The URL can be used to link to this page

Home My WebLink About2885 LOKER AVE E; ; CB111252; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-09-2011 Miscellaneous Permit Permit No: CB111252 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: 2885 LOKER AV EAST CBAD MISC 2090831100 $0.00 Subtype: OTHER Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Project Title: BREG-UNDERGROUND PLUMBING AND ELECTRIC ONIL Y Applicant: RICHARD AND RICHARD SUITE 100 234 VENTURE ST 92078 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: Inspector: $65.00 PERMIT FEES Owner: RI (CA) QRS 12-59 INC C/0 RANDALL INTERNATONAL 2885 LOKER AVE E #E CARLSBAD CA 92010 Total Payments To Date: $65.00 Balance Due: FINAL APPR2VAL Date-/() • z . r( , I Clearance: ISSUED 06/09/2011 LSM 06/09/2011 06/09/2011 PD $65.00 $0.00 $0.00 $65.00 $0.00 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 impositior of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Govemm1,nt 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 rigiht to protest the specified fees/exactions DOES NOT APPLY to water and 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 or as to which the statute of limitations has reviousl otherwise ex ired. Buildiing Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 I 2719 Plan Check No. (!.Is { I I &-~ ~ ,,t~ CITY OF CARLSBAD Fax: 760-602-8558 www.carlsbadca.gov SUITE#/SPACE#/UNIT# Est. Value Plan Ck. Deposit Date o ((? Gf c SWPP APN # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: EXISTING USE O~f\lt.t PROPOSED USE DECKS (SF) ~ FIREPLACE YESD #_ NO'i,d AIR CONDITIONING YES NOD FIRE SPRINKLERS YES NOD CONTACT NAME (If Different Fom Applicant) APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME ADDRESS CITY STATE ZIP {.;,.. STATE PHONE FAX PHONE FAX fo\>Y:f\ ~1 1--, i.. D-'1"5"\ ~ 1-1-(, EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC.# (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 ttiat 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)). 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 perm it is issued. 9\-I have and will maintain workers' compensation, as required by Section 3700 of the ).abor Code, for the perfonmance of the work for which this permit is issued. My workers' compensation insurance carrier and policy numberare:lnsuranceCo. ~T ~;2\T\~~\... \'.;)">. La PolicyNo.:'.)£,OOD04A{,\\\\ ExpirationDate_\_-~\-~n ____ _ 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' compensatior, coverage is unlawful, and shall subject an employer to criminal penalties and civil fines u to one hundred thousand dollars (&100,000), in addition to the cost of compe a 10n, es as provided for in Section 3706 of the Labor code, interest and attorney's fees. ~ CONTRACTOR SIGNATUR I hereby affirm that I am exempt from Contractor's License Law for th€• 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 owner-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 D No 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 address I phone 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 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 I type of work): ~ PROPERTY OWNER SIGNATURE DA GENT DATE 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? D Yes D 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. I certify that I have read the application and state that the above infonnation is correct and thatthe infonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Cansbad 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 pennit is required for excavations over 5'0' deep and demomion or construction of structures over 3 stories in height. EXPIRATION: Every pennitissued by the Building Official under the provisions of this Code shall expire by limitation and become null and void ff the building orwor1< authorized by such pennit is not commenced within 180 days from the date of such pennit or if the building orwor1< authorized by such pennit is suspended or abandoned at anytime after the wor1< is commen d for period of 180 days (Section 106.4.4 Unifonn Building Code). ,@S' APPLICANT'S SIGNAT~ DATE lt Inspection List Permit#: CB111252 Type: MISC Date Inspection l!em 10/26/2011 29 Final Plumbing 10/26/2011 39 Final Electrical 09/21/2011 66 Grout 06/10/2011 21 Underground/Under Floor 06/10/2011 31 Underground/Conduit-Wirin Thursday, October 27, 2011 OTHER Inspector Act PD Fl PD Fl PD CA PD AP PD AP BREG-UNDERGROUND PLUMBING AND ELECTRIC ONLY Comments -------" OK TO FINAL Page 1 of 1