HomeMy WebLinkAbout2349 LEVANTE ST; ; CB910396; Permit03/04/91 15:01
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B U I L D I N G
Job Address: 2349 LEVANTE ST
Permit Type: PLUMBING
P E R M I T
Str:
Permit No: CB91039b
Project No: A9100473
Development No:
Fl: Ste:
1181 03/04/91 0001 O
• " /,f'" Parcel No: 216-190-16-0~
Valuation: o
Construction Type: NEW
Occupancy Group: Class Code: l"'.
Description: GAS REPAIR
Appl/Ownr : BROWNE, DONALD
2349 LEVANTE STREET
CARLSBAD, CA 92009
*** Fees Required
Fees:
Adjustments:
Total Fees:
Fee description
Enter 'Y" for Plu
Gas Piping System
* PLUMBING TOTAL
***
1 l 00
. 0
619
Applied:
Apr/Issue:
Validated By:
632-1506
03/04/91
03/04/91
DC
.oo
.00
10.00
* *"
Ext fee Data
7,50 Y
2.50
10.00
I NSP. _..,..__
CLEARAN E-----1
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
PERMIT APPLICATION
A\ V
City of Carlsbad Building Department EST. VAL ______________ _ 2075 Las Palmas Dr., Carlsbad, CA 92009 (6191 438-1161 PLAN CK DEPOSIT ___________ _
VALID. BY ______________ _
PERMIT DATE _______________ _
A COMMERCIAL TENANT IMPROVEMENT
• D INDUSTRIAL QTENANT IMPROVEMENT
C 0 RESIDENTIAL □APARTMENT □CONDO QSINGLE FAMILY Olo'ELLING QADDITION/ALTERAT!ON
□DUPLEX 0DEMOLJTION □RELOCATION QMOBILE HOME □ELECTRICAL QPLUMBING
□MECHANICAL □POOL □SPA QRETAINING WALL □SOLAR □OTHER
2. PROJECT INFORMATION PLAN CHECK No.
Address "J..~l-\ ~ ~ Cross Streets
LEGAL DESCRIPTJ~ Lot No. Subdivis1on Name/Ni.irber Unit No. Phase No.
CHECK BELIN IF SUBMITTED:
3.
4.
p2 Energy Cales Q2 Structural Cales
ASSESSOR 1S PARCEL
CONTACT PERSON
NAME
CITY
SIGNATURE
APPLICANT
NAME
CITY
D CONTRACTOR
D 2 Soils Repcrt Q1 Addressed Envelope
EXISTING USE PROPOSED USE
# OF STORIES
STATE
ADDRESS
ZIP CODE
0 AGENT FOR CONTRACTOR
ADDRESS
STATE ZIP COOE
DAY TELEPHONE
QO\.INER QAGENT FOR O\.INER
DAY TELEPHONE
QLESSEE QTENANT
DAY TELEPHONE
6. CONTRACTOR
7.
8.
NAME
Cl TY STATE
STATE LIC. # ____ _
ADDRESS
ZIP COOE
LICENSE CLASS
DAY TELEPHONE
CITY BUSINESS LIC. #
SIGNATURE Tl TLE DATE
DESIGNER NAME
CITY
WORKERS' COMPENSATION
STATE
ADDRESS
ZIP CODE DAY TELEPHONE STATE LIC. #
Workers' C~nsat1on Declaration: hereby affirm that have a certificate of consent to self-insure issued by the Director of lndustrul Relations,
or a certificate of Workers' C~nsation Insurance by an &aoitted insurer, or en exact copy or dJplicate thereof certified by the Director of the
insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY POLICY NO. EXPIRATION DATE
Certificate of Exe«ption: I certify that in the performance of the work for which this permit is issued, I shall not eirploy any person in any manner
so as to become subject to the Workers• Coo-pensation Laws of California.
SIGNATURE DATE
OWNER-BUILDER DECLARATION
Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 I as owner of the property or my eirployees 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 ifll)roves thereon,, end who
does such work himself or through his own employees, provided that such ifll)rovements are not intended or offered for sale. If, however, the building
or i~rovement is sold within one year of COffl)letion, the owner-builder will have the burden of proving that he did not build or ifll)rove for the purpose
of sale.).
0 J, 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 License Law).
D I am exen,::>t 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, ifll)rove, de!IIOlish, or repair any structure,
prior to its issuance, al so requires the applicant for such permit to f i I e a signed statement that he is I i censed pursuant to the provisions of the
contractor's License Law (Chapter 9, conmencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exe«pt therefrom,
and the basis for the alleged exe«ption. 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 doi l ars [$500] ) .
SIGNATURE DATE
COMPLETE THIS SECTION f0R NON-RESIDENTIAL BUILDING PERMITS 0t<ILY:
Is the applicant or future building occupant required to sul:rnit 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?
OYES ONO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
□YES QN0
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□YES 0No
IF ANY OF THE ANS\ERS ARE YES, A FINAL CERTIFICATE OF OCClPANCY NAY NOT 8E ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT KAS NET OR IS MEETING THE REQUIREMENTS
OF THE OFFICE OF ElERCENCY SERVICES ANO THE AIR POLLUTION CONTROi.. DISTRICT.
9. CONSTRUCTION LENDING AGENCY
hereby affirm that there is a construction lending agency for the performal'"ICe of the work for which this permit is issued (Sec 3097(1) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPLICANT'S SIGNATURE
I certify that I have read the application and state that the above information is correct. I agree to comply with all City ordinances and State laws relating
to building construction. J hereby authorize representatives of the City of Carlsbad to enter ~n the above mentioned property for inspection purposes. ALSO
AGREE TO SAVE INDEMNIFY AND KEEP HARflllLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JlDGMENTS, COSTS ANO EXPENSES WHICH KAY IN ANY WAY ACCRUE AGAINST SAID
CITY IN CONSEQUENCE OF THE GRANTING DF THIS PERMIT.
si:,._.-.;,,-;.,_~ed by the Building Official under the provisions of this Code shall expire by \imitation and become null and void if the building
t is not coomenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended
ccmnenced for a period of 180 days (Section 303Cd) Uniform Building Code).
□ CONTRACTOR □BY PHONE APPROVED BY: ______ _
DATE: _________ _
YELLOW: Applicant PINK: Finance
02/24/92 INSPECTION HISTORY LISTING
FOR PERMIT# CB910396
DATE INSPECTION TYPE INSP ACT COMMENTS
03/06/91 Gas/Test/Repairs RI RI MH/BROWNE/2 GAS LINES
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