HomeMy WebLinkAbout2715 YORK DR; ; 86-304; PermitIll z 0 ;::
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c -IA""it,e,eby affirm that I am licensed under
O [~na of Chapter 9 (commencing wllh t; Section 7000) of Division 3 ol the Business
c and Profeaalons Code, and ~le se is In
C full for~r,~ ~ lie No --F-L-µo.u.,c Im
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I hereby alt.rm Iha! I am e11emp1 lrom lhe Contrac· tor's l,cense Law tor the following reason (Sec 7031 5
Business and Protesst0ns Code Any city or county whttli re quires a permit 10 construct. alter, improve. demolish. or repair any structure. pclO< 10 1Is issuance also requires !heap
phcant for such perm,1 to hie a s1Qoed statement lhat he Is
hcensed pursuant to lhe prov1SKH1s of the coniractor s License Law (Chapter 9 commeocIng with Section 7000 ot
Ofv1s1on 3 ol lht Business and Professions Code)°' lhat 1s ex empt lherefrom and the basts IDf the aUegeo ex.empt10n Any vio4ahon of Sect100 7031.5 by an apphcant IOI' a perm,1 sub
1ects the applicant to a crv,I penally ol not mofe than hve hun
died doltaos ($500)
J I. as owner of lhe property, or my employees with wages as thei, sole compensatlOfl will do the work. and !he slruc·
lure Is not mlended Of ollered tcw sale (Sec 7044, Business
and Professions Code The Con1rac10f's license law does
nol appty to an owner of property who builds o, improves
lhe,eon and who does such WOfk h1mseU or through his own
employees. provided lhat such improvements are nor mtend ed o, offered I« sate. If, however. the building Of improve·
menl Is sold w1lh1n one year of complellOn. lhe owner-builder will have lhe burden of proving !hat he did not build « im-
prove lo, II>• purpose of sale)
D I, as owner ot the property, am exclusrvely contracting
wIlh hcensed contractors to construct the protect (Sec 7044 Busmess and Professions Code The ContractOf's license law does not appty to an owner of propetty who bu1kls or im-proves thereon, and who contracts lor each proiects with a
contractoc(s) ltcense pursuant to the Conlraclor's License Law)
□ As a homeowner I am Improvmg my home. and the follow mg concht1ons exist 1. The work Is being performed prior to sate 2. I ha\fe lived m my hooie 1of twelve months pnor 10 comptet,on of this wock
I have not clamled this e,cemp110n during the last lhree years
D I am exempt under Sec ______ . B & P C lor 1h1s reason ___________ _
0 I hereby affirm U'lat I have a certificate of consent 10
self.Insure. or a cer11hca1e ol Workers· Compensation In-
surance. or a certified copy !hereof (See. 3800. Labor Code)
POLICY NO
co
CERTIFICATE OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
(This section need no1 be completed ,1 1h1 permit
1s for one hundred dollars (S 100) or less)
0 I certify that In the performance of the work for which
this permit 11 issued, I shall not employ any person 1n any
manner so as to become subJect to 1he Workers· Compen,
sat,on Laws of Cahlorma
NOTICE TO APPLICANT: If, alter making lh1S Cert1fica1e
of Exemption. you should become sub1ect to lhe Workers·
Compensa11on p.-ov,sions of the Labor Code, you must
for1hwllh comply w1lh such prov1s1ons or this permit shall be deemed revoked.
D I hereby aflirm thJI lhere is a construction lending
agency for the performance of lhe work for which this Pit'·
mlt Is Issued {Sec. 3097. Clvil Code)
Lender's Name ___________ _
Lender's Address __________ _
1
USE BALL ;::;PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS AV. ST RO. NEAREST CROSS ST.
l°A~fi:~;;ATIONI
BUSINESS LICENSE It 1J,L3f O PERMIT NUll.<BER
Z-t l ~ "/ o f-.\c_ {2d <lt~3o( LOT BLOCK I SUBDIVISION I ASSESSOR PARCEL NO
:BLJ;TR~ Flo~ CONTRACTORS PHONE • ZONE
OWNE R·s NAME
~72..m~ 14~'.r=~~ONE IDl).l c~o~;~W"~
LICENSE NO PLAN 1.0. # BUILDING SO. FOOTAGE
{,~ 412/t..2-OWNER ', MA NG ADDRESS
DESIGNER OESIGNER"S PHONE
DESCRIPTION OF WORK
OESIGNER"S ADDRESS LICENSE NO
-?t,~-5',;-5~ F/P FLA ELEV. NO CCC GP EDU
vO NO ---
STORIES 7i'071B6831B 135,38
CENSUS TRACl I GP LANO use I PARKING SPACE RES UNITS I GRADING PERMIT ISSUED I
REDEVELOPMENT TYPE OCC LOAD Ft RE SPA 0 1asrn ,/['17/86 i'35~3E AREA CONST
YO ND vO NO vO NO Nor Valid Unl~s Machrne Ctrttf1ed
QTY. PLUMBING PERMIT · ISSUE ,~ QTY. MECHANICAL PERMIT· ISSUE 3-~ SUMMARY/ACCOUNT NUMBER ~ _., / _,.. -
EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100,000 BTU i.,. BAA-DING PERMIT 001·810·00·00·8220 f ..... ,,-;;;;;:;;,-......
EACH BUILDING SEWE R OVER 100,000 BTU r"'. ,c S~ PERMIT 001·810-00·00·8221 ,;, /. 7~ I EACH WATER HEATER ANO OR VENT '2. SC BOILER/COMPRESSOR UP TO 3 HP r_, ,~ Q P~ CHECK 001·810·00·00·8806
I EACH GAS SYSTEM 1 TO 4 OUTLETS '7 ~o BOILER/COMPR ESSO R 3 15 HP ,......, ~ ,. T!!!AL PLUM BING 001 ·810·00·00·8222 ~_s-. 0 D
EACH GAS SYSTEM ~ 0 R MO RE METAL FIREPLACE ~ ~ ~ ~ECTRICAL 001·810·00·00·8223 / c-. 00
EACH INSTA~. ALTER. REPAIR WATER PIPE VENT FAN SINGLE 0UCT ,r( ""1' 1~ ~ECHANICAL 001·810·00·00·8224 ·---· ~c --~OBILEHOME I EACH VACUUM BREAKER MECH EXHAUST H000'0UCTS r_, -001·810·00·00·8225 .
WATER S0FTNER RELOCATION OF EA FURNACE/HEATER r-:: 0 l.fils1LEHOME PARK INSP w
EACH ROOF DRAIN (INSIDE) t-,-,1 V; b.AR --__ 001·810·00·00·8226 • ---~ T0Tl<L MECHANICAL u •• J90NG MOTION 880·519·92·33 I 7...::J
}:::, . 0(. c,> ~SPRINKLERS -001-810·00·00·8227
--
TOTAL PLUMBING I
QTY. ELECTRICAL PERMIT • ISSUE 5-QTY. SOLAR • ISSUE D LIC FACILITIES FEE 332·810·00·00·8930
NEW CONST EA AMP SWT BKR COLLECTORS SCHOOL FEE • DISTRICT
I PH 3 PH STORAGE TANKS Carlsbad
EXIST BLOG EA AMP SWT BKR ROCK STORAGE Encinitas
1 PH 3 PH PUMP San Oiegu1to
'/_ REMODEL ALTt R PER CIRCUIT It) -1}0 PLAN CHECK FEE San Marcos
TEMP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX 001-810·00·00·8162
fEMP OCCUPANCY 130 DAYSI MFF 880·519-92·57 / /-A -'-
CREDIT DEPOSIT \... .. JA l>. VV/
TOTAL ELECTRICAL I /~DO TOTAL SOLAR TOTAL FEES PAYABLE I /3s.31 I -
I I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ANO PERMIT ANO 00 HEREBY Expiration Ewtry permit issued by ttle Bu,lding Ofhc11I under thf' prov1s,ons of ttus ;t;~Mtl IS REOUDCAVATIONS OVER I CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exp,re by 11m,tat1on and become null and void It the budding or work
T
~ NO lu•ot.lT STRUCTION OF
I DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PER!,W Ii; authorized by such permit 1s not commenced w1th1n 180 days from the date .:,f such S 'J, tR 3 S I IGHT permit. or 1f the bulld1~ or •ork. authorized by such permit 1s suspended or
I ISSUED TO COMPLY WITH All CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON abandoned at anv hme a er the work 1s commenced for a oenod of 180 devs -
I STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO ~$SIGNATURE Jf. OWNER O CONTRACTO~ ~~i~~,.f!j(j_ 10zt.f/, I KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS COSTS Atl0
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
,5~.C''b. O"'i BY PHONE O I I GRANTING OF THIS PERMIT .<:~ r~ I -
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' TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I /) I _,.
REINFORCED STEEL I 7·/C/ ·lk, f '«7~
MASONRY I
GUNITE OR GROUT I
I
SUB FRAME D FLOOR D CEIUING
SHEATHING □ ROOF □ SHEAR
FRAME I
I
EXTERIOR LATH I
INSULATION I
INTERIOR LATH & DRYWALL I
I
I
PLUMBING I
□ SEWER AND BUCO □ P~/CO
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN I
GAS TEST I
0 WATER HEATER D SOLAR WATER
I
ELECTRICAL I
□ ELECTRIC UNDERGROUND D1UFFER
ROUGH ELECTRIC I
I
0 ELECTRIC SERVICE D TEMPORARY . ~. f,J --
□ BONDING D POOL I 11 .rCJ -n, / 't ·r't
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
-~u,",2,Q<-f
FIELD INSPECTION RECORD
' REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTtpt-,J REO IF INSPECTORS DATE . CHECKED APPROVAL . . ..
SOILS COMPLIANCE I
PRIOR TO ...
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000•PSI ' PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS . ~
SPECIAL •MAS0 Ni1Y, ~
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" ,., ' PILES CAISSON~'. -:-, . ' -• I --.,,..
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PLAN CHECK Nol/i5Jo1 ADDRESS Z7 l5')'prk. G ------,7----------=----DATE
G) ZONE: __
PLANN ING
TYPE -OF PROJECT AND USE: __ e_{) __ tJ __ /"""'l.~1-~---~---------
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SCHOOL DISTRICT: SAN DIEGUITO
SETBACKS: FRONT
DISCRETIONARY ACTIONS:
ENCINITAS
SIDE
CARLSBAD SAN MARCOS --
REAR
-------------------------
REDEVELOPMENT PERMIT REQUIRED: ----------------------
LANDSCAPE PLAN COMMENTS: -------------------------
ENVIRONMENTAL REQUIRED: -------------------------
ADDITIONAL COMMENTS: --------------------------
OK TO ISSUE: __ __._/2_~----DATE: ¼A
~~il~iU
ENGINEERI NG
LEGAL DESCRIPTION VERIFIED? APN CHECKED? -----------------
P. F. F.: PARK-IN-LIEU QUADRANT: , FEE PER UNIT: -----------------
RIGHT-Of-WAY: TRAFFIC IMPACT FEE PER UNIT:
EASEMENTS: DRIVEWAY:
IMPROVEMENTS:
0 w
0:::
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CJ FIELD CHECK DATE: !NIT IALS:
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0::: E.D.U.: SEWER:
(/) z LATERAL: INDUSTRIAL WASTE PERMIT: 0
I-I.. GRADI NG PERMIT: u <1.J w :t 0::: <1.J GRADING COMPLETION CERTIFIED: 0::: > <1.J
0 ...
<1.J ro u 0::: 0 DRAINAGE:
ADDI TIONAL COMMENTS:
OK TO ISSUE: ___ ~~..;..,;;;;...=~-=----=-----DATE:_6.~/j_'/....;.'l,~,/_tfh _____ _
DP~DPD6:06/17/86