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HomeMy WebLinkAbout2701 LOKER AVE W; MULTI-PERMIT FILE; CB101679; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-16-2010 Mechanical Permit Permit No: CB101 679 Building Inspection Request Line (760) 602-2725 Job Address: 2701 LOKER AV WEST CBAD St: 103 Permit Type: MECH .. Status: ISSUED Parcel No: 2090812200 Lot #: 0 Applied: 09/13/2010 Valuation: $0.00 Entered By: KG Reference #: . " . Plan Approved: 09/16/2010 PC #: . - Issued: 09/16/2010 Project Title: PALOMAR CREST-ADD 1.5 TON . Inspect Area: WATER SOURCE HEAT PUMPANDDUCTING Applicant: " - - Owner: -• I COUNTRYWIDEMECHANICAL SYSTEMS GATEWAY COLORADO PROPERTIES INC C/O TTA/E PROPERTY TAX - DEPT 207 STE F P 0 BOX 4900 1939 FRIENDSHIP DR 92020• i' SCOTTS DALE AZ 85261 - 6194499900 Mechanical Issue Fee / •- - $15.00 Install/Furn/Ducts/Heat Pumps Fee $18.00 Fireplace Installation Fee N 7 0'.i.': - .\ (\ - $0.00 - -'S 1.-S 'S. ( - Exhaust Fan Fee . . 0 \ \ \ $0.00 Installation/Relocation Vent Fee . 0 . ' $0.00 . - -..,. ,. 0.00 Li nOOuFee .- Boiler/Compressor to 15HP Fee 0 . $000 Other .. -, '---- . S.,' - --$0.00 Additional Fees '' \ / c —$0 .00 TOTAL PERMIT FEES I N/' $33.00 Total Fees: 1,5 j $3300 Total Payments To Date ' . .'$33.00'E' 6alance Due $0.00 S / tOAPOATh / ' . - 11 962 / Lf . .•- / I .•, - FINAL APPROVAL Inspector: Date: JI - ,/ 1P " 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 "tees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. It you protest them, you must follow the protest procedures set forth in Government Code' Section 66020(a), and tile 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 tees 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 CITY OF Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92908 760-602-2717 / 2718 I 2719 Plan Check No /O 179, Est. Value ( A D I CD A I - Fax: 760-602-8558 Plan CR. Deposit Datg_3._./O swpp JOB ADDRESS &c) L k &r Trrt L)e+ SUITE#/SPACE#/UNIT# s - APN zo - z - o 0 CT/PROJECT# LOT #, PHASE# SIOFUNITS #BEOROOMS #BATHROOMS T I SINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) - t'tTs r rcm T -' J' D tAt.T J! EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING - YES # NOD YES 0 NOD IFIRESPRINKLERS YES D NOD CONTAJZT NAME (If Different Fom Applicant) APPLICANT NAME X T'rA- &Aq('A ,/C-)C ADDRESS U ADDRESS d,. - .. CITY . STATE ZIP CITY STATE ZIP • SAAJfl:& C4 97-o/' . PHONE - "i.16 /e'9_9'oO FAX PHONE - FAX EMAIL . - Ale (,1y EMAIL - - - - PROPERTY OWNER NAME CONTRACTOR BUS. NAME ATEt.4J1f cl1 !in r . LAAJt¼f(4],bL /1Aí21 S7iS ADDRESS . I ~9jc CrAicf~7i6 c::6L(f?L-#zo b ADDRESS I - CITY STATE ZIP u D CITY STATE ZIP -- PHONE J FAX PHONE FAX . 99o' EMAIL : EMAIL ARCH/DESIGNER NAME & ADDRESS - STATE UC. II STATE LICe CLASS co CITY BUS. LIC.# /zzzq3q ec. tvai.o ousiness ano -'roressions uoae: Any uny or county wnicn 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 IChapter 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)). - BOOO°Voft"nrOOY1DøO Workers' Compensation Declaration: (hereby affirm under penalty of perjury one of the following declarations: Cl I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 370001 the Labor Code, for the performance of the work for whiâh this permit is issued. I have and will maintain workers' compensation, as required by Section 3700 of the LaboiCode, for the performan of the work for which this permit is issued. My workers' compensationins ura ce carrier and policy number are: Insurance Co._7jç -( 7%.F t't4 / Policy No. Z 30 0 0 Expiration Date i/z /z o,i 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, t 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 tlon 37 6 of the Labor code, interest and attorney's fees. CONTRACTOR SIGNATURE . CIAGENT DATE øciwoowo 000ai I hereby affirm that lam exempt from Contractor's License Law for the following reason: - O 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 safe (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 usiness 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 0 No ' -• - 2. I (have! have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name address! phone! contractors' license number): - 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): twill 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): .PROPERTY OWNER SIGNATURE I . ' ' - AGENT DATE VV1 oo OO(?U*) bø VOOO Ø(1' 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 Ad? 0 Yes ."No V V * 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 /f'No V 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. V V V cGOwGMJ 1]D[E1 OJi 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). Lender's Name Lender's Address V V 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 o rdinanoes and State laws relatingto but ldlngconstrudlon. 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 OF THE GRANTING OF THIS PERMIT. ' V OSHA An OSHA permit is requited for excavations over 50 deep and demolition or construction of structures over 3 stones in height. • V V 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 e building or work au d by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANTSSlGNATUR4) 9/ :DATE /3/)o I City of Carlsbad Bldg Inspection Request For: 11/18/2010 Permit# CB101679 Inspector Assignment: Title: PALOMAR CREST-ADD 1.5 TON Description: WATER SOURCE HEAT PUMP AND DUCTING Type: MECH Sub Type: Job Address: Suite: Lot: 0 Location: OWNER GATEWAY COLORADO PROPERTIES INC Owner: Remarks: Total Time: Phone: 6192470373 ~,—~3 Inspector: ___________ Requested By: JOE Entered By: CHRISTINE CD Description S Act Comments 49 Final Mechanical p Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act Insp comments Applicant: BAKER ELECTRIC INC 2180 MEYERS AVENUE ESCONDIDO, CA 92025 619-745-2001 Remodel/Alteration per AMP Remodel Fee i Temporary Service Fee r Test Meter Fee -... Other Electrical Fees Additional Fees TOTAL PERMIT FEES Electric Issue Fee Single Phase per AMP / Three Phase per AMP / Three Phase 480 Per AMP - Owner: PALOMAICRESLLLC 8799 BALBOA AVE #260 SAN DIEGO CA 92123 \ ' ) / $10.00 '- 0, $000 C " $0.00 0'F/' $0.00 * .100 / $25.00 - .. \ , TJ so.00 40.00 $0.00 $35.00 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-11-2005 Electrical Permit Permit No: CB053527 Building Inspection Request Line (760) 602-2725 Job Address: 2701 LOKER AV WEST CBAD St: 220 Permit Type: ELEC Status: ISSUED Parcel No: 2090812200 Lot #: .0 Applied: 10/11/2005 Entered By: LSM Reference #: - Plan Approved: 10/11/2005 Issued: 10/11/2005 Project Title: FLEETCOR-INSTALL POWER POLES Inspect Area: FOR ELECTRICAL EQUIP, COMPUTERS NNI y; .r Total Fees: '$35.00 Total Payments To Date: / ( $350O Balance Due: $0.00 \ / / tA i)cor1PUKArLt 7 ., / / FINAL APPROVAL Inspector: Date: / Clearance: NOTICE: Please take NOTICE that approval of your project incIuds 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 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 Oct-04-05 09:37 From- 09/30/2e5 10:29 70-74b—I3441 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 1-091 P.02/03 F-462 I FOR OFFICE USE ONLY Q I PLAN CHECK NO. C105 3 S? f EST.VAL. Plan Ck. Deposit Validated Date .. No. Phase NO. &orofi Daaatp0o3 of WWk so. Fr. .ill of slafta 0 01 Bedrooms of 1301hroomt B.At4Cb. LECTCAL SL€Ct c'pote.s tecuM GqKilac --'97rl 4717• TeMpoe* (Soc. 7031.5 Bimu and P faaeione Code: My C or County which reqidrea A pantut ull improve, pso, 0rnn00sh or repak any itnotwe, i1i its laaán, also rr the appllnt for Awl peimit to 140 a aigndd Atoto'Ttovd that he Is Ihansed pvrnUanttrJ the prOAI1On3 or the Conoctar'n LIsaiwe Law (phaptaf 9, commending w" 7000 of Divlelori 3 of the Bualnaae and Ptheálone Codej or ttwi ha 0 exempt thereken,, and ft Wais for the alleged mmp1Ion. Any violation at aeocn 7031.5 by any app1em for peft the appffeentloa ofVli Penty of note. then ffao hundred dollars (3EOOD. 6oe(E..ectrc _inc.. _2-t ofr'Jç5 A'e.._corco_•.CA_92.O2 (1o0)145 _aoo GILt' 3tetélzip Tn1høno # Mdreas sstouoeneas 0fLpI1 unsoctmss City BuSln8ss Llcorlao # bsignarNamo -- Ad&as -- City Stip Tolophona# s License #___________ I hava n4wIfl mefetoin o oenicats cicoment to serew 4recahporwadenápnAdid by Section 3700 of Labor Code, lix the pedormanoe 01 the work iofwitiot INA pennit In lDAUpd. and wm mwintsin vnekai'a mmpaneitlon. as required by SectIon 370001010 labOr Coda, for the performance of the work fef whicb this permit Ia Iaeued. My —s ow"nsoon Inmi amilet end poky number aw, I co _____ - gaon to/o I/occ, rTipany Drl'Je.r Pot Attcsr*In?Lr_C.t IsyNo (11415 SCTfct'l NEED NOT BE COMFLET9D IF ThE PERIIIIT 1S FOR ONE I4UPJRED DOLLARS 1S1 003 OR LESJ o CWA1E 0! EXEMPTiON onitify that in In poi?omtenco of the woili for which tide permit Is Ineus, I shot not employ any perwn In any man)1a was to bocome su*01 to th W0Ii1OVS CamPs WA.RJiN5 Peiharato eeaalewcdwr,' ciii.pol Is unliwf4 anti shall sublad An wnptoyor to cilrnlCl n penaluas and -MI fines up to ono Iwnared thoumM .• 06llaasf8l0l),000 ' SIGNATURE for to 04n 3708 at ore Ior Ca and 5t0They'4 teen. -. DATE_.jD /If /05 MFIq I Ihofeby offlm, that twn exorkm = gxmscwa ucenie I.aw for trio macwing renson D 1. PD owner of the web wegee as theIr who ownpani wE d wout'. and (ho ebuctwe Is not Intended or cflomd for sale (340,7044, Buaineso and Piofeulona Cador The Cenvoctor'a I.icen,.o Law dose nol,epDb' to on owner" p?0p011y who braids or Improves thereon, and who does suCh work Iii through his own ea'npIcy, pravidod that tiueh knpiovwna hot nw we irdended or Offlied forsole. It, however, tile hu8din or InWowoTiem Is 401d within one arar 01 44mplsben the ow r-hard,twSI here 'the burden of proving Ihotho did not build or Improve for the purpce. of CI L es nailer of the property, am exctuelvely contienhing with Ucenaed ccnfracreriLi coti5v'uCt the prv,lcCt (SeA 7044. Business reid Plofossiens Cede: The ConIroatcu's Uasnal Law &ei Mt apy to on VWMT of property who builda or im*m thereon, mid cent-ada for auth prqjscts wEt woltiaegr(a) ilseneed pursuant to the Gontiactofli ioenne Law). 0 I em exempt ureter Seslion_Buathuas end PraWssions Code !orthta reasoN I personally plan to provkia the meor Iahorwtd msttflalslbt onstnictlon of the poposed pfapety improvement. CI YES 0 NO I (hpveflwua nat) atoned en aplloaUan for butdlng FeST7iItf0T11W proposed wik. 3, Iheve ascded with the Mai person Ohm) to proteds the proposod constructIon (Include mane! address I phone number! conm IrcaneS number); 4 (plan to provide portions of the work, bra I have Idled Ow Mowing pareon ID 000tduirnte, ;uperyae slid provcoe urn mojor wOrk (tIiude nemnl eaØ,aee I flo number , Iarib'enmcr liconec mambery .. _1 & I will prvtea scat. 01 the wEic. tnA I hove enn0'atod (hired) the fellewijig persona to provide the work 04a1ad (lndud@ name Ioddrces/ phone number! type Of wudq PROPERTY OWNER $IONATURE -_..._.._._-.-._. t3U Oct-04-05 09:37 From- 1-091 P.03/03 F-4$2 1iI4t1/2 1bD t - c -t — ...... PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave. Carlsbad CA 92008 Page 2 of 2 to the ippllonnt or Msxe bul*ig awpoflt roqulsW tO cubinU a toNness piai, sasMy Mtd0' n18'ila15 mulandanfor or rm inanappmecst mid srs pmurem sinai Secdaiw 25505. =3 or 25534 of the P y.Tajrnar HmotUou.io Subalanca Amount Act? C YES NO IS Ow appda .riae lesHdIa aompni redio oigajn a pwmltlmm Ow aifpolbillan conbof dlalrlof or air quaHtymnnrnn.n1 dialild? C VS20 w wjfl 1,000 fEt @f Os. au boundaiy of. adisod aise' C YPS *'No IF ANY OF THIS ANSWERS ARE YES, A FINAL CERTIPICATE OF OCCUPANCY MAY MOT RE IUItUb IJN1.ESS THE APPLICANT HAS MET OR IS bTING ThE REOtJI!MENTS OF THE OFFICE OF EMERGUNOY SERVTCS AND THE AR POLLUTION CONTROL DISMICT. LENDER'S NAME_________ LENDERS ADDRESS _f I co" bol I have rom the oppiloaVOli OM mb 8wt 8'. aovo Mfcrinmban to curoOl and U'*t to btnno3on on an plana to 1 u9a0 to comply v4lhiH CIty WOMC98 OW Slab t8W$ MWft to to; cOn*41104 I hareby AOWW r.p5$ont8Uvos Of ma CIV olGwthbad to sntor upon Use ab monUonad pmpa4 for Inapoatlon purpaa. I ALSO AGREE TO SAVR, (rOPEMNIPY AND 'WSP WARMt.EES ThE CITY CE CA.UAD AGAINST ALL UAnma11!S, JUDRflS, COSTS AND P045ES WHII MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE CE THE GRANT1PIC OP THIS PERMIT oSHA An OSHA permit Is roquhod for aivA8anO of FT deep and damollUon of naImon of abliofuma aver 3 ato4at In Iw$gflt EXPiRATIONs Evrny prnirlllnauad by Iho bu1N Offidal undor Urn psovIaIoit of UsIa Coda a'nall onpka by iWmUoo QM b500sf,o huH and void Ifft buUdlnp arwosk authortoud by auth i,ormtUm Mto=WC0d VAttin 183 dofimfl 8w sIIa of auth amUtor if 11'. bWW4 orwosic aulhos8wd by auth pormikh unpammo at abo 4o,1od otony Wi'. oiler Ow woit to oomnwnced ?Ord pailed oP 1eJ4 ThcUonJpP44,Jn8wIn SuUdlng Ccda APP1JCAN'!S DATE —LO /.-o5 .4 •'__ Sfl-I I a1. 0 __.4 --_. City of Carlsbad Bldg Inspection Request For: 10/14/2005 Permit# CB053527 Inspector Assignment: TP Title: FLEETCOR-INSTALL POWER POLES Description: FOR ELECTRICAL EQUIP, COMPUTERS Type: ELEC Sub Type: Phone: 7608018920 Job Address: 2701 LOKER AV WEST Suite: 220 Lot 0 Location: Inspector: APPLICANT BAKER ELECTRIC INC. Owner: Remarks: 0 Total Time: 0 Requested By: JOE CALLIHAN Entered By: CHRISTINE CD Description Act. Comment 39 Final Electrical '9 ItJ6 frC4f A~l t ________________________ A; ,ti - , e- /7 ]4 ) ca- I-k & -7- Associated VCRs/CVs Inspection History -Date Description Act Insp Comments t oO City of Carlsbad . .,, 'i.• 1635 FaradayAv Carlsbad, CA 92008 02/07/2001 Electrical Permit Permit No:0B004466 . Building Inspection Request Line (760) 602-2725 . Address: 2701 LOKER AV WEST CBAD . Permit Type: ELEC . . . ' . Status: ISSUED" Parcel No: 2090812200 .. - Lot #: '. 0 , Applied: 11/29/2000 ' •Etered By: CB . Reference #: ' Plan Approved: 02/07/2001 Issued: 02/07/2001 Project Title: TELCO CABINET-ROOF ANTENNA Inspect Area: """AppIicant . DIGITAL COMMUNICATIONS GROUP " PALOMAR CREST L L C ........STE B ' ( . -12823 FOOTHILL BLVD 4370 LAJOLLA VILLAGE DPb5 SYLMAR CA 91342 SAN DIEGO2 007/01000201 02 50 Total Fees: $52.50 Total PámeisT6'Daté: $4600 "\ $12.50 C_~ / . EIectricIssu: Fee jC'-.. / 50 \ $11 000 Single Phase per AM $0.00 $0.00 $0.00 30.00 .TOTAL PERMIT, FEES INCOAP6RATED. $52.50 1952 .2 '• .. FINAL APPROVAL inspector'Date _____________ 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 "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 informtion 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. . '5, 1 - " .. • 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 Cr other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. S- ' • • .- ." , .. S -S "p •"' 4 , 'S • , , . .5 ,_w4 Three Phase per AMP 1? Three Phase 480 Per AMP RembdeI/AIteratior per AMP Remodel Fee Témporary Service Fee Jest Meter Fee - -Other Electrical Fees -- -• -'-- - :. Business Nme (at this address) , 5457 11/29/00 0002 01 02 Lot No Subdivision Name/Number, Unit No Phase NcU6FTotal # of unit s0 00 osdtC - .Existing )Jse 4/of c ei pfrDescription of rk FT I #of Stories rooms # of thro Nme Address City State/Zip Telephone # Fax it - - — SESWAPPLICANT Contractor E1ent IQI Contractor D Ciner E 4gor Owner Name Address City State/Zip Telephone # 75 i thx Z?4/2a ame Address City 7 State/Zip Telephond# 0 (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 1$ 500)) YOo' /-'z '1/ g/ CL/i If /61 C146 Name Address City State/Zip Telephone it State License it /Y'3 SC-f License Class City Business License it 4(.b.i1JJ I'L'L9 &,Lfr'// Y/i-t 'ç Jç,)qi Designer Name Address City . State/Zip Telephone State Licen RS ff se 3r777 Workers Compensation Declaration I hereby affirm under penalty of perjury one of the followug declarations 44' 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 F4flrLy T4 Oa&4Ai€.. Policy No B0 122 7" 2 Expiration Date 4 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) C] 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 us 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 co pensation damages as provided for in Section 3706 of the Labor code interest and attorney's fees SIGNATURE - DATE [7 OWNER DECLAATIÔ 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 1,' 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 C] N6 2 '1 (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 I 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 I contractors license number) 5 I will provide some of the work but I have contracted (hired) the following persons to provide the wok indicated (include name'/ address / phone number / type of work) PROPERTY OWNER SIGNATURE 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? 0 'ES 0 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 0 NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? 0 YES 0 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 - N!UCTlONLENDING'-AGENCy RE 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 Cad( LENDERS NAME LENDER S ADDRESS__________________________________________________________ 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 Cit, 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 tAn 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 commenced for a period of 180 days (Section 106.4.4 Uniform Building Code) ,APPLICANTSSIGNATURE DATE WHITE Jile YELLOW Applicant PINK Finance - I 'I - ( :Ad ess (include Bldg/Suite- Legal Description Accnccar'c Prrni it - 0q City Of Ca'rlsbaif :foA Building Department July 6, 2001 . Permit Number: CB004466 Issue Date: 2/7/2001 MARK MCLAREN 4370 LA JOLLA VILLAGE DR STE 655 SAN DIEGO CA 92122 RE: BUILDING PERMIT EXPIRATION ADDRESS: 2701 LOKER AV WEST PERMIT TYPE: ELEC PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE Our records indicate that your building permit will expire by limitation of time on 8/6/2001 The provisions of UBC? Section 106.4.4 as amended by the Carlsbad Municipal Code state:. "EXPIRATION. Every permiL issued by ihe Buiidirg Ofcial under the provisions of this codeshail expire by limitation and become null and void if, the building or work authorized by such permit i ,nt commenced within 180 days from the date of such permit (unless issued prior to 7/1/99 which is one year from date of permit), or if the building or work authorized by such permit is stopped at any time after the work is commenced for a period of 180 days or if the building or work authorized by such permit exceeds three calendar years from the issuance date of permit. Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work authorized by the permit by the Building Official within 180 days of the date of permit issuance. Work shall be presumed to be stopped if the permittee has not obtained a required inspection approval of work by the Building Official within each 180 day period upon the initial commencement of work authorized bysuchpermit Before sffch work can be recommenced, a new permit shall be obtained to do so, and the fee,. therefore, shall be one-half the amount required for a new permit for such work, and provided that no changes have been made or will be made in the original plans and specifications for such work, and prQvided further that such suspension or abandonment has not exceeded one year. In order to renew action on a permit after expiration, the permittee shall pay a new permit fee. Any person holding an unexpired permit may apply , for an extension of the time within which work may commence under that permit when the permittee is unable to commence work within the time period required by this section for good and satisfactory reasons. The Building Official may extend the time for action by the permittee for a period not exceeding 180 days on written request by the permittee showing that circumstances beyond the control of the permittee have prevented action from being taken. No permit shall be extended more than once. Pleas , eck below indicating your intentions and return this letter to us. Project abandoned. No fee extension requested for 180 days. (attach a letter of explanation) Renewal permit requested. If the project has been completed and only a final inspection is needed, please call the inspection request line at (760) 602-2725. If you have any questions, please contact the Building Inspection Department at (760) 602-2700 PAT KELLEY . Principal Building Inspector 1635 Faraday Avenue • Carlsbad, CA 92008-7314 .(760) 602-2700 • FAX (760) 602-8560 Building Counter • (760) 602-27.19 • FAX (760) 602-8558 City of Carlsbad 01/27/1999 -. Plumbing Permit Permit No:CB990396 Building Inspection Request Line (760).438-3101 - - V. •. "• .: ,,' Job Address: 2701 LOKER Ày WEST CBAD PermitType: ,PLUM . . ', ? Status: ISSUED - Parcel No: 2090812200- . Lot #: 0' Applied: 01/27/1999 Construction Type: NEW . Entered By: MDP .' Reference #: - .- - . - , . Plan Approved: 01/27/1999 Issued: .01/27/1999 Project Title INSTALL 2 SHOWERS Inspect Area V. Applicant: . -. Owner: 20 01/27/99,'0001 01 02 -'WIRTZ TILE &STONE - . LOMCRE$LLC £MT 48-00 33-70 LJOLLA VILLAGE DR #665- 100 W 35TH ST ( CJO tLAc! NAflONALCflY 915151 92o37_\.f& \ ' ' 619-951-3030 Total Fees: $48.00 .aIace Due:- $48.00 Plumbing Issue Fee $20.00 Fixture or Trap $14.00 ewer 0 $0.00 -Building S Roof Drain 0 $0.00 16stall/Repair Water Line 14.00 Water Heater and/or.Vent 0 $0.00 m 0 INCORPORATED $0.00 Gas Piping Syste '1952 VacuumBreaker ,Other Plumbing Fees,_ $0.00-,.. \?] : Master - ' . •,'t . . TOTAL PERMIT FEES EXF. IRE L $48.00 - •. - -' REDCODANCE-oASEXPI 1ThUBC to t SEC 106.4.4 FINAL APPROVAL / Inspector: Date: _________________ 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 '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 , - L 'follow the protest procedures set forth in G6vemment 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. ' - CITY OF CARLSBAD . . -• - -- 1.' - •' •. '. " - 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 V• V FOR OFFICE USE ONLY ( PLAN CHECK NO. __( .. -' ,'PERMIT,APPLICATION . .•. '..• CITY OF CARLSBAD BUILDING .DEPARTMENT EST. VAL. - Plan Ck. Deposit 2075 Las Patmas.Dr., Carlsbad CA 92009 . Validated By . (760) 438-1161 . . . Date S e • . ., • (at this .: Legal Description Lot No. Subdivision NameINumbr Unit No. Phase No. Total # of units :;Assessors Parcel # ., Existing Use Proposed Use . . . , ••. ., . . - .. - .' S • ' , Description of Work. . SQ. FT. . #of Stories # of Bedrooms ,. # of. Bathrooms . 179080m~ ma Name- Address _ City iffu7w. g, state/Zip Telephone # Fax # tarne — Address . . City . State/Zip Telephone # Jame - Address . City State/Zip Telephone # . (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct alter, improve, demolish or repair any structu r e , . p r i o r t o i t s 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 Section7031.5 by op Ii nt fora subject the applicant toI Jof 7d dvi 5 I0O/} i1ame . , • Address • . - -. . city' • State/Zip Telephone # - State License # License Class - City Business License `# .Designer Name • • S • Address . . City , • State/Zip Telephone ' .. .. • , State License # . . S ', S • S ' , NO Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations 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 s of the work for which this permit is issued , 0 11have and will maintain workers compensation as required by Section 3700 of the Labor Code for the performance of the work fo r which this permit Is - . issued.'-.- My worker's compensation insurance, carrier and policy number are: • S • ' - S Insurance Company - - , S S • 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. : . ' -. , S - • ' - • 'WARNING: Failure to secure worker.' 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 3708 of the Labor code. Interest and attorney's f e e s . ' SIGNATURE - S • S . , . • DATE • . - S • 5 -. I hereby affirm that I am exempt from the Contractor's License Law for the following reason: • - S - 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 buildinÔ o r i m p r o v e m e n t I s - 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 , License Law does not apply to an owner of property who builds or improves, thereon, and contracts for such projects with contractor(s) licen s e d pursuant to the Contractor's License Law). . -. ' . ,. . . S , • • •. -' - .. , S 0 I am exempt under Section Business and Professions Cods for this reason: ' - - -. -- 5 5 • • - 1 I personally plan to provide the major labor and materials for construction of the proposed property Improvement 0 YES ONO - 'I (have / have n60 signed an application for a building-permit for.the proposed' work. - - ' S • - - ' . - •' I have contracted with the following person (firm) to provide the proposed construction (lnclude.name / address / phone number / contractors license numbe r ) : 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 nunber 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 / address / phone number / type Of W, • . PROPERTY OWNER SIGNATURE -.- __-- DATE •--•--.5 ,. ' • Is the applicant Or future building occupant required to submit a business plan, acutely hazardous máteiials registration form or risk management and prevention program under Sections.25505, 25533 or 25534 of the Presley-Tanner HazardoUs Substance Account Act-? 1J-- YES __-- NO. Is the applicant or future building occupant required to obtain a permit from the air pollution control. district or air quality management dist'rict? 0 YES '0 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0. 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 POi.LUTIONCONTROL DISTRICT. ' - , - - OM T 40=0 Ma9*0 00 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 -'. ___S --''' 5_•_ -I certify that I have read, the application and state that the above information i 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 CIt*r 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 shell expire bvlimitation and become null and void if the building work authorized,by such permit Isnot commenced .within 365 da s 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 cOmmenc d for period o_180days (Section 106.4.4 Uniform Building Code). - - / • '.,j . - • .' -S APPLICANT'S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance