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Home My WebLink About2875 LOKER AV EAST; ; CB911435; PermitB U I L D r N G P E R M I T .0/24/91 15:46 .^aqe 1 of 1 Job Ac3dress: 2875 LOKER AV EAST Str: Permit Type: PLUMBING Parcel No: 209-083-05-00 V.di nation: 0 Construction Type: NEW OccLipaEicy Group: Class Code: Description: FLOOR DRAIN/PLUHBING REQUIRED : BY ENCINAS PER KELLEY Permit No: CB911435 Project No: A9101824 Development No: : Ste : ^^'^10/24/91000101 02 Appl/Ownr : DESIGN PLUMBING 7013 ASTER PLACE CARLSBAD, CA 'il •• 619 4 38- C-PRMT Status Applied Apr/Issue Validated By 3 9 28 i7.00 ISSUED 10/24/9. 10/24/91 DC AAA, Fees Required A* Fees Adjustments Total Fees Fee description Enter "Y" for : Each Pliunbing ir : Each Building Sev/ K PLUMBING TOTAL :ted & Credits 0!) )fi •' Fee-,. ..ip / 1 . 0 0 . 00 17.00 Ext fee Data 7.50 Y 2 . 50 6 . 50 17.00 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPUCATION City of Carlstiad Building Department 2075 Las Palmas Dr., Carlsbad. CA 92009 (619) 438-1161 1. PERMTI"'lYPK A -^Ck)mmercial ew Building ^Tenant Improvement • Industrial • New Building • Tenant Improvement • Residential • Apartment • Condo • Single Family Dwelling • Addition/Alteration • Duplex • Demolition • Relocation • Mobile Home • Electrical • Plumbing • Mechanical • Pool • Spa • Retaining Wall • Solar D Other 2. PROJECTINFORJ«ATION PLAN CHECK NO. EST. VAL PLAN CK DEPOSrr_ VALID. BY DATE FOR OFFICE USE ONLY Address 28*75^ LDf^Cf^ P\/E.. Et^ST Building or Suite No. Nearest Cross Street EL. FiXEKT^ ^A<gX.SlS/Ub^ CA • LEGAL DESCRIPTION Lot No. Subdivision Name/Number Unit No. Phase No. CHECK BKLOW IF SUHMl'lTEU: • 2 Energy Calcs • 2 Structural Calcs • 2 Soils Report • I Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF W/ORK # OF STORIES SQ. FT. 3. UUNTALT PHHIjUN (it dillerent trom applicant) pi/ iZ J>^-C-6r NAME ADDRESS <'/^i^fcr j^(^L>iJt=^ CITY STATE ZIP CODE APPUCANT—>l!jCON'l'HACl'UU—• AfJENT FOR CON ADDRESS "70/3 DAY TELEPHONE • OWNER • AGENT FOR OWNER /rS-rlErr^ -f-U-rC^ NAME J:JES (G-N> PlAKf'^la\*^ CITY C/^t5l£>l3./^ 5. PROIWIV OWNKR— STATE ZIP CODEDAY TELEPHONE NAME ADDRESS CITY 6. CBNTRACmR STATE ZIP CODE DAY TELEPHONE NAME CITY STATE STATE UC. # ADDRESS ZIP CODE UCENSE CLASS DAY TELEPHONE CITY BUSINESS UC. # DESIGNER NAME ADDRESS CITY WOKKEH!? UOMPKNJiA'nON STATE ZIP CODE DAY TELEPHONE STATE UC. # T. Workers' Compensation Declaration: I hereby attirm that 1 have a certiticate ot consent to selt-insure issued by tfie Director ot Industrial 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). ^ILEI- INSURANCE COMPANY STATET f^/^Al^ POUCY NO. EXPIRATION DATE (Jertiticate ot Exemption: 1 certify that in the pertormance ot ttie work tor which this permit is issued, 1 stiall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Califomia. DATE SIGNATURE a. OWm-BtJILDER DEOARATION Owner-Builder Declaration: I hereby affirm that I am exempt trom the Contractor's License Law tor the tollowing 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 Ucense 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 Ccxle: The Contractor's Ucense 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 Ucense Law). • I am exempt under Section Business and Professions Ccxle for this reason: (Sec. 7031.5 Business and Professions Ccxie: 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 Ucense 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 SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLV: Is the applicant or future building occupiant 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? • YES P5 NO Is the applicant or future building (Kcupant required to obtain a permit from the air poilution control district or air quality management district? • YES "S3 NO Is the facility to be constructed within 1,000 feet of the outer Ixjundary of a schcxil site? • YES V NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OOCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUnON CONTROL DISTRICT. 9. tJUN!;mu{:noN LKNUINC AGKNCV 1 hereby affirm that there is a construction fending agency for the performance ot the work for which this permit is issued ISec 3097(0 Cml (JodeJ. LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT mt'l'MCATiniT 1 certify that f have read the application and state that the above intormation is correct agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the afxjve mentioned property for inspection purposes. I ALSO AGREE TO SAVE INDFAfNIFY AND KEEP ILMtMLESS THE OTY OF CARLSBAD AGAINST ALL LIABIUTIES, JUDGMENTS, COSTS AND EXPENSES WIHCH MAY IN ANY WAY ACCRUE AGAINST SAID CTTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMTT. OSHA: An OSHA permit is required for excavations over S'O" deep and demolition or construction of structures over 3 stories in height. Expiration. Every pennit 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 work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPUCANTS SIGNATURE DATE: WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB911435 FOR 11/04/91 DESCRIPTION: FLOOR DRAIN/PLUMBING REQUIRED BY ENCINAS PER KELLEY TYPE: PLUM JOB ADDRESS: 2875 LOKER AV EAST APPLICANT: DESIGN PLUMBING CONTRACTOR: OWNER: REMARKS: MH/RICHARD/438-3928 SPECIAL INSTRUCT: INSPECTOR AREA PK PLANCK# CB911435 OCC GRP CONSTR. TYPE NEW STR: FL: STE: PHONE: 619 438-3928 PHONE: PHONE: INSPECTOR TOTAL TIME: —RELATED PERMITS— PERMIT# TYPE WDP02031 WDP STATUS ISSUED CD 19 29 39 49 LVL DESCRIPTION '-S5---FiTiffrn51^3ftrcrtTrFaT' PL Final Plumbing JElL_Eli«*l--Eie€ta?iGai- ..ME Final Mechanical^ ACT COMMENTS ***** INSPECTION HISTORY ***** DATE DESCRIPTION 102991 Underground/Under Floor ACT INSP COMMENTS AP PK 9 u LA rjD-sTPi i^fZotyjCXs ' z&is^ LDftf:^. AOS. Ey^si j pt2s:^ CATCH " /T nilll!JlliLUJ.! M ' L!i ! .'Xli-UJn iflX/STuJS- Pl£)z:>ie. s/Miti. .&F^:-i/A^ TO SfZ USifZC) E.UtPi CtF. 2 CrAL.