HomeMy WebLinkAbout2786 LOKER AVE W; ; CB982679; Permit08/19/98 14=30
Paqe 1 of 1
B U I L O I N G P E R M I T
Job Address: 2786 LOKER AU WEST Suite:
Perruit Tvi:,e: ELECTRICAL
Parcel No: Lot#=
Valuation: 0
Dccupancu Group= Reference #=
Description: INSTALL PERMANENT ELECT
: PEDISTAL FOR PAC BELL
Perm i t No: C8982679
Proiect No: A9803508
Development Nci:
Constr•Jct I on Tvpe: NEIJ
Status: ISSUED
0261 M/ iW.i 1 boo1' 01? S 'o~ 9 / 9 8
-tl pr 1 .1 ::, 't~PRHT -U ~/ t 9 /35 ~00 Er,tered By Bf
Appl/O~nr : ROBINSON ELECTRIC
8871 TRPU ST
S[ROMG VA;;EU CA
*** Fees Required ***
619-697-6040
Fee-5:
Adjustment-=·=
Total Fees=
Fee description
Enter "Y" for Electr c
Single Phase Per A P
.00
.00
3!'i. 00
***
Ext fee Data
10.00 Y
25.00
PP RO VAL
CLEARANCE~~-------------·-
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMlt APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(619) 438-1161
Legal Description Lot No. Subdivision Name/Number
Assessor's Parcel I Existing Use
e.ommtR.c_t,qL
Description of Work c.,. Oi1:1 7'3 ~ SQ. FT.
~Lf!,C.TR.1 c.,AL rv(( T/7 .. ~ ~. __ J>JST>3L _
~ CONTACT PEI\SON (ff dHf..,..t from applicant}~ .~ .. --.. ·-~ .'". .. \J~:
lot Stories
FOR OFFICE USE ON~ O
PLAN CHECK NO. '?' (J X l/
EST.VAL.~~~~~~~~~~
Plan Ck. Deposit----------
Validated By __________ _
Date.~--------------
Unit No. Phue No. Total I of units
Proposed UH
I of Bedrooms I of Bathrooms
Name Address City State/Zip Telephone I Fax #
~fto'T; IV~~~~~~t~m-~,?fyint~4g;;T. 0~sr~~~~~z,4-:~7~r·t7 ~l'i-r; r 7
Name Address City State/Zip Telephone I 6 C) Yo
~.~o~~~*:~~~~~fr~ Dl~~~r ~~~·.'"~'
Name Address City State/Zip Telephone I
i;~lbCOMe.vmar,...MeS\iBSS ttmi& HfW ·HM?&t@EW 1!<tcifilk~
(Sec. 7031 .5 Business and Professions Code: Any City or County which requires a permit to construct, elter, improve, demolish or repair eny 1tructure, prior to its
issuance, also requires the applicant for such permit to file a signed statement that he is licenaed purauant to the proviliona of the Contrector's License Llw
(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 elleged
exemi:,tion. 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 [$5001).
Bo/Jitu.50/J 8'U::'.,GTR,,c... 'iaftJ/ T,<.O'f ST: .Sl~iuy:: 1/ltLJ...LY CA CJ/1]7 {,/z-,9p
Name Address City State/Zip Telephone I 6 O
State License I :f::2'1 Cf 1 S License Class {!_ / 0 City Business License I J 2 0 '2 t../5 J f1o
Designer Name Address City State/Zip Telephone
State License I----------
L.'"W.GRKERS· COMPENSATION..,~.:..1-~.-.. .. ~.1;,L..-~.3~ .... ~ •'-'-' .. .._.~*' t._.-T~\..o.--•-.t.r. 4.;.~ . .; ·-;~-~\~ iS~F' ·:i~~t~~~~ ... Al )!~~.-,.,.' ~
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declar1tion1:
0 I have and will maintain a certificate of consent to self-insure for workers' compen11tion as provided by Section 3700 of the Labor Code, for the performance
f he work for which this permit is issued.
have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performence of the work for ·which this permit is
. My worker's compe~tion insurance carrier end policy number are: 0 'i /
Insurance Company U LI C D C df 5 U fJ { T.!{ Policy No. U f ft U '-f OS b O -@,iration Date ,'z ~
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLI.ARS 1$1001 OR LESS)
0 CERTl:=ICA"!'E Of' C.:CM::>T:OI\L I .:1,,,ify that in the performance of the work for wnich this permit is i11ued, I lhall not employ any person in any manner so as
to become subject to the Workers' Compenaation Laws of California. ·
G;..~ailid.-w-..cwoe.,.if/orlten' compenaation coverage is unlawful, end lhall subject en employer to c:rimkl8I peMltln end clvil tine, up to one hundred
.......... -compensation, da 111 ovided for in Section 3706 of the::': code/ lnt-t and ettomey'a feu.
