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Home My WebLink About2862 LOKER AVE E; ; CB982014; PermitB U I L D I N G 06/25/98 11:51 Page 1 of 1 Job Address: 2862 LOKER AV P~rmit Type: ELECTRICAL Parcel No: 209-083-01-00 Valuation: O EAS'!' P E R M I T Suite: Lot#: Permit No: CB982014 ProJect No: A9802660 Development No: Construction Type: Occupancy Group: Reference#: Status: NEW ISSUED 06/25/98 06/25/98 RMA Description: TEMPORARY POWER POLE Appl/Ownr : POWER PLUS 436 N QUINCE ST ESCONDIDO CA *** Fees Required *** Fees: Adjustments: Total Fees: Fee description Enter "Y." for Enter "Y" for Tempo r""" • 760 Applied: Apr/Issue: Entered By: 839-9430 O 11 e Ct 8438 ()6.(~/~ ()001 01 ------------____ t-PRMT .00 .00 20.00 02 "20.00 Ext fee Data 10.00 Y 10.00 Y FINAL APP F{OVAL ~ DAT E _2:/ lf ~9_~ INSP._,_j~---- CLEARANCE --H· ------... -- .----~ ---·· CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION FOR OFFICE USE 0~ ~ r'J u PLAN CHECK NO._i __ 'f> ___ Vf_ ' CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST.VAL.~~~~~~~~~~- 1. PROJECT INFORMATION A 2 '&'6 z l-oK-er ve 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 # :J;n5f,;, II C\ f'o / Jxisting Use Proposed Use Description of Work 1 SO. FT. #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON (It different from applicant) Name Address City State/Zip Telephone# Fax# 3. APPLICANT 0 Contractor 18 Agent for Contractor 0 Owner 0 Agent for Owner fWT'J-$19'2 77~-<,,016 G.lm er G l~IJtt tz..¥$ F >r .?4"7 0 /~o cA/c,-zltJI I Name Address City State/Zip Telephone# 4. PROPERTY OWNER ~oef (on5'f: ~l_C6 Kqr_T:z.. n; 9:u, a~o C rl-/'1715B Name Address City State/Zip Telephone# 6. CONTRACTOR • COMPANY NAME (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 Jpplicant for a permit subjects the applicant to 1 ciil penalty of po more than five hundred dollars ($5001). Po1V~r P v.5 y.~k, tv, (). '<,i,ce 91; E=5 Col!1rA,&lto C/1-~ 9-c?O.? 9JC?-9 'ri'd Name Address City State/Zip Telephone# State License # _s-_z_J-'Y __ ~....cb=c_ __ _ /'· /'/' License Class -=V~°'=--=--------City Business License II -------- Designer Name Address City State/Zip Telephone State License II ---------- 6. WORKERS' COMPENSATION 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. (E.. 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 _ ..... t!_-e..::....c'twtL...:...bL,_-=:,r:I=::..:..;n:....'5.L, --~-'-4~P.;;;....,..(c..._ __ _ Policy No. CO 00 ~/ // 0 Z (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) Expiration Date ( -/ -Cf '1 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 verage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($1 ,00 ompensation, damages as provided for in Section 3706 of the Labor co'!t, !l!l.erest en_JJ,attomey's fees. SIGNATURE DATE t -;,£. ~ ,-9 f' 7_. OWNER~BUIL or'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 sold within one year of completion, the owne,-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: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. D YES ONO 2. I (have I 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 I phone number I contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone number I contractors license number):---------------------------------------------- 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number I type of work): _______________________________________________________ _ PROPERTY OWNER 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? D YES 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? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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 LENDING AGENCY 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----------------::-==:::::-==::::------ 9. APPLICANT CERTIFICATION 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 the or is menced for rio f 180 days (Section 106.4.4 Uniform Building Code). /' _ :Z .> ..-t? f APPLICANT'S SIGNATURE DATE -"------------ YELLOW: Applicant PINK: Finance PERMIT# CB982014 DESCRIPTION: TEMPORARY POWER CITY OF CARLSBAD INSPECTION REQUEST FOR 07/10/98 POLE INSPECTOR AREA RB PLANCK# CB982014 OCC GRP TYPE: ELEC JOB ADDRESS: 2862 LOKER AV APPLICANT: POWER PLUS CONTRACTOR: OWNER: REMARKS: C/MICHELE/ SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION EAST 32 EL Const. Service/Agricultural STE: CONSTR. TYPE NEW LOT: PHONE: 760 839-9430 PHONE: PHONE: INSPECTOR ACT COMMENTS #P ____ _ ***** INSPECTION HISTORY***** DATE 070698 070198 DESCRIPTION Const. Service/Agricultural Const. Service/Agricultural ACT INSP CO RB CO RB COMMENTS IDENTIFY SUBS & INSTL FILL BL NO LOAD & 2 CONDON SGL TERM!