HomeMy WebLinkAbout2901 Levante St; ; 81-240; Permitell z 0 ~ a:: ~ irl 0
,:
II: I[
0
II: Ill 0 .... 5 I Ill z ~
z 0 ~ ell z w ...
:IE 0 0
ell cc w "' a:: 0 3
il
0 I hereby affirm that I am llcansed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaslons Code, end my license Is In
full force and effect. L,c No _____ Cl•ss ____ _
I he<eby att,rm that I am exempt from the Con-
~)t~'-: ~ ~,:::.~c:l. ~.~ county wtuch requires a penrut to construct
alte<, unproYe, demohsh, or repa.r any structure. pnor to ,ts ,s.suance at,o requtres, the apphcant tor
such perm,t to hie a signed statement that he ,s
hcensed pursuant to the p,ov,a,ons ol the Con-
tractor's ucense Law (Chapter 9 commencing wrth Sect,on 7000 of Otvis'°" 3 of the Bus,ness and Pro-
fesslOOs Code) or that iS exempt therefrom and the bas•• f0< the al~ uempt,on Arry ,t01at,on ol Sect'°" 7031 5 by an apphcant f0< a perm,t subtecis tne apphcan1 10 a c,v,I penally ot not more thin five
hund<od dollars (S500)
C I. as owner ot the property, 0< my employees
*•th waiges as their sole compensatton. will do the
WOf'til, and the structure 1s not tntended or offered kw sale (Sec 70U, Bus,,,...s and Profess,ons Code
The Contract0<"s License Law Ooes not apply to an owner of p,operty who builds 0< ,mp<O¥eS thereon
and who does such WOtk himself Of through his own
employees. provided thal such ,mp,cweme;its are not ,nten<le1 0< offere<I f0< sale. ff, howeve<, the
bu1ld1ng or ,mp,cwement ,s sok1 within one year of
complehon, the owner-builder w,11 have lhe burden 01 ptC>V1ng that he dK1 not bu,k3 or improve tor the
purpooe of sale)
C I, as owner of the proc:,eny, am exclus1¥ely
contrachne with hcensed contractors to construct the p,o,ect (Sec 7°'"'· Bus,ness and Profess,ons
Code· The Contrac10<·s License Law Ooes not apply
to an owner of proPeftY wno build$ or 1,nprowes ~=i~ 7~n':'~~!~ ~:C~~~\!:::.:
License Law)
C I am exempt unOer Sec ----· B & P.C
tor this reason ,.
□ 1 hereby att,rm that I ha-wt a cert1hcate of consent
to self-insure, or a cert1f1cate 01 Workers
Compensation Insurance. or a certified copy thereof
(Sec 3800. Labor Code!
POLICY NO
COMPANY
Q Copy 1$ filed with Ille city
0 Cef11hed copy 1s heret,y furnished
CERTIFICATl OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE
(Trus section need not be completed ,t the penn11
,. lo< one hunc!recl dOlla,s 1$100) 0< less)
0 I cer1,1y that ,n the per1ormance of the won< 10< whteh this penn,t IS issued. I shall not empk)y any
person .,, any manner so as to become sub,ect to
the WM.ers· Compensation Law$ ot Cahforma
NOTICE TO APPLICANT If. after malun, tn,s een,
hcate of Exemphon. you shOukf t>eeome Subfec:1 t? the WOftl.ers· Compensahon pn)v1$f0nS ot the l..abof Code. you must forthwith compty with such
PfOv1st0ns or 1h,s permit shall be deemed revok.ecl
D I hereby affirm th.al there 1s a cons1ruchon
1end1no aoency lor the performance ot lhe wo'1'I tor
whtCh this permit 1s issued (Sec 3097, C1vt1 Code)
len<ter s Name ___________ _
lenders Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, Callfomla 92008 (714) 438-5525 APPLICATION & PERMIT
JOB ADORESS --29e;; L_ E. ti A-N f' l:-S0 ~.et~~A.D
AV. ST., DATE Of APPLICATION'
RO. J
og;_:,;:E If,;,.,, pJ/,·u.. ~~~l
OWNER'S MAtltNG ADDRESS •
~~4/ L..t=v1~Tl, ~. c~13~
PRIME CONTRACTOR
h~,£ ,htc.1:1-:s:
CONTRACfoR"S AOORESS
·9~7,i~~
LOT BLOCK SUBOIVISION ASSESSOR PARCEL NO DESIGNER 7
1:===~..._.:a..<.:::~~~:='=-""---.:=..::-~~....__,~~----4c::..LU::::'='-4!:."-~;;f';:::----1 DESIGNER"S ADORESS
CENSUS TRACT I GP LAND USE I PARKING SPACE I RES UNITS I GRADING f".ERMIT ISSUED
YO ND
f/P f LR ELEV.
vO NO
I REDEVELOPMENT
AREA
vO NO
PLlvs
c~,·-v,'--28-...s.
~
STORIES
TYPE
CONST
BUSINESS LICENSE #
CONTRACTORS ~ONE •
¥¼-S~v~
LICENSE NO.
STATE LICENSE #
OESIGNfcR"S PHONE
ace GP EDU
DCC LOAD FIRE SPR
vO NO
7r;;N
ZONE
PLAN I.D. #
STANOARO PLAN#
PERMIT NUMBER
JJ--z_t.J-e,
BLDG USE CODE
BUILDING SO. FOOTAGE
5/08/B1 1239 ei3;95 0'i'@4 V-t!fj9'iff59'/C'_1~ild ~., :..JlE.
QTY.I PLUMBING PERMIT · ISSUE QTY.I MECHANICAL PERMIT· ISSUE I I SUMMARY/ACCOUNT NUMBER n
EACH FIXTURE TRAP I I I INSTALL FURN. DUCTS UP TO 100.000 BTU I I BUILDING PERMIT 7 7 LJ_ --
EACH BUILDING SEWER I OVER 100,000 BTU SIGN PERMIT
EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK
EACH GAS SYSTEM 1 TO 4 OUTLETS . BOILER/COMPRESSOR 3-15 HP . TOTAL PLUMBING j -,
1 1 EACH GAS SYSTEM 5 OR MORE . METAL FIREPLACE • ELECTRICAL
EACH INST Al .. ALTER. REPAIR WATER PIPE . VENT FAN SING LE DUCT . MECHANICAL
EACH VACUUM BREAKER I I I MECH EXHAUST -HOOD/DUCTS MOBILEHOME
WATE R SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) I I I I I SOLAR
TOTJ;L MECHANICAL STRONG MOTION
TOTAL PLUMBING T FIRE SPRINKLERS
QTY. ELECTRICAL PERMIT · ISSUE QTY. I SOLAR · ISSUE
PUBLIC FACILITIES FEE
BRIDGE FEE
NEW CONST EA AMP/SWTIBKR COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Enc1no1as
1 PH 3 PH PUMP San Oiegu1to
REMOOE L/AL TE R PER Cl RCUIT PLAN CHECK FEE San Marcos
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS)
~
TOTAL ELECTRICAL 7-· TOTAL SOLAR TOTAL FEES PAYABLE 1 "'23 '1.,±
I HAVE CAREFUUY EXAMINED THE COMPLETED "APPUCATION AND PERMIT'" AND DO HEREBY Exp,rat,on. E .. ry permrt-bytheButlcltngOff,c1alundertheprov1100Mofthta
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code lhafl exp.re by ltm,tat,on and become null end vo,d II the building or wort<
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS aulhortZed by auch permit ti not commenced wllhtn 1110 <1ay1 from the date of such
* AN OSHA PEfllollT IS AEQUIAED FOA EXCAVATIONS OVER
!I" O" DEEP -'NO 0EMOUT10N OR CONSTl'IUCllON OF
STRUCTUAES OYER 3 STOAIES IN HEIGHT
ISSUED; TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON• ~•~ ': =::x:i~uthoctZed by auch permtt ti auapended or
STRUCTtON. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND '-:=::--::::::::::::-:::~::':::":':'--'=::-=="::..:::com=""men=ced=~10:::•~·~~=0~•..!;1=-i...--:~~~~~~-------------"""--.,.--~ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND APPLICANT"S SIGNATURE • OWNER O CONTRACTOR 0
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT. BY PHONE 0
7
~ u::
>-(V
0 a.
E ~
I
"C 0 <!J
c <II ,g a. a. <
I
.,c ~ TL
0 "' "' Ql "' "' <
I
~ .2
~
ui "' a> 0 e Q.
<II i;j
0
~
Ql 0 C <II C u::
C
Ql a> <5
0 0 Ql 0. "' C
~
C ~
,,.
..
INSPECTION TYPE DATE INSPECTOR
BUILDING
FOU NDATION
REINFORCED 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 $HOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
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
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
3' { ,.;l'-/0 -,, •
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
REQ IF INSPECTOR'S . INSPECTION DATE ' CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
-
' , ..
. . ..... '
I
l,., A ta .:J!I '!:_" -7,,, • .-.~("4\..,_;' l ...-.~
-
-
-
·,
., "·
'
V ' -
' '
.. ,......_ ,.
-
I ' •