HomeMy WebLinkAbout2435 LEVANTE ST; ; CB941598; PermitB U l L D I N G P E R M I T Pe.rmit No: lBC.41,.':ll:I
Project No: A941l2..:ti4
Development No:
ll/07/94 11:47
Page 1 of 1
Job Address: 2435 LEVANTE ST
Permit Type: PLUMBING
Parcel No: 216-190-10-02
Valuation: 0
Construction Type: NEW
Saite:
9855 12/07/94 0001 01 02
Lot#: C-PRMT 27-00
Occupancy Group: Reference#: Status: ISSUED
Applle~: 12/17/94
Apr/Issue: 12/,l7/Y4
Entered By: MDP
Description: WATER HEATER REPLACEMENT
Appl/Ownr : AJ FOSTER INC.
2819 CENTRAL AVE
SPRING VALLEY, CA. 91917
Fees Required
Fees:
Adjustments:
Total Fees:
Fee d,2script1on
619 697-4151
Total(' Pdi ~:
Total Payment: :
Balance Due :
Units Fee/Uni. t
.00
.00
27.00
Ext fee Datc:1
-------------------------------------------------------~ ------------------
Enter "Y" for Plu bing Issue Fee >
Each Water Heater an l;t(,r V~n t >
* PLIJMBING TOTAL
l 7,00
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
20,00 Y
7.00
27,00
PERMIT APPLICATION PLAN CHECK NO.
City of Carlsbad Building DepartRnt
2075 Las PalES Dr., C&rlsbad, CA 920D9 (619) 438-1161
I. PkkMl I IYPE
PIAN CK DEPOSIT _______ _
l
l!ST. VAL
VAIID. BY _________ _
DATE
From List 1 (see back) give code of Permit-Type: ___________ _
For Residential Projects Only: From Llst 2 (see back) give
Code of Structure-Type: ________ S_FR ___________ _
Net Loss/Gain of Dwelling Units
2. PROJECT INFORMATION FOR OFFICE USE ONLY
Address 2435 tevante St.
Nearest Cross Street
LEGAL DEStkiP I ION Lot No.
CHECK BEWW IF S0BMI 11 ED:
Building or Smte No.
Subd.1vis1on Name/Number
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ l Addressed Envelope
0ntt No. Phase No.
ASSESSOR'S PARCEi, iws11~~ u~ DESCRIPTION OF WORK Wat.et neater Repiat.-&IufPiioh PBOPQSED USE
SQ. IT. # OF STORIES # OF BEDROOMS # OF BATHROOMS
3. WNIACI P.EJ&JN (IIffl_1~ren.t from ~.Ph~ NAME (last name first) Jares, l'er do ADDRESS 2435 Levante St.
CI1Y Carlsbad, STATE CA ZIPCODE92009 DAYTELEPHONE 436-5843
4. APPIJCANI UWNllt\CIOR :f)AGENI FORCONJRACIUR UDWNER OAGENI FOR OWNER
NAME (last name first)Kn.sty Foster ADDRESS 28.L':I Centra.L Ave.
CI1Y Spring Valley STATE CA ZIPCODE91977 DAYTELEPHONJP97-4151
S. PROPIDtli OWNPJl .. NAME (Iastnamefirst) MiJares, Fernando ADDRESS 2435 Levante St.
CI1Y Carlsbad STATE CA. ZIPCODE92009 DAY TELEPHONe:136-5843
6-ffiNlkACiuk A & J Foster, Inc. NAME (last name first) ADDRESS 2819 Central Ave.
CI1Y Spring Valley STATE CA ZIP CODE 91977 DAY TELEPHONE 697-4151
STATE UC. # 630120 LICENSE CLASS C-3 6 CI1Y BUSINESS UC.# 1200354
DESIGNER NAME (last name llrst) ADDRESS
CI1Y STATE ZIP CODE DAY TELEPHONE STATE UC.#
1. wumamY WMPENSAtiuN
Workers' Compensation Declaration: I hereby afhrm iliac I have a certificate of consent to seit-msure issued by the Director of lndustnal
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with the Building Inspection Department (Section 38001 Lab. C).
INSURANCE COMPANY Republic Indemnity POLICY NO.PC949585 EXPIRATION DATE 5-1-95
Certthcate of Exemption: I certify ihat m ihe performance of ihe work for which this permit 1s issued, I shall not employ any perwn m any manner
so as to become subject to the ~orkers' Compensation Laws of California.
s1GNATU~. '-IYl..ed.AAPDATE 1~-te -ctt./.
8. OWNF.R~illl DECDUtAfitJN
Owner-Builder Declaration: I hereby afhrm that I am exempt from the Contradofs License Law for the followmg 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 Llcense 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 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 contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions
Code: The Contractor's Llcense Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects
with contractor(s) licensed pursuant to the Contractor's Llcense Law).
□ 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, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the
provisions of the Contractor's Llcense Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code)
or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a pennit
subjects the applicant to a civil penalty of not more than five hundred dollars [$5001).
SIGNATURE DATE
COMPLEIE IHIS SECiidN FOR NON-RESlbEN I IAL B0ILbiNG PEkMll's ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
□YES □NO Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or air quality management district?
□YES □NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□ YES □ NO IF ANY OF nm ANSWERS ARE YES, A FINAL CER11FICATE OF CXDJPANCY MAY NOT Bl! JliSUED AFTER JULY 1, 1989 UNLESS nm APPUCANT
HAS MET OR IS Ml!IITING nm RF.QUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND nm AIR POLLUTION illN11IOL DISTRICT.
9. WNSIROCIION LF.NDING AGENCY
I hereby afurm that there is a construction iendmg agency for the perlonnance of ihe work for which this penn1t 1s 1SSued. (Sec 3097(1) CivU Code).
LENDER'S NAME None LENDER'S ADDRESS
10. APPIJCANI CERIIFiCA'iiON I certify that I have read the application and state that the above mformat1on 1s correct. I agree to comply with all City ordmances 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 AISO AGREE ID SAVE INDEMNIFY AND KEEP HARMLESS nm CTIY OF CARISllAll AGAINST AIL IJABIIITIES, JUDGMENTS, aJSTS
AND EXPENSES WIDCH MAY IN ANY WAY ACCRUE AGAINST SAID CTIY IN illNSEQUENCE OF nm GRANTING OF 11IlS 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 pennit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the
building or work authorized by such pennit 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 abaadoned at any time after the work is commenced for a period or 180 days (Section 303{d) Uniform Bui,~e). . ;
APPLICANTS~ Y , It e ~clu'-P: DATE: --94-
WfllTE: File YEil.OW: Applicant PINK: Finance
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