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
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STATUS
ISSUED
ACT COMMENTS
Jit_ ____ _
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS