HomeMy WebLinkAbout2615 LEVANTE ST; ; CB901238; Permit-..
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B U I L D I N G P E R M I T Permit Nu: Cb9012 l'i
t• 7 / rn / 9 1 l 2 : 0 4
Page 1 of 1.
Job Addre~s: 2615 LEVANTE ST
Permit Type: ELECTRICAL
Parcel No: 216-220-28-00
Valuation: o
Construction Type: N-
Occupancy Group:
Description
Appl/Ownr LACHINE, JEFF
2615 LEVANTE ST
CARLSBAD, CA 92009
OWNER LACHINE, JEFE e
2615 LEVANT
CARLSBAD, A 9
*** Fees Required
Fees:
Adjustments:
Total Fees:
Fee description
Enter "Y" for Ele
Othe:r
* ELECTRICAL TOTAL
PPROVAL
St:r :
ProJe~t Nu: A9U013ob
Develooment No:
Fl:
3742 07/30/91 0001 01 02
C-PRHT
L
Appl.l.ed:
Apr/Issue:
10.00
Validated By:
619-942-8737
3UED
:J7/.<::7/90
011211m
RS
OWNER t>19-942-A7J7
.Oil
.uo
10.00
Ext fee Data
S.00 Y
5.GO REISSUE
10.00
I ..,.. ____ DATE ~~/~
CL~NCE _____ •
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
.. ..
B U I L D I N G P E R M I T
07/27/90 16:28
Page 1 of 1
Job Address: 2615 LEVANTE ST Str:
Permit Type: ELECTRICAL
Parcel No: 216-220-28-00
Valuation: O
Construction Type: NEW
Occupancy Group: Class Code:
Description: ADD ELECTRICAL FOR LIGHT
: FOR RECEP IN WALL
OWNER : LACHINE, JEFFREY
2615 LEVANTE ST
CARLSBAD, CA 92009
*** Fees Required ***
Fees:
Adjustments:
Total Fees :
Fee description
5.00
.o~
1!5.00
Enter "Y" for Electric Issue Fee
Other
* ELECTRICAL TOTA
CITY OF CARLSBAD
Lie.
Permit
Project
Development
Fl: Ste:
No: CB901238
No: A9001366
NC/<. ;:i ,~ ~
7037 07/2719<:; ◊~-V C-F' •
Status: ISSUED
Applied: 07/27/90
Apr/Issue: 07/27/90
Validated By: RS
OWNER 619-942-8737
.00
.00
15.00
Ext fee Data
...
5 .00 Y
10.00 REMODEL
15.00
. .
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
PERMIT APPLICATION ~ •
City of Carlsbad Building Department EST. VAL ___________ :::, _ _,,:::::-:--,1-2075 Las Pal mas Dr., Carlsbad, CA 92009 (619) 43a-11s1 PLAN CK DEPOSIT ___ -C7'..,::_~:.._ ___ _
1.
A
B
C
PERMIT TYPE
CCJIIHERCIAL
0 INDUSTRIAL
,8"RESIOENTIAL □APARTMENT
□DUPLEX 0DEMOLJTION
□MECHANICAL □POOL
TENANT IMPROVEMENT
0 TENANT IMPROVEMENT
□CONDO ,f?JSINGLE FAMILY DWELLING OADDITI0N/AL TERAT ION
□RELOCATION OH0BILE H(lolE ~ELECTRICAL □PLUMBING
□SPA □RETAINING WALL OsoLAR
VALID. BY' ____ ~.,::_::._~ _______ _
DATE ./
/
2. PROJECT INFORMATION PLAN CHECK No.
Addms 2,./a /S / &.-V~?c:
Nearest Cross Streets
LEGAL DESCRIPTION Lot No. Sutx:livision Name/NI.Ml'ber Un, t No. Phase No.
3.
4.
5.
6.
7.
8.
2 Structural Cales
BLDG. SQ. FTG. 2.ooa
CONTACT PERSON _,/
NAME ~ l,?-IO~J"}\LJ.
CITY
NAME
CITY
NAME
CITY
Cl TY
# OF STORIES
ADDRESS
STATE C4' ZIP CODE
0 AGENT FOR CONTRACTOR
ADDRESS
STATE c)..... ZIP CODE
OWNER
'2.6/S ~
~,9 DAY TELEPHONE
~OWNER O AGENT FOR OWNER
2.<& )5 ~
DAY TELEPHONE
nLESSEE □TENANT
ADDRESS )j,) s {.,2>1J:l ,<;f"jlJ:"
STATE CA
STATE
ZIP CODE ~ DAY TELEPHONE
AODRESS
ZIP CODE DAY TELEPHONE
STATE LIC. # ____ _ LICENSE CLASS CITY BUSINESS LIC. #
SIGNATURE
OESIGNER NAME
CITY STATE
T! TLE
ADDRESS
ZIP COOE
OATE
DAY TELEPHONE STATE LIC. #
WORKERS' COMPENSATION
lJorkers' Compensation Declaration: hereby affirm that have a certificate of consent to self·1nsure issued by the Director of Industrial Relations,
or a certificate of lJorkers' C~nsat ion Insurance by an aatli tted insurer, or an exact copy or duplicate thereof certified by the Di rector of the
insurer thereof f i I ed with the Bui ldi ng Inspection Department (Sec ti on 3800, Lab. C).
INSURANCE COMPANY POLICY NO. E)(PIRATION OATE
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 slbject to the lJorkers' C~nsation Laws of California.
SIGNATURE OATE
OWNER-BUILDER DECLARATION
owner-Builder Oeclaration: I hereby affirm that I am e11empt from the Contractor'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 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 c~Letion, 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 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(sl
licensed pursuant to the Contractor •s License Law).
O 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, a L so requires the applicant for such permit to f; le a signed statement that he is licensed pursuant to the provisions of the
Contractor's License law (Chapter 9, cOlffllencing with Section 7000 of Oivision 3 of the Business and Professions Code) or that he is exeflllt therefrom,
and the basis for the alleged e tion. y v· ation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not
more than five h dot lar. $ OJ
SIGNATURE DATE
COMPLETE THIS SECT
Is the appticant 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?
0YES ONO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
0YES ONO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□YES □No
IF ANY OF TII: ANSWERS ARE YES, A FINAL CERTIFICATE OF OCWPANCY NAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT MAS MET OR IS MEETING THE REQUIREMENTS
OF THE OfFICE OF EMERGENCY SERVICES AND THE AIR POLLUTICW CONTROl DISTRICT.
9. CONSTRUCTION LENDING AGENCY
hereby affirm that there is a construction tending agency for the performance of the work for which this permit is issued (Sec 3097Ci> Civil Code).
LENOER'S NAME LENDER'S AODRESS
10. APPLICANT'S SIGNATURE I certify that I have read the application and state that the above information is correct. I agree to c~ly with all City ordinances and State laws relating
to bui Lding construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. ALSO
AGREE TO SAVE INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, Jll)GNENTS, COSTS AND EXPENSES WHICH NAY IN ANY IJAY ACatUE AGAINST SAID
CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
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 coomenced within 180 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 coomenced for a period of 180 days (Section 303(dl Uniform Building Code).
APPLICANT 1 81 OWNER D CONTRACTOR OBY PHONE
YELLOW: Applicant PINK: Finance
APPROVED BY;
DATE:
PERMIT# CB901238
DESCRIPTION: ADD
FOR
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 07/31/90
ELECTRICAL FOR LIGHT
RECEP IN WALL
TYPE: ELEC
JOB ADDRESS: 2615 LEVANTE ST
APPLICANT: LACHINE, JEFF
CONTRACTOR:
OWNER: LACHINE, JEFFREY
PHONE:
PHONE:
PHONE:
INSPECTOR AREA TP
PLANCK# CB901238
OCC GRP
CONSTR. TYPE NEW
STR: FL: STE:
619-942~
619-9412-s:37 / )
REMARKS: Tl/MH/JEFF/942-8737 INSPECTOR __ _j___JJN,!:::::::,,..._ ___ _
SPECIAL INSTRUCT: PERMIT TACKED TO GARAGE DOOR
TOTAL TIME:
CD LVL DESCRIPTION ACT COMMENTS
31 EL Underground/Conduit-Wiring
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***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS