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HomeMy WebLinkAbout2777 LOKER AVE W; EXPIRED | MULTI-PERMIT FILE; CB111173; Permit.,.,_-City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-30-2011 Commercial/Industrial Permit Permit No: CB111173 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: Applicant: 2777 LOKER AV WEST CBAD St: A Tl Sub Type: 2090813000 Lot #: $30,000.00 Construction Type: Reference #: BLACK BOX DIST-INSTALL STORAG RACKING INDUST 0 58 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Plan Check#: ISSUED 06/01/2011 LSM 08/30/2011 08/30/2011 MONTE LANDY CALIFORNIA BUTCHERS PENSION TRUST FUND C/0 JAMES THOMAS 12725 STOWE DR POWAY 92064 619 666 5694 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Plan Check Discount Strong Motion Fee Park Fee LFM Fee Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add'I Renewal Fee Other Building Fee Pot. Water Con. Fee Meter Size Add'I Pot. Water Con. Fee Reel. Water Con. Fee Green Bldg Stands (SB1473) Fee Fire Expedited Plan Review Total Fees: $481.11 $287.16 $0.00 $186.65 $0.00 $0.00 $6.30 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1.00 $0.00 2777 LOKER AVE W CARLSBAD CA 92010 Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWAFee CFO Payoff Fee PFF (3105540) PFF (4305540) License Tax (3104193) License Tax (4304193) Traffic Impact Fee (3105541) Traffic Impact Fee ( 4305541) PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Master Drainage Fee Sewer Fee Redev Parking Fee Additional Fees HMP Fee Green Bldg Standards Plan Chk EXPIRED PERMffEES $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ?? ?? $481.11 $0.00 Inspector: FINAL APPROVAL 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/exaction&. 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 fees/exactions of which vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise exnired. .,,- '>," ., -~ <(~~ -~ C ITV OF Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Plan Check No. . <!f:> l i l \ 7 3 Est. Value 8'0 roc) Cit.\RLSBAD Fax: 760-602-8558 www.carlsbadca.gov Plan Ck. Deposit I \ SUITE#/SPACE#/UNIT# -(16') -~D -00 # OF UNITS # BEDROOMS # BATHROOMS CONSTR. TYPE OCC. GROUP DESCRll>ftON OF WORK: Include Square Feet of Affected Area(s) EXISTING USI: GARAGE (SF) PATIOS (SF) DECKS (SF) AIR CONDITIONING FIRE SPRINKLERS s ~ cl'D-ttM YES O NO O YES D NO 0 CONl"ACT NAME (If Different Fo APPLICANT NAME ADDRESS CITY CONTRACTOR BUS, NAME ,o (Sec. 7031.5 Bu1;1,e1S and Professions Code: Any City or Count)'. which requires a permit to construct, alte~ improve. demolish or reP,air any structure1 prior to its issuance, also requires the applicant for such permit to file a signed statement that he is ficensed _P.ursu.1.1 10 the provisions of the Contractor's license law {Chapter 9, commending with Section 1000 of Division 3 of the Business and Pr01essions Code} or that he is exempt there from, and the basis for the alleged exemption. Any violation of Section 7031.5 t:· any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollari {$500}). Workers' Compensation Declaration: / hereby affirm under penally of perjury one of the following declarations: D I hav, .~nd will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance oHhe work for which this permit is issued. 111-I hav;; imd 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 workers' compensation insurance carri~nd policy number are: Insurance Co.~'l."-. tJ A Policy No. W G'l?J1 ?,l.{ ~ Y Expiration Date lOJ l , VO) k 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 lhe work for which this perm1I 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 is unlawful, and shai'I subject an employer to criminar penalties and civil fines up to one hundred thousand dollars (&100,000), in afdition tJ the cost of compensation, dam es as pro • r, Sec • 706 of the Lab code, interest and attorney's fees. W CONTRACTOR SIGNATURE '>";....-,;;4""-/4-"'.Allf:::~~ DATE ~ -/ -/ / I hereby affirm that I am exempt from Contractor's License Law for the following reason: D I, as owner of the property or my employees wilh wages as their sole compensation, will do the work and the slruclure 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. !f, h0wever, the building or improvement is sold wilhin one year of completion, lhe 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 lhe property, am exclusively contracting wilh 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 wilh contractor(s) licensed pursuant to the Contractor's License Law). D I am exempl 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/ have not) signed an application for a building permit for the proposed work. 3. I have contracted wilh the following person (firm) to provide the proposed