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Home My WebLink About2864 LEVANTE ST; ; CB901845; PermitB U I L D I N G P E R M I T Permit No: C8901B45 Project No: A90021~~ Development No: 11/26/90 08:55 Page 1 of 1 Job Address: 2864 LEVANTE ST Permit Type: PLUMBING Parcel No: 216-230-10-00 Valuation: 0 Construction Type: NEW Occupancy Group: Description: GAS LINE REPAIR Appl/Ownr : DAVEY, LEE 2864 LEVANTE CARLSBAD, CA OWNER DAVEY, LEE *** Fees Required * * Fees: Adjustments: Total Fees: Fee description ---------------------Enter "Y" for Plu Gas Piping System * PLUMBING TOTAL Class Code: 92008 Str: Fl: Ste: 9518 11/26/90 000 01 r cfi3CJ'if<J SL 1tl.:, Applied: Apr/Issue: Validated By: 619-436-870 11/26/90 11/26/9J KZH OWNER Credits *** ---------------------- .00 .00 : 10.00 , Jn1~ Ext fee Data ----L-----------------7,50 Y 2.50 10.00 Cl1Y OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION 4\ V City of Carlsbad Building Department EST. VAL ______________ _ 2075 Las Palmas Dr., Carlsbad, CA 92009 (619)438-1161 PLAN CK DEPOSIT ___________ _ VALID. BY ______________ _ 1. PERMIT TYPE DATE _______________ _ A COMMERCIAL TENANT IMPROVEMENT 0 U.I0USTRIAL □TENANT IMPROVEMENT C · *ESIOENTIAL □APARTMENT □CONDO □SINGLE FAMILY DWELLING □DUPLEX □DEMOLITION OREL0CAT!ON □MOBILE HOME □ELECTRICAL □MECHANICAL □POOL OSPA □RETAINING WALL □SOLAR 2. PROJECT INFORMATION PLAN CHECK No. LEGAL OESC1UPTIOII Lot No. Subdivision Name/Nunber Unit No. Phase No. CHECK BELOW If SUBMITTED: QZ Energy Cales 02 Structural Cales 02 Soils Report 0 1 Addressed Envelope ASSESSOR'S PARCEL El( I ST! NG USE PROPOSED USE BLDG, SQ. FTG, # OF STORIES 3. CONTACT PERSON NAME ADDRESS ZIP CODE CITY STATE DAY TELEPHONE SIGNATURE 4. APPLICANT □ CONTRACTOR 0 AGENT FOR CONTRACTOR 0 AGENT FOR OWNER :::: {!_~ I s 64D ADDRESS ZIP CODE DAY TELEPHONE ~ l ~ 5. PROPERTY..DWNE&-. , 1-,-v "" /,.. .>f'-tial VA """::: I CITY c....: A-a. _$ 6A-.0 ' OWNER STATE ZIP COOE 0 LESSEE □TENA.NT L. IQ '-' A N ..,.... c..,C. DAY TELEPHONE 6. CONTRACTOR NAME CITY SIGNATURE DESIGNER NAME CITY STATE STATE LIC. # _____ _ STATE ADDRESS ZIP CODE LICENSE CLASS _____ _ Tl TLE ADDRESS ZIP CODE DAY TELEPHONE ctn BUSINESS LIC. # DATE DAY TELEPHONE STATE LIC. # 7. WORKERS' COMPENSATION 8. Workers' Compensation Declaration: hereby affirm that have a certificate of consent to self-insure issued by the Director of 1nclistr1al Relations, or a certificate of Workers• Compensation lnsurante by an actnitted insurer, or an eKact 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 Certificate of Ex~tioo: 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' Coopensation Laws of California. SIGNATURE DATE OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason: ~I as owner of the property or my errployees with wages as their sole c~nsation, will do the work and the structure is not intended or offered for sale .l'"'\csec. 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 errployees, 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 wilt have the burden of proving that he did not build or improve for the purpose of sale.). D 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 prefects with contractor(s) licensed pursuant to the Contractor's License Law). 0 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 License Law (Chapter 9, cOf!lllE!ncing with Section 7000 of Division 3 of the Business and Professions Code) or that he is ex~t therefrom, and the basis for the alleged ex~tiOf'I. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundr d doll [$500]). SIGNATURE DATE I I -,;)(,,. -7 0 NG PERMITS ONLY: ls 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, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □YES □NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES 0NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES 0,0 IF AHY OF THE ANS\ERS ARE YES, A FINAL CERTIFICATE OF OCD..IPANCY NAY NOT BE ISSUED AFTER JULY 1, 1969 L'IILESS THE APPLICANT HAS JET OR IS MEETING THE REClJIRDENTS Of THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9. CONSTRUCTION LENDING AGENCY hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE J certify that I have read the application and state that the above information is correct. I agree to comply with all City ordinances and State laws relating to building construction. J hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY Of CARLSBAD AGAINST ALL LIABILITIES, Jll)GMENTS, COSTS AND EXPENSES WHICH NAY IN ANY WAY ACCRUE 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 or work authorized by such permit is not cOfllllenced within 180 days from the date of such permit or if the building or work authorized by such permit or abandoned at any time after the work is corrmenced tor a period of 180 days (Section 303(d) Uniform Building Code). the building is suspended '90WNER □ CONT II.ACTOR □ BY PHONE A.PPRO'o'ED BY: ______ _ DATE: WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB901845 FOR 11/27/90 DESCRIPTION: GAS LINE REPAIR TYPE: PLUM JOB ADDRESS: 2864 LEVANTE ST APPLICANT: DAVEY, LEE CONTRACTOR: OWNER: DAVEY, LEE REMARKS : MH/ LEE SPECIAL INSTRUCT: TOTAL TIME: PHONE: PHONE: PHONE: INSPECTOR AREA PY PLANCK# CB901845 OCC GRP CONSTR. TYPE NEW STR: FL: STE: 619-436-870 CD 23 LVL DESCRIPTION PL Gas/Test/Repairs iCOMMENTS ------------------------------------------------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS