HomeMy WebLinkAbout2875 LEVANTE ST; ; CB880719; Permit.. z 0 " .. "' ~ u w
0
C
i[
8
"' .. 0 ~
3 :l w z !l 0
z
0 " ~ z w .. ,.
0 u .. ic w ~
"' 0 ~
![
;Z. I hereby affirm that I am licensed under
provisions ol Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license 1s in
lull force and eflect
1 hereby a1hrm lhat I am exemp• trom 1ne Contrac
tors License Law lor The 10IIow,ng reason !Sec 703' 5 Business and Proless,ons COde Any c,ty or county w~,u, re
quires a perm,t ro construcr. alter ,mprove oemol,sh o,
repair any strucluie prior lo 11s issuance a•so reouI•es !heap
pl1cant tor such per,.,,t to file a s19ned slalemenr Thar he Is
licensed pursuant lo the pr0\/1s;ons ol The Coniractor s
License Law IChaoter 9 commenc,ng with Sect,on 7000 ol
o,~,s,on 3 of me Business and Pro!ess,ons Code, or Thal s ~•
empt lherefrom and the bas,s for the allegea exemo1,on An1
,rnIa1,on of Secuon 7031 5 by an app11cam •or a permI1 sub
Iects lhe aopIIcan110 a c,v,I oenally 01 nor more than five hJr
d·ed dOlla,s i$500!
I as owne, ol the property or my employees w,:h wages
os Their sole compensahon will do lhe work and lhe slPJC
lure ,s nol m1enaea or ottered 1or sale I Sec 70~4 Bus,~ess
and Profess,ons Code The Contractors License Law does not apply to an owner of properly wM builds or ,mpro,es
1nereon and wM does such work h,rr,sell or Through his own
employees. p,o,.de<:1 that such ,mprovements are not ,ntend
ed or offered lor sale 11, however the building or ,mp,ove
men! ,s sold w,lhIn one year of complehon The owner-builder
w,II have lhe burden of proving that he did not build or ,m
p,ove for The purpose ot sale)
I, as owner ol the property am exclusovely contracl,ng
with Icensed con1raclors to consrruct the DroIecl 1sec 7044
Busmess and Proless1ons Code The Contractor's License
Law does not aDP'Y to an owner of propeny who bu,lds or im-
proves thereon and who contrac1s 1or each oroIects w1Th a
contractor1s1 1,cense pursuant to The ConlrJCTor s License Law)
As a homeowner I am ImprovIng my Mme_ and lhe tollo"
,ng condIt,ons e"st
1 The wor~ ,s bemg performed prio, to sale
2 I have lived ,n my home for :welve monlhs w,o, !o completIon o1 th,s work
I have not claimed this exemDlton dur,n~ lhe
last three years
I am e,ernpr under Sec _____ _ B & PC lo, \hos reason ____________ _
I ~ereby affum I hat I have a cert,f,cate of consent 10
self insure or a certol1Gale of V<orkers Compensation In
surance O' a cert,f•ed copy the•eol 1sec 3800. Labar Code,
POLICY NO
COMPANY
Ccpy ,stiled ,,,th the city
Cert,f,ed copy ,s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
,This section need not be comp;eted ,f lhe perm,\
1s lo, one hundred jollars :$100! o< l~ss1 ¢. I certil)' thal ,n the performance or tne work lor wh,ch
th,s permit ,s issued I shall nol employ any pe•scn ,n ao)'
manner so as 1o become sub1ecr to the Wor~ers Com pen
sah,n Laws ot Cal,forn,a
NOTICE TO APPLICANT 11, after making !his Cer!,1,caie
ol Exemption you should become subJect to the Workers
Compensa1,on pro,is,ons ot the Labor Code you -,csl
lorlhw1th comply with such prov,s,ons or th,s permI1 shall
De deemed revoked
_ I 11ereby aft.rm tha1 there Is a construction lenj,..,g
agency for 1he performance of the work for which th,s per
,.,,t ,s ,ssued 1sec 3097 c,v,r Code)
Lenders Name
Lender s Address
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
JOB ADDRESS AV. ST.RD. THOMAS BROS NO. l~~AeeucAT<ON BUSINESS LICENSE # v;)~1~t PERMIT NUMBER
? s:>7-r ,; --· .... --,~ r.
~ BLOCK I SUBDIVISION ASSE"z'.'P'.'.:.~.7-0-'2.!i CONTRACTOR CONTRACTORS PHONE• ZONE ~ <"6$0719 '-0 ~-... ,...J (;If.At",' <!cwsr. ;::, 1//..-2.rJ(>-() OWN£ R'S NAME I OWNER'S PHONE
M/Jt..,I, .Ir, ~ CONTRACTOR'S ADDRESS E.l; c• "' d. . .,Lo STATE LICENSE NO. BUILDING SO. FOOTAGE
OWNER'S MAILING ADDRESS P. "· 8-,1( ;J ?,j I. ~ ,., •.C' 33 J gq')
'7J>-,_rL,.:~ DESIGNER q;i_l)~"l DESIGNER'S PHONE
DESCRIPTION OF wo;;r,,~ ~ c:,,c-z_.
DESIGNER'S ADDRESS STATE LICENSE NO. . ..
e e F LR ELEV NO OCC GP EOU STORIES
<J .... c
I CENSUS TRACT I PAF'K1NG C,PAC~ RES UNITS GRADING PERMIT ISSUED l REDEVELOPME"'T TYPE ace LOAD FIRE; SPf>
ARE A CONST
,□ '□ ,O "'□ vO NO Not Valid Un/en Machine Certified
QTY PLUMBING PERMIT -ISSUE ,;§) QTY. MECHANICAL PERMIT -ISSUE /~ SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN lJUCTS.'.ii.Jff'.10 100000 BTU trnl~UII\/L, '""" 11 UU1 c1J-0U-00-8220 /y <...I
EACH 8UILOING SFWER ..f'I._:,.,_ .0-VER 100.000 BTU SIGN PERMIT 001-8'0-:JO-OO 8221
/ EACH WATER HEATER A~[J OR VENT BOILER,COMPR~fi UP TO 3 HP PLAN CHECK 001-81 0-00-00-8891 q,;
r EACH GAS SYSTEM l TO 4 Ll UT LETS 801LER.C_Q_MP,RESSOR 3 l!"i HP _('.''· TOTAL PLUMBING 00'.-81 :J-00-00-8222 / C,
' ~E.' AL FIRiPL:ACE
~ <>?U EACH GAS SYSTEM 1 0 R MORE ELECTRICAL 001 810-00·00·8223
EACH INST AL Alfc.1-1. RE.PAIR \!','ATER PIPE V(NT FAN SINGLE OUCT MECHANICAL 001-810 OO-OD-8224
I EACH VACUUM BREAKER MECHE XHAUST HOO□-OU'CTS MOBILEHOME 001-81 J-00-00-8225
WAHR SOF TNER RELOCATION OF EA FURNACE HEATER SOLAR 00 1 -81 0-00·00· 8226
f/\CY R:_'i'.f l'Ri\"'J ,:'1::;1[",'~, DRYER VENT STRONG MLlT!ON 080-519-92-33 /
TOHl,<MECHANICAL FIRE SPRINi<LtRS 00 1-81 ·'.;-DC -00-8227
TU I Al Pl lJMHINL I 1,:,., " ?UBLIC FACILITIES FEE 320-81,J :JO-:J0-874,J
,:ro BRIDGE FEE 360-81C!-00-00-8740
QTY. ELECTRICAL PERMIT -ISSUE QTY MOBILE HOME ~8970 ' PARK-IN-LIE.U 1>\~EA
NEW CONST EA AMP SWT SKR CAR PORT /4 ":> ~ ',~:-,_ TIF 312-81 0-00-00-8835
I PH l PH AWNING I:' .. "'..!'\ LA COSTA TIF 311·81 0-00-00-8835
FXIST BLlJG EA AMP SWT BKR GARAGE ' mu 1000 • FMF -..._
I PH I PH .... ----... LICENSE TAX 00'-S'·} ~·,J<0-3 162
"' REM[JOEI AL HR PE:R CIRCUIT "., . CJY le; AS! IRE~ ,.. MFF 880-519-92-5,'
1[\1PP()lE /i]U AMP~ '' "~' .. \' .:. .,);, ·"' ... "'
OVER 2lJU AMPS ' \' ~ ,:,,,,1
1£.MP (J[(UPANCY ,30 OAYS1 ,c~o.. O"l '
""-zct,~cr-i<:. ~ CREDIT DEPOSIT .::.. <J'-1-;>
lilfAL FLll,lRILAL I ~ t" T\,T Al TOTAL FEES PAYABLE I /~O tv
I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION AND PERMIT AND DO HEREBY Expiration EYery permit ,ssued by the Bu1ldmg Ofl1c111l undef the prov1s1011s of this * AN OSHA PEFW!T IS RECIUIAED FOR EXCAVATIONS OYER
CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code shall expne by hm1tahon and become null and vord II the budd,ng or work 5' O" DEEP AND OEMOLfTION 0A CONSTRUCTION Of authorized by such permit 1s not commenced w,th1n 180 days from the date of such DECLARATIONS ARE TRUE AND CORRECT AND l FURTHER CERTIFY AND AGREE IF A PERMIT l& permit. or •f the bulldmx or work authonzed by such permit ,s suspended or STRUCTURES OVER 3 STORIES IN HEIGHT
ISSUED· TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON abandoned at an" IHTlfl a er the work 1s commenced tor a ""'riod of 180 d8"S A
STAUGTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND . OWNERn CONTRACTOR I(. APPROVED BY o2~ DAH KEEP HARMLESS THE COTY OF CARLSBAD AGAINST All LIABILITOES. JUDGMENTS. COSTS AND ~OCANT S SI~
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY !N CONSEQUENCE OF THE BY PHONE rJ M,;,!: _.A.{_ ------.1 ( -'2.. Kx' GRANTING OF THI$ PERMIT ,-. /J'1 ~ IC'.>
.'!! u:
~
~
0
0. E w >--
v
0
CJ
c ~ u
0. 0. «
I
1
C
0::
0 w w w w w «
I
3 0
Qi >-
w u C ~ C
u.
c:.
C • ~
CJ
2 u w
0. w C
.'!!
re ,:
TYPE DATE INSPECTOR
BUILDING M a-~071 c;
FOUNDATION ~ ~\X\\ \" -FIELD INSPECTION RECORD
REINFORCED STEEL ;;/v !J(-J'J REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY
GUNITE OR GROUT INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
SUB FRAME □ FLOOR □ CEILING SOILS COMPLIANCE '
SHEATHING □ ROOF □ SHEAR PRIOR TO '
FRAME FOUNDATION INSP
EXTERIOR LATH STRUCTURAL CONCRETE -
OVER 2000 PSI ' INSULATION PRESTRESSED
CONCRETE INTERIOR LATH & DRYWALL POST TENSIONED " CONCRETE ;
PLUMBING J:IELD WELDING ~g ... ~cl-, -
" ,; r"
□ SEWER AND BUCO □ PL/CO HIGH STRENGTH
UNDERGROUND □ WASTE □ WATER BOL is
TOP OUT □ WASTE □ WATER SPECIAL MASONRY
TUB AND SHOWER PAN /)
GAS TEST 7//, , . I/,,. , Pll ES CAISSON~'
□ WATER HEATER □ SOLAR WATER , , ---------
ELECTRICAL /)
D ELECTRIC UNDERGROUND □ UFFER 1/1/Jr r
ROUGH ELECTRIC ' .
□ .ELECTRIC SERVICE, □ TEMPORARY •
171 BONDING □'POOL "-1,{~ ~
MECHANICAL
□ DUCT & PLEM,, □ REF. PIPING
HEAT -AIR COND, SYSTEMS
VENTILATING SYSTEMS .
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED,
FINAL
PLUMBING -.{
ELECTRICAL 0 • • ,, _,
MECHANICAL ,, .J./
GAS (Y'· . ,,
BUILDING -'J
SPECIAL CONDITIONS
!NAL BUILDING INSPECTION
~ .
PLAN CHECK NUMBER: 880719 DATE: 7-25-88
PROJECT NAME:-------------------------------
ADDRESS: ~875 Levapte St.
PROJECT NO.:~
TYPE OF UNIT:
//d;. P:--uNIT NUMBER: _______ PHASE NO.: ______ _
___ oo_l _________ NUMBER OF UNITS:
CONTACT PERSON: _______ Lo---'-'~'-a_n_C_r_a_,_p_tl __________________ _
CONTACTTELEPHONE: ______ 7_4_1_-_2_6_0_0 ____________________ _
, I
INSPECTED 1' A ;,
BY: • "', ~-
INSPECTED BY: _________ _
DATE
INSPECTED: APPROVED
DATE o/. j
INSPECTED: ~~&::'.<;/ APPROVED
DATE
INSPECTED: APPROVED
DISAPPROVED ~'--
✓ DISAPPROVED __ _
DISAPPROVED __ _
1 ID:2. 3
f -l -K~
Rev. 1/86 WHITE: Suspense BLUE: Water Di ict GREEN: Engineerin CANARY: Utilities PINK: Planning GOLD: Fire