construction (include name address/ phone/ 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/ 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/ type of work): _,eS PROPERTY OWNER SIGNATURE DATE Is the applicJnt or fulure 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 Presioy-Tal'ner Hazardous Substance Account Act? D Yes D No Is !hs Appb.nt or fulure building occupant required to obtain a permil from lhe air pollution control district or air quality management district? D Yes D No Is the facilitf !c be conslrucled within 1,000 feet of the outer boundary of a school sile? 0 Yes O 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. ' ,-,,, ,,: ', :, '.' ,f > -~ ,, ,, I hereby attirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's f~t1me Lender's Address ',;,,' ~-,, ').-- I certify th.at i have read the application and state that the above infonnation is correct and that the infonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby autl1orize 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. OSHA: An OSHA pennit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATIOI~: Eveiy 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 pennit is not commenced within ~ap days frQ111 the date of such pennit or if the building or work authorized by sue__ ennit is suspended abandoned at any time after the work is commenced /or a period of 180 days (Section 106.4.4 Unifonn Building Code). ~PLICANT'S SIGNATURE ' ~:..--:.~ DATE C - ~CARLSBAD RECORD COPY . Community & EconQmic Development July 3, 2012 www.carlsbadca.gov Permit Number: CB111173 CROWN LIFT TRUCKS 12725 STOWE DR POWAY CA 92064 RE: BUILDING PERMIT EXPIRATION PERMIT TYPE: T.I. Issue Date: 08/30/2011 ADDRESS: 2777 LOKER AV WEST STE A PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE Our records indicate that your building permit will expire by limitation of time on 08/30/2012. The provisions of CBC, Section 105.5 as amended by the Carlsbad Municipal Code state: "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 one hundred eighty calendar days from the date of such 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 one hundred eighty calendar days, or if the building or work authorized by such permit exceeds three calendar years from the issuance date of the permit. Work shall be presumed to have commenced if the permittee has obtained a requir~d inspection approval of work authorized by the permit by the Building Official within one hundred eighty calendar 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 one hundred eighty day period upon the initial commencement of work authorized by such permit. Before such 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 provided 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 permittee holding an unexpired permit may apply for an extension of time within which work may commence under that permit when the permittee is unable to commence work within the time period required by this se"ction for good and satisfactory reasons. Please check below indicating your intentions and return this letter to us. Project abandoned. A new permit will be obtained prior to commencing work. No fee extension requested for 180 days. (must 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. Janean Hawney Office Specialist Building Division 1635 Faraday Avenue, Carlsbad, CA 92008-7314 T 760-602-2700 F 760-602-8560 ® (~ CARLSBAD RECORD COPY Community & Economic Development www.carlsbadca.gov July 3, 2012 Permit Number: CB111173 BLACK BOX 2777 LOKER AV WEST CARLSBAD CA 92010 RE: BUILDING PERMIT EXPIRATION PERMIT TYPE: T.I. Issue Date: 08/30/2011 ADDRESS: 2777 LOKER AV WEST STE A PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE Our records indicate that your building permit will expire by limitation of time on 08/30/2012. The provisions of CBC, Section 105.5 as. amended by the Carlsbad Municipal Code state: "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 one hundred eighty calendar days from the date of such 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 one hundred eighty calendar days, or if the building or work authorized by such permit exceeds three calendar years from the issuance date of the 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 one hundred eighty calendar 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 one hundred eighty' day period upon the initial commencement of work authorized by such permit. Before such work can be recom·menced, 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 haye been made or will be made in the original plans and specifications for such work, and provided 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 permittee holding an unexpired permit may apply for an extension of 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. Please check below indicating your intentions and return this letter to us. Project abandoned. A new permit will be obtained prior to commencing work. No fee extension requested for 180 days. (must attach a letter of explanation) Renewal permif 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. . . Janean Hawney Office Specialist Building Division 1635 Faraday Avenue, Carlsbad, CA 92008-7314 T 760-602-2700 F 760-602-8560 ' ' ® 4~.&. c Irv o F . RECORD COPY ~'CARLSBAD Community & Economk Development www.carls_badca.gov January 4, 2012 Permit Number: CB111173 Issue Date: 08/30/2011 CROWN LIFT TRUCKS MONTE 12725 STOWE DR POWAY CA 92010 RE: BUILDING PERMIT EXPIRATION .. PERMIT TYPE:-T I · · . ,_ : ' ADDRESS: 2777 LOKER AV WEST #A PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE Our records indicate that your building permit will expire by limitation of time on 02/26/2012. The provisions of CBC, Section 105.5 as amended by the Carlsbad Municipal Code state: "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 one hundred eighty calendar days from the date of such 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 one hundred eighty calendar days, or if the building or work authorized by such permit exceeds three calendar years from the issuance date of the permit. Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work ~uthorized by the permit by the Building Officiaf within one hundred eighty calendar 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 one hundred eighty day period upon the initial commencement of work authorized by such permit. Before such 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_ ~ade in the original plans a~d specifications for such work, and provided 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 permittee holding an unexpired permit may apply for an extension of 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. Please check below lndicating your intentions and return this letter to us. Project abandoned. A new permit will be obtained prior to commencing work. No fee extension requested for 180 days. (must 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. Christine Wauschek Office Specialist Building Division 1635 Faraday Avenue, Carlsbad, CA 92008:7314 T 760-602-2700 F 760-602-8560 ® CB111173 2777 LOKERAVWEST A BLACK BOX DIST-INSTALL STORAG RACKING &/1 /11 -ro p<Jtt.J I en&,/ P,te.e / es(g.,fc_ w;s~ p-uwv ·-lo ~ LJJ/ mp,& 01(4,1 ~ @Fe_ i/17/ ct ~ ~ ~ Jli;; 1Ttt_rl3~ ~;J ~ f ~ fo [Jt IL¥-~,~ /4 'f V1-v -at, f cup 4 F C w/ ulJj Jvf . <if{--;-3) 11-ffpp/i'ca,;vf /6rql)f "hf.r. (s;c1::-I -;-2)~ G~cs. wlf-K I cu+-cS t-tbpJ,?,~I. ,IJ,--tu::u-d~ot '*> cs G-,'l. {]"7i @ -/',-o,Jf co:' ,vJ.,v ~ "7> I dPr .. · 6 I l q I IJ ~ n -llJ w / AJ'f) J:lJ C:A !J-lo Add_ (},EG.h 6 Ji . t,lf>,// ~ \-'\~\~~ ..... .) CJN,..~~l~ \~~ -~~~-\-J.J hf ~"'30.l~. q /t 3/ I :2 ~ or::. -k> (w. fJeL-rfU.-1-feL ?. 0 '-l'lD .:tnsf. flcwe_ tx.clllled. ~,('AA~ '2-"'5-rol""~~ I Approved _ Pate BUILDING >< /:I q I t I Pl.ANNING 'til,/11 ENGINEERING -r ;,1,6..J ,, FIRE Expedite? y ( N ) Y..-.7j-J / - HazMat APCD Health Forms/Fees Sent Rec'd Encina (,'J///tl Fire I HazHealthAPCD U)/ I, I I PE&M AJA- School Sewer Stormwater Special Inspection u./ I I I I CFD: y N I LandlJse: Density: lmpArea: FY: Annex: PFF: y N Comments Date Date Date Building l;Hl).,1/ Planning V ,-. Engineering Fire ft I u.,f 11 Need? S/i,vSA."2 ~ // SW DCV -By II/A- ~ ~"'•A /l~-j p' .,- Due? ~y y N ~ y N ~ y N ~- y N ~ /-- y N y N y N y N Factor: Date , J(oone ODone ODone ODone ODone 0-lssued City of Carlsbad 05-31-2006 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No: CB051909 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: Applicant: 2777 LOKER AV WEST CBAD St: 101 Tl Sub Type: 2090813000 Lot#: $9,300.00 Construction Type: Reference #: SPEC STE -300 SF ELECTRICAL INDUST 0 VN ROOM FOR METER & 4 NEW SUBPANELS Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Plan Check#: EXPIRED 05/26/2005 LSM EDGE DEVELOPMENT INC CALIFORNIA BUTCHERS PENSION TRUST FUND C/0 R MARTY SMITH STE 101 27368 VIA INDUSTRIAL 92590 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Plan Check Discount Strong Motion Fee Park Fee LFM Fee Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add'! Renewal Fee Other Building Fee Pot. Water Con. Fee Meter Size Add'I Pot. Water Con. Fee Reel. Water Con. Fee $99.69 $0.00 $64.80 $0.00 $0.00 $1.95 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 27708 JEFFERSON AVE #204 TEMECULA CA 92590 Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWAFee CFO Payoff Fee PFF (3105540) PFF (4305540) License Tax (3104193) License Tax (4304193) Traffic Impact Fee (3105541) Traffic Impact Fee (4305541) PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Master Drainage Fee Sewer Fee Redev Parking Fee Additional Fees HMP Fee TOTAL PERMIT FEES Total Fees: $166.44 Total Payments To Date: $64.80 Balance Due: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ?? $166.44 $101.64 Inspector: FINAL APPROVAL 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 '1ees/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 fees/exactions of which vou have nreviouslv been niven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired. FOR OFFICE USE ONLY PLAN CHECK NO. (!8 OS l 909 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 '1 ?00, · EST. VAL.--~-------- Plan Ck. Deposit W:_J5V Validated B~~&/~ Date ___ :;~-=-=---------- ·('. 'pifoJeci''INFORMAifcilil '' . ·~11·i . ·10 ,~;;:a_. WB>r Sv.z; lo I _.,/'.,;6/05 000-2 01. .:.o-i..~.s-·--02 Address (include Bldg/Suite #) .f:t( ) <j?Al2.c&t • S' ot-itW' JSc>-7!:,-I? # of Bedrooms # of Bathrooms . t:fS'"/ )-1( -071' 7151-teu!/11 41'-?&J '1.51£311?-(t·{j ~ State/Zip Telephone # Fax # Name Address City State/Zip Telephone# ·4 PROPERTY'CiWNER--· ·•. · · · . -.; __ -i~Zk--_r;;,;hrnfi-;-.AwmnS. ze-- Name 'Address J--]~I, < liPt $a;$,?-~ City -7!:bi:~r~~-~ - statetzip Telephone # . . . 957 -J-.9t ·ol?& :~:--: ·9qr;i:t_t{APl'QR • :¢tiivf PA~V;ii!AM¥ (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 exempt!gi,._e,ny 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 [$5001). 2-/.-16,c; ,'".:J&E-lotf'~--1-r .27?.kt m .Zw§e-£4; 1t1~1 'llf'1&f,4-q:L 7.ho/6 Name Address City State/Zip Telephon€i # qr, Jt?I' -'i> 77, State License # 7J. J 94 3 License Class /? City Business License # / ~ J 9 9Q O ,::;..-, 1?96'-oP 5 2~ £ /~MAk {( ~ ,, ;, ' Designer Name Address City State/Zip Telephone State License# _________ _ :s: · -,WOF!R(rW ¢OMP~r,(s_Arror-j ".' -- 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 permit is issued. Cd-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 comp~sation insurance carrier and policy number are: • / Insurance Company .::,t:;A;_@t'2-.I.bH7 J6ulL. 6v. Policy No. -.!3 ../3 /0<;;"" 06 It/ Expiration Date / tu£ 7 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR QNE 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' Co ensation Laws of California. WARNING: Failure to secure wo rs' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred .J thousand dollars ($100,000), i ddition to the cost of compensation. damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. V'--.SIGNATURE ~ DATE S-,%-0:5~ :i~, : __ .J>W.riEfJ_.!eµ_ilpt;ij -,,,.LA8.A1:fQNi_,, ~~ . > .. -. _.-.,. , -. -.:: I hereby affirm that I exempt from the Contractor's License Law for the following reason: D I, as owner 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, B mess 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 ~ill have the burden of proving that he did not build or improve fm 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. 0 YES ONO 2. I (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 / 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 I phone number/ 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 work):. ________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ i~PMPJ;i;:J:~'.7tll!> SECl:IQN. FQR 14/qNJnt;~iDEfV.TIA_i. ,B!.lll,.DiN~ 1f-ERMIT$ QNI,. Y 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 ,lg_ 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 ~NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES ig]_ 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. :s;:= jfQ~$Ji\UJij_()Jf,'1:.~i?tN<fAQE,NcY .. ·: g;,P~: · . 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). 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· An OSHA permit is required for excavations ov 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building O cial 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 O 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 P. · d of 1 s (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE __ ~_-.J._,_--o_~----- WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad 1-1 1 • • G i • ii~ I •Ji ·Fi I ii ,14 ii I March 1, 2006 EDGE DEVELOPMENT INC 27368 VIA INDUSTRIAL #101 TEMECULA CA 92563 RE: APPLICATION DATE: PLAN CHECK#: ADDRESS: EXPIRATION DATE: PERMIT TYPE: DESCRIPTION: 05/26/2005 CB051909 2777 LOKER AV WEST #101 105126/2006 .. 1 TI SPEC STE -300SF ELECTRICAL ROOM FOR METER AND 4 NEW SUBP ANELS You applied to have your plans checked on the date noted above. To date, the related building permit has not been obtained. The original plan review application will expire as no building permit has been issued. Plans submitted and not retrieved from the building department prior to the plan check expiration date noted above will be destroyed. The provisions of sections 304 (d) of the Uniform Building Code state: "Section 304 9d) Expiration of Plan Review Appiications for which no permit is issued within one year following the date of application shall expire by limitation, and plans and other data submitted for review may thereafter be returned to the applicant or destroyed by the Building Official. In order to renew action on an application after expiration, the applicant shall resubmit plans and pay a new plan review fee." In order to provide better service, please indicate your handling choice for the plans originally submitted and return this letter to the Building Department. __ Project Abandoned -I will pick up the plans within 10 days __ Project Abandoned -Plans may be destroyed If you have any questions, please contact the Building Department at (760) 602-2719. Building Department 1635 Faraday Avenue• Carlsbad, CA 92008-7314 • (760) 602-2700 • FAX (760) 602-8560 @ City of Carlsbad t '' ' 05-.25-2006 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No: CB051819 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: Applicant: 2777 LOKER AV WEST CBAD St: 100 Tl Sub Type: COMM 2090813000 Lot#: 0 Status: $15, 128.00 Construction Type: NEW Applied: Reference #: Entered By: ALPHATEC-MERGE SUITES100&101 Plan Approved: OPEN EXISTING DEMISING WALU 88SF 2ND FLR/400SF 1ST FL Issued: Inspect Area: Plan Check#: Owner: EXPIRED 05/23/2005 LSM EDGE DEVELOPMENT INC CALIFORNIA BUTCHERS PENSION TRUST FUND C/O R MARTY SMITH STE 101 27368 VIA INDUSTRIAL 92590 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Plan Check Discount Strong Motion Fee Park Fee LFM Fee Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add'I Renewal Fee Other Building Fee Pot. Water Con. Fee Meter Size Add'I Pot. Water Con. Fee Reel. Water Con. Fee Total Fees: $243.90 $145.89 $0.00 $94.83 $0.00 $0.00 $3.18 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 27708 JEFFERSON AVE #204 TEMECULA CA 92590 Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWAFee CFO Payoff Fee PFF (3105540) PFF (4305540) License Tax (3104193} License Tax (4304193} Traffic Impact Fee (3105541) Traffic Impact Fee. (4305541) PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Master Drainage Fee Sewer Fee Redev Parking Fee Additional Fees HMP Fee TOTAL PERMIT FEES Total Payments To Date: $94.83 Balance Due: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ?? $243.90 $149.07 Inspector: FINAL APPROVAL 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 '1ees/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 fees/exactions of which vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired. FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. ~0") ('if J'J EST. vAL. /6'"',, n ,ou Plan Ck. Deposit ' qq;. '63 Validated By ~ Date 5/o3/~ r ;, Address (include Bldg/Suite #) \ Business Name (at this address) f"'-G.::::• ,PMLcf( i3 oE }1111/J IS"c.75""' L 17 J T(.l1lf: No. 71/-~I Tlbthf' /JJt9-P Yo. /tJ~7)::, -a ILegal Description Lot No. ' Subdivision Name/Number Unit No. Phase No. Total # of units ,;J..DCJ -CJfSI -Jo LJ-P::J:c6 /w.4e:::/!Dvs..z:;;vG ttJ?erd" /~~v6Zt:G. Assessor's Parcel# Existing'Use / / ProposBciUle l!IBLk/£ ~o/l'l1'5 A~~ :lv1b II-<5,z:v6ttf ~11.&;F Ab. /ov olitHsl s.f. l2) !E. /1#1- Description of Work rren ,,t.J;l "-...,. .J:~,,. _ ,"\ SQ. FT. ~= .,-I, #of Stories # of Bedr2,2.ms ~od.e.,,/~0'110FL,.ODr oosµ /S"T Floer '-1-DDL/.l 2, CQNTf\CT'PERSON,(if di~etentfro 11ppii ant), . . . Ctr,/ Name City .3; ~ APPLICANT . T8( Contriotor , , D Agerit for :co"ntractor , D ·owner ~ 0 Agent for Owner . .t{£JtE /A:?PE?oe'/hbT'l Zi,C fi.,?Jtq t@: µO?:!,rl'UA.-Nb /D/ State/Zip Telephone # t--, ,_ ~ ?J.s'?I" Fax# Name Address ~i3t,~ City State/Zip .4, __ . P,l;IQJ'!:RTY.QWJ'lER . Telephone# , '7G't-~-9t;,S- Lolct:-/2. ZJ11~wevr ,!/ttZ:rNG-tZ.S C/I-' P'k~/J Name ' Address City State/Zip Telephone# ,:~;_ ;·_,QONJ'R~CTOR~ COMPAf:JY.i'i\AME (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 apP.licant to a civil penalty of not more than five hundred dollars ($5001). E)W pHE=-10~@.J r -Zic ot_-n,~$ tf.lA ~ -#/oJ /cmt:4A'IJ CA ~S°?tJ 9~/-,,;l?t-D77£ Name Address City State/Zip Telephone # State License u 7J.s GC,'3 License Class [1 City Business License# I :11 q 900 5Coq--8/1-d..oA...£-!J-?'3(1' VIA :z;pu,,7'1.DI .#/~1 1'2n'e~tA c.,4.. "7..i-s?o 9~ .,J,9£-o77,t Designer Name Address · City State/Zip Telephone State License# 7~ '791 ,-6. . . \/VORKEijS,' QOMPENl,ATlON 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. @. 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: 1 /, Insurance Company ~ ~HT" :J:'5uth:e Co. Policy No. gg /Q? t){, IC/ Expiration Date f«/06 {THIS SECTION NEED NOT BE COM LETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS! 0 CERTIFICATE OF EXEMPT! : 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 Worke ' Compensation Laws of California. • WARNING: Failure to secure orkers' 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 com ensa • amages as provided for in Section 3706 of the Labor code, interest and attorney's fees. _,}(/A,. : . , , ,: D~TE s-~ J-,!, --o $ / SIGNATURE i7,,, , OVVNEfl-PV!LDER I hereby affirm that I exempt from the Contractor's License Law for the following reason: 0 I, as owner 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 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 ______ 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 ONO 2. I (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 / 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/ 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 work):. ________________________________________________________ _ PROPERTY OWNER SIGNATURE _____________________ _ DATE _________ _ • CO~PLJ;/i:E THll, i,ECTION FOR /YON:.RESIPJ;JY.T,IAL BUILDING PERMIT$ 01\!LY 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 YES ji!J-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 J2.. NO 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. ;~I~i:¢PJ-1$:rriJJ:~riof-J::1:e111t>1r-iG AGE'Nc·f . ()ti~ . ,, 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 _______________________ _ :l'l,·., All,f.'MCANT C!:RTIFJC,,t\TIQN 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: 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 bui g 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 commence ,thin 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 commence ~ ·,,Sj period pf 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE --'b'------------------------DATE 5-c}-o-a:-----~---------- WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad i=i•htUhf•i•i4·ihiii,i4hl March 1, 2006 EDGE DEVELOPMENT INC 27368 VIA INDUSTRIAL #101 TEMECULA CA 92590 RE: APPLICATION DATE: PLAN CHECK#: ADDRESS: EXPIRATION DATE: PERMIT TYPE: DESCRIPTION: 05/23/2005 CB051819 2777 LOKER AV WEST #100 05/23/2006 TI ALPHATEC -MERGE SUITES 100 & 101 OPEN EXISTING DEMISING W ALL/88SF 2ND FLR/400 SF 1ST You applied to have your plans checked on the date noted above. To date, the related building permit has not been obtained. The original plan review application will expire as no building permit has been issued. Plans submitted and not retrieved from the building department prior to the plan check expiration date noted above will be destroyed. The provisions of sections 304 ( d) of the Uniform Building Code state: "Section 304 9d) Expiration of Plan Review Applications for which no permit is issued within one year following the date of application shall expire by limitation, and plans and other data submitted for review may thereafter be returned to the applicant or destroyed by the Building Official. In order to renew action on an application after expiration, the applicant shall resubmit plans and pay a new plan review fee." In order to provide better service, please indicate your handling choice for the plans originally submitted and return this letter to the Building Department. __ Project Abandoned -I will pick up the plans within 10 days __ Project Abandoned -Plans may be destroyed If you have any questions, please contact the Building Department at (760) 602-2719. Building Department 1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 602-2700 • FAX (760) 602-8560 @ City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-03-2017 Building Permit Permit No:CB901469 Building Inspection Request Line (760) 602-2725 Job Address: 2777 LOKER AV WEST CBAD Permit Type: CTI Sub Type: Parcel No: 2090811700 Lot#: Valuation: $0.00 Const Type: OccGroup: Reference#: Project Title: 20,778 SF 2 BATHRMS ADD ELECTRIC AND PLUMBING NEW Applicant: Owner: Status: Applied: Entered By: Appr/Issued: Inspect Area: ROBYNN LONG PREMIER BUSINESS PROPERTIES 6125 CORNERSTONE CT SAN DIEGO, CA 92121 619-546-1121 Total Fees: $0.00 $152.00 Payments To Date: $152.00 EXPIRED 09/11/1990 KZH Balance Due: Description Fee Other 152.00 • • • DATE: 09/20/91 TO: ROBYNN LONG 6125 CORNERSTONE CT SAN DIEGO, CA 92121 PLAN CHECK EXPIRATION PC# CB901469 DATE: 09/11/91 ADDRESS: 2777 LOKER AV WEST You have applied to have your plans checked on the date shown above, and you nave not obtained your build1ng permit. The provisions of Section 304(d) of the Uniform Building Code state: "Section 304(d) Expiration of Plan Review Applicati·ons for which no permit is issued within one year following the date of application shall expire by limitation, and plans and other