HomeMy WebLinkAbout2713 YORK DR; ; 82-270; Permit.,, z 0 j::
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Pf0¥Islons of Chapter 9 (commencing with
S.Ctlon 7000) of Division 3 of the Business
and Professions Code, and my license Is In
full forceJ1<1!(lect. _,,. ~.)
Lie No ~ Clm -~--2.""-''--
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I Mfel>y alhrm that I am exempt from lhe Con· ¥oo~o;·~::'ss: ~ ~f~~~~~'~.~
county whteh requires a permit to construct
alter, improve, ~,sh, or repa,r any structure, pnor to its issuance also requires the applicant to,
such permit to hie a Signed statement that he 1s
hcensed pursuant to the provIst00s ot the Con-
tracto,'s License Law (Chapter 9 commencing with Section 10l0 of Osv1s100 3 of the 8Ys1ness and Pro-
t.sseons Code) or that ,s exempt therefrom and the basis for the alleged exemphon. Any vt<>lahon of
SecttOn 7031 5 by an apphCM!I fo, a pemut subfeets 1ne -.:,phcanI to a c1v1I penaJty of not more than hYe
hundt'ed dollars ($5()01.
0 I, as owner ol the pr()l)erty, Of my emptoyees ... ,h wages as their ~• compensation, will do the
wo,1(, and the structure Is not intended or ottered tor S.e (Sec 7'0,M, Business and ProfesstOns Code
The Contractor's L,cense Law does not apply 10 an
ownet' of proc>et1y who builds or 1mproYes thereon and who does such 'MM himself or through h,s own
employees. provtded that such 1mproveme.lls are not ,ntende':I or offered tor sale If, hOweY&J, the
bu1ld1ng or improvement Is sold w1th,n one yNt of
comptehon. the owner-builder will have the burden ot proving that he dtd not build or 1mproYe: fOf the
purpose ol sale)
O 1. as ownet' of lhe property, am exclus,vely con1ract11''1i w,th licensed contractors 10 construe!
the PfOJeCI (Sec 70U, Business and ProfessK>ns
Code The Conuactor·s license Law does not ai>PIY 10 an owner of prQPerty who builds or improves
~~~i~ ~~c:n~~!~: ~~~t!'~\~;::.:
Ltcense Law)
0 lamexemptunderSec ____ .B &PC
tOJ this reason
; W1 hereby.affirm thait 1 haYe a cert1h~1e of consent io self.insure. or a cert1f1cate of Worll:ers·
~~l~n~•~•· o, a cer11he<l~cop~y thereof
POLICY NO _/ ~'$O,:)./
COMPANY JH,'"/;. L..4,4,i)
F-Coc,y IS hied with the city
0 Ce:rt,hed copy Is hereby furnished
CERT I FICA Tl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE (This section need no! be completed 11 the permit
Is fOf one hundred dollars ($1001 or less)
D I cer11ty that in the performance of the w()nl; fat
whteh this penmt ,s issued. I shall not employ any
person in any ffiilnner so as to beeome sub1ect to
the Wo~ers· Compensation Laws ol ca11torn1a
NOTICE TO APPUCANT II, after makin~ ttus Cert• hcate of Exemplion, you shouk1 beCome subject I?
the WOftil.ers· Compensation provIsK>ns ot lhe l.KIOf Code. you must forthwith comply with such
provisions or this perm,t shall be deemed r~ed
0 I hereby athrm that there Is a construc1,on
lend1no agency tor tl'le perfOl'mance of the w0f'11. fo,
whteh lh1s permit Is issued (Sec 3097 C1v1I Code)
Lendef s Name _________ _
Lenoer s Address _________ _
I
USE BALL.f ~INT PEN ONLY & PRESS HARD APPLICANTT IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
~D CARLSBAD ILDING DEPARTMENT APP CATION & PERMIT 1200 Elm, Carlsbad, California 92008 (714) 438-5525
JOB ADDRESS AV. ST. I DATE OF APP'LICATtONII IIUS~NSE#
~u9;NL/
PERMIT NUMBER
27'/3 r'o~K Q.b t!..AP.t..s A.Ab RO. -,_;,. ,_ \> ~
OWNER'S NAME I ~3;:;~;;E
PRIME CONTRACTOR CON RACTORS PHONE f ZONE ~;1. 70 : /J'IM '2..1All ,IJ>.~ .I.I_~ /\ . /..N c:... S? 9-iM)9/ r~
OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS LICENSE NO. PLAN I.(?,# BLDG USE"CODE
~;,3 Y~!U< Rb CAtt..s Zl Al"\ II 'I> 8.M~~ll'Y &. l (. If-11),tt. 2 8:?>'3~
LOT I· BLO;';J,, --A I suB01 v1s10N I ASSESSOR PARCEL NO 't50V DES1GNER STATE LICENSE# STANDARD PLAN# BUILDING SO. FOOTAGE
~· 7'1-,,_ I v-1 3,c:; ~ ~./1,, 5C~J£adl DEsc,oo"'l~s PA ., DESIGNER'S ADDRESS DESIGNER'S PHONE
ijC/lf ~'10 Colo~U ~AQA 'I,, -y")I;' I
~ -F/P FLR ELEV. NO OCC GP EDU 7 /2c1 /8e9906 I 03; I 1 STORIES
vO NO ---00~).~10§ 7 /22/ 82 103.1
CENSUS TRACT I GP LAND USE I PARKING SPACE I RES UNITS I GRADING ~ERMIT ISSUED
I
REDEVELOPMENT TYPE OCC LOAD FIRESPR AREA CONST
YO N 0 vO NO vO NO Nor Valid Unlffs M.chine wrtifilld
QTY. PLUMBING PERMIT -ISSUE 7.50 QTY. MECHANICAL PERMIT -ISSUE 3.00 SUMMARY/ACCOUNT NUMBER .<O
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01 ·000·4220 ,,,ro ~
EACH BUILDING SEWER . ~ OVE A 100,000 BTU SIGN PERMIT 01·000·4221
/ EACH WATER HEATER ANO/OR VENT ,.s-:-BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK ~ ;~ 01·000·4806 .,.,,,,,---
EACH GAS SYSTEM 1 TO 4 OUTLETS (I'"?) BOILER/COMPRESSOR 3-15 HP TOTAL PLU"8fNG-01 ·000-4222 /, -~ EACH GAS SYSTEM 5 OR MORE ~ ~~ METAL FIREPLACE ELECTRICAL 01 ·000·4223 ~~
/ EACH INSTAl .. ALTER, REPAIR WATER PIPE ~~_::;. VENT FAN SINGLE DUCT MECHANICAL 01 ·000-4224
,
r EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01 ·000-4225
WATER SOFTNEA RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) ~ SOLAR 01 ·000·4226
/:V~ .,,... TOT.t.L MECHANICAL STRONG MOTION 65·640-0519 ,.h9'
TOTAL PLUMBING I /) , , / FIRE SPRINKLERS 01 ·000-4227
2.00 QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 25·000·4933 QTY. ELECTRICAL PERMIT -ISSUE BRIDGE FEE 6 A
/ ~~~ ~Ctl!SI EA AU~'iUl~KR /7.-f . . .,::-COLLECTORS SCHOOL FEE • DISTRICT
r 1 PH 'ti1i STORAGE TANKS Carlsbad 65·623·0519
EXIST BLOG EA AMP/SWT/BKA ROCK STORAGE Encinitas 65·624-0519
1 PH 3 PH PUMP San Oieguito 65·625-0519
REMODEL/AL TEA PEA CIRCUIT PLAN CHECK FEE San Marcos 65·626-0519
TEMP POLE 200 AMPS
OVE A 200 AMPS -
TEMP OCCUPANCY (30 DAYSI -. --TOTAL ELECTRICAL I 7~ TOTAL SOLAR TOTAL FEES PAYABLE I /~~-?.11 _
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT' AND DO HEREBY Exp,rat1on Every permtt Iuu«f by the Bu tiding Olhc,al under the provIsIons o( this * AN OSHA PERMIT IS AEOUIAEO FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall e•p,re by hm1tatoon ancl become null and voIcl II the bu1ld1ng or work S' O" DEEP AND D£MOUTION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authonzed by such permit 11 not commenced w1th1n 180 days from the date of such STRUCTIJAES OVER l STORIES IN HEIGHT perm•t. or 11 the butld1~ or work autho,ized by such permit II suspendecl 9r J ISSUED. TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON· abandoned et any time a er the wort< ,s commenced for 1 081100 of t80 dav• '\
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND ~PP :~T'S SIGN E Jf. OWN.Y..O ~0 JRACTOR
~BY ~ DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND R /!
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE A .... __ ..
l~d',/FL-NG OF THIS PERMIT ~/, ~ _ ·~ , .,L _ AIA ~A • PHONE ~---('rn.. -, \ (
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INSPECTION TYPE
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND $HOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
DATE INSPECTOR
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
,, --.. -FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION REQ IF INSPECTOR'S
CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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INSPECTOR'S NOTES
DATE
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INTERDEPARTMENlAL INFORMATION SHEET
BUILDING DEPARTMENT DATE: 7 • Z./, '0-z__
BUILDING ADDRESS: :J-J/(3/~~ in.,
A. P. N: /(,ti1 -3f/1/ -lJ£ C. T : ___________ _
************************************************************************
£:LANNING DEPARTMENT
ZONE: SCHOOL FEES: SAN DIEGUITO SAN MARCOS --------------
ENCINITAS CARLSBAD ------UNITS REQ'D: __________ PROVIDED: ___________ _
% COVERAGE ALLOWED: _PROVIDED: -----------PARKING SPACES REQ'D: PROVIDED: -----------BU IL DI NG HEIGHT REQ'D: PROVIDED: ---------
FRONT SETBACK
ALLOWED: 0 lL
PROVIDED: --+-+--4~____:==--
INTRUSIONS: ______ _
SIDE SETBACK
tJ L
RE-DEVELOPMENT APPROVAL REQ'D: __ µA~/~1/..;__ ___ _
REAR SETBACK
LANDSCAPE & IRRIGATIO N PLAN COMMENTS:_.L..l//)"--f/-____________ _
ENVIRONMENTAL PROTECT ION REQ: _ _,_cf?~.=:....<...:~ . .c.--='---------------
ADDITIONAL COMMENTS: -----------------------
OK TO ISSUE: M DATE: 1/i;/,;;, OK TO FINAL: ----DATE: ----
E~~ iNEERiNG * nE~A~iMENT* ** ** ~B~ ** * * ** *** ,; * ;s * * ***i; ** * * * * *** * ~
R. 0. W: ______ IMPROVEMENTS_: ________________ _
PUBLIC FACILITIES FEE: SEWER CONNECTION: ------~-------
DRlVEWAY LOCATION(S) : ___________ ....:.... ____________ _
GRADING PERMIT: -------------------------EASEMENTS: _________ DRAINAGE: _____________ _
LEGAL DESCRIPTION: _______________________ _
ADDITIONAL COMMENTS: -----------------------
*CHECK IF ENGINEERING INSPECTlON REQ'D. ON FINAL: _________ _
OK TO ISSUE:~DATE: 7-Jd-·($"1-pwI: _ OK TO PINAL: ____ _
DATE: ___ _
*·* * * * * t; * * * * * * -;, * * * * * * * * * * * * * * *im * * * * * * * * am * * * t; * -1, ~ * t; * * £DJ;.ll.m
* IF TIIIS ITEM IS NOT CIIECKED, BUILDING DEPARTMENT WILL MAKE
f-INAL INSPECTION.
(