HomeMy WebLinkAbout2343 LEVANTE ST; ; CB921274; PermitPERMIT APPLICATION PI.AN CHECK NO.
City of Carlsbad Building Departlllent
2075 Las Pal•• Dr •• carlsbad, CA 92009 (619) 438-1161 EST.VAL. __________ _
PLAN CK DEPOSIT _______ _
VAIID. BY __________ _
I. P£RMII liPE DATE
A -U C:Ommerc1al U New Bulidmg U I enam Improvement
B -□ Industrial □ New Building □ Tenant Improvement
C -D Residential □ Apartment U Condo G:aiffgle Family Dwelling □ Addition/ Alteration
□ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical DPl'lintbing □ Mechanical □ Pool □ Spa □ Retaining Wall □ Solar □ Other G..a...-5
2. PRClIBCT INFORMATION FOR OFFICE USE ONLY
Address [6///JA.,,,/fe_.,BuJJdmg or Suite No.
c,.....,~
mt o. ase o.
CHECK BEWW If SOBMI 11 ED:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
ASSESSOR'S PABCEL EXISTING USE (;,A,3 L, ,.......e.. /{-e>A+r.z._ PBOPPSEP USE
DESCRIPTION OF WORK
SQ. FT. # OF STORIES a.
3. ~~"'.r ~ (~lerenl tram apphcanl) ADDRESS :; 1 ¥ ] L /[" v~
4. ~~(.;AN• atGNtRActoR 5'f1TirnN1 FOR~~ri.2:,-cft~JNE~AYif¾ziM?~Gu~/e?-~ Yt?O
NAME L --"2,v' c .,II(),:_ pc ... _,,.,r '? ADDREss / J 7 C'..#,0....., vs
CITY C .-t2;.44l. STATE C/4: ZIP CODE q :Jd.21/ DAY TELEPHONE 9 'z...2 -¥ /7 0
S. PROPFJth Umnm-
NAME ADDRESS
ZIP CODE CITY STATE DAY TELEPHONE
6. ~~"f~G/1,Q,:, /IL~,,..(],-«, ADDRESS / J 7 C.A,0""" VS
CITY l~,.. STATE ('4-ZIP CODE 'f ~:2 'f DAY TELEPHONE 9' 'f,;} -/3 I 7 C)
STATE UC. #,sr,CoO ]2. LICENSE CLASS C-1, C -2cJ CITY BUSINESS UC. # _-
CITY STATE ZIP CODE DAY TELEPHONE STATE UC.#
7. WOitkERS5 WMPENSXIIUN
Workers1 t.Zmpensatton Deciarauon: I hereby aiitrm that I have a cert.1hcate of consent to self-insure issued by the Director of lndustnal
Relations1 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 POLICY NO. ( (}
rt1 1cate o xempuon: ceru t at m t e pe ormance o e wor or w 1c
so as to become subject to the Workers' Compensation Laws of California.
SIGNATIJRE DATE
8. UWNltll-BOUDffi DWARA:IJUN
bwner-8u1Jaer Oeclaratlon: I hereby affirm that I am exempt from the Eontracto?s Llcense Law for the followmg 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: 11te 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, Busines., 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 Busines., 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 [$5001).
SIGNATIJRE DATE
COMPO:IE IRIS SECIIUN FOR NON-RESIDENIIAt BUILDING PERMil's ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn 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?
CYES □NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□YES □NO
IF ANY OF nm ANSWERS ARE YES, A FINAL CERTIFICATE OFoa:uJ>ANCY MAY NOT BI! IS.WJ!D AFll!RJULY I, 1989 UNIJlSS nmAPPLJCANT
HAS MET OR IS Ml!IITING nm Rl!QUIREMENTS OP nm OFFICE OP l!MERGl!NCY SERVICES AND nm AIR POLLITDON CDN1llOL DISl1IICT.
9. WNSIR0CIION IENOlNG AGENCY
I hereby afhnn chat there 1s a construcuon lendmg agency for the performance of the work for which this penn1t IS issued (Sec !!J097(1) dvtl Code).
LENDER"S NAME LENDER'S ADDRESS
10. AWIJCANI CF.kliFICA:tiON
I certify that I have read the appHcauon and state that the above mlormatton 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 ALSO AGREE TO SAVE INDEMNIFY AND KEEP IWtMLESS nm CITY OP CARISIIAD AGAINST AU. UAlllll11ES, JUDGMENTS, CDSTS
AND EXPENSES WIDCH MAY IN ANY WAY MDUJE AGAINST SAID CITY IN mNSEQlll!NCE OP nm GRANTING OP 11DS PERMIT.
OSHA: An OSHA pennit 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).
DATE: /:) -/~-f L
WHITE: File YEil.OW: Applicant PINK: Finance
". PERMIT# CB921274
DESCRIPTION: GAS REPAIR
TYPE: PLUM
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 12/11/92
JOB ADDRESS: 2343 LEVANTE ST
APPLICANT: LEUCADIA PLUMBING
CONTRACTOR:
PHONE:
PHONE:
OWNER:
REMARKS: MH/PAT/942-8170
SPECIAL INSTRUCT:
TOTAL TIME:
PHONE:
INSPECTOR AREA PY
PLANCK# CB921274
OCC GRP
CONSTR. TYPE NEW
STR: FL: STE:
619 942-817
CD
23
LVL DESCRIPTION ACT COMMENTS
PL Gas/Test/Repairs _£ _____ _
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***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS