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HomeMy WebLinkAbout2841 LOKER AVE E; MULTI-PERMIT FILE; CB994358; Permitut/ -City of Carlsbad .. -~;.,_"'; - 11/22/1999 Plumbing Permit Permit No:CB994358 Job Address: Permit Type: Parcel No: Reference #: Project Title: Building Inspection Request Line (760) 438-3101 2841 LOKER AV EAST CBAD PLUM 2090831300 Lot#: 0 Construction Type: NEW SOLUTION TECH-GAS REPAIR Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 11/22/1999 RMA 11/22/1999 11/22/1999 Applicant: 6475 11/22/99 0001 01 C-PRHT __ owner.;_ . ,,,,-------SINGER IRVING&_RUTH LIVING TRUST 06-30-86 RESCUE ROOTER P.O. BOX 1592 EL CAJON CA 92022 619 440-2262 Total Fees: .,,.,,.r"' ,.,...--""\ ,... "'-..., ,, , _,-., I , "- // :;{42)\J/M:Ap~('i;>·~ tf125~ / BEYERL Y.\b-llLL:S ,CA 9021'(l / --\.'// / \ / ,, .,,,.-.,, ... , ·--,,_ "'-)n ; . / r • / ,.::;.,----.'-,. " \. -..,_/ ' ,.--, \ / ,_.\ \ / hr, ~--~ ~ ~ . ..-;,,-,/0, \ \ Plumbing Issue Fee ... ! ·,--------~15,, //17 /:/\ ., $20.00 Fixture or Trap \ \ \'-... ff1V ~~0 \~n·$J1( <.~if){t-;} $0.00 Building Sewer 1 \ ,::--> -......_j )/,o 1~ if 1 ,<· J \{ I $0.00 Roof Drain \ \ ~; t6:;),. ~/ C 1 4<Jf / ,'$0.00 Install/Repair Water Line \ \ ' ,()'~ ,c:::.,' 1 ,... .. ., ·,,---11 • $0.00 , / l -~~ ~ I ,,,,,,- Water Heater and/or Vent \\ "" / / 0 {Ji ·-,.-/ $0 00 ' ,'~" "-;'_,1 1 11\!CORPOPATEO / ,· . Gas Piping System \ r 1 •.•• ----........--. 1952 ,,/ , $7.00 Vacuum Breaker '--, \.-.., /· o_ i1 _..,,./ / $0.00 ' ...__ ,,./ <J I /'1 ----,~-/ Other Plumbing Fees "'.., '-""t.// I (~ '\/'6; \ / $0.00 Master Drainage Fee ~"-... .............._~,') 'iJ) \~~:: ,,,/// $0.00 Sewer Fee --------------------/ $0.00 TOTAL PERMIT FEES $27.00 FINAL APPROVAL Date: (( t/c(. fr Clearance: $27.00 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 02 27-00 PERMIT APPLICATION FOR OFFICE USE O~': PLAN CHECK NO. l_fj C"[q L/ ]S<f CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 EST. VAL _________ _ Plan Ck. Deposit ------,-+1--,----Validated By-+-,,,___...,....-1-_,_.::;;_-===--- ~-~-•:....!~:~~:.l~:;;~~3·Z~..!.~:...:_:~~6.'::.l.~~"'L,..!.. 11;,...!.l::::::i!V:.!~.::-1~=-~---'*'..t.,r::...:.!.."l"..kT2~~!.::·t-===·1z:::..''"".:.··!-~-~-~~---~-~-·'tt;r,ii_~_· , __ , -_~!"'-lir:"""_~-=-~,_~:-·~_J_J&i-;-;t.;,t-_:Mi_·~--;· ~-.---:-;:;-~D~a:::'.te~:::::::~::~:::::::~:~::~:106y Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Name . Address City S.tate/Zip Telephone# ,:,,~~~..,.,..,.n.,,-,,~~~•~~'<~~~~r:rn.t.-~ t.~.,..att~~!-~,.,'V'~Y'f-,Y"'~"''>r.':R''::-;'>-l~•~\i-:e+-'~·~•l"~"' ~-•,,,,....,.!"'''-·{:<..· ~~~B~~~~~~~miii.~~~~~~!:'~~:,!l!ll(ffi.<r.i'iiifatlli,i:k~si~,;:,, ,ki:\'l2htL½11~½'½.~-'-''~"'; ,:¼~,,;,1;,.~.:\~·,,~,;:: (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 s!gned st_atement that he is licensed pursuant to the provisions of the Contract~r'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 basrs for the alleged exemption. Any violation of Section 7031.5 by a y applicant for a permit subjects the applicant.to a civil penalty of not more than five hundre dolla s [$500]). ~ot-e..,y--. Bo -1 c.A-o/41 o:i ;;2~ 61'?. ~()-2.26,2. Address City State/Zip Telephone# License Class C.-3 (p City Business License # /Z O 7 ~ $L 0 Name State License # Designer Name Address City State/Zip Telephone State License # _________ _ W~~;W~bKE~f•N1~~-~°Q~.mut.~iwliliii.!f.iiB1m~~~~~~~'A~t.1:~)'J~r)~r?:7;:f!:1~·i;'.;··~'..::, ·:·~·:::-·c·:'~:·,·::.!0'' ••• ,.·c: Workers' Compensation Declaration: I hereby affirm 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 com::rsation insurance carrier and policy number are: , / . / Insurance Company l±_ C... 0 fLO Policy No. C 'f?. 'f {) )S-'3/ J Expiration Date Y/~ ;/0 C (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 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 the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and ivil fines up to one .hundred t ousand dollars ($100,00 , n ddition to the t of compensation, damages as provided for in Section 106 of the a or ode, in rest and attorney's fees. SIGNATURE: __ ~~~~::::==~============----------~/._ DATE z_ . r,J;J!®~[~ti'jj;p( : .C:~f!~ffiti,F~~~~lt-~Wt;,l½,rl~¥Ji;,~!~~~fil.'.i[f~:--.Z:.:~~~~K~-~~1'.~:~'Y:;:,:.~~';_1s'.1;}~]; :\: :-··_,:··:~"·' 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 ~f 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 conttactor(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/ 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 _________ _ !~QMfcji~tltili$~~J:ijffiiJ.lm_./~s.rN.®1'JkW:.:@!'.ai~~~~~~~~~~1'&1rlk1t~l~?-:F1r;;:;,;:mr.c:B~::;·::,:;,;}~?':~=1:}t;.·. Is the applicant or future b·uilding 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 Su~stance Account Act? D YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality managem)lt't district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O NO .-L 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. tl~<ll!tfBl[~UQN~J"{:g{W{~~~~~~~~::;~4~;1.~l~~~i~l~~~?J;~;J:~7~:r:;0:7~;~~:;~·i,~:'~,t;~ ·-.;,.~v: .-~:~ :. -~ 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-:------------------------ t~1!11f!;_i_A~~i_i,'(((.~!ilPMJ¥'1T~vP~"f't;_~B,z;$~-~~~if~!~7&-"~~Z';Z5i~-;ffim::,:~t:l°~~::;·:;: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 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 iiding Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by s~ch·permit is t comma ced 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 t e work is mmenced eriod of 1 80 days (Section 1 06.4.4 Uniform Building Code), 0 ~, / APPLICANT'S SIGNATURE ..j...,L--::!::::==-==d;;::::::_:~ :_'"' _7;_,;:; _-:-:--.., -,,..--__ -~ __ -::--------~-ATE ~ OW: Applicant PINK: Finan .. ' > UNSCHEDULED BUILDING INSPECTION DATE \l .. ,2:1:-99 INSPECTO~_rt ___ _ PER.1vllT # S9"='~ PLAN CHECK# ____ _ JOB ADDRESS 2-S'::\, '=<,,¥vM, A-v r . DESCRIPTION __________________ _ CODE DESCRIPTION ACT COM:MENTS "'., 'i ...... ' B U I L D I N G P E R M I T Permit No: C3920798 Project No: A920l841 Di.?velopment No: 08/11/92 14:23 P,:HJe 1 of 1 Job Address: 2841 LOKER AV EAST Suite: Permit 'Type: ELECTRICAL BB46 08/.11/92 0001 01 02 Parcel No: Lot#: C-PRMT 35-00 Valuation:· o Construction Type: NEW Occupancy Group: Reference#: Description: TEST METER PER PHILLIPS Appl/Owm: : PROGRESSIVE ELECTRIC 590 AGUSTA STREET SAN MARCOS, CA 92,9,t;,·9" . ...--··--··-- ,J~~-- ;;:c::.1:-..=cn ,,-rt:o )(':;? CITY OF CARLSBAD 619 C/2._ 3 g g ~ Status: ISSUED Appli12d: Apr/Issue: 0/:;/11/92 Validated By: DEC 741-1593 INSP. CLEA 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 " . PERMIT APPIJCATION • PLAN CHECK NO. City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 FSf. VAL,__ __________ _ . . PLAN CK DEPOSIT ________ _ VAIID.BY ___________ _ 1. PRRMI I WPE DATE. _____________ _ A -D Commercial D New Bmiding D 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 Cl Pool Cl Spa Cl Retaining Wall D Solar D Other ____ _ 2. PRQJECf INFORMATION FOR OFFICE USE ONLY zess ~:,q:I LD1a;;z .ft.\J/;'. Nearest Cross Street &="2\3f.-Budding or Suite No. LEGAL DESCRlPfloN Lot No. subd1V1s1on Name/Number OmtNo. Phase No. CHECK BEWW IP sOBMl'l'l'Eb: D 2 Energy Cales a 2 Structural Cales a 2 Soils Report Cl 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE DE~PTION OF WORK 1e61 \f\.A.6"1<2...(2.. PROPOSED USE VSQ. FT. # OF STORIES 3. WN IACI PERSON (11 different from apphcanO NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 4. APPUCAN'I NAME oCON'l'RACIOR DAGEN'I' FOR CON'l'RAC'IOR ADDRESS Cl OWNER Cl AG£N I FOR OWN£R CI1Y STATE ZIP CODE DAY TELEPHONE s. :?ix°1?-Ht~1// b.S6 ~ :J ADDRESS LIT STATE ~!~/lSLbS\~ £/ee-T. ZIP CODE DAY TELEPHONE l'{-{)/bv'=> r A · ADDRESS CI1Y vU cAAA (ll¢)5 STATE CA ZIP CODE c; Zl)[c '1 DAY TELEPHONE 11-I /5°'7 3 CI1Y BUSINESS LIC. # STATE LIC. # L/,(p Cf /Cj{f LICENSE CI.ASS CI1Y STATE ZIP CODE DAY TELEPHONE STATE LIC. # 1. WOIU<£RS' OOMPRNSATION Workers' Compensation Declaration: I hereby afhrm that I have a ceruhcate of consent to self-insure issued by the D1rector 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 POLICY NO. EXPIRATION DATE Ceruhcate of Exemption: I certify that in the performance of the work for which this permit 1s issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. oWNER-B01IDER DECI..ARATION D D D Owner-.1:lmlcter Declaration: I hereby afhrm that I am exempt from the Contracto?s License Law for the following reason: 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 Llcense 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.). 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 Llcense 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 Llcense Law). 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 Llcense 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 s£cTloN FOR NoN-RESibENTlAL 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 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? DYES D 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 TIIE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFfER JULY 1, 1989 UNLESS TIIE APPUCANT HAS MET OR IS MEETING TIIE REQUIREMENTS OF 11-IB OFFICE OF EMERGENCY SERVICES AND TIIE AIR POU.UTION CONTilOL msrrucr. 9. CXJNS'IROCIION J.£NblNG AGENCY I hereby afhrm that there 1s a construction lendmg agency for the performance of the work for which this permit 1s issued (Sec 3097(1) C1VII Code). LENDER'S NAME LENDER'S ADDRESS 10. APPllCANT CERTlflCA1'10N 1 cerufy that I have read the apphcanon and state that the above mformauon 1s correct. 1 agree to comply with all City ordinances and State laws relating to building construction. I hereby authoi,:ize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I AI.50 AGREE TO SAVE INDEMNIFY AND KEEP HARMIBSS TIIE CTlY OF CARLSBAD AGAINSf AIL UABIUTIFS, JUDGMENTS, COSfS AND EXPENSFS WHICH MAY IN ANY WAY Acx::RUE AGAINSf SAID CTlY IN CONSEQUENCE OF TIIE 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 suspend or aban ed at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). DATE: ______ _