smte No. Nearest Cross Street LEGAL DESCRIP1'loN Lot No. Subd1V1s1on Name/Number CHECK BEIDW IF sOBMI'l'l'Bb: CJ 2 Energy Cales D 2 Structural Cales D 2 Soils Report CJ 1 Addressed Envelope PLAN CHECK NO. FSf. VAL _____________ _ PLAN CK DEPOSIT _______ _ VAIID.BY ___________ _ DATE'-------------- FOR OFFICE USE ONLY Omt No. Phase No. ~J 't''i l L ,v" O\t\'i' \.e 1-.$ 1 C ;-re.'-'~ ->r .s 0--Yl ci.. 6 \,\b 'Yawi,. I ~~c # oF sroruEs e IA~ ~ ~-\ -:,o NAME CTIY ADDRESS STATE ZIP CODE DAY TELEPHONE 4. APPUCAN'I' NAME UCON IRAC'l'OR U AGENT FOR CON'l'RAC IOR ADDRESS DOWNER D AGHN'I' FuR OWNER CI1Y STATE ZIP CODE DAY TELEPHONE s. Pll~ OWNER ...(_ _ \ NAME o (Y\ a ua "'"1-f f e """' ~'-'~ ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE DESIGNER NAME ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE STATE IJC. # 1. WOIU<filtS' OOM.P£NSA110N Workers' Compensation Declaration: I hereby affirm that I have a ceruhcate of consent to self-msure 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 Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POIJCY NO. EXPIRATION DATE Ceruhcate of Exemption: I certify that m the performance of the work tor which this permit 1s issued, I shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. oWNER-B01IDER DECI.ARAOON Owner-Bmider Declaration: I hereby affirm that I am exempt from the Contractor's Llcense Law tor the tollowmg 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(s) licensed pursuant to the Contractor's License Law). D 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 License 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]). SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BOILDING 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? DYES ONO 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 CJ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES D NO IF ANY OF TI-IE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCDJPANCY MAY NOT BE ISSUED AFfER JULY I, 1989 UNLESS TI-IE APPLICANT HAS MET OR IS MEETING TI-IE REQUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND TI-IE AIR POU.UTION CX>N1ROL DISTRICT. 9. WNSIROCIION LENDING AGENCY I hereby affirm that there 1s a construction lendmg agency for the performance of the work for which this permit 1s issued (Sec 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPllcANT tER11FlcA110N I certify that I have read the application and state that the above mformauon 1s correct. I agree to comply with all City ordmances 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 HARMLESS TI-IE CTIY OF CARISBAD AGAINSf AU. UABillTIES, JUDGMENTS, CDSTS AND EXPENSES WHICH MAY 1N ANY WAY Acx:RUE AGAINSf SAID CTIY IN CX>NSEQUENCE OF TI-IE GRANTING OF TIIlS 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 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned any time after the work is commenced for a period of 180 days (Section 303{d) Uniform Building Code). DATE: ______ _ 12/01/93 INSPECTION HISTORY LISTING FOR PERMIT# CB930648 DATE INSPECTION TYPE INSP ACT COMMENTS 07/08/93 Rough Electric RI RI MH 07/08/93 Rough Electric TP AP 07/07/93 Rough Electric RI RI MH/743-7858 07/07/93 Rough Electric TP co SEE NOTICE ,-0 CONTINUE .•• CUSTOM ELECTRIC 3011 Laurashawn ESCONDIDO, CALIFORNIA 92026 (619) 743-7858 JOB SHEET NO.--------OF------- CALCULATED BY--2--4~_1.>"~t_e __ DATE 2/ /., qi~ CHECKED BY ________ DATE------ SCALE 1 .......... ! ..... r--· .. T ........ . :I : . .............. , .. . . ! ................................... .,. ....... , . . ' .... : ... T .. . .. . ....... .. . ...... 1 ....... .J .......... ···i-········· ... , ..... , ..... , ......... : .. , ......... , .......... , ........ . ; ....... : ..... ; ..... i ....... : ......... j ........ J .............. . -!···········:· .. --...... ; ....... . i ........ ······· .............. • • i : i . 1 ; ' . : ........ : ...... ····· .. 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PRODUCT10~1 /NEas/ Inc, Groton, Mass. 01471. a 10/22/90 08:45 Page 1 of 1 B U I L D I N G Job Address: 2839 LOKER AV EAST Permit Type: SIGN Parcel No: Valuation: 600 Construction Type: NEW PERMIT Pe~mit No: CB901681 Project·No: A9001914 Development No: Str: Fl: Ste: (JR. 1:wCJ Occupancy Group: Class Code: Status: ISSUED Applied: 10/22/90 Apr/Issue: 10/22/90 Validated By: DC Description: MOTORSPORTS CENTER Appl/Ownr : CARLSBAD PROPERTIES 462 STEVENS AVENUE SOLANA BEACH, CA 92085 OWNER *** CARLSBAD PRO~ERTIES Fees Required *** 619 755-5572 . Lie.' OWNER Fe~s Coliected & Credits *** ------------~--------~7-------------------- Fees: Adjustments: Total Fees: Fee description Building Permit Plan Check * BUILDING TOTAL - 28. 00 · ,00 28. 00 To--cal ere.di ts: Total Payme,nts: · Balance Due: Vni,t$' . Fee/l.Jnit CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 .00 . 00 28.00 Ext fee 17.00 11.00 28,00 Da.ta --~~ - P£RMfT -APPLICATION • City of Carlsbad Building Department EST. VAL ______________ _ 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 . . . PLAN CK DEPOSIT ___________ _ VALID. BY ______________ _ 1. PERMIT TYPE . DATE _______________ _ A -0 COMMERCIAL B O INDUSTRIAL NEW QNEW C O RES !DENT! AL O APARTMENT ODUPLEX QDEMOLITI0N QMECHANICAL QP00L 0 TENANT IMPROVEMENT 0 TENANT IMPROVEMENT QC0ND0 QSINGLE FAMILY DWELLING 0 ADDITION/ALTERATION QREL0CATI0N QM0BILE HOME QELECTRJCAL QPLUMBING DsPA DRETAINJNG WALL DSOLAR [311THER._,-!/,:"'-''..:.+""'-.-- 2. PROJECT INFORMATION PLAN CHECK No. Address .z.i:,!,°) (...o\~ ~ (!;~r Nearest Cross Streets 6'\ ~ LEGAL DESCRIPTION Lot No. Subdivision Name/Number Unit No. Phase No. CHECK BELOII IF SUBMITTED: D 2 Energy Cales 02 Structural Cales D 2 Soi Ls Report D 1 Addressed Envelope ASSESSOR I S PARCEL EXISTING USE PROPOSED USE BLDG. SQ. FTG. # OF STORIES 3. CONTACT PERSON NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE SIGNATURE 4. APPLICANT D CONTRACTOR D AGENT FOR CONTRACTOR DOWNER D AGENT FOR OWNER NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 5. NAM~~~~~t~ ~ L~ OWNER ADDREsst.\(,,~ ~~~ STATE(,,A- p3LESSEE QTENANT CITY ZIP CODE K DAY TELEPHONE fol~ ~ • ~~ 6. ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # LICENSE CLASS CITY BUSINESS LIC. # SIGNATURE TITLE DATE DES I GNER NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE L!C. # 7. WORKERS' COMPENSATION 8. llorkers• Compensation Declaration: I hereby affirm that I have a certificate of consent to self-insure issued by the Director of Industrial Relations, or a certificate of llorkers' 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 Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE 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 llorkers' Compensation Laws of California. SIGNATURE DATE OWNER-BUILDER DECLARATION 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: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure·, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of o i vision 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 app.licant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATURE DATE COMPLETE THIS 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? DYES 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 faci Li ty to be constructed with in 1,000 feet of the outer boundary of a school site? DYES IF ANY OF THE ANSIIERS ARE YES, A FINAL CERTIFICATE OF OCaJPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9. CONSTRUCTION.LENDING AGENCY hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code). LENDER IS NAME LENDER I S ADDRESS 10. APPLICANT'S SIGNATURE I certify that I have read the application am;! state that the above information is 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 ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES IIHICH HAY IN ANY IIAY ACCRUE AGAINST SAID CITY IN CONSEOUENCE OF THE GRANTING OF THIS PERMH. Expiratiol},--E;""'-1:Y permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the bui.lding or work a thori ed y such permit is not commenced within 180 days from the date of such· permit or if the building or work authorized by such permit is suspended or abando ed at an)\ time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPLICANT'S o 0IINER O CONTRACTOR t)BY PHONE APPROVED BY·: -'------~ DATE: _________ _ WHITE: File YELLOW: Applicant PiNK: Finance PERMIT# CB901681 CITY OF CARLSBAD INSPECTION REQUEST FOR 10/26/90 INSPECTOR AREA PD PLANCK# CB901681 OCC GRP DESCRIPTION: MOTORSPORTS CENTER TYPE: SIGN JOB ADDRESS: 2839 APPLICANT: CARLSBAD CONTRACTOR: LOKER AV EAST PROPERTIES OWNER: CARLSBAD PROPERTIES REMARKS: Tl/MH/HENRY/755-5572 SPECIAL INSTRUCT: TOTAL TIME: --RELATED PERMITS-- CD LVL DESCRIPTION 38 EL Signs PERMIT# TYPE CB891251 COM ------------------- ------------------ ------------------ CONSTR. TYPE NEW STR: FL: STE: PHONE: 619 755-5572 PHONE: PHONE: \ I) --' 1f_ INSPECT0-11~g, A , STATUS ISSUED ACT COMMENTS t1Jk. 11/ 0 Pktr:&i ,. Alo I) tJ -c ,rj/--m_ e ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP