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HomeMy WebLinkAbout2805 LEVANTE ST; ; CB004599; Permit.~ -d i c_;t; l 0 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 -------12/07/2000 Plumbing Permit Permit No:CB004599 Building Inspection Request Line {760) 602-2725 Job Address: Permit Type: Parcel No: Reference#: Project Title: Applicant: 2805 LEVANTE ST CBAD PLUM 2162307200 Lot#: 0 Construction Type: NEW BURNS RES-ADD ELECT OUTLETS- CONVERT ELEC TO GAS RANGE Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: BURNS MARK T&ROBIN M BURNS MARK T&ROBIN M 2805 LEVANTE ST CARLSBAD CA 92009 Total Fees: $47.00 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee TOTAL PERMIT FEES Inspector: 2805 LEVANTE ST CARLSBAD CA 92009 Total Payments To Date: $27.00 Date: 0 o· 0 0 0 1 0 Clearance: ISSUED 12/06/2000 JM 12/06/2000 12/06/2000 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $20.00 $0.00 $0.00 $47.00 NOTICE: Please take NO pproval of your proiect includes the "Imposition flees, dedications, reservations, or other exactions hereafter collecuvely referred to as "fees/exactions. You ave 90 days from the date this permit was issued to protest imposition of these fees/exactions. \f 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 cooneclio~ fees and capactiy 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 ou have reviousl been iven a NOTICE similar to this, or as to which the statute of limitations has reviousl otherwise ex ired. '• • PERMIT APPLICATION CJTY OF CARLSBAD BUILDING DEPARTMENT r1635 Faraday Ave., Carlsbad, CA 92008 1. PROJECT INFORMATION FOR OFFICE USE O~SS /J .44 PLAN CHECK NO. C/J7_5 LJ EST. VAL. _________ _ Plan Ck. Depo,._1-1-..,_ ____ __,,, __ Validated By---1..+-...,_-=--+-+---.,-.,,,-........ Date _________ ---1i,....,q...._i...:,4.,~v Business Name tat this address) Lot No. Subdivision Name/Number 1~ of \..of 311D t 21°1 c.oc; rr $c,v·n+ Total ti of units Description of Work SQ. FT. #of Stories ti of Bedrooms # of Bathrooms C6N~R'S\l1N ,X.. ~).17t,..C~OP ,o (,~ N"' 2. CONTACT PERSON (If different from applicant) NJrcl.;l':-Bvl2!Ns 1J?l:fz ~v""~ $-(. Name Address 3. APPLICANT O Contractor O Agent for Contractor }f!I. Owner Name Address 4. PROPERTY OWNER ~ Name Address 5. CONTRACTOR -COMPANY NAME City 0 Agent for Owner City City NA CA Cf-z.oo<f 1bDfAA4-'Ill State/Zip Telephone ti State/Zip Telephone ti State/Zip Telephone ti JbObO'Z..+'H1 Fax ti [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 !hat hi, is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt theri,from, 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]1. Name Address City State/Zip Telephone ti State License ti ,--------License Class ________ _ City Business License ti _______ _ \ ,esigner Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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. 0 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 worker's compensation insurance carrier and policy number are: Insurance Company____________________ Policy No.____________ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) )8:' 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 worlc■n' compenaatlon coverage la unlawful, and ahall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars 1$1 I Ilion to the cost of compensation, damages H provided for in Section 3706 of the Labor code, interest end attorney's fees. • DA TE I -Z. I fo l {)0 TION pt from the Contractor's License Law for the following 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 ha 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 €o"ntractor's license Lew 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). 0 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. 0 YES ONO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. l have contracted with the following person (firm! to provide the proposed construction !include name / address / phone number / contractors license number): \_ . I plan to provide portions of th1:1 work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number/ contractors license number): _________ , -------------------------------------- 5. I will provide some of the work, but t have ontracted (hired) the following persons to provide the work indicated !include name / address / phone number / type of workl: ________ -+-,-,j~-;,,._"":_:_:.-:_-:,":.-:_:.._--~-------------,,-1. ....... -/---.--0-0 _________ _ PROPERTY OWNER SIGNATURE ---1,-,,.-'#l'---...JI--------'----------DATE---+----""-+------ , .......... ., .. ,u1LDINO 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, 25 533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 0 YES O NO Is the facility to be constructed within 1,000 feat of the outer boundary of a school site? D YES D 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. 8, CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(il Civil Code). LENDER'S NAME ----'N_P-c. _________ _ LENDER'S ADDRESS ________________________ _ C . APPLICANT CERTIFICATION certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. l agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad 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 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 commenc wilhin 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 com nc d a eriod of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ,,.,------J DATE l 1. \ (, \ 0 l, WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 12/21/2000 Permit# CB004599 Title: BURNS RES-ADD ELECT OUTLETS- Description: CONVERT ELEC TO GAS RANGE Type:PLUM Sub Type: Job Address: Suite: Location: 2805 LEVANTE ST Lot APPLICANT BURNS MARK T&ROBIN M Owner: BURNS MARK T&ROBIN M Remarks: IN THE KITCHEN Total Time: 0 CD Description Act Comments 29 Final Plumbing ~ 39 Final Electrical Associated PCRs lnsg:ection HistoQ!: Date Description Act lnsp Comments 12/8/2000 21 Underground/Under Floor WC PY 12/8/2000 23 Gas/Test/Repairs AP PY Inspector Assignment: PY Phone: 7606024917 Inspector: ----- Requested By: MARK BURNES Entered By: CHRISTINE 12/8/2000 31 Underground/Conduit-Wiring AP PY UNDER CABINET FLOURESCENT LIGHTING