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HomeMy WebLinkAbout2230 LEVANTE ST; ; CB970525; Permitt CLEARANCE ____ _ CITY OF CARLSBAD 2075 Las Palinas Dr., Carlsbad, CA 92()()() (619) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (619)438-1161 FOR OFFICE USE ONL V PLAN CHECK NO.q 7/)S ~5- EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By ~ f1E_ Date J ltoL ~ I ( -f Address (include Bldg/Suite I) Business Name (at thia address) Legal Description Lot No. Subdivision Name/Number Assessor"s Parcel I IN S1ft U-V\3,.1'[ f 4>-o-J ( fJ Existing Use \3 A:~ Q.Do\'\{ Description of Work SO. FT. #of Stories Name Address City Name Address City Unit No. Phaae No. Total I of units Proposad U.. I of Bedrooms Stata/Zlp State/Zip C.A State/Zip I of Bathrooms Telephone I Fax# Telephone I '<•\•j(' '=:,"~il .. -Ob Telephone II (Sec. 7031 .5 Business ■nd Professions Code: Any City or County which requires• permit to construct, alter, improve, demolish or repair any structure, prior to Its issuance, 1110 requires the applicant for such permit to file a signed statement that he is licensed pursuant to the proviaione of the Contractor's Ucensa uw (Chapter 9, commending with Section 7000 of Division 3 of the Business end Profusions Code) or that he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031 . 5 by any applicant for • permit subjects the applicant to ■ civil penalty of not more then five hundred dollars It 500)). Name Address City State/Zip Telephone I State License I _________ _ Ucense Class _________ _ City Business Ucense I _______ _ Designer Name Address • City State/Zip Telephone State License I _________ _ ~l.COMPEt!lsi.'noto' . 'v ~.., ?,;ar'ii.:it~1,1«·•"'"'· ·· ·'" ._.,. . . Workllf'S' Compensation Declaration: I hereby affirm under penalty of perjury. one of the following d■clarationa: D I have end will maintain • certificate of consent to salt-insure for workers' compensation as provided by Section 3700 of the ubor Code, for the performance of the worlc for which this permit is issued. D I have and will maintain workers' compensation, 11 required by Section 3700 of the ubor Code, for the performance of the work for :which this permit i1 issued. My worker's compensation insurance carrier end policy number ere: Insurance Company____________________ Policy No.____________ Expiration Data _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*1001 OR LESS) D CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is iaautd, I ehall not employ any peraon in any manner so 11 to become subject to the Workers' Compensation uws of California. WARNING: Fallwe to aecure•workers' compensation coverega is unlawful, and ■hall subject en employer to crimklal penaltlu and civil fines up to -hundred thousand dollara 1$100,000), In addition to the cost of compensation. damage■ H provided for In Section 3706 of the Labqr code, lnt-t and attorney'• fMs. SIGNATURE DATE 11 :.~ow~ER~au1LDER 0Ec~J10~;~:11r;~;ii,~:::1H',i-.ii:".i;J~l''t12:..~J:::i::U:i.:~:ii~•.•, .. :t;rK~ ·:·~· . .,. -"" "' .iii lt:1&m1¥Pi1,..~,: ''..•: I hereby 1ttirm that I am exempt from the Contractor's License Law for the following ree■on: fill I, es owner of the property or my employNs with wages es their sole compensation, will do the work end 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 ere not intended or ottered for Hie. If, however, the building or improvement is sold within one year of completion, the owner-builder will hava the burden of proving that ha did not build or Improve for the purl)OH of ule). D I, 11.own■r of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business end Profeaalons Code: The Contractor's Ucenae uw does not apply to an owner of property who builda or improve■ thereon, and contracta for auch projecta with contractor(al liceneed pursuant to the Contractor's Ucense uw). D I am exempt under Section ______ Buainess and Professions Code for this reHon: 1 . I personally plan to provide the major labor and materials for construction of the propo11d property Improvement. [! YES ONO 2. I (have 8 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 licenae number): b th!I a::,::,Jie.::,t or future tuilO::lng occupant r•qu.r•d tu ""t.mit • bu .. in•"" pian, acutaiy haurdoua matarials rag,atratlon form or risk managameni and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Huardoua Substance Account Act? D. YES O NO Is the applicant or future building occupant required to obtain • permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constNcted within 1,000 fNt of the outer. boundary of a school site 7 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 POUUTION CONTROL DISTRICT. I hereby affirm that there is • construction lending agency for the performance of the work for which this permit i1 issued (Sec. 3097(11 Civil Code). LENDER'S NAME ______________ _ I certify that I have read the application and state that the above information is correct ■nd 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 repruentatives of the City of Carlsbad to enter upon ttie 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 exc■v■tions over 6'0" dNp and demolition or construction of structwea over 3 atoriea in height. EXPIRATION: Every permit iaaued 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 366 days from the date of such permit or if the building or work authorized by such permit is auspended or abandoned at any time after he work is comm-,iced for• pa · of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE IC . DATE _3_,_/_/o__._f_1_f-"-------- WHITE: File YELLOW: Applicant PINK : Finance PERMIT# CB970525 DESCRIPTION: INSTALL FAN IN TYPE: ELEC CITY OF CARLSBAD INSPECTION REQUEST FOR 03/13/97 BATHROOM STE: INSPECTOR AREA PLANCK# CB970525 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 2230 APPLICANT: STANTON, CONTRACTOR: LEVANTE ST BRENDON PHONE: 619 632-0656 PHONE: OWNER: REMARKS: BJN/STANTON/632-0656 SPECIAL INSTRUCT: TOTAL TIME: CD 35 LVL DESCRIPTION EL Fixtures PHONE: 4 INSPECTOR J___.(_,--==---.,,,:.~------ ACT COMME~ Af-, -------------------- ------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS