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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 1,,11 ·~ ;e~ ,c I ' h <> d ' 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