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Home My WebLink About2718 YORK DR; ; 80-29; PermitLICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provi- sions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes- sions Code, and my license is in full force and ef- fect. OWNER-BUILDER DECLARATION D I hereby affirm that I am exempt from the Con• tractor's License Law for the following reason (Sec. 7031.5.Buslness and Professions Code), Any city or county which requires a permit to con• struct, alter, improve, demolish, or repair any structure, prior to Its Issuance also requires the applicant for such permit to file a signed state- ment that he is licensed pursuant to the provi- sions of the Contractor's License Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that is ex- empt therefrom and the basis for the alleged ex- emption. Any violation of Section 7031.5 by an ap- plicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). as owner of the property, or my employees wages as their sole compensation, will do work, and the structure is not intended or of- for sale (Sec. 7044, 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 bulldlng 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 ••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 reason, ___________ _ Dater-1 Owner m ,&;J:.( 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 ___________ _ D Copy is filed with the city. D Certified copy Is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the per- mit is for one hundred dollars ($109) or less). I cer11fy 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' Compensation Laws of California. NOTICE TO Af>PLICANT: 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 ~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 work for which this permit Is Issued (Sec. 3097, Civil Code). CITY OF CARLSBAD-BUILDING DEPARTMENT • USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE • (7 14) 438-5525 APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. NO. JOB ADDRESS AV. sT. IDATE or APPLICATION RO BUS, L ICENSE PERMIT NUMBER .J 11 1/1£ 1ViCJ1P1t'1 i!?d.1 1r'1/J1R 1i _j.:J1"81J1b 1 1C 1!-l-1 I 1 1 1 1 I 1 /-9 • f?C) Oo/)NE~ OWNER'S PHONE /J?/. j II/ R5 C Xj-,e u L) S /lJ 1 /h -?2 IJ-;,;;?'7 O STATE LICENSE °J/:j; ?ILi~;;, ~ol. (> ~ 6/;Ad Cf 9-260?- CONTRACTOR'S PHONE I 1.,0~ BLOCK I SUBDIVl~ION Tr! l'/ ?.L/ I I~ I If.); ~l"/J1..A ii ',n..:5 DESC~Tl~N;OF WORK a P'A 1w111 ova..fi_ CENSUS TRACT GP LANO USE ~vfl BLDG USE QTY I'-. PLUMBING PERMIT E~H FIXTURE TRAP EAC~UILDING SEWER EACH W~ER HEATER AND/DR VENT EACH GAS S"-TEM 1 TO 4 OUTLETS EACH GAS SYSTE~R MORE EACH INSTAL., ALTER, REP~TER PIPE EACH LAWN SPRINKLER SYSTEM WATER SOFTNER Issue TOTAL PLUMBING CONTRACTOR QTY. ELECTRICAL PERMIT NEW CONST EA AM\iswT/BKR 1 PH .25 '\. 3 PH EXIST BLOG EA AMP/SW~KR 1 PH .25 "\._ 3 PH REMODEL/ALTER PER CIRCUi)... TEMP PO LE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DAYSI Issue TOTAL ELECTRICAL CONTRACTOR \ DESIGNER \ STATE LICENSE DESIGNER'S ADDRESS ' DESIGNER'S PHONE ZONING I RES. UNITS I NUMBER OF STORIES occ. GP I STANDARD PLAN# I PLAN ID # I TYPE CONST l occ. LO ... D I /l AMT. 3.00 AMT. 2 .. 00 QTY. ~ MECHANICAL PERMIT INSTAbL. FURN. DUCTS UP TO 100,000 BTU \, OVER 100,000 BTU BOILER/COMPRESSOR UP TO 3 HP BOILER/COMP~SOR 3-15 HP BOILER/COMPRES~16-30 HP VENT FAN SINGLE DUCT MECH EXHAUST -HODO/DUCTS RELOCATION OF EA FURNACE/HEATER Issue TOTAL MECHANICAL AMT. CONTRACTOR O~r---...._ MOBILE HOME PERMIT AMT. PORCH ............ SET-UP -............ RAMADA.CABANA """-.... FENCE OVER 6' ............ TOTAL MOBILE HOME ...... •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER 5'-D" DEEP AND DEMOLITION OR CONSTRUCTION OF STRUCTURES OVER 3 STORIES IN HEIGHT BUILDING PERMIT SIGN PERMIT PLAN CHECK ALL INCLUSIVE PERMIT TOTAL PLUMBING ELECTRICAL MECHANICAL MOBILE HOME SOLAR MICO-FI LM TOTAL FEES PAYABLE SCKX)L FEES: 0 • flr7/ I , I 1/0,10 ( I , I I I I I I I I I I I I I I I I I I I I , I I I I I I I I I I I I I I I I ' I I I I , I I I I , I I I I , I I I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT, AND 00 HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT 1$ ISSUED;TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM- LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OWNERB"' CONTRACTOR□ IAPP~Y"' AGENT D BY PHONED J.,..,-"V' " - DATE -~·----..... _,..,..,. ·--.......... T: fY\,s, -7 ' INTERDEPARTMENTAL INFORMATION SHEET --• UILDING DAH:ECEIVED ..... BUILDING CITY.~: :::D Building Department PLANNING DEPARTMENT ZONE LOT SIZE LOT WIDTH ----------------------------- UNITS ALLOWED ____________ UNITS PROVIDED ____________ _ PARKING SPACES REQUIRED PROVIDED ---------------------- PROVIDED -------------% COVERAGE ALLOWED BUILDING HEIGHT ALLOWED FRONT SETBACK: ALLOWED PROVIDED ------- I ~TR USIONS • ----------- SIDE SETBACK: LANDSCAPE & IRRIGATION PLAN COMMENTS: ENVIRONMENTAL PROTECTION • SCHOOL FEES: ADDITIONAL COMMENTS: OK TO ISSUE: ENGINEERING DEPARTMENT \- REQ: rlt" q_i DIST ICT : '~ 1 OK TO FINAL PROVIDED .AMOUNT : . DATE R.O.W. ______ INDUSTRIAL WAS TE _______ IMPROVEMENTS _______ _ SEWER .CONNECTION DRIVEWA~------------ GRADING PERMIT EASEMENTS ~ DRAINAGE ____ _ LEGAL DESCRIPTION _____________________________ _ ADDITIONAL COMMENTS _____________________________ _ OK To issuE ;ML DATE!-~ 80 C PWI OK TO FINAL DATE -------- ---- FIRE DEPARTMENT SPRiliKLING SYSTEM ____________ FIRE PROTECTION EQUIP . _______ _ FIRE ALARMS _______________ EXITS ________________ _ FIRE HYDRANTS ___________ LOCATION __________________ _ ADDITIO NAL COMMENTS \ .. OK TO ISSUE: DATE OK TO FINAL DATE ----------------------- WATER DEPARTMENT REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _