HomeMy WebLinkAbout2753 LEVANTE ST; ; CB930713; Permit'ct#-!J;-6!)_
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3201 07/19 93 000 01 02
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APPROVAL
INSP. ~--DATE /,6pJ
CLEARANCE ____ _
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION PLAN CHECK NO.
City of Carlsbad Building Department
2075 Las Palsnas Dr., Carlsbad. CA 92009 (619) 438-1161 FST. VAL //,?' ,el
PIAN CK DEPOSIT --------V AIJD. BY he,,
DAIB ~~~~~7~~9~/~9~:'::>~----
D New Bmldmg O I enanr Improvement
D New Building O Tenant Improvement
C -C»-6s'idential D Apartment D Condo D Single Family Dwelling io,.,(dj'ition/ Alteration
D Duplex D Demolition D Relocation D Mobile Home D Electrical D Plumbing
0 Mechanical D Pool D Spa D Retaining Wall D Solar D Other
2. PROJECT INI-URMA'l10N FOR OFFICE USE ONLY
lluildmg or Su1le No.
ml o. ase o.
CllECK BEWW If· SO BMII I ED: <-\
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
Assessows eAncEL AJ.J + .. ct) c. tc;,;e-1-s EXISTING llSF
DESCHIPTION OF WORK
PROPQSFP USE
3. c'.3i.7Af.l'sta~r a~eJt~o'.;&~a~iJ SlDRIES
NAM:E ADD HESS
CllY STATE ZIP CODE DAY TELEPHONE
4. Al'Pll(!AN I
NAME
OCONIHAt.lOR □ALLNI FORCONIRALIOH OOWNLH □ALF.NI l·OHOWNEH
ADDRESS
CI1Y STATE ZIP CODE DAY TELEPHONE
s. t~~~'·'t;;~~tl:J ~ qci.e,-4-t../ A~~~
CllY C,o--\c;,. b«J STATE ZIP CODE DAY TELEPHONE
NAME
CITY STATE
STATE LIC. #
ADDRESS
ZIP CODE
LICENSE CIASS
DAY TELEPHONE
CITY BUSINESS LIC. #
Cl'IY STAIB ZIP CODE DAY IBLEPHONE STAIB LIC. #
7. WOHKl1tS' <X>Ml'ltNSAIIUN
Workers' Compensauon Ucclara11on I hereby aflirm Lhal I have a certl11cate ol consent to sell-insure issued by the 01rector ol 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 3800, Lab. C).
INSURANCE COMPANY POLICY NO. EXPIRATION DATE
Cernllcate of Exemption: I certify that m the performance of the work lor which this (X'rm1t 1s issued, I shall not employ any person m any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. OWNElt-B0ilJJER DF.ClARAJJCJN
□
□
Owner-Builder Declaratmn: I hereby alhrm that I am exempt lrom the Contracto?s License Law !or the following reason:
I, as owner of the property or my employees wirh wages as their sole compensation, will do the work and the structure is not intended or
offered for sale (Sec. 7044, Business and Professions Ccxle: The Contractor's License Law does not apply to an owner of property who builds
or improves thereon, and who docs such work himself or through his own employees, provided that such improvements are not intended
or offered for sale. If, however, the building or improvemf'nl 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:
(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 [jcf'nse Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code)
or chat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
wJajccts!he applicant to a civ' of not more han five hundred dollars [$500]). r ·~ =-...
SIGNATURF. DAIB
Is the applicant or future building occupant required to submit a business plan, acutely ha:t.ar<lous materials regis1ration form or risk management and
prevention program under Sections 25505, 25533 or 25534 of rhe Presley-Tanner Hazardous Substance Account Act?
0 YES ONO
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?
0 YES O NO
IF ANY OF TIIF.ANSWERSARE YES. A l'lNALCERlll'lCATE 0FOCX:UPANCY MAY NOT BEISSUEDAFl'ERJULYl, 1989UNLF.SSTIIEAPPUC.ANT
HAS MET OR IS MEITTlNG Tiffi REQUIREMENTS OF TIIF. OFFICE OF EMf'8GENCY SERVICES AND TIIF. AIR POIL\JTION CDNTI\OL DISl1IICT.
9. WNSllt0CIION UffiDING AGENCY
I hcreGy alhrm that there 1s a construction lending agency for the performance of the work for which this permit 1s issued (Sec 3097(1) CJVti Code).
LENDER'S NAME LENDER'S ADDRESS
lo. APP□l!ANI CEkilFICAIION
I cert1iy that I have read the appl1ca11on and state that the alx>Ve mlormat1on 1s correct. I agree to comply with all city ordinances ano ~tale 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 AGHF.E 10 SAVI{ INDEMNrFY AND KEEP IIARM.LF.SS 111E CTIY OF CARISBAD AGAINST AIL UABIIIIlES, JUDGMF.NTS, CDSTS
AND EXPENSES WIUOI MAY IN ANY WAY AOCRUE AGAINSf SAID CTIY IN CDNSEQUENCE OF TIIE GRANTING OF 1111S PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and df'molition or construction of structures over 3 stories in height.
Expiration. Every permit issued by the Building Official under the provisions of this ('.ode 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 pericxl of 180 days (Section 303(d) Uniform Building Code).
~~ ~; DAIB7(/9(J3
File YELLOW: Applicant PINK: Finance
► ,, •
PERMIT# CB930713
DESCRIPTION: ADD
PER
TYPE: MISC
2 CLOSETS,
PHILLIPS
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 11/04/93
LIGHTS
JOB ADDRESS: 2753 LEVANTE ST
APPLICANT: ROBERTS, DAVID
CONTRACTOR:
PHONE:
PHONE:
OWNER: PHONE:
STE:
INSPECTOR AREA TP
PLANCK# CB930713
OCC GRP
CONSTR. TYPE VN
LOT:
619 943-8122
REMARKS: MH/ROBERTS/943-8122
SPECIAL INSTRUCT: 2 CLOSETS
INSPECTOR
TOTAL TIME:
CD LVL DESCRIPTION ACT COMMENTS
14 ST Frame/Steel/Bolting/Welding ;.,tc,,,,, ______________ _
1L ---------------.£. -------------
..2..1_ -.t!!..f?._ -------------------------------
DATE
092893
090393
080393
080393
072693
***** INSPECTION HISTORY*****
DESCRIPTION
Frame/Steel/Bolting/Welding
Frame/Steel/Bolting/Welding
Interior Lath/Drywall
Frame/Steel/Bolting/Welding
Frame/Steel/Bolting/Welding
ACT INSP
CO TP
CO TP
PI TP
CO TP
CO TP
COMMENTS
4 X R BOLTING
NOT PER ENGR CHG SPECS
ND DN INSP GARDEN SIDE
NEED PLAN REV
SEE JOB CARD
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JUL \ 9 \993
CIIY of CARLS■AD
BUILDING DEPT
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