HomeMy WebLinkAbout2443 Levante St; ; 80-871-B; PermitLICENSED CONTRACTOR'S DECLARATION
t hereby affirm that I am licensed under provi-
sions of Chapter 9 (commencing with Section
OWNER-BUILDER DECLARATION
hereby affirm that 1 am exempt from the Con-
tor's License law tor the following reason
:. 7031.5 Business and Professions Code), Any
or county which requires a permit to con-
ct, alter, improve, demolish, or repair any
cture, prior to its issuance also requires the
licant for such permit to file a signed state-
11 that he is licensed pursuant to the provi-
1s of the Contractor's License Law (Chapter 9
1mencing with Section 7000 of Division 3 of
Business and Professions Code) or that is ex-
ll therefrom and the basis for the alleged ex-
llion. Any violation of Section 7031.5 by an ap-
ant for a permit subjects the applicant to a
I penalty of not more than five hundred dollars
JO).
as owner of the property, or my employees
, wages as their sole compensation, will do
work, and the structure is not intended or of-
id for sale (Sec. 7044, Business and Profes-
1s Code: The Contractor"s License Law does
apply to an owner of property who builds or
>roves thereon and who does such work
1self or through his own employees, provided
t such improvements are not intended or of-
id for sale. If, however, the building or improve-
nt is sold within one year of completion, the
,er-builder will have the burden of proving that
did not build or improve for the purpose of ,,. v ~; as owner of the property, am exclusively con-
;ting with licensed contractors to construct
project (Sec. 7044, Business and Professions
:le: The Contractor's License Law does not ap-
19 an owner of property ·•ho builds or im-
ves thereon, and who contracts for such pro-
ts with a contractor(s) license pursuant to the
,tractor's License Law). .,.., am exempt under Sec. . 8. & P.C.
this. · .. ason ~--f -&-+.:-. , / -
Date ! /'i • 11 Tl::w ✓ '
WORKERS' COMPENS1tTION DEC"LARATION
I hereby affirm that I have a certificate of con-
sent to self-insure, or a certificate of Workers'
Compensation Insurance, or a certified copy
thereof (Sec. 3800, Labor Code).
POLICY NO. -COMPANY
:::JCopy is filed with the city
:::JCertified copy is hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
;-,r~1s section need not be completed ii the per-
m1t is for one hundred dollars {$100) or less).
I certify that in the performance of the work for
w~ich this permit is issued, I shall not employ any
person in any "':·<.1.nner so as to become subject to
the.Work<ers' Compensation Laws of California.
t<OTICE TO APPLICANT: If, after maKing this Cer-
tifi,· 1te of Exemption. you should become subject
::i Worket·, ,Compensation provisions of the
Code, you must forthwith comply with such
ions or \his permit shall be deemed revoked
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction len-
ding agency for the performance of the wo_!k for
CITY OF CARLSBAD-BUIL □INl:j LJt:.t-'At< 1 Mt:.N
APPLICATION & PERMIT
USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525
APPLICANT TO FILL IN INFOR-
MATION WITHIN RED LINES.
I~ y f, 9 ~ c;<,-y A-;¼ DRESS tRr·•~ ;;P:g_Tl°f?
SUS. L lCENSE PERMIT NUMBER
I I I I I I I I ' ' ' ' ' i:J ?o-f11, ~ ow,
~,, .L 0 e~ OWNER'S PHONE PRIME CONTRACTOR STATE LICENSE
'7S3-?,,,).· I.... t.--t' -;t:.. J-<]2£;11..._ ).__ ,, ,
0 rYir"1 so,es's ~ 17~ CONTRACTOR'S ADl;IIESS
-~
CONTRACTOR'S
[UC.; PHONE
LOT I BLOCK I SUSOIVISION 1.., ASS
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t:.
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0R'S PARCi.L ~n ,A 9' DESIGNER STATE LICENSE
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DESCRlx-N OF WOR:J, ' . / -~.,, ,/ DESIGNER'S ADDRESS DESIGNER'S PHONE
. I I
CENSUS TRACT GP LAND USE ZONING I RES. UNITS I "'""l/1 o I NUMBER OF STORIES
Not Valid Unless Machine C.rtifi«J
sco, j~t,, BLOG USE occ. GP I ST AN DARO PLAN # I :r; ~j, 11
I TYPE CONST I occ. LOAD ~ QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AM~.
A ., _:7~..e
VI EACH FIXTURE TRAP / ll. ,t'" I INSTALL FURN. DUCTS UP TD 100,000 BTU f.r. -
I' EACH BUILDING SEWER "' ~ .r. -OVER 100,000 BTU
f ""'6,QCH WATER HEATER ANO/OR VENT ./ -z--. ,,.. BOILER/COMPR~SOR UP TO 3 HP . ..----:'
I EAC~S SYSTEM 1 TO 4 OUTLETS ./ ., -,,, BOILER/COMPRESSt).B 3-15 HP ·"
EACH GAS~STEM 5 OR MORE ./ BOILER/COMPRESSOR i)i..10 HP . --£t ...-· . C/0 ,.• () ✓
EACH INSTAL., A'"N.ER, REPA_»H'IATER PIPE -i---VENT FAN Slf')GlE DUCT '\_.,, ... .,-e LL.. .,-')/.:' d = --• EACH LAWN SPRINl<l«8 SYSTEM MECH EXHAUST H00J)/tfUCT~ . .
WATER S0FTJ>fi! '--REL0CATI0~ OF JK°FURNACE/HEAl'i,.R ") ''\ ,.,,,11 ..... , ... 8UILOIN-8""P"ERUIT. . , .. .
, :, -..... r -l" ,'() , -.. ~ . _. . ' , 1' Ad SIGDl'PERMlW ~ r// , ·:· . ., ,l , I I
/ TOTAL PLUMBING ~ _i;()TAL MECHANICAL '-. ., N CHEc\(, I' ., • .......... co I _../j , ~,. /(.[
CONTRACTOR CONTRACTOR -//· ..-AL \.INCLUSIVE PERMIT ----I , .
TOTAL P
QTY. ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT AMT. ELECTRICAL
--, .
, r NEW CONST EA AMP/SWT/BKR /0() ~--AWNING MECHANICAL . ,.,,.,,,
1 PH .25 , 3 PH .7 PORCH MOBILE HOME I I I
EXIST BLOG ~AMP/SWT/BKR _.,..,...._ SET-UP SOLAR I I > I
\PH .25 "-.. 3 PH / . RAMADA, CABANA • I I I •. I
REMODEL/ALTER Pk CIRCUIT _ _,,..... ... .,,. FENCE OVER 6' ~,~ ~-A. /,'. I I I " -I
TEMP POLE 200 AMPS '--..,/ TOTAL MOBILE HOME MICO-Fl!AI" I I 1' .
OVER 200 AMPS .,.,,,,. ' /' --,, I ./ I I ) •
TEMP 0CCUP.MltY 130 DAYSI ' \ UF'r-.J r T' rh I I/, ,, -' "
./ ~,. I ' ,.-,L..,:!d I , "!-I I •
~
)
! '< 0
~ >
5 i= u ~ cc V,
~
TOTAL ELECTRICAL TOTAL FEES PAYABLE I ,,, ; ·~~ -CONTRACTOR I
,_. . I I
(y\i'< / 7 ;~ J-.-e'~✓ ,;l '-I j'. 1 ;L
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PE AMIT, AND DO "AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS O~ER ~A,,,J ...Oft4,,I);~ l.f"79 HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT ANO I 5'-0'" DEEP AND DEMOLITION OR CONSTP.UCT!ON OF
FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUEO;TO COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT £J Ct '...i j "':5... /"2-7 ! . COUNTY AND ST ATE LAWS GOVERNING BUILDING CONST AUCTION. WHETHER / /,'/} SPECIFIED HEREIN OR NOT. !.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM-,-A' . LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND ---i I
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE
OF THE GRANTING OF THIS PERMIT Au ~J;;;ATURE/ V 1/4 '/ OWN:r□-CONTRACTOR□ rPP11VED BY ~!'!A
h '/~ AGEN 0 .. . --. I fi I£/ BY PHONE O V ,
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pti_;/y
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SITE 80-f/rJ~.!3 ADDRESS: OWNER: PERMIT NO:
\ FIELD INSPECTION RECORD
INSPECTION DATE INSPECTOR I NSF"ECTOR'S NOTES
WOOD FLOOR .
FOUNDATION• FORMS• SET BACK• TOILET
UNDER FLOOR PLUMBING
UNDER FLOOR HEATING
OK TO INSTALL SUB FLOOR '
SLAB FLOOR
UNDER SLAB PLUMBl NG
FOOTING • FORMS• SETBACK • TOILET
OK TO POUR CONCRETE
FRAME
ROUGH ELECTRIC~L
ROUGH PLUMBING
ROUGH HEATING/VENTILATING
FRAME OK• PLACE INSULATION
INSULATION OK • PLACE WALLBOARD
WALLBOARD OK•• PLACE TAPE
EXTERIOR LATH OK• PLACE STUCCO
' FIREPLACE
' DAMPER &S:rEEL
PLATE Tl ES/HEIGHT OF CHIMNEY .
OTHER
TEMP.POWER (POLE)
SEWER
GAS TEST
SWIM POOL • STEEL BONDING
• PRE DECK
• FENCE PREP LASTER
SHOWN • FRAME
• PAN ,
FINAL INSP BY BLDG DEPT ~~h':J'/ r./
OTHE_R bEPT'S REQ COMPLETED
. ..
ELEC Mf!TER-PERM-TEMP '" : GAS METER-PERM-TEMP
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CErtT 0 CCUPAN,';Y ISSUED
i(l'' • "\.L...t:> .
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LEUCADIA COUNTY WATER DISTRICT
APPl.!CATION FOR SEWER SERVICE
Owner's Name Victor Ottens tei n -----------~------
Mailing Address __ P_._o_._B.c..ox_l_3_43'----------
RSF, CA 92067
Service Address:
Tract Description: lot 115, South #1
Assessor's Parcel No.
Phone No. 231-8788
SE\VER PrnMli ·1ss0tD "()PON
RECE:?T Of' BU\LD:NG P::RMIT.
cu:L0\"10 PERMIT MUST BE
APPLIED FOR B'I'. {?, • ,2C( -f'-,c-") •
Type of Building __ s_._f_. _____ No. Units l Connection Fee $ 600.00
(pre pd 200.00) I.a tera 1 Size: 4" 6" 8" Saddle Easement Connection -
Extra Footage: @ $ ---Extra Depth: __ @ $ __ 400.00
Amount Rec'd $....400,00
Ck. No/Cash #....,3.,.5cx.6 __
Date 8/30/79
Rec'd By s. williamso
Lateral Fee
Prorated Sewer
Service Fee
Total $-600.00
The application must be signed by the owner (or his authorized representative) of
the property to be served. The total charges must be paid to the District at the
time the application is submitted.
If a service lateral is required, it will be installed by the Leucadia County Water
District. The service lateral is that part of the sewer system that extends from
the main collection line in the street (or easement) to the point in the street (at
or near the applicant's property line) where the service lateral is connected to
the applicant's building sewer. The applicant is responsible for the construction,
at the applicant's expense, of the sewer pipeline (building sewer) from the appli-
cant's plumbing to the point in the street (or easement) where a connection is made
to the service lateral.
The connection of the applicant's building sewer to the service 1 atera l sha 11 be
made by the ·applicant at his expense. The connection must be made in conformity
with the District's specifications, rules and regulations; and IT MUST BE INSPECTED
AND APPROVED BY THE DISTRICT BEFORE THE SEWER SYSTEM MAY BE USED BY THE APPLICANT.
THE APPLICANT, OR HIS AUTHORIZED REPRESENTATIVE, MUST NOTIFY THE DISTRICT AT THE
T!ME INSPECTION IS DESIRED. ANY CONNECTION MADE TO THE SERVICE LATERAL OR COLLEC-
TION LINE WITHOUT PRIOR APPROVAL AND INSPECTION BY THE DISTRICT WILL BE CONSIDERED
INVALID AND WILL NOT BE ACKNOWLEDGED.
The prorated sewer service fee is based upon the date the District estimates that
service will begin and covers the balance of the fiscal year. There will be no
additional fee or refund if service actually conmences on a different date. For
succeeding fiscal years, the sewer service fee will be collected on the tax roll
in the same manner as property taxes.
The undersigned hereby agrees that the above information given is correct and agrees
to the conditions as stated.
Owner's Signature Date
9981
Account No.
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j illrrttfiru ii' of ®r rttputtry i
~ CITY OF CARLSBAD "i ~ "
This Certificate issued pursuant to tile requirements of Section 306 ,.
~ of the Uniform Building Code certifies that at t.he time of issuance i
this structure complies with applicable ordinances of. the City
~ regulating building construction use.
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Use Classification Duplex Bldg. Permit No. 80-87la & b
'i: Group ______ T ype Construt!tion ______ Fire Zone _______ Use Zone ______ _
i Oecupont Load ... ,1' .. -;,... _ _ _ _ _ _ _ _ _ _ _ . ~ Owner of Buildin~«.;r;r'.Y .SUllivan _;..-:--.::: .. · •.· •· "Address· 'i4J5 Iffl¥)te . f. ~ Building Address ,~i,~4:J,;.·~&-Qj~~¼!~van,';6 ."'J-. )L~~~lity, ~ls!:a,~i;~/ 2f0981 .
.{,e., .. i/<i.,.'1.-.li-J-:,' ... ~ -~---~--,B•y• & ,ji-~ =
f-r ~ 4. > § __________________ Dot•------'7_-.:;:l;.:;6_-.;;.81;:_ _______ _
~ NC'T'E1 Ah•rotlon11 chongu, 11di\l!on1 er chor.9•1 of octuponcy nulllflu th\1 u,t!Hcala,
~ (?cit In conspicuous ploc•) ~
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