HomeMy WebLinkAbout2161 LEVANTE ST; ; CB940250; PermitB U I L D I N G
03/10/94 10:56
Page 1 of 1
1 Job Address: 2161 LEVANTE ST
Permit Type: PLUMBING
Parcel No: 216-484-01-00
Valuation: O
Construction Type: NEW
P E R M I T
Suite:
Lot#:
Permit No: CB940250
Project No: A9400367
Development No:
Occupancy Group : Reference#: Status: ISSUED
03/10/94
03/10/94
MDP
Description: REPLACE WATER HEATER
Appl/Ownr : A&J FOSTER INC.
2819 CENTRAL AVE
SPRING VALLEY, CA. 91977
*** Fees Required
Fees:
Adjustments:
Total Fees:
***
27.00
.00
27 .00
***
Applied:
Apr/Issue:
619
Entered By:
697-4151
Fees Collected & Credits
Total Credits :
Total Payments:
Balance Du e:
.00
.00
27.00
***
Fee description Units Fee/Unit Ext fee Data
Enter "Y" for Plumbing Issue Fee >
Each Water Heater and/or Vent >
* PLUMBING TOTAL
1
CITY OF CARLSBAD
7 .00
2075 Las Palmas Dr., Carlsbad, CA 92009 (6 19) 438-1161
20.00 Y
7 .00
27.00
PERMIT APPLICATION
City of carlsbad Building Departaent
2075 Las Palaas Dr., carlsbad, CA 92009 (619) 438-1161
I. PRRMI I hPE
A -U COmmerc1al LI New Bualdmg Li tenant Improvement
B -D Industrial □ New Building D Tenant Improvement
~ ~
C -!XResidential □ Apartment □ Condo Q9ingle Family Dwelling □ Addition/ Alteration
□ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical ~Plumbing
□ Mechanical □ Pool □ Spa □ Retaining Wall □ Solar □ Other
PLAN CHECK NO. Cf l( -2
2. PRCllECT INFORMATION FOR OFFICE USE ONLY
Address BuUdmg or Suite No.
2161 Levante St. Nearest cross Street Escenico Ter
LEGAL DESCRIPI ION Lor No. SuixitV1s1on Name/Number 0mt No. Phase No.
CHECK BEWW IF S0BMII 1£0:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
MSESSOB'S PARCEL EXISTING USE PROPOSER USE
DESCRIPTION OF WORK
!;'g'-:pj:R HEl'.TER REPLACEMENT # OF STORIES
3. WN IACI PERSON (II dnfereni from appUcant)
NAME Richard Hostin ADDRESS
CITY carlsbad, STATE CA. ZIP CODE
2161 Levante St.
92009 DAY TELEPHONE 753-4150
4. APPUCANI UWNIRACIOR
NAME Michelle Medina
lXAGENI FOR WNIRACIUR uuwNtK OXGENI FOR OWNER
ADDRESS 2819 Central Ave.
CITY Sor~n\ln: Valley ( 5. PROPERIYO N
STATE CA,
NAME Richard Hostin
CITY Carlsbad, STATE CA.
NAME A&J Foster, Inc.
CITY
ZIP CODE
ADDRESS
ZIP CODE
91977 DAY TELEPHONE
2161 Levante St.
92009 DAY TELEPHONE
ADDRESS 2819 Central Ave.
697-4151
753-4150
DAYTELEPHONE 697-4151 Spring Valley, STATE CA. ZIPCODE 91977
STATE UC.# 630120 UCENSE CIASS C 36 CITY BUSINESS UC. # 1200354
CITY
N/A
STATE ZIP CODE DAY TELEPHONE STATE UC.#
7. WORkf!RS., WWWWSA'liON
Workers' Compensation Declaratton: I hereby afhrm that I have a certUlcate of consent to self.insure issued by the Director of lndustnai
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
5/1/94
D I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or
offered for sale (Sec. 7044, Business and Professions Code: The Contractor's license Law does not apply to an owner of property who builds
or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended
or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden
of proving that he did not build or improve for the purpose of sale.).
D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions
Code: 11te 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).
□ 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 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]).
SIGNATIIRE DATE
COMPD:lf'. IRIS SEC I ION FOR NON-RESIDEN IIAt BUILDING PERMll'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, 25533 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?
CJ YES CJ NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□ YES □ NO
IF ANY OF 11IE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFrER JULY I, 1989 UNLl'.5S 11IE APPLICANT
HAS MET OR IS MEETING 111E RllQIJlllEMENTS OF 11IE OFFICE OF EMERGENCY SERVICES AND 11IE AIR l'OLLIJ110N ClON'IROL msnucr.
9. WNSJROCIION LENDING AGENCY
I hereby afhrm that there 1s a construction lending agency for the performance of the work for which this permit 1s issued (Sec 3097(1) dvU Code).
LENDER'S NAME N)NE LENDER"S ADDRESS
JO. APPLiCAN I CPJtllFICAJlON
I cemfy lbat I have read the apphcauon and state that the above mformatton JS 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 Al.';() AGREE ID SAVE INDEMNIFY AND KEEP HARMIBSS 11IE CITY OF CARlSBAD AGAINSf AIJ. IJABIUl1ES, JUDGMENTS, CDSTS
AND EXPENSES WIDCH MAY IN ANY WAY NXJUIB AGAINSf SAID Cl1Y IN CONSEQUENCE OF 11IE GRANTING OF TIIlS PERMIT.
OOHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
Expiration. Every 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 permit is not commenced within 365 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: JYI [> /c;'r I
YEil.OW: Applicant PINK: Finance