HomeMy WebLinkAbout2718 YORK DR; ; 82-350; PermitII) z 0 ~ C cc C ..,
<.> ... C
a:
![
0 <.>
a: ...
C ... 5 ~ ... z ~ 0
z 0 ~ C II) z ... A. • :E
0 <.>
II) « w " cc 0 3
□• I hereby •HI-at I am licensed under
p,ovtalona of Chapter 9 (commencing with
S.C11on 7000) of Division 3 of the Business
and Profaeslons Code, and my license Is In
full fo,ce and effect. Lie No _____ Class ____ _
I hereby amrm that t am exempt trom the Coo1rac•
tor's License Law lor the totlowing reason (Sec. 7031.5 Busmoss and Protosslons Code· Any city or county which re-quires a penml to construct, alter, tmprove, demolish, or repair any structure, pnOI' to Its issuance also requires the ap· phcan1 tor such permit to Ille a Signed statement that he Is
licensed pursuant to the pnl'lislons ol the Contractor's
~;,: r:,~:tJ"r:.;s ~=;~~;'t~:r~~~ .:!
empt thefefrorn and the basis tor the olleged exempt,on Any Yiotation ol Sect,on 7031 ,5 by an applicant tor a permit sub-
,ects the apphcanl 10 a civil penalty ot not more than 1,ve hun· dred dollars ($500).
□ I. as owner ol the property, or my employees with wagos
as thetr sole compen~llon, wHI do the work. and the struc• ture Is not intended or ottered tor sale (Sec 7044, BuSiness
and Prolessions Code The Contractor's License Law does
;:,~~n)i° ;~o ':.":'si~t::"ti;;~ ~':~~~~=~
employees, prOY1ded that such Improvements are not Intend· ed or ottered tor sale. 11, however, the building or Improve-
ment is sold within one year of completion, lhe owner-builder will have the burden ot provmg that he did not build or Im-
prove tor the purpose ot sale).
0 I, as owner of the property, am excluslvtly contracting
with licensed contractors to construct the project (Sec. 7044, Business and Prmes.sions Code. The ContractOJ's License
Law does not apply to an owner of property who builds or lm-pc-oves thereon, and who contracts tor each protects with a contractor(s) license pursuant to the Contractor's License Law).
D As a homeowner I am improving my home, and the follow· ing conditions exist t r~~~r!!.t ~~ ~rt= r.,1or i!.°e~lemonths
3. rt,~ 'i::'p~:::.,o1 /~i': ::;ption during the Last three years.
g M~r':,.";:tunderSec. ------· B&P.C.
□ I hereby affirm that I have a cen,t,cate ot consent
-to self-insure, o, a certificate of won..ers· Compensation Insurance. or a cen1hed CoPy thereof
CSec. 3800, l.aOO< Code)
POLICYNO _
COMPANY
□ Copy IS filed with lhe city
D Cert1f1ed copy ,s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section need not be completed 11 me perm,t
•S t0< one hundred dollars {S lOO) or les ) i I certify that in the performance o r
ICh this perm,1 IS issued, I shall n
rs.on in any manner so as to become su 1et1 10
the Workers· Co,npe~sahon Laws ol Cahlom1a
NOTICE TO APPLICANT 11. after makm;, lh1S Cert••
t,cate of Exemption. you should become sub1ec1 t".>
the WMers· Compensation pro\1IsIons ot tne Labor
Code, you must forthwith comply w1Ih svcn
prov1s1ons or tn,s oerm1t srntll be oeemed re'10ke<l
0 I hereby affirm tnal !here 1s a cons1tuct,on lending a,gency tQf the perl0<mance ot lhe woOI. tor
wt11ch this permit ,s ,ssued (Sec YYJ7 C1v1I Code)
Lenders Name __________ _
Lenoe,·s Adoress _________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA DECLARATIONS,
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008-1989 (714) 438-5525
JOB ADDRESS
A~i.T· 1 Def i o:&zNI
BUSINESS LICENSE # 14VALUATION PERMIT NUMBER
£11A 'Ye;~~-dl...o 3 7 A .., ,.-
t 'l~_./ B't-35'D OWNER'SN AME -
I ½J°ff-1J°J:5-1,1 CONTRACTOR CONTRACTORS PHONE • ZONE
M'2 . ..---..-.~ ~,._~ D. ;?I... "'1'Tt"t l<"'~n r .-AA t;,~..f. a,.,. ,¢',P,/&l.r ...-7W,U
OWNER•s MAIL.A-alNG AOORESS CONTRACTOR'S ADDRESS 3'1];-;/7 PLAN 1.0. # BLDG USE CODE
.A-~ e?'4' ~-v~ ./Jvf'. -{1 / / ~Aw. --,,
LOT BLOCK I SUBOIVISION I AJcJ7-t ,.? q ;>. '-.ft }SIGNER , LICENSE# STANDARD PLAN# BUILDING SQ. FOOTAGE 00 -1.,1f1ql DESCRIPTION OF WORKA ;t,.ll:> .. .a ..
to'x l~ 1 ,Dn ..:StJ -~· DESIGNER'S ADDRESS DESIGNER'S PHONE . -. I ~~ t=AM\U( ~ 10l)'J4'~~ I U/ I / -. --F/P FLR ELEV. NO OCC GP EDU uu 1.:76; -. .
