HomeMy WebLinkAbout1905 LEVANTE ST; ; CB920756; Permit~ I p I I L [1 T N 'I
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CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
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PERMIT APPLICATION ~ V
PLAN CHECK NO.
City of Carlsbad Building Departaent
I
EST. VAL 2075 Las Palaas Dr •• carlsbad, CA 92009 (619) 438-1161
PIAN CK DEPOSIT. _______ _
VAIID. BY __________ _
I. J'~I hi?;
A: mmerc1al U New Bu1idmg U t'enant Improvement
DATE
B -D Industrial □ New Building D Tenant Improvement
C -□ Residential □ Apartment D Condo □ Single Family Dwelling □Addition/Alteration
□ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical □ Plumbing
□ Mechanical □ Pool □ Spa □ Retaining Wall □ Solar □ Other
2. PROJECf INIDRMATION FOR OFFICE USE ONLY
Address /?JO~ L.6\llln re :SI
Nearest Cross Street F fl-/cl,t
BuUdmg or Suite No.
LEGAL DEsCki?'I ION Lot No. Subc1lvts1on Name/Number 0mt No. Phase No.
CHECK BEWW IF S0BMII 1£0:
7.
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ l Addressed Envelope
ASSESSOR'S PARCEL X ~ &z -,i/rp-¥,#., "ts(J.a /.E
DESCRIPTION OFWORI{ o Ah-, mert:.'Aec :-.;~~STR ;_
SQ. Ff. # OF STORIES
NAME {}; rj ,:) ,
CITY
NAME~""54-mel1J'
CITY
e~l',:s ,on
STATE(? f'r
STATE
DAY TELEPHONE
ADDRESS . Q ;(:io--< 3<j'-/
ZIP CODE 7',} C)C) ? DAY TELEPHONE
ADDRESS
ZIP CODE
ADDRESS
DAY TELEPHONE
DAY TELEPHONE
PRQPOSED USE
STATE LIC. #
ZIP CODE
LICENSE CLASS CITY BUSINESS LIC. #
CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. #
SIGNATURE DATE s. owNm-nonnm DECLARA:ttuN
Owner-Builder Deciaration: I hereby affirm that I am exempt from the Conrracto?s License Law for the foilowmg reason:
D I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or
offered for sale (Sec. 7044, Business and Professions Code: The Contractor's license Law does not apply to an owner of property who builds
or improves thereon, and who does such work himself or through his own employees1 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 chat 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 Llcense Law).
□ 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 Llcense Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code)
or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.S by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars [$S00]).
SIGNATURE DATE
COMPO:IE IRIS Sf:C'IION FUR NON-RESIDf:N IIAL B0IWING PERMII'S 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, 25S33 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
□YES □NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
C YES □ NO
ls the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□YES □NO
IP ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OOCUPANCY MAY Nm BI! IS.5UED AFil!R JULY I, 1989 UNLESS THE APPLICANT
HAS MIIT OR IS MEETING THE REQUIREMENTS OF TIIE omCE OF EMERGENCY SERVICES AND THE AIR POIJ.IJ110K OONTROL D151'RICT.
9. WNSIR0CIION U!NDING AGENCY
i hereby aiurm that there 1s a construction lendmg agency for the performance of the work for which tfos permit 1s issued (Sec 3097(1} CivU Code).
LENDER'S NAME LENDER'S ADDRESS
IO. XPJillCAN I CmtlffiCXfibN
I cernfy that I have read the apphcatton and state that the above miormat1on 1s correct. I agree to comply with all City ordmances 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 Al.50 AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE crJY OF CARISBAD AGAINSf ALL IJABIUTIES, JUDGMENTS, CDSTS
AND EXPENSES WHICH MAY IN ANY WAY ACilUJE AGAINST SAID QTY IN OONSF.QUENCE OF THE GRANTING OF 11IlS PERMIT.
OSHA: An OSHA permit is required for excavations over S'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 36S 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).
DATE: 7~'-/-'J;}_
WHITE: F e YEll.OW: Applicant PINK: Finance
,
UMICMZ:PYLJQ IN!PIC1XON
DAT!_.:,.7-'-'%? .. S~/2...._;... __ _ ) ) . INSP!CTOR_...r....l.f!::Ji!::a;;aa.a. ____ _
PEMIT •-------Pt.ANC~ t _____ _
JOB AOOIUSS ___ ~(..1.B .... <2""\C,._.,.L.E.=.1//,;;.i;,;'=,A,/r,;,:=~--------------
TIME ARRIVl: _____ TIMI LEAVI: _____ _
CO LVt. 0ESOIP'l'I0N
PDJllTS
6/15/19
ACT COMMENTS
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