DATE !!1_1r Jt;v ·
r?-~ ~ 't ... !.i{ ~~:-~..:..~fk. ... !:~~Ittt:r:;!~~-i~:-~~·-! .. :::::::.
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 1111. 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 purpoae of sale).
0 I, 11 owner of the property, am excluaively contracting with licenaed contractor• to conatruct the project (Sec. 7044, BulinNa and Profllliona Code: The
Contractor's Licenae Llw does not apply to en owner of property who builds or improves thereon, and contrectl for auch projecta with contrector(1) licenaed
pursuant to the Contractor's License Llw).
0 I am exempt under Section Buainess 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 I have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name / addrua I phone number I contrectors licenae 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/contractorslicensenumbe~:. ______ ~~~---------~-------~-~---~---~~--~~~~~-
5. I will provide soma 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 _________ _
~Meu:Jl;.J'HIS'SECTIOl'VOR N~E/O.W.,.l~~G-~I.$..Pfl!!-Y..;...;~:;:.;£..7.....,;t,,77im:atl#~~;.~~~~ ':t_ ~ ·
Is th, a::,phc::m or future tutlC:ir..;; cccupant r6qi.;r..:1 to •ubmit I bua.ineu plan, acutely hazardoua materiell regtStretion Jf!_rm or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES ~ NO J
Is the applicant or future building occupant required to obtain I permit from the air pollution control district/ •ir quality management district? O YES ~ NO
Is the facility to be constructed within 1,000 feet of the outer boundary of I school 1ite 7 0 YES JJ( NO
IF ANY OF THE ANSWERS ARE YES, A ANAL CERTIRCATE OF OCCUPANCY MAY NOT IE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
fili "::,CONSTRUCTION LENDING.AGENCY ,~ • ·";:1·~,,~ :·-.,···~ -~ ....
I hereby affirm that there is a construction lending agency for the performance of the work for which thi1 permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME _____________ _ LENDER'S ADDRESS------------------------fl: APPLICANT CERTIFICATION
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 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 WHIC MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
vations over s·o· deep and demolition or construction of atructur11 over 3 stories in height.
--..~+-=B...,ui-i-1-·n_g: Official under the proviaiona of this Code shall expire by limitation and become null and void if the building or
t omm ithin 365 days from the date of such permit or if the building or work 1 ·zed by such permit is suspended
k i omme for• period of 180 days (Secti 106.4 .4 Uniform Building Code). I ~=='-/1 ~~ f/v--e.-DATE g ....:::......J,.a~...:......yf.... ______ _
WHITE: Fila YELLOW: Applicant PINK: Finance
List 1 -Permit-Tvpe .. -
From the following list, determine the permit-type that best describes the work you propose to do. Please put the code of that
permit-type in the blank at the top of the page on the front of this application. Residential permits (only) also require the
identification of the structure-type to be associated with the permit. Choose a structure-type from "List 2 -Structure-Types· and put
its code in the appropriate blank on the front of this annlication.
Residential Permits
Code Description
APT Anartments -new construction.
CONDO Condominiums -new construction.
CVNNR Conversion. Convert all or a portion of a non-residential building to residential use, creating one or more new residential units.
CVNRN Conversion. Convert one or more residences in a building to non-residential usage.
CVNRR Conversion. Increase or reduce the number of dwelling units in a residential structure through interior modifications
(i.e.: a four bedroom house converted to a duplex, with 2 bedrooms each).
DEMO Demolition nermit. (Also specify type of structure from List 2).
DUP Duplex -new construction.
MOHO Mobile home, renovation. repair, or addition of accessory structure not yielding a new living unit.
MOHON Mobile home, pre-fabricated house, or trailer installed (plumbed, wired) in a mobile home park (see distinction from single-family residence, below).
RAD Residential addition/alteration. creatine-no new dwelliM unit(s).
RREISSUE Residential permit re-issue.
RREPAIR Residential buildin2 renair. Dama2e, fire, etc.
RREPI.ACE Residential building replacement (no additional units).
SFA Single-family, attached -new construction. A one-family house attached to one or more other houses, with one or
more common walls extending from foundation to roof at, or forming, a lot line. Has own plumbing and heating
system (e.g.: townhouse, row house, half-olex)
SFD Single-family, detached -new construction: A one-family house with open area on all four sides. May have an
attached or detached garage, or a business. May be a detached •granny flat". May be a mobile home or trailer on an
individual lot, but not in a mobile home oark.
Non-Residential/ Accessory Permits
Code Description
COM Commercial structure, new construction.
CREISSUE Commercial permit re-issue.
CREPAIR Commercial building -repair. Damage, fire, etc.
CREPI.ACE Commercial buildin2 -reolacement.
en Commercial tenant improvement.
DEMO Demolition permit.
ELEC Electrical oermit, for electrical work onlv.
HOTEL Hotel or motel (including Managed Living Unit hotel) -new construction.
HOTELR Hotel renovation.
IND UST Industrial structure, new construction.
ITI Industrial tenant imorovement.
MECH Mechanical nermit, for mechanical work onlv.
MISC Miscellaneous. Use only if proposed work doesn't fit another activity type.
PATIO Patio and/or deck.
PLUM Plumbine-oennit, for nlumbine: work onlv.
POOL Gunite pools and snas.
RETAIN Retaining wall oennit.
SIGN Sie:n construction/installation nermit.
SOLAR Solar enenIT svstem installation oennit (specify structure tvDe to be served).
SPA Factorv-made or Gunite.
List 2 -Structure-Type (Use with Residential Permit Only)
From the following list, determine the type of residential structure that best describes the structure on which you will be working.
Please put the code of that structure-tvoe in the aooropriate blank at the ton of the oaee on the front of this aonlication.
Code Descrlotion
SFA Single-family, attached. A one-family house attached to one or more other houses, with one or more common walls
extending from foundation to roof at, or forming, a lot line. Has own plumbing and heating system (e.g.: townhouse, row house, half-plex).
SFD Single-family detached: A one-family house with open area on all four sides. May have an attached or detached
garage, or a business. May be a detached •granny flat·. May be a mobile home or trailer on an individual lot, but not
in a mobile home park.
MF2-4 Multi-family, 2 to 4 units. A residential structure on a single lot, conta~ two, three, or four dwelling units. Units
mav share master heatine-, plumbing, or electrical service (e.2.: duplex, tri, ex, quad-plex).
MFS+ Multi-family, 5 or more units. Same as MF2-4, except the buildin2 has a t least five attached units on the same lot.
MOHO Mobile home, pre-fabricated house, or trailer installed (plumbed, wired) in a mobile home park (see distinction from
single-family residence, above).
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB982679 FOR 09/29/98 INSPECTOR AREA
PLANCK# CB982679
OCC GRP
DESCRIPTION: INSTALL PERMllliENT ELECT
PEDISTAL FOR PAC BELL
TYPE: ELEC
JOB ADDRESS: 2786 LOKER AV WEST
APPLICANT: ROBINSON ELEC~~RIC
CONTRACTOR:
OWNER:
REMARKS: C/DON/619/697-6040'
SPECIAL INSTRUCT:
TOTAL TIME:
CD LVL DESCRIPTION
14 ST Frame/Steel/Bolting/Welding
24 PL Rough/Topout
34 EL Rough Electric
44 ME Rough/Ducts/Dampers
STE:
CONSTR. TYPE NEW
LOT:
PHONE: 619-697-6040
PHONE:
PHONE:
INSPECTOR _ __,_f),,..._._)_v ______ _
ACT COMMENTS
~------
~ ~ ~~~~~~~~~-~~~~~~ --:1J'7)-~~~~~~~~~~~~~~~~ ~ ~~~~~~~~~-~~~~~~;Jl..4.L
-I.:**** INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP COMMENTS