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HomeMy WebLinkAbout2858 LOKER AVE E; MULTI-PERMIT FILE; CB013230; Permit~f;.I{{ J)eJJtJ/e J)Je!L . -City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-12-2001 Miscellaneous Permit Permit No:CB013230 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: 2858 LOKER AV EAST CBAD MISC Subtype: 2090831900 Lot#: $3,200.00 PRESCRIPTION SOLUTIONS 40 FT FLAG POLE W /CALCS OTHER 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/11/2001 MDP 10/11/2001 10/12/2001 INDUSTRIAL DEVELOPMENT INTERNATIONAL C/O J R WETZEL INDUSTRIAL DEVELOPMENtlrltillTlmN».1)(O~002 01 02 18101 VON KARMAN AVE #120 IRVINE CA 92612 C/O JR WETZEL CGP 89.00 18101 VON KARMAN AVE #120 IRVINE CA 92612 Total Fees: $89.00 Total Payments To Date: $0.00 Balance Due: $89.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Inspector: .JI.;(/~ J PERMIT FINAL APPROVAL Date: 11//v/tl/ t Clearance: $89.00 $0.00 $0.00 $89.00 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 vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired . ......,=-a;;;__,.;;.;..;.;,;;.__,___,.......,,__........_......,......,_ ___ ........ _______ ......,_;,.;..;.=...--=.;...;;.;-=----=-....... ==-----=---~ ................ .__ ____ .......,........., _______ _ ,_.,. FOR OFFICE USE ONLY PERMIT APPLICATION CITY OF CARLSB~D BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 PLAN CHECK NO. (9 \--:;2-:So EST. VAL. 2f242Q l ~j e~ Plan Ck. Deposit ________ _ Validated By __________ _ Date ______________ _ ,,:,·,,', Address (include Bldg/Suite #) 2... 8 :;-~ t.. o Kert. Prue. 6Jfft r '7')Business Name (at this address) ..t::..rf..e-S'c ~, Pt16rv S::i.'-e117 QtjJ Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use # of Bedrooms # of Bathrooms : ,n ~ '• ' Name Address City i~.: \ ;~M!l~LC;<XNif '_:;:i[],J~omr,apfqr,, :,, :o:-AgE}rit]fo( Gdptf,~¢!9~ -'-~~-#n.et ::~0~~9,eo1,@-)QWf)8l' · · ·state/Zip Telephone# ,,~ "~-~ .. ,, '' ! Name Addi:.ess City State/Zip Telephone# ~~,:~:YAPJ:B:.W.ioW.~13' ::·:: · -:...::?-:.::;;_:,,:_ ::;:~./ ~-:::~:0• .. :<::,"':::'0.~· .. :" .. ,.·~::.,;:::·:.:· .. ">:}).1,.:;·~:::: :.~~-::-:;:: :~·.s.:::-:..:,.,';;t;-i:'J:_c;:.i :·:::;-'.'; s.J.'." !' --~~.:: ·: · -..,. Yot-6:c:. 1l-\ if' '.IZovJ s i::. t-,.,n \l NJ Name Address City-State/Zip Telephone# Fax# ;,s~,; .. ,,QQW:flAQj'.0!'!,>.!',gpJ\'!e;Al'.i!X~N~MJiL .· ,;" · ., ,, .--: :::.~::: ·, -:~:. :;~ ,',:, ,'..) ·. · . ·: ·. ~ -~ ', · (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 theref.rom, and the basis for the alleged exemptiol'). 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)). Name Address City State/Zip Telephone# State License # ___ N~__..J__,_Pr-~---License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ f~;:~:~:-:WQBf<jRS'Jf 0,MP~~61~ArJPJ~: .. , ~:.: :. . ·/-·... ~ ·~ ·--¥,_ ,,,:, ·:--.-.:. _: ~ 1 ~ ~ ,: -• Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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. D 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) D 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 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 ______________________________ DATE _________ _ :t;"-:\:ciW~~:RfE!.u1L,Qg,1ri;ii_cl:iARATIQN: .. ,: ·>:.: -, . , : ... ·\_; : :· ---._ :'.''. :::,: .':-':":·· . _. "·, . -_ :.:.,• I hereby affirm that I am exempt from the Contractor's License Law for the following 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 Id ithin 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). as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The nt ctor'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 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 prc;,vide 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): ___________ -,c_;_ ___________________________________________ _ 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? D YES ~ NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management 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 ~ 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. !~'i0:A~~.Nl:t!{1;,1p1:,lqN·f~J\l\?I.NGIA.~1:~cy~;" ::: . · .'. -~;;,' ·. ' :} 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 _____________ _ [~:!~'-8Pf&:t!:,,l:\N:&·q_~ij;l'!f1C'~JIOl'f .. :.,;;_ ..• 1:''.' 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 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 any time after the work is comm d for a period of 180 daY, (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE YELLOW: Applicant PINK: Finance ~ \ \ \ ~ City of Carlsbad Bldg Inspection Request For: 11/14/2001 Permit# CB013230 Title: PRESCRIPTION SOLUTIONS Description: 40 FT FLAG POLE W/CALCS Type:MISC Sub Type: OTHER Job Address: 2858 LOKER AV EAST Suite: Lot O Inspector Assignment: GG --- Phone: 7608042031 Location: Inspector: ---- APPLICANT INDUSTRIAL DEVELOPMENT INTERNATIONAL Owner: INDUSTRIAL DEVELOPMENT INTERNATIONAL Remarks: FLAG POLE FINAL Total Time: Requested By: DENNIS , Entered By: CHRISTINE CD Description Act Comments 11 Ftg/Foundation/Piers L!L E/;1/:,,../ ~---------19:e (}r,41-4~, vrl:d'l~P4.' IZ,drr Associated PCRs lnsgection Histo(Y Date Description Act lnsp Comments 11/09/2001 14 Frame/Steel/Bolting/Welding AP GG KEEP BRACES ON FOR 7 DAYS 11/07/2001 11 Ftg/Foundation/Piers AP GG 11/06/2001 11 Ftg/Foundation/Piers co GG NOT PER PLAN I t ,1 Oct-09-01 03:02P Sowards & Brown Eng. ,, 760 436-8603 P.01 ,, ''.J _ ........ , SOWARDS AND BROWN ENGINEERING 2187 Newcastle Ave., Suite 103 CARDIFF BY THE SEA, CALIFORNIA 92007 '.Aii"' ........ _ .... .,_. __ , __ ' -·-.. . ' :.0 .. ::J~ ~-_-Z,( : . ~d '. .... t.<?. .. ...... )·~~ '.id) l~.(j. . ...... J· ~3 . : l, :'3 I ........... ! ~o•-:-----p~:=.Sl!::;e.,/1..,~~p.:..ru::.:.;.;:~;.__:J~,=c..u!!.JQl.Ll!flY,~.I:,._ __ _ I . 9HE£TN0, _____ ::.,_ ______ OF---------- CALCUI.ATcO BY--..Lfl:--=S=----DATE /0 /, ,~ / CHECKiDIY-----------DATE--------- 8CALE ; l ' : ~ ; ·y ·, t- p~t-09-01 03:02P Sowards & Brown Eng. 760 436-8603 P.02 ~ .IOI! ~fruFN So4u n«"'.S SOWARDS AND BROWN ENGINEERING tHEETNO. "'l,. .. 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'f ! : ; : : . l ! : i City of Carlsbad .,._ 1635 Faraday Av Carlsbad, CA 92008 05-08-2008 Miscellaneous Permit Permit No: CB080843 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: Applicant: 2858 LOKER AV EAST CBAD MISC 2090832100 $75,000.00 RX SOLUTIONS Subtype: OTHER Lot#: 0 REPLACE EXISITING CONVEYOR & ELECTRICAL Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: KPRS CONSTRUCTION QUATTRO PARTNERS LLC 2850 SATURN STREET BREA CA 92821 714 809-0438 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $826.00 Inspector: 501 SPECTRUM CIR OXNARD CA 93030 PERMIT/ PLAN CHECK Total Payments To Date: $826.00 Balance Due: Clearance: ISSUED 05/08/2008 MDP 05/08/2008 05/08/2008 $826.00 $0.00 $0.00 $826.00 $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, gr 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 ctnd 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 ou have reviousl been iven a NOTICE similar to this r a to which the statute of limitations tias re iousl otherwise ex ired. Cit~. of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 ,. 760-~02-2717 / 2718 / 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS 2. CT/PROJECT# LOT# PHASE# # OF UNITS 1 J DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) #BEDROOMS Plan Check No. Plan Ck. Deposit Date SUITE#/SPACE#/UNIT# APN # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP AJ1vri'LD Uc ,.:r: EXISTING USE PROPOSED USE GARAGE (SF) FIREPLACE YESD #_ NOD FIRE SPRINKLERS YES D NO\i CONTACT NAME (If Different Fom App/leant) ADDRESS ADDRESS s-~ CITY STATE ZIP CITY STATE c.A.- PHONE FAX PHONE '11'1 80 EMAIL EMAIL CONTRACTOR BUS. ~p 2.- ADDRESS ADDRESS 1. CITY STATE ZIP CITY D vA PHONE FAX EMAIL EMAIL Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Cl I have and wlll 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:q' I have an!f wlll maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of th~ work for which this permit is issued. My workers' compensation insurance carrier and policy T''number are: Insurance Co. . Policy No. _____________ Expiration Date ________ _ This section need not be completed if the permit is for one hundred dollars ($100) or less. · Cl 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 cov rage Is unlawful, n 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~ ed for In ion 3706 of the r code, Interest and attorney's fees. · 25 CONTRACTOR SIGNATURE ll//tt DATE I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: Cl 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). Cl 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). Cl 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. Cl Yes 1:1·No 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/ 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/ 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/ type of work): 25 PROPERTY OWNER SIGNATURE DATE ls the applicant or future building occupant required to submit a business P5''. 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? Cl Yes JllNO . Is the applicant or future building occupant required to obtain a permit from the air pollution control district or al!qu lily management district? Cl Yes )(No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Cl Yes o IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED U lESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec, 3097 (i) Civil Code). Lenders Name Lenders Address , /?, , /, , / , ,' / , 'i,,/,,1/,: , I certifythatl have read the application and statethattheabove infonnation is correct and thatthe infonnation on the plans is accurate. I agree to comply with all Cityordinancesand State laws relating to building consbuctlon. I hereby authorize representative 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 OFTHE GRANTING OF THIS PERMIT. OSHA: AA OSHA permit is required for excavations over 5'0' deep and demolition or constructi n of tructures over 3 stones in height EXPIRATION: Eveiy pennit issued by the Building Official under the provisions of this Code II ire by limitation and become null and void if the building or work authortzed by such permit is not commenced within 180 days from the date of such pemnit or if the building or work authoriz y such permit is u p ded or abandoned at any time after the work is commenced for a pertod of 180 days (Section 106.4.4 Uniform Building Code). 25 APPLICANT'S SI.GNA TURE DATE City of Carlsbad Bldg Inspection Request For: 05/23/2008 Permit# CB080843 Inspector Assignment: Title: RX SOLUTIONS Description: REPLACE EXISITING CONVEYOR & ELECTRICAL Type: MISC Sub Type: OTHER Job Address: 2858 LOKER AV EAST Suite: Lot 0 Location: OWNER QUATTRO PARTNERS LLC Owner: DELNORTE FARMS INC Remarks: 12 NOON Total Time: CD Description 34 Rough Electric 39 Final Electrical ~Comment Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments Phone: 7148090438 Inspector: Requested By: MATT BLAKE Entered By: JANEAN April 30, 2008 Mr. Keith Hsiueh Jones Lang LaSalle K~ KRUSE & ASSOCIATES 12245 WORLD TRADE DRIVE, SUITE E SAN DIEGO, CA 92128 (858) 676-9776 FAX (858) 676-9744 barbara@kruseassoc.net Project Development Services Subject: Carlsbad Fulfillment Line Specifications Manual Per our review of the specification manual, the proposed equipment appears to meet the UL listing requirements of the City of Carlsbad and the voltage & amperage matches the circuitry indicated on the electrical documents. Sincerely, Constance Bergmark Electrical Engineer of Record ± j " , . .-. 04/28/2000 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: E.LE. ELECTRIC Total Fees: City of Carlsbad Miscellaneous Permit Permit No:CB001625 Building Inspection Request Line (760) 602-2725 2858 LOKER AV EAST CBAD MISC Subtype: 2090830100 Lot#: $0.00 PARKING LOT LIGHTS/12 POLES OTHER 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 04/28/2000 RS 04/28/2000 04/28/2000 0001 01 C-PRMT $280.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Inspector: FINAL APPROVAL Date: tf',;Jr-~ 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 '1ees/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 vou have previously been qiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise expired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 02 280-00 , I FOR OFFICE USE ONLY PER.MIT .APPLICATION PLAN CHECK NO. {J/SJQ/ foc:JS CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date ______________ _ Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Assessor's Parcel # { ~ I{-,,(,,,,/, f-1,2,ML Description of Work t 1 . Exisft Use C, L.'")0 ~ SQ. FT,/ -,~;' ,, : QQtJ:t.i\Ct'P,!;ij~QN,,(if differl!htJrom applicant)" : , , l \.0 'l ";::, J;) Po/'t!--s #of Stories Proposed Use # of Bedrooms "t 'f,' Total # of units # of Bathrooms State/Zip Telephone# ')/4" 1~¥TY QWNi;f :~ f D 1 · Name State/Zip Telephone# J·· ,, "'CONTRA.CTOR • 'co'MPANYNAME. . . . /'!~ec. 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 exe~tion. Any violation of Section 7031.5 by any aP.plicant for a permit subjects the applicant to a civil penalty of not m e thap/ive hundred dollars [$500]). t: :J=e. erec..:/N-c_ 77D V (JV\ k~c...V\ Q....J b<e--+-1/b-e_<:c. Y-1u;c,o (947) 222-c:r(=t~ Name State License# b I '8%2--S E 'J:-s-e c-e.,_~,c. Address City State/Zip Telephone# License Class e_ / O City Business License# / 2--0 VJ 003 Designer Name State License # _________ _ Address "' \ City State/Zip Telephone t6." ·WP~kEFfs~ ,e;:QMP~N$:ATl.ON-, , , ~_ , _ -, _ -, --__ ,,, ~-,,~--w~, ", ¥s' -~; '"' , " --. ,--_ : , ': ~ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: ~,-~rhave 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 Jhe work for which this permit is issued. ~ 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) 0 CERTIFICATE ~1-ce(!!fy 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 sub'ec to the kers' Emsatio~aws of California. WAR ING: Fail re to s re or rs' c mpe~ation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred , , 0 ), in ad it1 o the ~mpensation, damages as provided for in Section 3706 of the l!abor code interest and attorney's fees. SIGNATURE __ ,L_O;;=:..__---=:..__....,,.::::__-'-----'-\_____________ DATE "7-"'g c;:r2> "-t' ___ Q.)IV~l;IM!UJli;>g_R QEC!-AR4J)ON . _ . , , ,. . • : _ , .. · · / ' 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 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 -----------,C:Qr.:'fe~!;Tl;.T!il~ $ECTl9~ FOR. NON~RE$IDENTIALflUll.DING ,f'ERryili'S: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? 0 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 O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES O 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. ,s::~::1::0N$TRV9Titirf(r;~pJNG:AGEr{c:y. · ·. :, · · · --~· ·:·, -•. --· .. 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 _______________________ _ 19, ,APl'UCAl'\IT·Cl,:f!Tlf,JCA TIQN 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 Gitt 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 EXPfNSES-Wl41~NY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is requk d for excavations over 5'~eep and demolition or construction of structures over 3 stories in height. EXPIRATION: ~tl dJ2y the building Official undertne-~sions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not c mmerrc~d I hi~ O a s f m the date of~such permit or if the building or work authorized by sue permit is suspended or abandoned at any time after the work is comm'e ecLf eri , of 1 O d s (Sebion 106. 4 Uniform Building Code). LI APPLICANT'S SIGNATURE ,~ ' DATE / J 2-<JV WHIT~File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 8/31/2000 Permit# CB001625 Title: PARKING LOT LIGHTS/12 POLES Description: Inspector Assignment: RB --- Type:MISC Sub Type: OTHER Phone: 3238162522 Job Address: 2858 LOKER AV EAST Suite: Lot 0 Inspector: I} /? Location: ___.__t-j__) APPLICANT E.I.E. ELECTRIC Owner: INDUSTRIAL DEVELOPMENT INTERNATIONAL Remarks: Total Time: CD Description 39 Final Electrical Act Comments Requested By: TONY Entered By: CHRISTINE _.if ______ _ 4--------+ l:rp/4r r" 4 s: Associated PCRs lnsgection Histo~ Date Description Act lnsp Comments 8/29/2000 39 Final Electrical co RB GROUND ALL LIGHT POLES & SEE ATTACHED NOTICE 8/11/2000 11 Ftg/Foundation/Piers AP RB POLE FTGS COMPLETED 8/10/2000 11 Ftg/Foundation/Piers PA RB SE JOB PLANS 8/8/2000 11 Ftg/Foundation/Piers CA RB BY TONY 8/7/2000 11 Ftg/Foundation/Piers co RB SEE NOTICE 8/7/2000 31 Underground/Conduit-Wiring AP RB COMPLETED 8/4/2000 11 Ftg/Foundation/Piers NR PS 7/19/2000 31 Underground/Conduit-Wiring PA RB UNDERGROUND @ PARKING LOT OK 7/18/2000 31 Underground/Conduit-Wiring PA RB SEE APPRVD PLNS 7/17/2000 31 Underground/Conduit-Wiring PA RB SEE APPROVED PLANS 7/17/2000 41 Underground Ducts WC RB 7/12/2000 31 Underground/Conduit-Wiring PA RB SEE APPROVED PLANS -SEE NOTICE C.O. . ,, City of Carlsbad 0t/25/2'000 Miscellaneous Permit Permit No:CB000082 Building Inspection Request Line (760) 602-2725 Job Address: 2858 LOKER AV EAST CBAD Permit Type: MISC . Subtype: Parcel No: 2090830100 Lot#: Valuation: $0.00 Reference #: OTHER 0 Status: Applied: Entered By: Plan Approved: APPROVED 01/10/2000 GMF 01/25/2000 Issued: Project Title: INSTALL ELECTRICAL Inspect Area: INSTALL LIGHT 12 LIGHT FIXTURES W/ FOOTINGS Applicant: INDUSTRIAL DEVELOPMENT INTERNATI C/O J R WETZEL 18101 VON KARMAN AVE #120 IRVINE CA 92612 Owner: INDUSTRIAL DEVELOPMENT INTERNATI C/O J R WETZEL 18101 VON KARMAN AVE #120 IRVINE CA 92612 Total Fees: $600.00 Total Payments To Date: $0.00 Balance Due: Miscelaneous Fee #1 Miscelaneous Fee #2 TOTAL PERMIT FEES Inspector: FINAL APPROVAL Date: _____ _ Clearance: $600.00 $0.00 $600.00 $600.00 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 exoired. FOR OFFICE USE ONLY --· P~ijM11 APPLICATION PLAN CHECK NO. e-Gc;c,00%;).- CITY OF CARLSBAD BUILDING DEPARTMENT EST. VAL. _________ _ 2075 Las Palmas Dr., Carlsbad (760) 438-1161 CA 92009 Plan Ck. Deposit ________ _ Validated By ./21' .,--~------------- Date /1(}-{1 'l Address (include Bldg/Suite #) ~ 3ol..,3] 4,.,,~ .35' oF ~.ew-&,46 Legal Description ' ' Business Name (at this address) Tle.4c..-; At.. 7'1-1...I /;...) 71111! <.'.>r,-dt°u.tt.tSBA.b Ct,V.A/;'f4-' S:l:> :aRMJ> 1a.J7L Subdivision Name/Number Unit No. ' Phase No. Total # of units Lot No. Assessor's Parcel # +:'A'lc:.b Nt::. LJ,-c-.AAD,-,1,,,.AJ Existing Use Proposed Use Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms Name Address .) City State/Zip Telephone# ; ' -, , ,.; ' ~ ,M, ~ =N , . .,,..,,,,,. "' '' ~ (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 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]). Name Address City State/Zip Telephone# State License# _________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 6.--·woR,{{EBS'·COMPEN,~ATION------'., ':.', ' ,, , .... ,·:--~_::·,·-_-_-::, ->-' -->' ' , ' ,.,, , ~ ,,J ' Workers' Compensation Declaration: I hereby affirm under penalty of perjury 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. 0 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) 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 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 attorn~y's fees. SIGNATURE. ______________________________ DATE _________ _ '7~, , __ ,OWN~tl~~\:!JJ.\JJL~lli tlECJJ\.~ATIQN -M -,.-,N· ,,_., -•• _ ~-~~-~-__ -~ ~-:~.-,,' -~ --~:~:~·--~:~_~:::; ;;:, :-,.:, ',:,,', 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). R 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 provid~ the major labor and materials for construction of the proposed property improvement. D 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 / 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): _______________________________________________________ _ DATE _________ _ ',, l< ' 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? 0 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? D YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES O 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~-~ .¢6:t:'$T;8~~,:iQr{J~NP1f{a M'.EN~Y;): : ·.:-:~:: / ::·: : :::·: : ~:-~ ~ ·;-·: ;~~-"~ ::·.-: --,-: _--_-_ ·::: . : :~:.':':-::·: :_-;·-, ~.,, ""'< ,,, ~, ,v,,,_,nj , , o,,, , , , ,',: ': \ ~--; ' ' 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 _____________ _ '.~,--APP.!-I.G/:\1fJ:'CElfJ:IFlqA,T!P~,/ _ -----·--. --::-,::-·-·· · - 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 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 e work is co f a period of 180 days (Section 106.4.4 Uniform Building Code). I APPLICANT'S SIGNATURE -~_;'>,:,.,,...=--..:::-=,Qa'---:_·::~=:~===--e=---------------DATE L_O y'AJ.J. 00 WHITE: File YELLOW: Applicant PINK: Finance ' i "· 11/15/2000 INDUSTRIAL DEVELOPMENT INTERNATI C/O J R WETZEL 18101 VON KARMAN AVE #120 IRVINE CA92612 Re: Application Date: 01/10/2000 Plan Check #: CB000082 Address: 2858 LOKER AV EAST Expiration Date: 01/09/2001 Permit Type: MISC Description: INSTALL ELECTRICAL INSTALL LIGHT 12 LIGHT FIXTURES W/ FOOTINGS You applied to have your plans checked on the date noted above. To date, the related building permit has not been obtained. The original plan review application will expire as no building permit has been issued. · Plans submitted and not retrieved from the building department prior to the plan check expiration date noted above will be destroyed. The provisions of sections 304 (d) of the Uniform Building Code state: "Section 304 9d) Expiration of Plan Review Applications for which no permit is issued within one year following the date of application shall expire by limitation, and plans and other data submitted for review may thereafter be returned to the applicant or destroyed by the Building Official. In order to renew action on an application after expiration, the applicant shall resubmit plans and pay a new plan review fee." In order to provide better service, please indicate your· handling choice for the plans originally submitted and return this letter to the Building Department. __ Project Abandoned -I will pick up plans within 10 days __ Project Abandoned -Plans may be destroyed. If you have any questions, please contact the Building Depa~at (760) 6~2/18. Raenette Abbey f ~ ~ S~ ~· ' Building Department -{J)~l ~ ~~