data submitted for review may thereafter be returned to the applicant or destroyed by the Building Official . In order to renew action on an application after expiration, the applicant shall resubmit plans and pay a new plan review fee." Please check the appropriate box indicating your choice and return this letter to the BUILDING·DEPARTMENT. PROJECT ABANDONED. I WILL PICK UP PLANS WITHIN 10 DAYS. ~ PROJECT AB~.NDONED. PLANS MAY BE DESTROYED. If you have any questions, please contact the Building Department at (619) 438-1161. DORIS COSMAN Building Department 2075 Las Palmas Drive • Carlsbad, California 92009 • (619) 43B-1161 PERMIT APPLICATION • City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 ( 619) 438-1161 . EST. VAL 4 6c.7d_ _., PLAN CK DEPOSIT /~ - 1. A B PERMIT TYPE D COMMERCIAL D INDUSTRIAL NANT IMPROVEMENT 0 TENANT IMPROVEMENT . . VALID. BY . «!ZI?( DATE ~--//-'£/2 C -D RESIDENTIAL ONEIi OAPARTMENT OCONDO OSINGLE FAMILY DIIELLING OADDITlON/ALTERATION 7960 0'7'/11/9i) 0(;,{)1 :)1 C-Paf,1T D DUPLEX D DEMOLITION 'OMECHANICAL OPOOL ORELOCATION OMOBILE HOME OELECTRICAL OPLUMBING OSPA ORETAINING IIALL OsoLAR 2. PROJECT INFORMATION PLAN CHECK No. Address :1111 l,O~ ~€ Nearest Cross Streets LEGAL DESCRIPTION CHECK BEL™ IF SUBMITTED: 2 Energy Cales 02 Structural Cales Phase No. PR POSED USE 3. 4. 7. A VPI lw/67 .,,2 uatz-~1 BLDG. sa. FTG. ;lo 1 B # oF sToR1Es CONTACT PERSO j,, ~AJ.t:, NAME ?v~~,._p.../6 J:<,1J.n?)p.J5Z.-/?ayu.ttADDRESS. (b/,,2.5 CITY ~ 'D1et:.rJ fJ STATECX'J. ZIP coDE Cjil/J. / SIGNATURE e;z?bblc;.-:,..,,...., ~ ~ APPLICANT ocoNTRACTOR ~~OR Oo11NER NAME ADDRESS C!tJp.µ 612-6/v-n 6 c;.. DAY TELEPHONE 51/, -I I;;,. j ~GENT FOR OIINER CITY h 3 STATE ZIP CODE DAY TELEPHONE ~e/-l~ER wtn,~ 1 .,,--1.. 0 LESSEE ADDRESS dt)/0 ,,,,. "1 ":Jf, OTENANT STATE CA. STATE 0q ZIP CODE ADDRESS ZIP CODE 9J21t/ STATE LIC. # lifta~ LICENSE CLASS ____ _ SIGNATURE DESIGNER NAME <f;:::,v~;t/1--f;./& CITY :Stu ,l)/t7()J'f) WORKERS' COMPENSATION 7).,91-niP,6 'Z STATF/JII. TITLE ADDRESS ZIP CODE DAY TELEPHONE ~- DAY TELEPHONE CITY BUSINESS LIC. # DATE c-/-. DAY TELEPHONE STATE UC. # llorkers• Compensation Declaration: I hereby affirm that I have a certificate of consent to self-insure issued by the Director of Industrial Relations, /,.. lA@i or a certificate of Yorkers• Compensation Insurance by an acinitted insurer, or an exact copy or duplicate thereof certi-fied by the Director of the yo-i--~11 (/ insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE 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 Yorkers' Compensation Laws of California. SIGNATURE DATE 8. OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that ·I am exempt from the Contractor's License Law for the following reason: DI 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: (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, commencing with Section 7000 of Division 3 of the Business and Profess ions Code) or that he is exempt therefrom, and tlte 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 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? DYES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES IF ANY OF THE ANS\IERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY IIAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9. CONSTRUCTION LENDING AGENCY hereby affirm that there is a construct ion 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 10. APPLICANT'S SIGNATURE I certify that I have read the application and state that the above information is correct. I 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 above mentioned property for inspection purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUJGMENTS, COSTS AND EXPENSES IIHICH HAY IN ANY IIAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRJ\NTING OF THIS PERMIT - Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by l-imitation 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 303(d) Uniform Building Code). D OIINER O CONTRACTOR OBY PHONE WHITE: File YELLOW: Applicant PINK: Finance APPROYEQ°, BY; -~-'---,;.:...-'- DAT!::---'--------'----- B U I L D I N G P E R M I T 02/28/90 13:10 Page 1 of 1 Job Address: 2777 LOKER AV WEST Str :· Permit Type: COMMERCIAL TENANT IMPROVEMENT Parcel No: 209-081-17-00 Valuation: 69,300 Construction Type: NEW Occupancy Group: B2 Class Code: Description: 3600 SF OFFICE AND LOBBY : PREMIERE BUSINESS PROPERTIES OWNER PREMIER BUSINESS PROPERr;ES 4685 MAC ARTHUR CT· 390 NEWPORT BCH, CA 92660 Lie. ', Permit No: CB891205 Project No: A8901981 Development No: Fl: Ste: 3685 02/28/90 0001 01 02 C··PRMT 6841,0{} C)<-:tt I o3S Status: Applied Apr/Issue Validated By: ISSUED 08/16/89 02/28/90 CD 714 476 2724 *** Fees Required *** *** Fees Collected & Credits *** --------'-~---, ----------------------------- Fees: Adjustments: Total Fees: Fee description 1,169. o·o .oo 7,169,,.00 Tot&l Credit~: Total sFayments: · Balahc~ D·ue: Units.· Fee/Unit -. ---~ -~ ---~ .. ~ ., ' Building Permit Plan Check Strong Motion Fee Enter 'Y' to Autocalc Traffic Impact Fee Bridge Fee Enter Number of EDU's MFF * BUILDING TOTAL License Tax> >. · >. > ' . > \ ' Enter "Y" for Plumbing .Issue Fee > Each Plumbing Fixture or Trap ) * PLUMBING TOTAL Enter "Y" for Electric Is·sue Fee > Three Phase Per AMP > · * ELECTRICAL TOTAL ($10 Minimum) Enter 'Y' for Mechanical Issue Fee> Install Furn/Ducts > * MECHANICAL TOTAL , • , I 5.0·4 .. OQ.· · . · 1109-. 00 1.28 2193.00 100.00 1.00 .. 90 2.50 .so 9.00 .00 328.00 6,841.00 Ext fee Data 505.00 328.00 10.00 2426.00 Y. 504.00 1109.00 .00 2193.00 7075.00 7.50 Y. 7.50 15.00 5.00 Y 50.00 55.00 15. O·O Y 9.00 24.00 INSP. FINAL APPROVAL CLEARANcE _ -DATE~ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 .... ,·• DATE: 01/29/91 · TO: RE: BUILDING PERMIT EXPIRATION ADDRESS: 2777 LOKER AV WEST Our records indicate that your building permit will expire by limitation of time on 02/28/91. The provisions of UBC, Section 303(d) state: "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. Before such work can be recommenced, a new permit shall be first obtained so to do, and the fee therefore shall be one-half the amount required for the original plans and specifications for such work; and provided further that such suspension or abandonment has not exceeded one (1) year. Apy permitee holding an unexpired permit may apply for an extension of the time within which he may commence work under that permit when he is unable to commence work within the time required by this section for good and satisfactory reasons. The Building Official may extend the time for action by the permitee for a period not exceeding 180 days upon written request by the permitee showing that circumstances beyond the control of the permitee have prevented action from being taken. No permit shall be extended more than once. In order to renew action on a permit after expiration, the permitee shall pay a new full permit fee. Please check below indicating your intentions and return this letter to us. __ Project abandoned. New permit will be obtained prior to commencing work. __ Maximum 180-day time extension requested. (NOTE: A separate letter for an extension request and reason for such, must accompany this form.) If you have any questions, please contact this department at 438-3550. TONY MATA Principal Building Inspector 2075 Las Palmas Drive • Carlsbad, California 92009 • (619) 438-1161 Cit Michelle Crormnelin Premier Business Properties 2010 Main St 215 Irvine, Ca 92714 CB 891205 2777 Loker Av West Attached is a Request for Refund of the Strong Motion Fee, License Tax and Major Facilities Fee. The balance of your refund should come from Engineering because they-are Engineering fees. Plese return the entire package to me after you have signed and ted the form. Feel free to make any copies you require. The process takes about a month, and a check will be mailed to you. c......._.,..-\..__,_- CARTER DARNELL c: Martin Lauber 2075 Las Palmas Drive • Carlsbad, California 92009 • (619) 438-1161 I I Carter Darnell cb 891205 .. CITY OF CARLSBAD REQUEST FOR REFUND various Account No. ___________ _ .: 2777 Loker Av West Vendor No. Amount of Refund _$"'--4_6_2_9_._--'---Fee Paid For: Strong Motion, License Tax, Major Facilities Fee Date Fee Paid: __ 2_/_2_8_/_9_0 ____ Fee Paid By: Premier Business Properties ' f-"., -' • -' • • - Facts Supporting Request: _P_e_rm_·i_t_· _~X_P,_l_~ r_e_d_w_· i_t_h_o_u·t_' a_' n-=·y_~_~_o_~_k_o_n_._2--=-i_· 2_8,.:;_/_9_1 _.'_s_u_b_s_e_.q_ue_n_t_l_,,Y,___ ___ _ • ( • • • ' •' r"., I ' ' I ' ~• • ! • ~ ( ! 1" CB 910842 was issued for the balance of the building which included the fees in the expfred permit. ~-. J.._/ ~ • • • ·.' J ' :,: • ·: ' _, ; Premier Business Properties, attn: Michelle Crommelin Name of Applicant:---------------------------------- . ·,. Address: _·_20_1_0_Ma_i_n_St_r_e_e_t __ .2_1_5-=-, _I_r_v_i_ne-=,:.,_·:_C_a_.9_2_7_1_4_,_,._.:._.~_-·_, _~_ ... _ .. _· _ .. _,..., __ 1• _:-_' 7_1_4_4_7_6_9_12_2 __ _ . City State Zip Telephone ::,,..:.'"I, .... -_,;;~.' l\ -; ,•"'! :)d • ~ ·.§ f c\ ,-.~: ":~f;;• ...... ""(,,., ';:, .1,t. · •. r • ' Signa~ur~ of Applicant:/ _____________________ D~tez:i~,-,. .. ,it·~ . \ ,' . ' Dept. Justification: ,-.. . , . . ,. ..... , ,, - Rec: ' ' D Approve .. D Disapprove .. '¥~ -~ .. ! . I , Date . •· Finance· Investigation: Rec: D Approve -0 Disapprove Dept. Head Signature Date City Manager's Action: .o Approve D Disapprove City Manager Signature Date I ' l ' ·l