HomeMy WebLinkAbout2774 Levante St; ; 87-923; PermitC/1 z 0 j::
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l'ti I heret,y ettlrm that I am licensed under
i1,'&,1,1ona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaalona Code, and my license is in
full force and effect.
I hereby affirm lhat I am exempt from the Contrac-
lor's License Law IOI lhe following reason (Sec. 7031.5 Bu~ness and Professions Code: Any city or county wh1cl", re-quires a perm11 to construtt, alter, improve. demolish, or
repair any struclUre. prior to its issuan~ also requires !heap-phcanl !or such permI110 file a signed statemenl that he Is
hcensed pursuant to the provisions 01 lhe Contracto(s License Law (Ch.Jpler 9 coml118ncing w~h Seclion 7000 of
Oiv1s10n 3 ot the Business and Professions Code) Of that 1s ex· empl the1elrom and lhe basis tor the allegeo eJi:emption. Any
violation of Secllon 7031.~ by an applicant ID< a permit Sllb-
tects lhe applicant lo a cfVil penalty o1 not more than five hun-
dred dollars ($500).
I I I, as owner ol lhe property, 01 my employees wilh wages as their sole compensation, will do the work, and the struc-
lufe Is n01 inlende<f or ollered for sale (Sec 7044. Business
and Protessions Code: The Contractor's License Law does not apply lo an owner 01 property who builds O( imprO\les
thereon and who does such work himself or lhrough his at1n employees, provtded that such improvements are not intend-
ed or offered for sale. II. however. the bullding or improve-
ment Is sold within one year of completion, the owner-builder
will have the burden ol proving thal he did not build CM' im-prove for !he purpose of sale).
fJ I, as owner of the property, am e11clusively contracting wilh licensed contractors to constrnct the project (Sec. 7044,
Business and Professions Code· The Contractor's License Law does nol apply to an owner of property who builds or un· proves thereon. and who contracts for each projects with a
E~~ector(s} license pursuant lo the Contractor's license
D As a homeowner I am Improving my home, and !he follow
ing conditions exist:
1. The wor1< is being performed prior lo sale.
2. 1 have lived in my home !or twelve months prior to completion ot this work.
3. I have not claimed !his exemption dunng the
last three years.
D I am exempl under Sec. ______ . 8 & P.C. for !his reason ___________ _
cK I hereby atfirm that l have a certificate ot consent 10 I
self-insure. or a certificate of Workers· Compensation In-f
surance. or a cenified copy thereof (Sec 3800. Labor Code) i
POLICY NO. 1013568-87
COMPANY
D Copy,, fi~UJeciiFund
Cx_certified copy is hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE I
(This section need not be completed if the permit I
is for one hundred dollars ($100} or less) I
0 I certify that in the performance of the work for which I
thif permit is issued, I shall not employ any person in any
manner so as to become subject to the Workers· Compen• 1
sa1ion Laws of California. l
NOTICE TO APPLICANT: If, after making this Certificate
of Exemption. you should become subject to the Workers·
Compensation provisions of 1he Labor Code. you mus!
forthwith comply wi1h such provisions or this permit Sl'lall I
be deemed revoked.
D I hereby atfinn that !here Is a construction lending
agency tor the performance ot the work for which this per-
mit is issued (Sec. 3097. Civil Code)
Lfnder's Name ___________ _
Lender"s Address __ _.,"'-'...._,e~------
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161
JOB ADDRESS AV. ST.RO. NEAREST CROSS ST.
l°A~~;2;;~;ATIONI
BUSINESS LICENSE;; VALUATION i1R::,IT NUMBER
2774 Levante St. La Costa Ave. 19451 } LOT BLOCI( I suB0IvIsI0N I ASSESSOR PARCEL NO. CONTRACTOR CONTRACTORS PHONE• ZONE 9,;{.3
~ ii OWNER'S NAME I OWNER'S PHONE Arlen r• ,.~ ... 1. Plmnhi_na 697-4151
451-1102
CONTRACTOR'S ADDRESS STATE LICENSE NO. BUILD1~~ l"AGE Connie Kelly
OWNER'S MAILING ADDRESS 2819 Central Ave. 443348
2774 Levante St. carlsbad 92008
DESIGNER DESIGNER'S PHONE -\ ~
DESCRIPTION OF WORI(
w~ter HeatPr RPnlacement DESIGNER'S ADDRESS STATE LICENSE NO, 0026 W02 0101 02£:ldPllt 10-0)
,___ ----F/P FLA ELEV. NO OCC GP EDU STORIES
vO 111□ ---
I I PARKING SPACE I RES UNITS I GRACING PERMIT ISSUED I REDEVELOPMENT TYPE 9cc LOAD FIRE SPA AREA CONST
YO N D vO NO vO NO Not Valid Unless Machine Certified
QTY. PLUMBING PERMIT -ISSUE $r.},~ QTY. MECHANICAL PERMIT -ISSUE ,:sou SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP
,
INSTALL FURN. DUCTS iJP TO 100 .000 BTU BUILDING PERMIT 001-810·00-00-8220 -,
EACH BUILDING SEWER OVER 100 ,000 BTU / SIGN PERMIT 001·810·00-00-8221
1 EACH WATER HEATER AN01DR VENT $2.50 BOILER/COMPRESSOR UP TO 3 HP ./,. PLAN CHECK 001 -810-00-00-8821
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP / TOTAL PLUM BING 001-810·00-00-8222 $10.00
EACH GAS SYSTE M 5 0 R MO RE METAL FIREPLACE / ELECTRICAL 001 ·B 10-00·00·8223
EACH INSTA~. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT / MECHANICAL 001-810·00·00-8224 --EACH VACUUM BREAKER MECH EXHAUST · HOJJ,i;PWJ~l~c,-:::;:-... MOBILEHOME 001 ·810·00·00-8225
WATER SOFTNER RE LOCATION OF -~ITT-JACE/HEA"rR\9 ~ SOLAR 001-810·00·00-8226
EACH ROOF DRAIN (INSIOEI DRYER VENT~ " u.,:\. ,STRONG MOTION 880·519·92-33
/'/;1;.LHANICAV" ~ ... ..>,\ FIRE SPRINKLERS 001-810·00-00-8227
I $10.00 a, 1.\f\'1 ~ ,.,
TOTAL PLUMBING ~ PUBLIC FACILITIES FEE 320-810-00·00-8740
Sftf ---p-
-SE-TU, ~ BRIDGE FEE 360·810-00-00-87 40
QTY. ELECTRICAL PERMIT -ISSUE QTY. MOBILE HOM
C" ~ , "" ;;: PARK·IN·LIEU (AREA )
NEW CONST EA AMP,'SWT BK R / CAR PORT -~ ~--·~'-" _:,> al, TIF 134-810-00·00-8835
1 PH 3 PH ~/ AWNING \.~ •· ... w LA COSTA TIF 133-B 10-00-00-8835
EXIST BLDG EA AMPISWTIBKR / GARAGE ""--~-">-___ .,.~o/ FMF
1 PH 3 PH / --~ .. --.-LICENSE TAX 001-810·00·00-8162
REMODEL ALTER PER CIRCljJ-f"" MFF 880·519-92-57
TEMP PO LE 200 AMPS /
OVER 200 AMPS /
TEMP DCCUP~ !30 DAYSI A
/ CREDIT DEPOSIT
/ TOTAL ELECTRICAL I TOTAL TOTAL FEES PAYABLE I sin no
I HAVE CAREFULLY EXAMINED THE COMPLETED "'APPLICATION AND PERMIT' AND DO HEREBY Expiration Every perm,t issued by the Building Ofric,al under ttte prov1s1ons ofthrs * AN OSHA PERMIT IS REQUIRED FOR EXGAV"TIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDlNG THE Code sha11 8l{p1re by l1m1tat1on and become null and vo,d If the building or work ~-O"' DEEP AND DEMOLITION OR C()l,ISTRUCTION Of
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGRE.E IF A PERMIT 1$ authorized by such permit 1s not commenced within 180 days from the date ot such STRUCTURES OVER J STOfflES IN HEIGHT permit. or 1f the butfdin~ or work author12:ed by such perm,t 1s suspended or ISSUED: TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON abandoned at anv bme a ter the wor~ Is commenced for a period of 180 davs STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIGNATURE Jf-OWNER □ CONTRACTOR% APPROVED BY ~ ID/¼;f7
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS ANO ~ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
"~1, ,_,.,..-, () 0 (L. t GRANTING OF THIS PERMIT r-.r.D -t--I -BY PHONE 0
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TYPE r -DATE INSPECTOR -,
87,',~3 BUILDING J
j
FOUNDATION I FIELD INSPECTION RECORD
REIN FORCED STEEL I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES ! MASONRY REQ IF INSPECTORS
GUNITE OR GROUT f INSPECTION CHECKED APPROVAL DATE
SUB FRAME D FLOOR D CEriLING SOILS COMPLIANCE
...,
SHEATHING □ ROOF □ StfEAR PRIOR TO
I FOUNDATION INSP FRAME
EXTERIOR LATH ' STRUCTURAL CONCRETE
l OVER 2000 PSI
INSULATION l PRESTRESSED ( CONCRETE
INTERIOR LATH & DRYWALL I POST TENSIONED j CONCRETE I
PLUMBING l FIELD WELDING I
D SEWER AND BL/CO D Jj>L/CO HIGH STRENGTH .
UNDERGROUND q WATER BOLTS !,._ , □ WASTE -. '
TOP OUT □ WASTE D WATER SPECIAL MASONRY
TUB AND SHOWER PAN !
GAS TEST I
J PILES CAISSONS
□ WATER HEATER □ SOLAR vi/ATER
J
ELECTRICAL ' □ ELECTRIC UNDERGROUND ~ UFFER
ROUGH ELECTRIC l
□ ELECTRIC SERVICE D TEMF\ORARY
□ BONDING □ POOL J
I
J
MECHANICAL t
l ..
□ DUCT & PLEM ., D REF. PIP.ING
HEAT -AIR COND. SYSTEMS J
VENTILATING SYSTEMS I ~p-, ,(: '(11 ~
I -
CALL FOR FINAL INSPEG_[ION WHEN ALL APPROPRIATE
ITEMS ABOVE HA1VE BEEN APPROVED. ~ i<./ob6~o./ }-/6Mf_ N<:l ftAs;L) llt:''I. V~'S /.<-~ FINAL J
' I I I I rr -PLUMBING r
ELECTRICAL . ..) -J-tf '( I iA J?-l MECHANICAL v-, --·
GAS t
BUILDING I
I
SPECIAL CONDITIONS I
I
I -