I L STORIES tz-1 I
i;;;lJll D B )Qto -1.M~"°t"o~Y ~ vO NO
CENSUS TRACT I GP LANO USE I PARKING SPACE I AES UNITS
I
GRADING f'.ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR AREA V:~r .c.LD Y0 N'ti YO ND vO NO Not Valid Un~s Machin~ urtifitd
7~
,
QTY. PLUMBING PERMIT· ISSUE QTY. M EC HANICAL PERMIT -ISSUE ~~ SUMMA RY/ACCOUNT NUMBER
I EACH FIXTURE TRAP < Jt O ">I ~ .-? .r7J INSTALL FURN. DUCTS iJP TO 100.000 BTU BUILDING PERMIT 01 -00-00-8220 If u_P")(') , EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01 -00-00-8221
.
EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK t / .~t;' IU7 Gtiv-~()-iQ6?
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 -00-00-8222 /t? ;__
EACH GAS SYSTEM 5 0 A MO A E MET AL FIREPLACE ELECTRICAL 01 -00-00-8223 '/.5 --
EACH INSTAl .. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01-00-00-8225 -WATER SOFTNER RELOCATION Of EA FURNACE/HEATER MOBlLEHOME PARK INSP -
EACH ROOF DRAIN (INSIDE) ~ ,/1,. I' /': /J uLr-~ . (./I, cnlAR n1.nn.nn.A??<:
' TOTAL MECHANICAL CJ,d STRONG MOTION 80·92·33·0519 I . 0 I
TOT AL PLUMBING I I (] ,{;0 FIRE SPRINKLERS 01-00·00·8227
QT Y. E LECTRICA L PERM IT -ISSU E ~~ QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32-00·00·8923
BRlDGE FEE
NEW CONST EA AMP/SWT /BKA COLLECTORS SCHOOL FEE -DISTRICT
I PH 3 PH STORAGE TANKS Carlsbad 80-92-21-0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas 80-92·22·0519
/ 1 PH 3 PH PUMP San Dieouilo 80·92-23·0519
I ".l.. l RE MOOE L/AL TEA PER CIRCUIT 'Jn ~1 /FJ,nO PLAN CHECK FEE San Marcos 80-92-24·0519
7 TC&•D ,.,,... r ·-·s -✓JJ ' ~ .fl7: I
'/ OVER 200 AMPS / ... ,
TEMP OCCUPANCY 130 DAYSI -----
~
TOTAL ELE CTRICAL -I /6,.oc TOTAL SOLAR TOTAL FEES PAYA BLE I /d~s;
I HAVE CAREFULLY EXAMINED THE COMPLETED •·APPLICATION ANO PERMlr ANO 00 HEREBY E•por1t1on Every permit,......, by the 8u11d4ng Off1c,at under the prov,s,ons of th11 * AN OSHA P£AMIT IS AEQUIRED FOfl EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Coda Ihall ••pore by flm1tat,on and become null and void If the bu1ld1ng or work 5' 0" DEEP ANO DEM0UTION OR CONSTRUCTION OF auttior,zed by such perm,t 11 not commenced w1th1n 180 days from the date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS :';~!., 1~1 t~v '::'!'::X:~.,:~~r:u~h~:'~~ ~~::C,1~•~~ or
STRUCT'UAES OVEA 3 STONES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON-
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO APPLICANT·s SIGNATURE • OWNER □ CONTRACTOR 0 i~ DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE . -, . -jli> ,o/, .. !B,z, . -BY PHONE 0 GRANTING OF THIS PERMIT
'
.!!! u::
>-ni 0 a. E Q) I-
I
0 "' "' Q) "' "' <{
I
~ .Q -a; >-
en "' Q)
0 0 a: "' co 0
~
Q) 0 C "' C u::
C
Q) ~ CJ
0 0
Q) a. "' C
. ..
DATE INSPECTOR S'J.-5!::,-1). . . -. INSPECTION TYPE
BUILDING I
f rt ,I t;.9;? 11 FIELD INSPECTION RECORD ... FOUNDATION
ll, ls-f3Z 11 REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES REINFORCED STEEL I
INSPECTION REO IF INSPECTOR'S DATE j '/0·~ -~8.) l ~ bfL-MASONRY CHECKED APPROVAL
GUNITE OR GROUT SOILS COMPLIANCE
FLOOR & CEILING SUB FRAME PRIOR TO
11,1,-;.ftl t.....i FOUNDATION INSP
SHEATHING STRUCTURAL CONCRETE
FRAME t· LOf ..,,. .,,,,, ·~ OVER 2000 PSI I/ . '
EXTERIOR LATH lNSULATION l~•ffi a? ~ w-x-PRESTRESSED
' CONCRETE
I I' ' .. ----v POST TENSIONED INTERIOR LATH & DRYWALL • CONCRETE
-PLUMBING .. FIELD WELDING -
SEWER AND B LICO --_,., HIGH STRENGTH
PLUMBING UNDERGROUND-~~ rH5~Z !'..ft UI ~;-:J;" BOLTS
PLUMBING TOP OUT ,• 1 ., .., ., ~wt SPECIAL MASONRY
) •. ~ I . I
TUB AND ~HOWER PAN .
GAS TEST PILES CAISSONS
' ELECTRICAL
TEMPORARY POWER ' ..
·-~--:;;-.. tt-159,-Z ~u. ELECTRIC UNDERGROUND • -dll::LO~ . .
t•lb~
~ I .-
ROUGH ELECTRIC I l;I~
ELECTRIC SERVICE I \ ~ .. .
BONDING
G. F. I. -SMOKE DETECTOR .
MECHANICAL I '
l ·ID~ ,....
DUCT & PLEM., REF. PIPING L _......I") .
HEAT -AIR COND. -SOLAR SYSTEMS . -. . .
VENTILATING SYSTEMS . . -
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ,
ITEMS ABOVE HA VE BEEN APPROVED.
., .
L ··• ~
JOB SITE FINAL • .
PLUMBING .,.(' )
ELECTRICAL \. '!nl • ..... >, j , .. •
~
MECHANICAL /1 ... ~" . .
GAS '0'~ ,·1r. \':rl., \~ . . ,.._ I .
BUILDING \I\' w \)"' '' ' -.
SPECIAL CONDITIONS ' I .
CERT ~F OCCUP--Y ISSUED
~
-
INTERDEPARTMENIAL INFORMATION SHEET ED
B..U I LD I NG DEPARTMENT DATE=--=----
BUILPING ADDRESS: ?-71J JLtrt-/C "'-JO 19SZ
A.P.N: //?,.?fa~Yl·T= 1/ · n• ,f' ... "r.o,~RAD rb--/-:;Ir t I {/. I f _ I"\
.iduf.Di * * * t, * * * * * :G...:&J< * * * * * * * * * * ;~ -D?,., * * * * * * * * * * * * * * * * * * * * * z w rnJi.:f.::k.Ji * ;~ .. * * * -}. * £
£LANNI~ D:PARTMENT
~ZONE: R -J . SCHOOL FEES: SAN DIEGUITO _____ SAN MARCOS __ _
E~CINITAS ____ CARLSBAD _____ _
• UNITS R2Q I D: PROVIDED: \ b
-------+8 -',,-+--+-..........,__, -% COVERAGE ALLOWED: .PROVIDED: \ \ ----------+-+-'----------
PARKI NG SPACES REQ'D: PROVIDED: -----------BU IL DING HEIGHT REQ'D: PROVIDED: ---------
FRONT SETBACK SIDE SETBACK REAR SETBACK
ALLOWED: /
PROVIDED-:~~~::o-.\,_,4,l,~f+---""'---
JNTRUSIONS:
0~
------
RE-DEVELOPMENT APPROVAL REQ'D: ___ ~-~~----
LANDS CAPE & I RR IGATION PLAN COMMENTS: ,1] A ----------------
ENVIRONMENTAL PROTECTION REQ, Exe fYl Pl -/},A g <,;J:;::'.;;:::;cf
ADDITIONAL COMMENTS: -----------------------
OK TO ISSUE:_fldS OK TO FINAL: DATE: ---------
~************a**********************************************************
ENGINEERING DEPARTMENT i) /\/\I\ , ~
R. 0. W: Gir 9'[, IMP RO\/t~~,i S ~-: _..,/2~)C::...:.f...L$".....;l,.__ ___ -'--_______ _
PUBLIC FACILITIES FEE:-J.M_,,fi-''Pr~-------SEWER CONNECTION: ~f$'1
DRIVEWAY LOCATION(S): &)(t~1 _=-.....::___::___:_. _______ .c....
GRAD ING PERMIT: _..,_/V_~ ..... ~~-----------.--------------
EASEMENTS = _i...,N,e...:.o..:..::/\J,_£=-------DRAINAGE: ·drc --'----=o.,,.,....,11"-..-/ --------
LEGAL DESCRIPTION: L-OT blS" C"l ,+-1-t(.+) ,MA-f' /lo. YS9~
ADDITIONAL COMMENTS: ----------------------
. *CHECK ]f, ENva~ INSPECTJON REQ' D. ON FINAL:
, 'oK TO ISSUE: DATE: /0/6)'62,,pwI: ____ OK TO FINAL: -rr · -----
DATE: ----
* IF Till S ITEM IS NOT CHECKED, BUILD ING DEPAllTMENT \\'1 LL MJ\KE
PINAL INSPnC 'fION.