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Home My WebLink About2866 LOKER AVE E; ; CB983143; Permit/'v. '1 g)'" .J J 09 /16/98 12:40 1Page 1 of 1 f B U I L D I N G EAST P E R M I T Suite : Lot#: Permit No: CB98314 3 Project No: A9804086 Development No: Construction Type : Job Address : 2866 LOKER AV Permit Type: ELECTRICAL Parcel No: 209-083-01-00 Valuation: 0 Occupancy Group: Reference#: Status: VN ISSUED 09/16/98 09/16/98 MDP Description: TEMP . POWER POLE Appl/Ownr : POWER PLUS 436 N. QUINCE STREET ESCONDIDO CA 92025 *** Fees Required *** Fees: Adjustments : Total Fees : Fee description CLEARANCE 760 Applied: Apr/Issue: Entered By : 839-9430 Fees Coll ected & Credits *** .00 .00 20.00 Ext fee Data 10 .00 Y 1 0 .00 Y 1169 09/16/98 0001 01 02 C-PRHT 20.00 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 FOR OFFICE USE ONLY PLAN CHECK NO. tf5-3/t/J • f ·PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST.VAL.------------ Plan Ck. Deposit---------------- Validated By-----------Date. _____________ __ 1. PROjECT INFORMATION ' .~ .... Address Unclude Bldg/Suite I) Zff6t3 boker Ave; £q~,r Business Neme let this eddras) Legal Description Lot No. Subdivision Nerne/Number Unit No. Phase No. Total I of units histing Use rot Proposed Use Assessor's Percel I r.n 571?!! q Description of Work SQ. FT. lot Stories I of Bedrooms I of Bathrooms N1m1 :3. . APPLICANT £/mer · D Cont11ctor G.(v,tf2 Name ; Address ii Agent for Contr1ctor (Z<fCf F $"~ Address Adde11 s. CONTRACTOR • COMPANY NAME . -· City Stet1/Zlp Telephone I Fax II · o owner·" · o Avtint iof awn,, · :-·~ -· " ·-~-~ · ,. · "-·· '?,./.2 C ,;,f-/c;21tJ 1 City St1te/Zip Telephone II 9!7s-r- Telephone II (Sec. 7031.5 Business ind Professions Code: Any City or County which requlrH a permit to construct, alter, Improve, demolish or repelr any structure, prior to Its issuance, also requires the applicant for such permit to file a signed statement thet he is licensed pu11u1nt to the provisions of the Cont11ctor's License Law tChapter 9, commending with Section 7000 of Division 3 of the Business end Professions Codel or thet he is exempt therefrom, end the basis for the elleged exemption. Anv violation of Section 7031.5 by eny 1ppllcant for a permit subjects the 1ppllc1nt to }civil peneity of not more thin five undred dollars tt500)1. Pow er Pl '15 Lf Pb Al: t1u1';,x:e r, £5eo;;l{//dCJ C-4, 9?02 o ~3'9- Name Address City Stlte/Zlp T1l1phone II State License II --S---Z--3_5--~-~-----License Cius----------City Busln11s Uc1n11 I-------- Designer Name Address City Stete/Zip Telephone State License II --------- 6. WORKERS' COMPENSATION Workers' Compensetion Decleretion: I hereby 1ffirm under pen1lty of perjury one of the following decler1tlons: O I have and will maintein a certificate of consent to self-Insure for workers' compenution H provided by Section 3700 of the Lebor Code, for the perform1nc1 of the work for which this permit is Issued. fi!J I have and will maintlin workers' compensation, es required by Section 3700 of the L1bor Code, for the perform1nce of the work for which this permit Is issued. My worker's compensation insurence carrier ind policy number •re: lnsu11nce Company If e.,-., It, I vr5 ( (1 r /?,,, Policy No.CO 00 .S-1 I/ 0 c... Expiretion D1te I~ I -'7 z: !THIS SECTION NEED NOT BE COMPLETED IF THE PERMlfuOR ONE HUNDRED DOLI.ARS t•1001 OR LESS) O CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit Is Issued, I shell not employ 1ny person In any manner 10 11 to become subject to the Workers' Compensetion L•w• of Celifornle. WARNING: FaUure to secure workers' compene1tlon ver1ge 11 unlewful, 1111d shall subject 1n 1mploylf to ~ peMltles 1111d clvll fine• up to -hundred thousend dolltlrs 1•100, 01, to ti,, ~t mpenutlon, dam1gee u provided for In Section 3708 of the Ubor _cocJlt;,~~end attorney's fNs. SIGNATURE -';/.-, DATE ?·/ ~ f',r' · ••• •· ••· ... • • •• • • • ·• ,,..,,..,._ ... • · • .-•• , :?'."I'!"'• ··1,..·-~ · "• ,, ·1·"ft':n .• ~ ~ 7. . · ~. 1 ;.·;· .. ~,~~· ·~i .. ·r·· ~ ";·";; .... Tf•-•· j • ;··n· .... · , , · .. .-+ , , I hereby effirm th1t I 1m exempt from the Contr1ctor's License Law for th• following r111on: O I, 11 owner of the property or my employNs with w1gas II their sole compen11tion, will do the work ind the ltructur• Is not Intended or offered for sale ISec. 7044, Business ind Prof111ione Code: The Cont11ctor's License Llw does not 1pply to 1n o-of property who builchl or lmprov11 thereon, ind who doe• such work himself or through his own 1mploy11s, provided thet 1uch lmprov1m1nt1 ere not lnt1nd1d or off11ecf for 1111. If, how1v11, the bullcllng or lmpn,vement 11 sold within one v11r of compl1tlon, the owner-bulld11 will h1v1 the burden of proving th1t hi did not build or Improve for the purpose of 1111), 0 I, 11 owner of th• property, em excluslv1ly cont11ctlng with llc1nsed contr1cto11 to construct the project !Sec. 7044, Bualne11 ind Profu1lone Code: The Cont11ctor's License L1w do11 not 1pply to 1n owner of property who build• or lmprov11 thereon, ind contr1ct1 for 1uch project, with contr1ctort1I lic1nHd pursuant to the Contr1ctor'1 Llcen11 Llw). 0 I am exempt under Section ------Busln111 and Professions Code for this r11son: 1. I personally plan to provide the m1jor labor •nd m1teri1ls for construction of the propo11d property Improvement. 0 YES ONO 2. I (have/ have notl signed 1n 1pplic1tlon for I building permit for the proposed work. 3. I have cont11cted with the following person lfirml to provide the proposed construction (Include neme I 1ddrns I phone number/ .contrecto11 lie-• number): 4. I plan to provide portions of the work, but I heve hired the following person to coordin1t1, supervise end provide the m1jor work !include n1m1 I 1ddrNs I phone number I contr1ctore licenH numberl:--------------------------------------------- 5. I will provide eome of the work, but I heve contrected (hired) the following persons to provide the work lndlcetecf Clnclude n1me / eddrns I phone number I type of work): · PROPERTY OWNER SIGNATURE DATE _________ _ :COMPLETE THIS SECTION FOR NON-lfff/DENTW. iutlbiNo PEJiMitjj oNlf::i"~T''''~···,..,~~T'lf,:~~""~·'.~':"'~'~·,t·~--•.. , .. -'T "'""r···--...... Is the epplic,nt or futur1 building occup1nt required to submit • business pl1n, ecutely hez11dous meterials registratlOf'! form or risk m1negement end prevention prog11m under Sections 25505, 25533 or 25534 of the Pr11ley-T1nner H1Z11doiJs Subst1nc1 Account Act? O YES D NO Is the applicant or future building occup•nt required to obt1ln I permit from the 1lr poUutlon control dlltrl_ct or .. Ir quellty man1gement district? O YES O NO Is the facility to be constructed within 1,000 feet of the outer bound11y of • school site? 0 YES, 0 NO IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT IE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. rs.. CONSTRUCTION LENDING AGENCY .. ,.,' ... r, ""··-,~· s·srr ""f ~:":"'.",:;":r:'._·~~-· .... ~..,r -·•··.:re·-·,....,., ...... ~·"·· :--,.,-•r, ,..,.., •. r .. -- 1 hereby 1flirm that there Is a construction lending agency for the perform1nc1 of the work for which this permit Is issued (Sec. 3097111 Civil Code). LENDER'S NAME LENDER'S ADDRESS -~~~---~-~~~---~~--~---r;, . APPLICANT CERTIFICATiON ., •. " .. ,... -. .-... _--.s-.. -....,.,..,-; ··1·---""t~~11~~...-• .,.,~-· ~-~~:r_.-Y,":";"";;·rr·~!'"Z!~' '=1'.1?!':C-~!1(1,...._ ;-~_;s;'.""J:r"""K'"F·JP""!"f' ~;.; . I certify that I have r11d the •pplic1tion ind stete that the 1bov1 lnform1tlon Is correct ind thet the lnform1tlon on the plans Is 1ccur1te. I •gree to comply with 111 City ordin1nces ind St1t1 l•w• rel1ting to building construction. I hereby 1uthorlz1 reprnent1tivn of the Citt of C1rl1bed to enter upon the •bove 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 ind demolition or construction of structures over 3 stori11 In height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code 1h1II expire by limlt•tlon end become null end void if the building or work authorized by such permit Is not commenced within 5 days from the date of such permit or If the building or work 1uthorlZ1d by such permit is suspended or abandoned at any time efter d f period of 180 days !Section 108.4.4 Uniform Building Code). 9.-/ f",... f> ~ APPLICANT'S SIGNATURE DATE ------------- • PERMIT# CB983143 DESCRIPTION: TEMP. POWER POLE TYPE: ELEC CITY OF CARLSBAD INSPECTION REQUEST FOR 09/18/98 INSPECTOR AREA PLANCK# CB983143 OCC GRP JOB ADDRESS: 2866 LOKER APPLICANT: POWER PLUS CONTRACTOR: AV EAST STE: CONSTR. TYPE VN LOT: OWNER: REMARKS: C/MICHELE/839-9430 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION 32 EL Const. Service/Agricultural PHONE: 760 839-9430 PHONE: PHONE: INSPECTOR OIi ACT COMMENTS llf _____ _ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS