HomeMy WebLinkAbout2409 Levante St; ; 80-829-A; PermitLICENSED CONlRACTOA'S DECLARATION
1 hereby affirm that I am licensed under provi·
sions of Chapte, 9 (commencing with Section
7000) of Division ~\pf the Business and
sions Code, and my license is in full force
feet.
OWNER-BUILDER DECLARATION
'.::'I hereby affirm that I am exempt from I
tractor's license Law tor the following
(Sec. 7031.5 Business and Professions Co
city or county which reQuires a permit
struct, alter, improve, demolish, or rep
structure, prior to its issuance also reQu
applicant for such permit to file a signe
ment that he is licensed pursuant to th
sions o! the Contractor's License Law (C
commencing with Section 7000 of Divis
the Business and Professions Code) or th
empt therefrom and the basis for the allE
emption. Any violation of Section 7031.5 b·
plicant tor a permit subjects the applica
civil penalty of not more than live hundred
($500)
CI, as owner of the property, or my em
with wages as their sole compensation
the work, and the structure is not intend
fered for sale (Sec. 7044, Business and
sions Code: The Contractor's License La·
not apply to an owner of property who b
improves thereon and who does sue
himself or through his own employees, p
that such improvements are not intende
fered for sale. 11, however, the building or i1
ment is sold within one year of complet
owner-builder will have the burden of prov
he did not build or improve for the pur
sale).
::.1, as owner of the property, am exclusiv,
tracting with licensed contractors to co
the project (Sec. 7044, Business e.nd Prof
Code: The Contractor's License Law does
ply to an owner of property ·•ho builds
proves thereon, and who contracts for su
jects with a contractor(s} license pursuan
contractor's License Law).
I am exempt under Sec ____ , B
for this reason, ____ _ __ , __
---
Date Owner ----
WORKERS' COMPENSATION DECLARA
I Rereby affirm that I have a certificate
sent to self-insure, or a certificate of W
Compensation Insurance, or a certifie,
thereof (Sec. 3800, Labor Code).
rlON
JI con·
Jrkers'
copy
POLICY NO --COMF~NY _________ _ --
:::JCopy is tiled with the city
=certified copy is hereby furnished
CERTIFICATE OF EXEMPTION FRO
WORKERS' COMPENSATION INSURA
(This section need not be completed if
mil is for one hundred dollars ($100) or le
I certify that in the performance of thew,
which this permit is issued, I shall not emp
person in any manner so as to become su
the Workers' Compensation Laws of Cali
NOTICE TO APPLICANT: If, after making I
tilicate of Exe,r• ·•on, you should become
to lit' W6r'ket ,. 2impansation provision
L'I.~'"' Vude. you m..ist forthwith comply w
prov_i.'3ie>ns or this permit shall be deemed r,
CONSTRUC~ON LENDING AGENC
,er-
foe
my
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CITY OF CARLSBAD-BUILDING DEPARTMENT
APPLICATION & PERMIT
USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525
1'1,0, 9, 'd I/ •
JOB ADDRESS tffr· 109 O;;rLICAyt:
I I I I I I I I I I I I I I I I I I
ow I ~ £A-, . ·, .....,_\
OWNER'S PHONE
'~~;;_:';' ~u -• i1 :__,_, rn £.(Uc_, ,
7,4~<';/"G A~ ~.-£-. c~L-4,,~ CON():o
1
R•~~~
tf~ BLOCK I SUBDIVISION Ii ASSEtOR'S F'/RO.L},.°' -~ D o,s,~fE--~1, ·-, , , 1 , lJ
DE9.::RIPTION OF WORK
I/.,,,,,. .Ji. n L.c-x
DESl~~C---
CENS/s TRACT IIP LAND USE ZONING
APPLICANT TO FILL IN INFOR -
MATION WITHIN RED LINES.
BUS. LICENSE PERMIT NUMl!ER
ltfr3"1
STATE LICENIISE /Jf;,-1 /t ~ r,(. /,.CJ '-..,Er~v~ "'
STATE LICENSE
DESIGNER'S PHONE
I RES. UNITS I ""'"'tF~v 1 NUMBER OF' STORIES
Nat Valid Unless Machine C.rtifi«J
BCOS SQ, ,1~11
BLOG USE occ. GP I STANDARD PLAN;; I 'Po': f' J.-1 I"" ,o,,,
I occ. LOAD I ----_z:;...
' ..s
llTY. PLUMBING PERMIT AMT, QTY, MECHANICAL PERMIT AMT,
~SC
.. ,
,; EACH FIXTURE TRAP I >5, ~ J-INSTALL FURN. rN.JCTS UP TO 100,000 BTU -. --.s---
, EACH BUlLOING SEWER"'-,. c--,,,. '\. OVER 100,000 BTU .~
I EACH WATER HEATER ANO/il'R •. VENT -..,_ -BOILER/COMPRESSOR"ol(' TO 3 HP ----• EACH GAS SYSTEM 1 TO 4 OUTLETS-..., -?,,:-,, BOILER/COMPRESSOR 3-1~ ----EACH GAS SYSTEM 5 OR MORE "-BOILER/COMPRESSOR 16-30 H:b,< u~~~ EACH INSTAL, ALTER, REPA~TER PIPE "-✓-VENT FAN SINGLE OU~ "-lL ,-~ 17 ~ --i,,-/ EACH LAWN SPRINK 1 '-""SYSTEM "-MECH EXHAU':t,,CHQOO/OUCTS "-'
WATER SOFTNj.K -......... RELOCA11"0N OF EA FURNACE/HEATER ... BUILDING PERMIT I ,"'-/I /, LJ e,
/ 'A,,t..,-e, ---,/ .._ J A I. 0 '-:, ....-SIGN PERMIT I I I
CONT~
TOTAL PLUMBING ~ " .,--TOTAL MECHANICAL ~ PLAN CHECK~££., .,. : : 7 I ,7 l)lf':../IC ,... OONTRACTOR ALL INCLUSIVE PERMIT LC \J ""1-J, I'-I I
" TOTAL PLUMBING ~
QTY. ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT AMT, " ELECTRICAL
NEW CONST EA AMP/SWT/BKR I /JI} -z...d. r AWNING MECHANICAL . .,
I•
1 PH ,15 3 PH /. PORCH MOBILE HOME I I I
EXIST.BLDG EA AMP/SWT/BKR / SET-UP SOLAR I I I
1 PH ,,,,..._ 3 PH / RAMADA, CABANA ' I I
REMOOEL/ALTn-..._PER CIRCUIT / FENCE OVER 6' I I I
/ I TEMP POLE 200 AMPS ......._ TOTAL MOBILE HOME MICO~F1LM I I / , I
OVER 200 AMPS X ~. I I ,,_~'),.-
TEMP OCCUPANC"""' OAYSV ........ I I I I • I . , / . ~~ '),,, I I I I --
TOTAL ELEC_1)H'CAL TOTAL FEES PAYABLE I ... AAA
I I
! ~ ~
5
i= u w "-v,
~
/1#' ~ CONTRACTOR -' •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVE~e...,~ L-?; r(),R'Y I f£.E:.'1 I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5'-0" DEEP AND DEMOLITION OR CONSTP.UCTlON OF E....tC. I "'2-7~ t»'i~ FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED;TO COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT
COUNTY AND ST A TE LAWS GOVERNING BUILDING CONSTRUCT ION, WHETHER ~~~ 1.r79 SPECIFIED HEREIN OR NOT. 1,ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM-/) 11 /:h LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND ,--... _. I •
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE
OF THE GRANTING OF THIS PERMIT A Pt 'ICANT'S S7GNA'tl: w . OWNER□ CONTRACTO~ l:JTOVED BY ;7'Tf/4~ \ bLL,, ,1/ ""'-IC .. JT n_ "" t>un-.,i:; n A .. ----~ -,
SITE
&:) -zsd-'1 -/\-ADDRESS: OWNER: PERMIT NO: I
FIELD INSPECTION RECORD
INSPECTION DATE INSPECTOR ,, ' INSPECTOR'S NOTES
WOOD FLOOR
FOUNDATION• FORMS• SET BACK• TOILET '" '
UNDER FLOOR PLUMBING
UNDER FLOOR HEATING
OK TO INSTALL SUB FLOOR
SLAB FLOOR
UNDER SLAB PLUMBING
FOOTING• FORMS• SETBACK• TOILET
OK TO POUR CONCRETE
-FRAME /
ROUGH ELECTRICAL
ROUGH PLUMBING
ROUGH HEATING/VENTILATING
FRAME OK• PLACE INSULATION
INSULATION OK • PLACE WALLBOARD
WALLBOARD OK• PLACE TAPE
EXTERIOR LATH OK• PLACE STUCCO
. .
FIREPLACE
DAMPER l;..STEEL ·-' ..
PLATE Tl ES/HEIGHT OF CHlMNE.Y
OTHER
TEMP POWER (POLE) -
SEWER
GAS TEST
SWIM POOL • STEEL BONDI NG
• PRE DECK
• FENCE PREP LASTER
SHOWN • FRAME /',
• PAN I)
'FINAL INSP BY BLDG DEPT :;.,-'6-y/ ,J
OTHER DEPT'S REQ COMPLETED
ELEC METER-PERM-TEMP
GAS METER-PERM-TEMP
' I-' 4 I-
Lcc::RT OF qcc~ANCY 1ss1,LED ----n, \J_ _ r 11,.L. -tit (
' l
X .~J10.J1JvM..~J,.~~AIAAliAAAJI.AAAil.1~./AJa.,iil~)( j QI ertifira tr uf ®iruµaury · · ~
~ CITY or:· CARLSBAD ► ~ ► ~ This Certificate 1.·ssued pursuant to the requireme .. nts of Section 306 . ~
! of the Uniform Building Code certifies that at the time of issuanc:e ►
this structure complies with applicable ordinances oi the City ~
regulating building construction use. ·.· · t · ~ . ~
j Use Clossilicotion Duplex Bldg. Permit No. . 80-329/80-829i, ~ Group _____ Type Construotio~-~ Fire Zone . Use Zone______ t
~ Occupant Lood · , .... --:'. P,
<ii; Owner o1 Buildin,,.r,·~.;4°i1Y• Su~'1:j,yan·\':-..: Le'&antefst. . ~
ill -u-il-di-ng_A_d_d,_•_"_r_.2_, 4_,.'0_/_!_~2_ .. :_~-_?._!_::_i_e_z_:_:_,f_~_J_L_. _B ·~===}')12:~::b;..a_q__:· ,::::.:._c..!.A'.'.".·?', .j'.·'
2
9'.!;'2'~0::''()_8_, ---i
<ii; ___________ o~. l,>
~ ~ ~ ~ ~""MMMMMMM MMMMMWWWffW'WW.
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provi.
sions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Profes•
sions Code, and my license is in full force and ef-
fect.
OWNER-BUILDER DECLARATION
DI hereby affirm that I am exempt from the Con-
tractor's License Law for the following reason
(Sec. 7031.S_Business and Professions Code), Any
city or county which requires a permit to con-
struct, alter, improve, demolish, or repair any
structure, prior to its issuance also requires the
applicant for such permit to file a signed state-
ment that he is licensed pursuant to the provi-
sions of the Contractor's License Law (Chapter 9
commencing with Section 7000 of Division 3 of
the Business and Professions Code) or that is ex-
empt therefrom and the basis for the alleged ex-
emption. Any violation of Section 7031.5 by an ap-
plicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars
($500).
L' 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 of-
fered for sale (Sec. 7044, Business and Profes-
sions 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 of-
fered tor sale. II, however. the building or improve-
ment 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 con-
tracting with licensed contractors to construct
the project (Sec. 7044, Business e.nd Professions
Code: The Contractor"s License Law does not ap.
ply to an owner of property ·•ho builds or im-
proves thereon, and who contracts for such pro-
jects with a contractor(s) license pursuant to the
contractor's License Law).
I am exempt under Sec. _____ , B. & P.C.
for this reason _____________ _
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of con-
seiit to self-insure, or a certificate of Workers'
Compensation Insurance, or a certified copy
thereof (Sec. 3800, Labor Code)
POLICY NO ________ _
COMPANY
LJCopy is filed with the city.
□Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed ii the per-
mit is for one hundred dollars ($100) or less).
I certify thal 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.
NOTrCE TO APPLICANT: If, after making this Cer-
tificate of Exemption, you should become subject
to 1he Workers' Compensation provisions of the
L,:•:ror Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
-CONSTRUCTION LENDING AGENCY
CITY OF CARLSBAD-BUILDING DEPARTMENT
USE BALL POINT PEN ONLY
APPLICATION & PERMIT
1200 ELM AVENUE (714) 438-5525
,o. JOB ADDRESS AV.ST. \DATE OF APPLICATION -,. r
'Jo..</1 (}I '7i I ,L,c,v 1/11MT1 x:.-I I •~ I I I I I I I I I I
OWNER OWNER'S PHONE PRIME CONTRACTOR
0a_ cJ( p,,, .. ) -cl I <::, 1u,,;/J)P J1 ht<.mD,.
OWNER'S MAILING ADDRESS CO~TRACTOR'S ADDRESS
"-'l__<j /Wpf) ilO 7)i)
LOS BLOCK I SUBDIVISION I ASSESSOR'S PARCEL NO. DESIGNER CNC...IN1T.J7.5,
' ' ' ' I ' ' ' ' ' ' DESCRIPTI:~ / WORK . -DESIGNER'S ADDRESS
/ /
CENSUS TRACT GP LANO USE ZONING
APPLICANT TO FILL IN INFOR-
MATION WITHIN RED LINES.
BUS. LICENSE PERMIT NUMBER
.9.7/9 7 8-' 1-3<'/ STATE LICENSE ~ 3.;;/ SP -'-I .ri _,,,... -
r . ,.._
CONTRACTOR'S 1/'[J/(J:"'.-·'"-j PHONE 753-/t:;J-.)-
STATE LICENSE
□, f:i8i~ : I
DESIGNER'S PHONE
'../,I
~j ' i "": ' ..
I RES. UNITS l PARKING SPACE ! NUMeER OF STORIES
Not Va.id Unless Machine c.rtified
BLDG SQ. FT. BLOG USE OCC. GP ! STANDARO PLAN 11 IPLANID11 ! TYPE CONST I occ. LOAD I
ClTY. PLUMBING PERMIT AMT. ClTY. MECHANICAL PERMIT AMT.
, _;, EACH FIXTURE TRAP ::? 6. ,-INSTALL FURN. DUCTS UP TO 100,000 BTU
;,,_ EACH BUILDING SEWER /J . ..-, OVER 100,000 BTU
.' EACH WATER HEATER AND/OR VENT -'I -= BOILER/COMPRESSOR UPTO 3 HP
n EACH GAS SYSTEM 1 TO 4 OUTLETS ,., . ,,...., BOILER/COMPRESSOR 3-15 HP
EACH GAS SYSTEM 5 0 R MO RE BOILER/COMPRESSOR 16-30 HP
J/41/;~ EACH INSTAL, ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT
EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS
WATER SOFTNER -,., B-i;LOCATION OF EA FURNACE/HEATER BUI LO ING PERMIT I I I I
\/.//,'),1~• '~~ L, L 1 I ~ .5::--SIGN PERMIT I I I I
TOTAL PLUMBING s-7at: -TOTAL MECHANICAL PLAN CHECK I I I I
CONTRACTOR .--CONTRACTOR ALL INCLUSIVE PERMIT I I I
ELECTRICAL PERMIT AMT. TOT Al PLUMBING I I <57~ V ClTY. AMT. ClTY. MOBILE HOME PERMIT ELECTRICAL I I I
NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL I I I
1 PH .15 3 PH PORCH MOBILE HOME I I I
EXIST BLDG EA AMP/SWT/BKR SET-UP SOLAR I I I I
1 PH .15 3 PH RAMAOA, CABANA fl L,1. J---I I I I
REMOOE L/AL TER PER CIRCUIT FENCE OVER 6' ..47,., A--7A /t'-• I • I I I I
TEMP POLE 200 AMPS TOTAL MOBILE HOME M'!CO-FILM I I I I
OVER 200 AMPS I I I I
TEMP OCCUPANCY (30 DAYS) I I I I
VA' ,,LL _ _:;;_C'/' I I I I -TOTAL ELECTRICAL
. TOTAL FEES PAYABLE I 't" -') 0-. CONTRACTOR I I I . I
I HA VE CAREF LILLY EXAMINED THE COMPLETED "'APPLICATION AND PERMIT. AND DO "AN OSHA eERMOT os R;QUOREO ,OR EXCAVATOONS OVER d~0✓--/ _.da,, !
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5"-0"" DEEP ANO DEMOLITION OR CONSTRUCTION OF
FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED;TO COMPLY WITH ALL CITY. STRUCTURES OVER 3STORIES IN HEIGHT
COUNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER
SPECIFIED HEREIN OR NOT. 1,ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM
LESS THE CITY OF CARLSBAD AGAINST ALL LlABILITIES. JUDGMENTS. COSTS AND -_ _____,
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE " OF THE GRANTING OF THIS PERMIT. APPLANT'S SIGNATURE• A OWNER□ CONTRACTOR□ I APPROVED BD. J: DATE
-j -· :/ , d' --AGENT~ ay PHONE n £ <-_V-;// --
I"'
.... -
,1
! < C ~
5 i= ~ "-v,
~
... :-
/
SITE
ADDRESS: OWNER: PERMIT NO:
FIELD INSPECTION RECORD -
INSPECTION D-ATE INSPECTOR INSPECTOR'S NOTES
WOOD FLOOR
FOUNDATION• FORMS• SET BACK • TOILET
UNDER FLOOR PLUMBING
UNDER FLOOR HEATING
OK TO INSTALL SUB FLOOR
SLAB FLOOR
UNDER SLAB PLUMBING
FOOTING • FORMS• SETBACK • TOILET
OK TO POUR CONCRETE
FRAME
ROUGH ELECTRICAL
ROUGH PLUMBING
ROUGH HEATING/VENTILATING
FRAME OK• PLACE INSULATION
INSULATION OK • PLACE WALLBOARD
WALLBOARD OK• PLACE TAPE
EXTERIOR LATH OK• PLACE STUCCO
FIREPLACE
DAMPER &STEEL
PLATE TIES/HEIGHT OF CHIMNEY
OTHER
TEMP POWER (POLE)
SEWER
GAS TEST
SWIM POOL • STEEL BONDING
• PRE DECK
• FENCE PREP LASTER
SHOWN • FRAME
• PAN
FINAL INSP BY BLDG DEPT
OTHER DEPT'S REQ COMPLETED
ELEC METER-PERM-TEMP
GAS METER-PERM-TEMP
-l CERT OF OCCUPANCY ISSUED •
/2£-/,5