HomeMy WebLinkAbout2425 LEVANTE ST; ; CB981682; PermitvU13
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PPROVAL
DATE~ -/9-9{
CLEARANCE
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
' r ,
PERMIT APPLICATION
FOR OFFICE USE ON~
PLAN CHECK NO . ......jC/~Q,<__ __
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palm as Dr., Carlsbad CA 92009
(760) 438~1161
EST. VAL. \_ \_ (o .
Plan Ck. Deposit ________ _
Validated By __________ _
Date ______________ _
1. PROJECT INFORMATION Mis: L/5.J/ANTE ST-eutr
Address (include Bldg/Suite #I Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Existing Use
47&0 I Priosed Use
SQ. FT. #of Stories # of Bedrooms 11 of Bathrooms
2!,,,~~ACT~0/1~ ;:different m,m')~~~ ..... · · · · · · · · ·.· v1d,~~/,· .,.;1 iJ.,:;:\}
{!fl' '::::!.1:::£_'!1 -u,7;;, ~ (<t1£f/@O l'l'/~wN Vlrvv
Name State/Zip Telephone 11 Fax#
3. APPLICANT. . 0 Contractor .
A1 IK£ <7i,/H.4 Name Address City State/Zip Telephone II /4 PROPERTY OWNER rKE ®HA
Name Address City State/Zip Telephone#
6. CONTRACTOR • COMPANY ""'1i!E''
(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, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License law
[Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Codel or that he is exempt therefrom, and the besis for the alleged
exemption. 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 dollars 1$5001).
Name Address City State/Zip Telephone#
State license 11 _________ _ license Class _________ _ City Business license # -------~
Designer Name Address City State/Zip Telephone
State License # _________ _
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
of the work tor which this permit is issued.
0 I have and will maintain workers' compensation, as required by Section 3700 of the labor Code, tor the performance of the work for which this permit is
issued. My worker's compensation insurance carrier and policy number are:
Insurance Company____________________ Policy No.____________ Expiration Date _______ _
!THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS)
0 CERTIFICATE OF EXEMPTION: 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.
WARNING: Failure to secure workers' compensation coverage i1 unlawful, and lhall eubject an employer to criminal panaltla1 and civil finae up to one hundred
thousand dollars 1$100,000J, in addition to the co1t of compan1atlon, damages ■■ provided for In Section 3706 of the Labor coda. Interest and attorney's faae.
SIGNATURE ______________________________ DATE ____________ _
7. OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contr11ctor's license Law for the following reason:
~ 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 riot 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 intendad or offered for sale. If, however, the building or improvement 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).
0 I, as owner of the proparty, am exclusively contracting with licensed contractors to construct tha project (Sec. 7044, Business end 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 contrector(sl licensed
pursuant to the Contractor's license Law).
0 I am exempt under Section ______ Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property impro11emant. 0 YES ONO
2. I (have I have not) signed an application for a building permit for the proposed work.
3. I have contractad with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number):
4. I plan to provide portions of the work, but I have hired the following parson to coordinate, supervise and provide the major work !include name / address / phone number/ contractors license number!: _____________________________________________ _
5. I will provide some of the work, but I have contracted !hired) the following persons to provide the work indicated Hnclude name I address / phone number / type :::;~:~y OWNER SIGNATUREJJtcciat/tiutdii/{ ;/J , DATE . ----------,COMPLETE THIS SECTION FOR NQN,IIESIDENTIAL 8UILOINO PERMlTi;I ONLY;/,,,,<<·., '
Is the applicant or future building occupant required to submit 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 Act7 0 YES D NO
ls the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES D NO
ts the facility to be constructed within 1,000 feet of the outer boundary of II school site? 0 YES O NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETIN.G THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
8~ CONSTRUCTION LENDING AGENCY , ..
I hereby affirm that there is a construction tending agency for the perform11nce of the work for which this permit is issued (Sec. 30971il Civil Code).
LENDER'S NAME _____________ _
9. APPUCANT. CERTIFICATION
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with 1111
City ordinances and State laws relating to building construction. I hare by authorize representatives of the Citt of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES,
JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5·0• deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void it the building or
work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended
or abandoned at any time after e wof" is com';fnced for/ P7'iod of 180 days !Section 106.4.4 Uniform Building Code).
APPLICANT'S s1GNATURE c/Ui I'd ClJIU{, DATE 02 ~ /ff<f
WHITE: File YELLOW: Applicant PINK: Finance
,
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDRESS:
2. TYPE OF BUILDING: RESIDENTIAL V COMMERCIAL --~
3. ROOF SLOPE: RISE 4: inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) G) 2 3
u It
5. TYPE OF EXISTING ROOF COVERING Jx4 r.t,f SHEATHING Woo'b Si/,4K£
/t-5/J/AL ,+
*6. NEW ROOF MATERIALGAP F,Duif~LASS t1-WEIGHT PER SQUARE ~oo"f#-
7. NUMBER OF SQUARES .tf-7 -~--~
8. TRADE NAME 7ttn6!E/!.L-JI.JE l~ MANUFACTURER t:;AF
9. ROOF SYSTEM LISTING UL No. o/Cf 7 ICBO No. ----~
10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE
WEIGHT OF THE PROPOSED ROOF? ~ NO
All roof coverings are required to be CLASS A. Combustible roof coverings
of any type or classification are prohibited.
I understand the following inspections are required:
1. Tear Off/Pre-inspection prior to install new roof covering.
2. Final Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for
inspection.
Signature lb te chz,,lw Date
*6 -Rolled Roofing, andard/Lite Tile, Asphalt/Comp Fiberglass, Built up,
Other.
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB981682 FOR 06/18/98
DESCRIPTION: 47 SQUARES OF COMP. RE-ROOF
TYPE: MISC
JOB ADDRESS: 2425 LEVANTE ST STE:
INSPECTOR AREA PS
PLANCK# CB981682
OCC GRP
CONSTR. TYPE VN
LOT:
APPLICANT: JUHA, MICHAEL
CONTRACTOR:
PHONE: 949-582-8689
PHONE:
OWNER:
REMARKS: C/MIKE/949/582-8689
SPECIAL INSTRUCT:
TOTAL TIME:
CD
19
LVL DESCRIPTION
ST Final Structural
PHONE: ~
INSPECTOR--~--+-✓--------
ACT COMMENTS !1K ____ _
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***** INSPECTION HISTORY*****
DATE DESCRIPTION
060598 Roof/Reroof
ACT INSP
AP PS
COMMENTS