HomeMy WebLinkAbout2854 LEVANTE ST; ; 81-270; Permit., z 0 ~ .. .. J
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~I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
S.Ctlon 7000) of Division 3 of the Business
and Professions Code, and my license is in
1,11 fo,,;e, •o.d off"'>, ( . <; )
Lir Ne 1,fet .. Ai.?;3t"J Clm __ _
I hereby attrrm th;i.t I am exempt trom the Con r~t;t;~~:;:: ~; ~~,~~.~~~c:J.re:~~.i~~
county which req,mes a permit to construct illter, ,mpmve, demolish. or repair any structure.
pnor to I1s issuance also requires the applicant tor
such perm,, to tile a s,gned statement that he ,s
1,censed pursuant to the prov,smns of the Con-
1ractor's l•cense Law (Chapter 9 commencmg with
sect,on 7000 o! Drv,s,on 3 o! the Business and Prn-less,ons Code) or that ,s exempt therefrom and the
bas•~ for the alleged exemption Any v,olat,on of
Section 7031 5 by an applIcan! !or a permit subjects trie applicant to a c1v1I penalty of not more than five
hundred dollars ($500)
□ I, as owner ot the property, or my employees ...,,,h wages as the,r sole compensa1ron, will do the
worl<. and the structure 1s not intended or ottered for
sale (Sec 71)4.t, Business and Profess1ohs Code The Contractor's License Law does not apply to an
owner ol property who builds or ,mproves thereon
and who does such worl< himself or through his own
employees, provided !hat such ,mprovemenls are
not ,ntende1 or offered tor sale_ If, however the building or ,mprovement ,s sold within one year of
completion. the owner-builder will have the burden
of proving !l\at he did not build or ,mprove for the
purpose ol sale)
D I. as owner of the property, am exclusively
contracting w1!h licensed contrac1ors to construct
the proiect ISec 71)4.t, Business and Proless1ons Code The Contractor's license Law does not apply
to an owner ot property who budds or improves thereon. and who contracts for each proJecls w,th a
contractor(s) license pursuant to the Contr;;ctor's
license Law)
0 I am exempt under Sec
!or 1h,s reason
. B & PC
□ I hereby athrm that I ha-,.e a cert1!1cate of consent 10 sel! insure. or a cert,1,cate of Workers·
Compensation Insurance, or a certified copy !hereof
(Sec 3000. Labor Code)
POLICY NO
COMPANY
lt'"eopy ,s !,led with the c,ty 0t~ t
0 Cen1t1ed copy ,s hereby furnished
CERTIFICATE. OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(HHS section need not be completed d the perm,1
•s 10, one hundred dollars IS1001 o, lessl
0 I cen,fy that ,n the performance of the worl< for
wh,ch 1n,s perm,t ,s ,ssued. I shall not employ any
person ,n any manner so as to become subIect to
the Worilers· Compensation Laws ot C.il,!orn,a
NOTICE TO APPLICANT If. after makIn;i th,s Cen,
fic.i1e of Exemption. you should become subIect t'l
the Worl<ers Compensa11on provIs1ons of the Labor Code you mus! tonhw1th comply with sucM
prov,s,ons or th,s perm,! sh.ill be deemed re,oked
0 I hereby .if!irm That tr1ere ,s .i corostru(tion
.ending agency to, lhe pertorm.ince of The worl< lor
wr,oc~ Tti,s perm,T ,s ,ssued {Sec 309?, Ci.1I Code1
Lenders Nome ___________ _
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRESS HARO APPLICAN~ 0 FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS -------------------------CARLSB,.,.J BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008 (714) 438-5525 APPLICATION & PERMIT
JOB AOORESS
4$364 /.J::l/A~ A~;T
1
?~z-si•CATOONI
OWNER'S NAME
\'-EH '\<AYM°"1 D l-4%:N~O-i' PRIME CONTRACTOR
I.::.. la.II~ lt-.1tx.J~£!€S
BUSINESS LICENSE #
231tJ'I
VALUATION
1400 lliA?f:Sffi4; ZONE
PERMIT NUMBER
Bi-Z70
OWNER'S MAILING ADDRESS CONTRACTOR'S AOD-R·ess LICENSE NO. PLAN I.□.# BLOG use CODE
~s, lj~-~4 V'510N 1m::z.3a::cq
fq:34' Jdt&:iovJ~. 4oo68Cf
bdtGNER S-CNot-J STATE LICENSE# STANDARD PLAN# BUILDING SQ. FOOTAGE
DESCRIPTION OF WORK • ~ _ _. s:-,on.r_, ~ · OEStGNER'S AOORESS-DESIGNE:R'S PHONE
··--·"'"_______ I F/P FLRELEv.l I NO I OCCGP 1 EDU l 7/'.r_;./-;i~c-
C ;~ I;" // STORIES
vO NO
ems us TRACT I ce CANO use I 'ARKING se.cc I RES UNITS I GRADING "'.EAMIT ISSUED
y D ND I REDEVELOPMENT AREA
v □ NO
TYPE
CONST
ace LOAD FIRE SPA
vO NO Not Valid Unless Milchine Certified
QTY.
f
PLUMBING PERMIT· ISSUE
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER ANO,OR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEMS OR MORE -----------
7,_so 11 QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER
INSTA: L FURN_ OUCTS iJP TO 100,000 BTU BUILDING PERMIT ,z...6,50
. OVER 100,000 BTU SIGN PERMIT -L_ Z~i;o --------tc;,cc,A;;cN CCCHEC,CCKC,CJS..::,30cc_-p-J',cc1;-··-=zcc-;.;---t-·-.
--t------1 I !5 TOTAL PLUMBING ~
' ELECTRICAL ------on
--
EACH INSTA~. ALTER, REPAIR WATER PIPE MECHANICAL -------------+---------
] EACH VACUUM BREAKER _ ____ _ MECH EXHAUST -MOBILEHOME
1WATERSOFTNER r -'-'=.c...c ____ T···-·____ MOBILEHOMEPARKl~SP
EACH ROOF DRAIN (INSIOE1
r== TOTAL PLUMBING 1
I
IQTY I ELECTRICAL PERMIT -ISSUE
! NEW CONST EA AMP SWT BKR
lPH 3 PH
EXIST BLOG EA AMP/SWT·BKR
lPH 3 PH
.J. REMODEL ALHR PER CIRCUIT
TEMPPOLE 200AMPS f---· OVER 200 AMPS
--!TEMP-□CCuPANcY 130 DAYSI --,.-
I
I
·-
SOLAR
. . rnrM MEcHAN1c•n j I sTRoNs MoT,oN J.t ,2JI FIRE SPRINKLERS
. ------==~ -----,------PUBLIC FAC:LITIES FEE
i,ooll oTY. SOLAR -ISSUE _'-c
COLLECTORS ---tf---+-___ .,,
STORAGE TANKS ------------------li--ROCK STORAGE
BRIDGE FEE
SCHOOL FEE -DISTRICT ·-+--·--·-II--
Carlsbad -------t--,_ _______ ➔
Enc1n1tas
+ . 1 PUMP -~-15--1 ,i{)--__ -PLAN CHECK FEE -,\_
San D1egu1to
s~~ 'V1arcos
---+------+---+--·------
---
--
-------
-t---
----+----------1
--·--+----------j
·--
·-
--,..
----+-------·--
r·
--
--
TOTAL ELE:.CTRICAL l l 1 #o{)
TOTAi SOLAR I TOTAL FEES PAYABLE j 4~.oo I
I HAVE CAREFULLY EXAMINED THE COMPLETED •·APPLICATION AND PERMIT" AND DO HEREBV Expiration. EwerypennilmuedbylhelkiildingOfficialunderlheprovis.ionsofthis
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code ~I expire by N~ion and become ni.!11 and void. II the building or work
1t-AN OSHA PE.AMIT lS F1EOU1RED FOR EXCAVATIONS OYER s· O" DEEP ANO DEMOLITION OR CONSTAUCllON OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS ~ by such ~ IS not commenced w1ttun 180 days from the date of such
ISSUED; TO COMPLY WITH All CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON-L~=~~!.~°'~"~""'~·~-!!!!~~ '"'~-~!l!!•Ll'""!· ~002_,~. !!!!~byi!i'u"~ch!..!po~,m~.i~lt"2t.'"'li,pon!2.l~dod;.:~0='~_.t~~~~~~------------------! STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANO Ml.. time after the work IS commenced for a noel of 180 d .
KEEP HARMLESS THE c1TY OF CARLSBAD AGAINST ALL uABlUT1Es. JUDGMENTS, COSTS AND ~s ~lTIJl:'E • owNeR D CONTRACTOR APPROVED BY DATE
STRUCTURES OVER 3 STORtES IN HEIGHT
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE // -(?
GRANTING OF THIS PERMIT. ~ _ :--t;t: -BY PHONE 0 11/JM "" v.1-k 1"1-7-~I
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INSPECTION TYPE DATE INSPECTOR
_r BUILDING
FdJUNDATION
-'/EINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT -~-
TUB AND SHOWER PAN /}
GAS TEST 7-1-?I r..f"
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND -
ROUGH ELECTRIC 7-9-1/ ,.r
ELECTRIC SERVICE
BONDING
G. F_ I_ -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF_ PIPING
HEAT-AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.''· ,
JOB SITE FINAL
PLUMBING "' ELECTRICAL ...... u
MECHANICAL ' -,_1_9 .. /'f I~/
GAS " BUILDING
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
' '
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES ' -~ -INSPECTION REQ IF INSPECTOR'S DATE LA,~ '-~/./_7'/A1~~0 S~ ~ IJUJµfs_ft~ 9 .Cfld CHECKED APPROVAL
SOILS COMPLIANCE y/. , • J -r7 -e ,<
PRIOR TO ,
FOUNDATION INSP
--------· STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
----POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS -----------------------
SPECIAL MASONRY
-------~-
PILES CAISSONS
---------
---
----
--
-----
-----
>--
---------
-
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INTERDEPARTMENTAL INFORMATION
BUILDING DEPARTMENT
BUILDING ADDRESS:
PLANNING DEPARTMENT
SHEET
DATj.fECEIVED
nn 021981 •
CIT¥ OF CARLSBAD
8Lllldlng Department
ZONE _________ LOT SIZE _________ LOT WIDTH ________ _
UNITS ALLOWED ___________ UNITS PROVIDED ____________ _
PARKING SPACES REQUIRED PROVIDED -----------% COVERAGE ALLOWED _____________ PROVIDED __________ _
BUILDING HEIGHT ALLOWED PROVIDED
FRONT SETBACK:
ALLOWED
PROVIDED -------
INTRUSIONS
SIDE SETBACK:
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
ADDITIONAL COMMENTS:
REAR SETBACK:
OK TO ISSUE: ____ DATE ____ OK TO FINAL ________ .DATE ____ _
ENGINEERING DEPARTMENT
R.O.W. INDUSTRIAL WASTE IMPROVEMENTS ---------------------
SEWER CONNECTION DRIVEWAY LOCATIONS ___________ _
GRADING PERMIT ----fr----.--EASEMENTS..-=----=------DRAINAGE
LEGAL DESCRIPTION ~ :J2 C ';;{f ,s;. #-f ----
ADDITIONAL COMMENTS ____________________________ _
OK TO DATE PWI ____ OK TO FINAL ____ DATE ___ _
FIRE DEPARTMENT
SPRINKLING SYSTEM ___________ FIRE PROTECTION EQUIP. _______ _
FIRE ALARMS EXITS _______________ _
FIRE HYDRANTS LOCATION _________________ _
ADDITIONAL COMMENTS ____________________________ _
OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ____ _
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE _______ _