HomeMy WebLinkAbout2442 LEVANTE ST; ; CB940242; PermitB U I L D I N G
03/09/94 08:38
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Job Address: 2442 LEVANTE ST
Permit Type: PLUMBING
P E R M I T
Suite:
Lot#:
Permit No: CB940242
Project No: A9400353
Development No:
Parcel No: 216-190-24-00
Valuation: 0
Construction Type: NEW
Occupancy Group: Reference#: Status: ISSUED
03/09/94
03/09/94
DC
Description: REPAIR 2 GAS LINES 2440/2442
Appl/Ownr : BERCK'S PLUMBING
938 SOUTH ANDREASON STE #H
ESCONDIDO, CA 92025
*** Fees Required
Fees:
Adjustments:
Total Fees:
..f'ee description
***
34.00
.00
34.00
***
Enter "Y" for Plumbing Issue Fee >
Gas Piping System >
* PLUMBING TOTAL
Applied:
Apr/Issue:
619
Entered By:
484-0151
Fees Collected & Credits
Total Credits:
Total Payments:
Balance Due:
.00
.00
34.00
***
Units Fee/Unit Ext fee Data
2
20 .00 Y
14.00
34.00
?ROVAL
INSP. ~::;:__-CATE ~
CLEARANCE J-/0-/✓1/4£
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION Pl.AN CHECK NO.
City of tarlsbad Building DepartEnt
2075 Las Pal-s Dr., Carlsbad, CA 92009 (619) 438-1161
~ w EST.VAL. __________ _
PLAN CK DEPOSIT _______ _
VAIID.BY. ___________ _
i. P£kMI I IYPE DATE
A -LI Commercial LI New Building D Tenant Improvement
B -LI Industrial □ New Building D Tenant Improvement
C -)(Residential LI Apartment □ Condo □ Single Family Dwelling □Addition/Alteration
□ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical D Plumbing
□ Mechanical D Pool D Spa D Retaining Wall D Solar □ Other ____ _
2. PRQJECf INFORMATION FOR OFFICE USE ONLY
Address ;;>ZJ-7./,o .-(:),1./2) ;i.. Building or Suite No.
Nearest Cross Street t-6:::.VA--AJ7c""
LEGAL bEscRIPI loN Lot No. SubchV1s1on Name/Number Unit No. Phase No.
CHECK BEWW IF SOBMI 11 ill:
D 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report O I Addressed Envelope
ASSESSOR'S PARCEL PROPOSED USE
DESCRIPTION OF WORI< c:) -
SQ. FT. # OF STORIES
3. WN IACI PERSON (if dulerenf irom applicant)
NAME ADDRESS
CllY STATE ZIP CODE DAY TELEPHONE
4. Al'PUCANI
NAME
□ CoN I RACIOR □ AG£N I FOil CoN I RACIOR
ADDRESS
□ OWNER □ AGEN I FOR OWNER
CllY STATE ZIP CODE DAY TELEPHONE s. PRUPERIY OWNER
NAME ADDRESS
C!lY STATE ZIP CODE DAY TELEPHONE
6. OON"MW:mk
NAME ~RQ..ks 61.J>TifflE -R.um8•~DRESS 9'58. -s. ~bl!Plf-Se-~
CllY e~,t.)2.>,X)o STATE (!It-ZIP CODE ','2-029 ,DAYTELEPHONE 745-995~
STATE UC. # ¥3/9/) 2_ LICENSE Cl.ASS t!-3(e CllY BUSINESS UC. #
DESIGNER NAME ADDRESS
CllY STATE ZIP CODE DAY TELEPHONE STATE UC. #
1. WOIOO!.lts' wMP£NSl\110N
Workers' Compensation Oeclarauon: I hereby affirm that I have a certJhcate of consent to sell -insure issued by the D1rectorol industnal
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 fi~with thf1Building Inspection Department (Section 3800, Lab. C).
lNSURANCE COMPANY ~ ¢P '4 ~~UCY NO. EXPIRATION DATE
Ceruhcate of Exemption: I ceruly that in the perlormance ol the work for which this permit 1s issued, I shall not employ any person in any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
A. oWNER-B0IIDER 0£ClAR.A11oN
owner-Builder Declaration: I hereby athrm that I am exempt lrom the Contracto?s Llcense Law for the lollowing reason:
D 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 completion, the owner-builder will have the burden
of proving that he did not build or improve for the purpose of sale.).
D I, as owner of the property, am exclusive.ly 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) licensed pursuant to the Contractor's License 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 pellllit to file a signed statement that he is licensed pursuant to the
provisions of the Contractor's License 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 permit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500)).
SIGNATIJRE DATE
COMPLETE 11-tls SECllON FOR NON-RESIDENTIAL BUILDING PERMITS 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 Act?
□ YES □ NO ls the applicant or future building occupant required to obtain a permit 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 TI-IE ANSWERS ARE YF.S, A FINAL CERTIFICATE OF cxx:tJPANCY MAY NOf BE ISSUED AFrnR JULY I, 1989 UNL.ES.S THE APPLICANT
HAS MET OR IS MEETING 11IE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICF.S AND THE AIR POIJ.lJTION CDN1ROL DISl'RICT.
9. OONS I R0CnON LENDlNG AGENct
I hereby alhrm that there 1s a construction lending agency for the performance of the work for which this permit 1s issued (Sec 3097(1} C1V1I Code}.
LENDER'S NAME LENDER'S ADDRESS
10. APPUcAffl CEkl1FlcA'l1oN
I cerufy that I have read the apphcauon and state that the above miormauon 1s correct. I 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 ro SAVE INDEMNIFY AND KEEP HARMLF.SS nm QTY OF CARLSBAD AGAINST AU. UABIIJ11ES, JUDGMENTS, CDSTS
AND EXPENSF.S WI-DOI MAY IN ANY WAY Aa;RUE AGAINST SAID QTY IN CDNSEQUENCE OF nm GRANTING OF nos 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 if 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 the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
!!~ DATil !$/9 ;,z.;I d~e/ , . APPLICANTS SIGNATURE
7?1~ J).
WHITE: File YELLOW: Applicant PINK: Finance
-7 tnfSCMEDULED I
DAT!! c/ -/ t) _ / r-: _N$P!!CTION
,£>HIT I 9'<(-;/'fd'. INSHotOR -~
J'OB ADDRESS alfl✓;:2, o/ ,;)_ d . ./ PLANCX • ;} ,/4, i3 p ~:?¾-¾:. ----
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TIM!! ARRIVE: TIM!! LEAVE:
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