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HomeMy WebLinkAbout2840 LOKER AV EAST; ; CB031816; Permit07-11-2003 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No CB031816 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 2840 LOKER AV EAST CBAD MISC 2090820800 $000 Subtype Lot# S C I REMOVE AND REPLACE WATER DAMAGED SHEAR PANELS REPAIR 0 Applicant INTEGRITY RESTORATION INC 4901 MORENA BLVD SAN DIEGO CA 92117 858-270-9151 Status Applied Entered By Plan Approved Issued Inspect Area Owner FENTON H G CO 7588 METROPOLITAN DR SAN DIEGO CA 92108 ISSUED 07/02/2003 SB 07/07/2003 07/11/2003 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES $12000 ' $000 $000 $12000 Total Fees $12000 Total Payments To Date $000 Balance Due $12000 9450 07/11/03 Inspector FINAL APPROVAL Date 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 m 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 ^PROJECT ^FORMATION; FOR OFFICE USE ONLY PLAN CHECK N EST VAL Plan Ck Deposit Validated B Date Address (include Bldg/Suite #).Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total a of units Assessor's Parcel #Existing Use Proposed Use Description of Work SQ FT #of Stones # of Bedrooms # of Bathrooms -113 Name Address City State/Zip Telephone #Fax # ""' "APPLICANT \ Sn^CpntractoVr^'ffiAQenfrfor'cbn'tTactor"S,f |7| Owneri/i 8tFI"Agertt for Owner? •JbM V\XJftLJE>^ lQ*fe& ExfC-QtgEre- RQ L*yfrVA>EStt. Address City State/Zip Telephone # ~ 406 - Name ^CONTRA'CTQJC- fCOMPAFJ Y, NAME Address City State/Zip Telephone (Sec 7031 5 Business and Professions Code Any City or County which tequiras 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 IChapter 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 I5500]) Name State License 75 T.Address License Class e>City State/Zip Telephone # City Business License # I C. |Q Q \ X CA Designer Name State License # Address City State/Zip Telephone Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations Q^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 '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 d My worker's compensation insurance carrier and policy number are "2,00% 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 [$100J OR LESS) Q 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 dollarst($100.0p0), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees SIGNATURE e DATE ~t ~ I herebaffirni that I am exenjfSt from the Contractor's License Law for the following reason [~l ll 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 704^r 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 woTk 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) PI 1, 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) Q 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 fj YES 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 maior 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 ICOMPLET? THIS's€CT\oNl iFioR"ivoN-REsiDENTiAi: BUILDING" PERMITS ONLY/IX^^",,".^ $'- % 1,« y :i >,J "s&, rr-'.V'1 (r .tf ,V ".' s l"s 1: "1,1, is & wfi'' * 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? Q 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' '"CH YES d MO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 O YES Q 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 'a^/CONSfRiJCTfoN'L'END^ V'ST ' ' ! ,' \ ', t-.'.1^"!«,'jj'1 !,''a^ !/^-' ^ » 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 NAMELENDER S ADDRESS 9stt 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 CrtV of Carlsbad to entei 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 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at anytime after the work is comjhenced Jpr period of 180 days (Section 10644 Uniform Building Code) *~7-?—rT>DATE / C— U5APPLICANT'S SIGNATURE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 12/12/2003 Permit* CB031816 Title S.C I REMOVE AND REPLACE Description WATER DAMAGED SHEAR PANELS Inspector Assignment RB Sub Type REPAIR 2840 LOKERAVEAST Lot 0 Type MISC Job Address Suite Location APPLICANT INTEGRITY RESTORATION INC Owner FENTON H G CO Remarks FIRST INSPECTN OF THE DAY - PLEASE CALL Phone 6197788414 Inspector Total Time Requested By NA Entered By CHRISTINE CD Description 19 Final Structural Act Comment Associated PCRs/CVs Inspection History Date Description 12/10/2003 89 Final Combo 07/21/2003 17 Interior Lath/Drywall 07/18/2003 13 Shear Panels/HD's 07/18/2003 15 Roof/Reroof( 07/16/2003 13 Shear Panels/HD's 07/15/2003 13 Shear Panels/HD's Act Insp Comments CA RB WAS DENIED PERMISSION TO BE ON PROPERTY BY CARMEN AP RB AP RB WC RB CA RB PA RB PRELIM OK - OK TO INSTALL SHR SEE NOTICE - STE 101 City of Carlsbad Bldg Inspection Request For 07/15/2003 Permit* CB031816 Title S C I REMOVE AND REPLACE Description WATER DAMAGED SHEAR PANELS Inspector Assignment Sub Type REPAIR 2840 LOKER AV EAST Lot 0 Type MISC Job Address Suite Location APPLICANT INTEGRITY RESTORATION INC Owner FENTON H G CO Remarks Phone 6197788414 Inspector Total Time CD Description 13 Shear Panels/HD's Act Comment Requested By BRIAN Entered By ROBIN Associated PCRs/CVs Inspection History Date Description Act Insp Comments NOTICECITY OF CARLSBAD (760) 602-2700 BUILDING DEPARTMENT 1635 FARADAY AVENUE DATE / ' > f^? TIME LOCATION PERMIT NO _ f /S-&&&S rf£>0r<?*'&&S .^^^ _g C /P-^^,1/ tf/^ >4 A^X^^^/^^ (f£> FOR INSPECTION CALL (760) 602-2725 RE-INSPECTION FEE DUE? L_J YES FOR FURTHER INFORMATION, CONTACT PHONE BUILDING INSPECTOR'— CODE ENFORCEMENT OFFICER © N 1 L c, K i | >restoration, 1 n c November 16, 2000 To Whom It May Concern- I authorize Jon or Christ! Hurle> to sign for permits on behalf of Integrity Restoration. Inc Chris Brown (i M O K I .-4 -\ b I v d s a It a 502 N [> i i *, (" c a 92117 ah B S 8 270 9151 • i , ,s i ,i 1 ' it ' 1- I i \ 1 7 f I 7 3 2 Jan 03 Q3 11:26a 09:18 INTEGRITY RESTOKH I 1 un , i 873 0002" POLICYHOLDER COPY STATE p 0. BOX 420807, SAN FRANCISCO, CA 94142-0807 COMPENSATION FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE JANUARY 3, 2003 -CONTRACTORS STATE LICENSE BOARD WORKERS' COMPENSATION UMIT P 0 BOX 26000 SACRAMENTO CA 95826 GROUP POLICY NUMBER 1669762-2003 CERTIFICATE ID s CERTIFICATE EXPIRES M-0«-20D4 01-04-2003/01-04-2004 CSLT760732 01-04-03 FFCSC This is to wrtify that we have issued a valid Worker's Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below tor the polrey period indicated This policy ts not Subject to cancellatjon by the Fund except upon 10 days advance written notice to the employer We will also give you 10 days advance notice should this policy be cancelled prior to its normal expiration This certificate of insurance B not ar> insurance policy and does not amend, extend or alter the'coverage afforded by the policteb bMed herein Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or may pertain, the insurance afforded by the policies ' described herein ia subject to all the terms, exclusions, and conditions, ot such policies EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS $1-000,000 PER OCCURRENCE EMPLOYER INTEGRITY RESTORATION INC 4901 MORENA ELVD STE 502 "SAN" DIEGO CA 92117 sot