HomeMy WebLinkAbout2612 Levante St; ; CBR2017-2578; PermitPrint Date: 11/01/2017
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
2612 Levante St
BLDG-Residential
2161803700
$0.00
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Residential Permit
www.carlsbadca.gov
Work Class: Cogen
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Description: NEYER: INSTALL EV CHARGER IN GARAGE W/ CIRCUIT
MANUAL BUILDING PLAN CHECK FEE
Total Fees: $170.00
Owner:
TRUST NEYER GEBHARD AND LIANA FAMILY
TRUST
2612 Levante St
CARLSBAO, CA 92009
Total Payments To Date: $170.00
Status:
Applied:
Issued:
Finaled:
Inspector:
Contractor:
MS SPARKY ELECTRIC
1228 Hermes Ave
ENCINITAS, CA 92024-1608
760-942-7345
Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these
fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the
protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section
3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their
imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection
fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this
project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
Permit No: CBR2017-2578
Closed -Finaled
10/26/2017
10/26/2017
$0.00
$170.00
□BUILDING □FIRE □HEALTH OHAZMAT/APCD [\E FC'o'.'LOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING
(f?: c'i·ty of Building Permit Application
~ 1635 Faraday Ave., Carlsbad, CA 92008
Plan Check No. rAR.'2011-'JS1~
Est. Value
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
Plan Ck. Deposit
Date
JOB ADDRESS SUITE#/SPACE#/UNIT# I APN
.
.
{;I.(, I 2
CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
t,o J ea/, CQ f-( C. I" Cu ,-f
EXISTING USE l PROPOSED USE I GARAGE {SF) PATIOS (SF) I DECKS (SF) FIREPLACE
YESO,
. I AIR CONDITIONING ' I FIRE SPRINKLERS
NoDI vesONoOI vesONoO
APPLICANT NAME
Primary Contact
ADDRESS
I "2 2 'i Jl-f tt f/llf f, S
EMAIL <l>. -___ , 7"1
STATE c~
I 'AX
ADDRESS -z,-,7. L'i1n4,Jr£,,
ZIP q,..,z 0.14-
CITY STATE t fflt ,s ,1/17!) e;1
ZIP
fU,O'I
PHONE
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME
-------------+~--i~S~ . .__J..,/J,::,A-;fi.l',e~rc~v~ 'i l 'i ~ T ,e ( C. ~A~D~D~R~ES~S~---ADDRESS r ---~._..._,'-'=-_,:___e_::....---==-----------··--
r-c=-------~c~---~~---+='-J2"'"----=--~-"--,----"-'/H'---=-=--c/l ""--'----'---~--=s~=',t,1c.__e...._~~~-------j CITY CITY . STATE ZIP STATE ZIP
e------------=-----------1=£--"c--'-,.;c.__-_e_c__,..,__.,_'h<l .r tYJ qi o • ,,_..
I FAX
f-cP~HO=N-E ---_______ L_ _ __:__ _______ --+=PH~O -1',_":~ '-... D._,7,_..._IH__L_.L"l,,,-es-..,_,z..=l-'AX _____ --------1
EMAIL EMA~/Jtftz-1".Y g-q q (' ~. ,1 ~T
ST(}:,q ,f-'r O le~: I" O lc,=TY/=,u=?.~u=c3~,-'2-f_(_----j
t·
-l STATE LIC, #
(Sec. 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to construct, alter, improve, demolish or repair any structure, p_nor to its issuance, also requires the applicant for such per_mit to file a si,gned statement that he is licensed pursuant to the provisions of the Contractor's License Law /Chapter 9, comme_nding with Section 7000 of D1vis1on 3 of the
Business and Professions Code} or [hat he 1s 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)).
WORKERS' COMPENSATION
Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: Q 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 for which this permit is issued. lf I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued, My workers' compensation insurance carrier and policy
ocmbe,ace,lasocaaoeCo~-~'J1t-T~£,JJJ~ _______ PolicyNo. 'ltJ4-,:, lo} •I~ E,plcalioaDate '3,/o J16
~section need not be completed if the permit is for one hundred dollars ($100) or less, LJ 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 Is unlawful, and shall subject an employer to criminal penaltles and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, da ovided r in Section 3706 of the Labor code, interest and attorney's fees.
NS CONTRACTOR SIGNATURE ' ~
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
□
□
□
I, as owner of the property or my emptoyees 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).
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 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:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes 0No
2. I (have I have not) signed an application for a building permit for the proposed work
3. I have contracted with the following person {firm) to provide the proposed construction (include name address I phone I contractors' license number):
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address/ phone I contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons lo provide the work indicated (include name I address I phone I type of work):
NS PROPERTY OWNER SIGNATURE □AGENT DATE
.' 0 M P L E T E T H I S S E C T I O N F O R N O N • R E S I D E N T I A L B U I L D I N G P E R M I T S O N L Y
Is the applicant or future bu1ldrng occupant required to submit a business plan, acutely hazardous materials reg1strallon form or risk management and prevenUon program under Sections 25505, 25533 or 25534 of the
Presley-Tanr.er Hazardous Substance Account Act? Yes No
Is 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 THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. •
CONSTRUCTION LENDING AGENCY
APPLICANT CERTIFICATION
I certify that I have read the application and state that the above infonnatlon ls correct and that the infonnatlon on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby authorize representatrJe of the City of Cartsbad 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 PERMrr.
OSHA: AA OSHA permit is required foc excavations over 5'0' deep and demolition or construction of structures over 3 stories in h~hl
EXPIRATION: Every pennil 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
180 days from the date of such permit or if Hdi or work au1ho~ ~uch pennil is suspended or abandoned at any time after the work is commenced for a period of 180 days (section 106.4.4 Uniform Building Code).
,w$ APPLICANT'S SIGNATURE a nS-DATE I I • :z s-, I ')
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
Fax (760) 602·8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CONTACT NAME
ADDRESS
CITY STATE
PHONE
EMAIL
DELIVERY OPTIONS
PICKUP:
MAIL TO:
CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
ZIP
FAX
OCCUPANT (Listed above)
OCCUPANT (Listed above)
MAIL/ FAX TO OTHER: ________________ _
,IS APPLICANT'S SIGNATURE
CO#: (Office Use Only)
OCCUPANT NAME
BUILDING ADDRESS
CITY STATE
Carlsbad CA
OCCUPANT'S BUS. LIC. No.
ASSOCIATED CB#------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
~ t ~ \ • IC'
}. . . PERMIT INSPECTION i,fi'c:>~;11"ljtEP()f'T (Cf~017-2578)
Permit Type: BLDG-Residential Application Date: 10/2612017
Work Class: Cogen Issue Date: 1012612017
Status: Closed -Finaled Expiration Date: 04/3012018
Scheduled
Date
Actual
Start Date
11/01/2017 11/01/2017
November 01, 2017
IVR Number: 7255
Inspection Type Inspection No.
BLDG-34 Rough
Electrical
039200-2017
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
039199-2017
Checklist Item
BLDG-Electrical Final
Inspection Status
Passed
COMMENTS
Passed
COMMENTS
Owner: TRUST NEYER GEBHARD AND
LIANA FAMILY TRUST
Subdivision: LA COSTA-SOUTH UNIT# 1
Address: 2612 Levante St
Carlsbad, CA 92009-8118
Primary Inspector Reinspection Complete
Tim Frazee Complete
Passed
Yes
Tim Frazee Complete
Passed
Yes
Page 1 of 1
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