HomeMy WebLinkAbout2259 LEVANTE ST; ; CB930314; Permit• , E
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PPROVAL
.. ~SP. ~-DATE i;~> LEARANCE _____ ,
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 920()C) (619) 438-1161
PERMIT APPLICATION PLAN CHECK NO. 9. 3-3 t L(
City of Carlsbad Building Departaent
FSf. VAL _3i L '-{_ '-\_ 2075 Las PalRIB Dr •• carlsbad, CA 92009 (619) 438-1161
PLAN CK oF.POSif ----------VAIJD.BY __________ _
1. PffitMh" 'iYPR DATE
A -0 Commercial □ New Bui@mg LI Tenant Improvement
B -□ Industrial LI New Building D Tenant Improvement
C -J(Residential D Apartment D Condo LI Single Family Dwelling O Addition/ Alteration
□ Duplex □ Demolition O Relocation □ Mobile Home □ Electrical □ Plumbing
D Mechanical D Pool D Spa D Retaining Wall D Solar
2. PRQJECT INFORMATION FOR OFFICE USE ONLY
Address ~2z'j ,l.Gv.th/7F ST: CA.? $°NW) C--,4; (?2,n;'l Nearest Croos-treef ' •r'
Bu!ldmg or Suite No.
LEGAL DESCRIPTION Lot No. SulxhVJston Name/Number Umt No. Phase No.
CHECK B£WW IF SOBMJ I I f:D:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
DESCRIPTION OF WORK
NAME ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
4. ~10 ~ 03;1~~.!J □AGENt FOR~k~rz.;_f16w~~\,,.+';,1_tt F~~?WNEH
□TY (!,.. l5 A-iJ STATE c4--ZIP CODE DAY TELEPHONE / -/ ~ 0 3
NAME 0'<,-/U1e/S6?v ADDRESS .-,;;.~-SC/ /..cv~ s-r:
CITYCAiz/SBttQ STATE (A., ZIP CODE '72t'CJ? DAY TELEPHONE
6. WNi'RACIOR
NAME ADDRESS ------~·-___.....-.------
CITY ·· -.Zlt£0DE
IJCENSE CIASS
DAY TELEPHONE
STATE IJC. # CITY BUSINESS IJC. #
DESIGNER NAME ADDRESS
CllY .-"--STATE ZIP CODE DAY TELEPHONE STATE UC.#
1. WoluMlS' CDMPRNSA'fiON
Workers' Compensauon Dedaratmn: 1 hereby athrm that I have a certthcate of consent to sell-insure issued by the Director ol lndustnal
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).
INSURANCE COMPANY POIJCYNO. EXPIRATION DATE
□
□
u er aratlon: ere ya mn t at am exempt w or t e o owrng reason:
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.).
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 concractor(s) licensed pursuant to the Contractor's License Law).
l 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 tile 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 pennit
subjects the a icant to a civil pe alty"?f not more than five hundred dollars [$500]).
SIGNATURE LA.)! r-----' DATE 4,
Is the applicant or futu ilding 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 che Presley-Tanner Hazardous Substance Account Act?
0 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?
□ YES □ NO
ls the facility to be constructed within 1,000 feet of the outer boundary of a school site?
0 YES □ NO
IF ANY OF 11-IE ANSWERS ARE YES, A FINAL CERTIFICATE OF oa:tJPANCY MAY NCTf BH ISSUED AFTER JULY 1, 1989 ~ TifE APPUCANT
HAS MET OR IS MEETING nm REQUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND 1llE AIR POILU110N CDN1ROL Dl511UCT.
g_ mNsmocnON LF.NDLNG AGRNt'Y
l hereby afhrm that there 1s a conscrucnon lendmg agency lor the performance of the work tor which this pennit is issued (Sec 3097{1) ClVli Code).
LENDER'S NAME LENDER'S ADDRESS
lo. APl>llcAN'1' crutlMCA'11oN
I certify that 1 have read the apphcauon and state that the above mlormauon 1s correct. I agree to comply With all City ordmances and State laws
relating to building construction. l hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection
purposes. I AISO AGREE 1U SAVE INDEMNIFY AND KEEP HARMI.ESS nm CITY OF CARISBAD AGAINSf AU. UABIIJTIES, JUDGMENTS, CDSTS
AND EXPENSF.S WIIlCH MAY IN ANY WAY AO:RUE AGAINST SAID CITY IN CDNSEQUENCE OF nm GRANTING OF nns 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 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).
APPLICANT'S SIGNATURE \ ,.... DATE: 4-I "'2 I 13 ~N~~ I
WHITE: File YELLOW: Applicant PINK: Finance
,; CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB930314 FOR 07/07/93
DESCRIPTION: MAKE DECK A SUN ROOM, CHANGE
DOOR, ADD WINDOW, INSTALL FAN
TYPE: PATIO
STE:
INSPECTOR AREA TP
PLANCK# CB930314
OCC GRP R-3/M-1
CONSTR. TYPE VN
LOT: JOB ADDRESS: 2259 LEVANTE ST
APPLICANT: NIELSEN, ROY
CONTRACTOR:
PHONE: 619 481-1603
OWNER:
REMARKS: MH/KEITH/942-5253
SPECIAL INSTRUCT:
TOTAL TIME:
PHONE: LZ PHONE:
INSPECTOR-~..,.....'----------
CD LVL DESCRIPTION ACT COMMENTS (: ~~ ~ ST Frame/Steel/Bolting/Welding • I ------~~*-~-~-~-;M,~-~----~-&-~-
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS