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HomeMy WebLinkAbout2349 LEVANTE ST; ; CB910399; Permit• Ii B U I L D I N G P E R M I T Permit Project Development No: CBq10 9 No: A910C47 Nt\: ,_ U 3 /0 5" / 9 1 0 9 : 11 Page 1 of 1 Job Address: 2349 LEVANTE Permit Type: PLUMBING Parcel No: 216-190-16 \ Valuation: ST Str: Construction Type: NEW Occupancy Group: Description: GAS REPAIR : OTHER HALF Class Code: ON SAME LOT - OF DUPLEX 2351LEVANTE Appl/Ownr : BROWNE, DONALD 2349 LEVANTE STREET CARLSBAD, CA 92009 Fees Required Fees: Adjustments: Total Fees: Fee description Enter "Y'' for Plurrl Gas Piping System * PLUMBING TOTAL "* * --~-- ~e ➔ > CITY OF CARLSBAD 619 Fl: Ste: 1192 9 r t l Applied: ISSUED 03/CS/91 Apr/Issue: Validated By: 632-1506 llected & Credits DC .oo .00 10.00 *** Ext fee Data ~----------------- 7.50 Y 2.50 10.00 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION 4\ V City of Carlsbad Building Department EST. VAL. ______________ _ 2075 Las Palmas Or., Carlsbad, CA 92009 16191 438-1161 1. A • PERMIT TYPE COMMERCIAL 0 INDUSTRIAL □RESIDENTIAL □APARTMENT □ouPLE)( □DEMOLITION □MECHANICAL □POOL TENANT IMPROVEMENT □TENANT IMPROVEMENT OcoND0 □SINGLE FAMILY D\.IELLING 0 ADDITION/ALTERATION □RELOCATION □MOBILE Hc»IE □ELECTRICAL □PLUMBING □SPA □RETAINING \.IALL □SOLAR □OTHER PLAN CK DEPOSIT ____________ _ VAUD. BY _____________ _ DATE _______________ _ 2. PROJECT INFORMATION PLAN CHECK No. Building or Suite No. Nearest Cross Streets LEGAL DESCRIPTION lot No. Subdivision Name/Ni.irt)er Unit No. Phase No. CHECK BEUM If SUBNITTED: 3. 4. 5. 6. 7. 8. Q2 Energy Cales 02 Structural Cales 0 2 Soi ls Rep0rt Q 1 Addressed Envelope ASSESSOR'S PARCEL EX!STJNG USE ~ Ri;;;-P A I f<.._ B_lJ)G. SO. FTG. CONTACT PERSON NAME CITY SIGNATURE APPLICANT 0 CONTRACTOR NAME CITY PROPERTY OWNER ,,,,,.,_ . ~ NAME-::.:,0f-)P,l.-P '(° :,;=,\'-<J,,_N~ CITY C-A (U...""::,~ 't, CONTRACTOR MAME CITY # OF STORIES ADDRESS STATE ZIP CODE 0 AGENT FOR CONTRACTOR ~NER STATE @:::_) STATELftr STATE ADDRESS ZIP CODE .)_ 51/ J 1./tV)l,_,rf ADDRESS LA co<;,-~ ZIP CODE ADDRESS ZIP CODE STATE LIC. #, ____ _ l I CENSE CLASS _____ _ SIGNATURE DESIGNER NAME CITY WORKERS' COMPENSATION STATE TITLE ADDRESS ZIP CODE PROPOSED USE DAY TELEPHONE 0 AGENT FOR O\,IMER DAY TELEPHONE □LESSEE QTENANT DAY TELEPHONE DAY TELEPHONE CITY BUSIMESS LIC. # DATE DAY TELEPHONE STATE LIC. # Workers' C~sat1on Declaration: hereby affirm that have a cert1f1cate of consent to self·1nsure issued by the Director of industrial Relations, or a certificate of Workers' Coq:,ensat ion Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Di rector of the ; nsurer thereof f i led with the Bui ldi ng Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO. E)(PIRATION DATE Certificate of EKemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am eKempt from the Contractor's License law for the following reason: O 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 cOO"pletion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale.). O I, as owner of the property, am eKclusively 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) I i censed pursuant to the Cont rector's license law). 0 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, al so requires the applicant for such permit to f i le a signed statement that he is licensed 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 exempt therefrom, and the basis for the alleged exelll)tion. Any violation of Section 7031.5 by any applicant tor a permit subjects the applicant to a civil penalty of not more than five hundred dollars (S500]). SIGNATURE DATE COMPLETE THIS SECTION FOR NOM·RESIDENTIAL BUILDING PERMITS OMLY: Is the appl i cant or future building occupant required to submit a business pl an, acutely hazardous materials reg i strati on form or r i sic management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Accou,t Act? QYES 0No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES 0No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □Yes IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCDJPANCY NAT NOT BE ISSI.ED AFTER M.Y 1, 1989 UNLESS THE APPLICANT HAS NET Oil IS MEETING THE RECIJIRENEIITS Of THE OFFICE OF EMERGENCY SERVICES AND TIIE AIR POLLUTION CONTROL DISTRICT. 9. CONSTRUCTION LENDING AGENCY hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code). LENOER'S NAME LENOER'S ADDRESS 10. APPLICANT'S SIGNATURE I certify that I have read the application and state that the above information is correct. ! 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 ALSO AGREE TO SAVE INDEltNIFT AND ICEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JlllGfllENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAT ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. 1r ion. Every permit issued by the Building Official urder the provisions of this Code shall expire by limitation and become null and void if the building or work uthorized by such permit is not conmenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended aband d at any time after the work is conmenced for a period of 80 days (Section 303(d) Uniform Building Code). 00\,INER MTRACTOR D BY PHONE APPROVED BY: DATE: WHITE: File YELLOW: Applicant PINK: Finance PERMIT# CB910396 DESCRIPTION: GAS REPAIR TYPE: PLUM CITY OF CARLSBAD INSPECTION REQUEST FOR 03/06/91 JOB ADDRESS: 2349 LEVANTE ST APPLICANT: BROWNE, DONALD CONTRACTOR: PHONE: PHONE: OWNER: PHONE: INSPECTOR AREA TP PLANCK# CB910396 OCC GRP CONSTR. TYPE NEW STR: FL: STE: 619 632-1506 REMARKS: MH/BROWNE/2 GAS LINES SPECIAL INSTRUCT: 2 GAS LINES INSPECTOR ___________ _ TOTAL TIME: --RELATED PERMITS-- LVL DESCRIPTION PERMIT# TYPE CB910399 PLUM CD 23 PL Gas/Test/Repairs ------------------ -------------------------------------- STATUS ISSUED ACT COMMENTS Jit_ ____ _ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS