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Home My WebLink About2729 YORK RD; ; 80-120; PermitLICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provi- C ITY OF CARLSBAD-BU ILDING DEPARTMENT APPLICATION & PERMI T 1200 ELM AVENUE (714) 438-5525 USE BALL POINT PEN ONLY APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. sions of Chapter 9 (commencing with Section ~ 7000) of Division 3 of the Business and Profes-(l slons Code, and my license Is In full force and ef-., No. -, "'I D I.} A t~ Jo~.,t0 RESS A~, IDATE OF APPLICATION lect. ~I h~~~-~-~~1:J.~.1_1{_F~1~L-1i_/1_J1L f 1~0~111J e..Jl(~f_J_ 1~V.1'LIL_I LJll_ll_j_l_J_l_i_l _¼--IJ.I _L_I L..J11LJILJ1:J~2~-::..;.2.l7~-JV~()'2__L ____ j ),g OWNER-BUILDER DECLARATION ~ OWN.:: -~LEN OWNER'S PHONE PRIME CONTRACTOR STATE LICENSE SUS. LICENSE ~::.1~. herebyaffirmthatlamexemptfromtheCon-{\-r-L./LJt> ~.,,,_,c,._<; 7,:,_a _,,,, l,-,!, 01/11,1.J~/1 -J2..'"Ll"l,ra ctor's License Law for the following reason -0 '-'· _..., \ ,u, =i (Sec.7031.5,BuslnessandProfesslonsCode),Any'1_ OWNER'S MAILIN~ AOORESS ~--'·vi'~ J ~ e·A city or county which requires a permit to con-~ P, lJ 2, l.1" _:,_ ~ r---" n , Al, , 1 struct, alter, Improve, demolish, or repair any • • C. ld.J CONTRACTOR'S ADDRESS appllcantforsuchpermlttofileasignedstate-6''7'1VNIT "(TOn, -,'1-/Y ~ l/1h1'11 1.~1 q J. 1'\.r-'9. 1 /J#• i;.J,_., ment that he Is licensed pursuant to the provl-~~u.=.:.:..:..:._J...LCICl.:=al:...l~-L..t.....C1-..L..IIU..G.4U...Ji.;;iU...-IJ...LL...J.Jt::l.+.L..L--1 /?_ ~ CONTRACTOR'S PHONE STATE LICENSE <.:7~ 3/( 71 00013683 00013683 structure, prior to Its Issuance also requires the r Lo,'½I eLOCJ • I J!U80~S~ON X, ASJESSO~•s f'ARCEL NO. DESIGNER slons of the Contractor's License Law (Chapter 9 DESCRIPTION OF WORK /7 _ _ /I J 1 • J_ •,, l ; ' I ~~~~~~~'d's'-..l.:.~,!_-----=~~~~~;:::;:5.~ commencing with Section 7000 of Division 3 of ~0,C,W} f-lad 1--r-Jr,,,1_ ~ I DESIGNER'S ADDRESS .• ~ the Business and Professions Code) or that Is ex-/1/' • ,s? ~ V -r-A /° -1 D empttherefromandthebaslsfortheallegedex-, ~/?~~/~ riJ • ---1 __-:!:.rv !',1'2."'-3' -r. ;.., no l r1iJ'J .. <L ! civil penalty of not more than five hundred dollars L/ t ' 3 7 3/07 / 80 --• 'l 01 I I) Ii. ~~:~~~nio~":::~ti't 0 ~:~j~~t~~e 1 :~~cb:n:u::~ CENSUS TRACT/7 GP LAND u;Y1 ZONING•, I RES. UNITS PA#RKING SPACE 'sf -, .nF STORIES ($500). Not V11id UnJ.ss Machin• C.rtifi«I □ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure Is not Intended or of- fered for sale (Sec. 704-4, Business and Profes- sions Code: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon and who does such work himself or through his own employees, provided that such Improvements are not Intended or of- fered for sale. If, however, the building or Improve- ment Is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or Improve for the purpose of sale). '.JI. as owner of the property, am exclusively con- tracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not ap- ply to an owner of property t•ho builds or Im- proves thereon, and who contracts for such pro- jects with a contractor(s) license pursuant to the contractor's License Law). I am exempt under Sec ____ B. & P.C. for this reaso,: Date Jft180 Owne~ * WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of con- sent to self-Insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Labor Code). POLICY NO. ___________ _ COMPANY ___________ _ □Copy Is flied with the city. □Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed If the per- mil Is for one hundred dollars ($Hl0) or less). I certify that In the performance of the work for which th[l; permit is Issued, I shall not employ any person In any manner so as to become subject to the Workers· Compensation Laws of California. NOTICE TO APPLICANT: If, after making this Cer- tificate of Exemption, you should become subject to the Workers· Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction len- ding agency for the performance of the work for which this permit Is Issued (Sec. 3097, Civil Code). 8LDG SQ. FT. BLDG USE occ. GP I STANDARD PLAN II I PL~/1-/20 I TYPE CONST I occ. LOAD I QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERM IT AMT. EACH FIXTURE TRAP ./ EACH BUILDING SEWER( INSTALL FURN. DUCTS UP TD 100,000 BTU OVER 100,000 BTU EACH WATER HEATER A~/DR VENT BOILER/COMPRESSOR UPTO 3 HP EACH GAS SYSTEM 1 TD 4 DU~ BOILER/COMPRESSOR 3-15 HP EACHGASSYSTEM50RMORE \ BOILER/COMPRESSOR 16-30 HP EACH INSTAL., ALTER, REPAIR WATER Pllj VENT FAN SINGLE DUCT EACH LAWN SPRINKLER SYSTEM \.._ MECH EXHAUST -HOOD/DUCTS d--c..> VALUATION : WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT SIGN PERMIT _. --,,di -~ ~ l'!JTAL PLUMBING CONTRACTOR CONTRACTOR TOTAL MECHANICAL PLAN CHECK ;?_6 o_.......,,....,y 6 J?5YV QTY. ELECTRICAL PERMIT NEW CONST EA AMP/SWT/BK R 1 PH .25 EXIST BLOG EA AMP/SWT/BKR 1 PH .25 REMODEL/ALTER PER CIRCUIT TEMP PO LE 200 AMPS OVER 200 AMPS TEMP OCCUPA~Y (30 DAYSI Tc~11<> TOTAL ELECTRICAL CONTRACTOR 3 PH 3 PH ALL INCLUSIVE PERMIT AMT. -QTY. MOBILE HOME PERMIT AMT. TOTAL PLUMBING ELECTRICAL AWNING MECHANICAL PORCH MOBILE HOME SET-UP SOLAR RAMADA, CABANA FENCE OVER 6' TOTAL MOBILE HOME MICO -FILM '). ()() 7 ,;-0· _ _;...-11---+----------+--~I TOTAL FEES PAYABLE ' SCHOOL FEES : I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT. AND DO HEREBV CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED;TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN DR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM- LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER 5"-0" DEEP AND DEMOLITION DA CONSTRUCTION OF STRU<:,TUAD OVER 3 STORIES 11EI( HT f) . Y.J ✓ l.-I'-~v\y~ I . I /, . OF THE GRANTING OF THIS PERMIT. APPLICAl'li•s SIGNATURE• (} '/fNE:Jji( /j.GENT D CONTRACTOR□ IAPPR~~ BY PHONED / • • I I I I I I I I I I I I I~..., 07) I I I I I I I/ _u D I I I I I I I I I I I I , I I I I I : I , I I I I . '1 • I 71) P,- / OATE I SllE 81), Jd-i)_ A DRESS: . •. . OWNER: PERMIT NO: ., FIELD INSPECTION RECORD ' . , INSPECTION DATE INSPECTOR INSPECTOR'S NOTES WOOD FLOOR • FOUNDATION • FORMS •_SET BACK • TOILET . -~ ,; UNDER FLOOR PLUMBING ''• '--~· ~ < UNDER FLOOR HEATING .. ~ OK TO INSTALL SUB FLOOR . . ~, SLAB FLOOR UNDER SLAB PLUMBING . FOOTING • FORMS • SETBACK • TOILET ,\ OK TO POUR CONCRETE FRAME ' . ROUGH ELECTRICAL ROUGH PLUMBING ROUGH HEATING/VENTILATING FRAME OK • PLACE INSULATION INSULATION OK • PLACE WALLBOARD WALLBOARD OK ~ PLACE TAPE ~ EXTERIOR LATH OK • PLACE STUCCO FIREPLACE DAMPER & STEEL . PLATE Tl Es/HEIGHT OF CHIMNEY OTHER TEMP POWER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING . • PRE DECK • FENCE PREPLASTER SHOWN . FRAME . PAN J I • FINAL INSP BY BLDG DEPT 1':/J/~IIYI .. OTHER DEPT'S REQ COMPLETED I ELEC METER-PERM-TEMP GAS METER-PERM-TEMP a CERT OF OCCUPANCY ISSUED INTERDEPARTMENTAL INFORMATION SHEET BUILDING DEPARTMENT . BUILDING ADDRESS: C7\ .:?_j__J_ ~ ~ 7' 7 ~ DAT1RECEIVED ~rj-~ /Z~r:-1//ci FEB-~ 7 ~3e1 PLANNING DEPARTMENT CITY OE CARLSBAD Building Department ZONE LOT SIZE LOT WIDTH ---------------------------- UNITS ALLOWED UNITS PROVIDED -------------------------- PARKING SPACES REQUIRED __________ PROVIDED ___________ _ PROVIDED -------------% COVERAGE ALLOWED BUILDING HEIGHT ALLOWED PROVIDED ----------- FRONT SETBACK: ALLOWED PROVIDED ------- INTRUSIONS SIDE SETBACK: REAR SETBACK: LANDSCAPE & IRRIGATION PLAN COMMENTS: ENVIRONMENTAL PROTECTION REQ: ADDITIONAL COMMENTS: OK TO ISSUE: rfJz I OK TO FINAL DA TE -------------- ENGINEERING DEPARTMENT -- R.O.W. ______ INDUSTRIAL WASTE IMPROVEMENTS --------------- SEWER CONNECTION GRADING PERMIT DRIVEWAY LOCATIONS --------------------- EASEMENTS DRAINAGE --------------------- \ LEGAL DESCRIPTION ------------------------------ ADD IT ION AL COMMENTS ----------------------- OK TO ISSUE: ---DATE d ( 'b 8l> PWI ____ OK TO FINAL ____ DATE ___ _ FIRE DEPARTMENT SPRI~KLING SYSTEM FIRE PROTECTION EQUIP. -------------------- FIRE ALARMS EXITS ________________ _ FIRE HYDRANTS LOCAT ION ------------------- ADD IT ION AL COMMENTS OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ____ _ WATER DEPARTMENT REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE _______ ~ -