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Home My WebLink About2714 YORK DR; ; CB950004; PermitB U I L D I N G P E R M I T 0 1/03/95 10:49 Page 1 of 1 Job Address: 2714 YORK RD Suite: Permit Type: PLUMBING Parcel No : 167-392-34-00 Lo t#: Valuation: 0 Construction Type: NEW Occupancy Group: Reference#: Description: WATER HEATER REPLACEMENT Appl/Ownr : WADDELL PLUMBING 1431 RECHE ROAD FALLBROOK , CA. 92028 619 Permit No: CB950Ul~ Pro jec t No : A95 0U0fl5 Development No : 0154 01/03/95 0001 01 02 C-PRMT 27°00 Status: ISSUED Applied: 01/03/95 Apr/Issue: 01/03/95 Entered By: MDP 725-2911 **~ Fees Requ ired ected & Credits **k -------------------------------------------- Fees : Adjustments : ota t!;: . ou Total Fees : tal Payme n t~: .oo Balance Due : 27.0 0 ree descr1pt1on ~=====~=~-~~ eel nit Ext fee Data -------------------------------------------------- Enter "Y" for Plumb > 20.UO Y Each Water Heater a > 7.00 * PLUMBING TOTAL 27.00 C ~4 L \ \. _ ~;:___.-DATE ---• -' .._, CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION PLAN CHECK NO. 1 ~" C> 0-vt City of Carlsbad Buildi~ Departaent 2075 Las Pal-s Dr., tarlsbed, CA 92009 (619) 438·1161 EST.VAL ___________ _ 1. PERM1'1' 1'YPE Pl.AN CX DEPOSIT _______ _ VAIID.BY ___________ _ DAn From List 1 (see back) give code of Permit-Type: ____________ _ For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: _____________________ _ Net Loss/Gain of Dwelling Units __________________ _ 2. PROJECT INFORMATION FOR OFFICE USE ONLY Address '1....71 ¥ yo;<.ic::._ RJS Building or Suite No. Nearest Cross Street LEGAL DESCRIPTION Lot No. SubchV1s1on Name/Number Onie No. Phase No. CA ECK BEillW IF sUBMI 11 Eb: D 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCR1PTION OF WORK SQ. FT. # OF STOR1ES # OF BEDROOMS # OF BATI-rROOMS 3. WN IACI PEllSON (1f different from applicant) NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE • NAME (last name first) vt:=31~7','"Tcz::>ADDRESS 7/ ~ j/CJIC-lc_ '/!S(D, CITY ~Asl STATE rl1t1: ZIP CODE<(~o~ DAY TELEPHONE 'f:3,CJ.-"3,,bo:3 5. PROP• • NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 6. ;r;~~~ L .J: '~:t>" (!a_,~/ e ft~D}I~~ I 'f ~ ~e:-d/i; ~, c1TY~jl(.,d!;t:_ STATE¾ z1p coDE <?~~ D~Y TELEPHONE 7 -z.~ -2-9 rl STATE UC.# LICENSE ClASS ~-~~ CITY BUSINESS UC.# ast name 1rst CITY STATE ZIP CODE DAY TELEPHONE STATE UC. # 1. WORKERs' CDMPENSAl1ON Workers' Compensation Declarauon: I hereby allirm that I have a certificate ol consent to self-insure issued by the Director ol lnduscnal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). ,,~~ so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE a. OWNER-B011DER DECLARATION □ □ D Owner-Builder Declaration: I hereby albrm that I am exempt from the Confractor's License Law for the following reason: 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 offered for sale (Sec. 7044, Business and Professions 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 offered for sale. If, however, the building or improvement 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.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). I am exempt under Section _______ Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). SIGNATURE DATE COMPLETE THIS SEcl ION FOR NON-RESIDEN liAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ YES □ NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ YES □ NO ls the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF TI-IE ANSWERS ARE YF.S, A FINAL CERTIFICATE OF oa:uPANCY MAY Nar BE l!?5UED AFTER.JULY 1, 1989 UNLESS THE APPUCANT HAS MET OR IS MEETING 11-IE RF,QUillEMENTS OF THE OFFICE OF EMERGENCY SERVICES AND TI-IE AIR POILUTlON OONTilOL DJSIRICT. 9. WNSIR0Cl1ON ffiNDING AGENCY I hereby alhrm that there 1s a construcuon lending agency for the performance of the work for which this permit 1s issued (Sec 3097(1) GiVJI Code). LENDER'S NAME LENDER'S ADDRESS 1o. APP□CAN I CTR lU ICA IION I cerufy that I have read the apphcauon and state that the above mlormat1on 1s correct. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE 10 SAVE INDEMNIFY AND KEEP HARMLESS 11-IE CTIY OF CARISBAD AGAINSf All. UABilJTIES, JUDGMENTS, CDSTS AND EXPENSE.5 WJ-llCJ-1 MAY IN ANY WAY ACDlUE AGAINST SAID CTIY IN OONSF.QUENCE OF TI-IE GRANTING OF TIIlS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in he.ight. Expiration Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and voi? if the b ·1ct· • work authorized by sue 1s commenced within 365 days from the date of such permit or if the building or work authonzed by UI mg 0~ • ded ao<!,!jllru~!S!II'"' n f e afte hew rk is o need for a period of 180 days (Section 303(d) Uniform Building Code). such penn1t 1s suspen DATE: ___ _ APPLICANTS SIGNATUl\,li,,-"T. 0