HomeMy WebLinkAbout2711 YORK DR; ; CB881725; PermitIC
I[ D I lle<eby affirm that I am licensed under
pr0"l1lon1 of Chapter 9 (commencing with
Section 7000> of Division 3 of lhe Business
and ProfHalona Code, end my license is In
0 full fo,ce end effect.
() I hetetly affirm lhat I am exempt trom the Con1rac-
1or·s License Law tor the lollowmg reason (Sec 7031 5 Business and Professions COde Any c11y or county wh,ct, re-
qU1res a permit to construct. alter. improve. demohsh, °' repair any structure. poor to its 1ssuanc-e also requues !heap-
phcant IOJ such permit lo tile a signed statement that he 1s licensed pursuant to lhe prov1st0ns ol the Contractor s Ltcense Law (Chapter 9 commencing with Section 7000 of 0iv1s1on 3 ol the Busmess and Profess10ns COde) or !hat 1s ex·
empt therelrom and the basis IOI' the allegeo exemptt0n Any vi01at10n ot Sec11on 7031 .5 by an appl1can1 for a permit sub·
Iec1s the apphcant to a c1v1I penalty o1 nol more lhan hve hun·
dreo dollars ($500)
ac I I. as owner ot lhe property, or my employees wm, wages
Ill as 1heIr SOie compensation will do !he work. and the slruc·
C ture Is not InteMed or oflered tor sale (Sec 7044 Business
~ and Profession~ Code The Contractor's license Law does 5 not apply to an owner of property wllO builds or Impr<Ms • thereon and who does such work himself or through his own il employees, prov1deil thal such Improvemen1s are not intend· Ill ed or offered lor sale It. however. the bu!ldmg 01 improve· z ment Is sold within one year ot completion, the owner·bt.11lder JI w,H have the burden ol proving that he did not build or ,m-0 prove t01 the purpose of sale)
I I, as owner ot the propeny. am exctusNely con1ractmg
with hcensed contractors to construct the prOJecl (Sec 7044,
Business and Professions Cooe The Con1rac1or·s license Law does not apply 10 an owner ol property who builds or Im· .,, proves thereon, and who contracts lor each pu>,ects with a
conlractor(s) hcense pursuanl to !he Contractor's License z Law) 0 ~ 11 As a homeowner I am 1mpr0\lIng my home. and the follow < ,ng concht1ons e,ust ac 1 The work Is being perlormed puor to sate < ~ 2 I have lived m my home tor twelve months I 0 prlOf to complellOO of lhtS work
Ill I have not claimed lhIs exemphon durmg lhe .. C last lhree years I 0 I am exempl under Sec . B & PC ' for th,s reason
~ I hereby aflum thal I have a cert1l1cate of consen1 to
sell-insure. or a cert1hcate of Workers· Compensation In-
surance. or a certified copy thereof (Sec 3800. LabOr COOel
POLICY NO z COMPANY ... Copy 15 hied with the c1ty < .,, 0 Cert1f1ed copy Is hereby furnished z Ill A. :I 0 CERTIFICATE OF EXEMPTION FROM
0 WORKERS" COMPENSATION INSURANCE .,, (This section need not be completed ii the permit ii: Is tor one hundred dollars ($100) or lt>ss) "' 0 I certify that in lhe performance of the work for which " ac th,s permI1 ls issued. I shall nol employ any person In any 0 manner so as lo become sub1ect to the Workers· Compen-3 sahon laws of California.
NOTICE TO APPLICANT. It. after making this Cert1f1cate
of Exemption, you should become sub1ect lo the Workers'
Compensation p,ov,sions ol the Labor Code, you must
forthwith comply with such provisions or lhis permit shall
be deemed revoked.
tl
0 I hereby atllrm ltlat there is a construction lending I·
agency for the performance ol the wor1it for which this per-I
mIt Is issued (Sec. 3097. Ci'lil Code)
l ender s Name
lender's Address
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
JOB ADDRESS Al/. ST.RO. THOMAS BROS NO. l°i;k~~I BUSINE~ VALUATION PERMIT NUMBER
Z7/I wo.£JL.--::::) -< c::; ,:2
51} BLOCK I SUBOI VISION ·A 1 Aii,\;~oz N~ 4 /.,, aNTRACTO'I I &T)C-
CONTRACTORS PHONE • ZONE (t/8;f /1~j CT ~/'114-r::ro~/ :7S <;-/~!?Z: 01/1/NE R"S NAME
/; 1£CLE-/_j I 4Ji-?4~0-7 /JJ/r, czzs~ A075x :meD
STATE LICENSE NO. BUILDING SO. FOOTAGE
i4s/41'Y3 l
0 1111Z7// A0Vb£~ DESIGNER DESIGNER'S PHONE 38n 12/29/88 0001 01 02
DESCRIPTION OF 1/1/0 RK I /47;,. C' tJ t/.P A . BldPmt 105-C OESIGNER"S ADDRESS STATE LICENSE NO.
~qotfo-IC Ae:, .,J~ ~, ~ F/P F LA EL EV. NO OCC GP EDU
STORIES
vO NO ---1 CENSUS TRACT I PARK<NG SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIR E SPR
A REA CONST
YO N 0 ,o NO vO NO Not Valid Un/Ms Machine Certditd
QTY. PLUMBING PERMIT · ISSUE '7.Sl, QTY. MECHANICAL PERMIT · ISSUE /6.a, SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS uP TO 100.000 BTU BUILUINt, ~~~ "\ J 001-810-00-00-ijUU -~
EACH BUILDING SEWER OVER 100.000 BTU _,at-/"fllitlM1',Y 001-810-00-00·8221
EACH WATER HEATER ANO OR v rnT BOILER/COMPRESSOR UP TO 3 HP ...... '.~•-~CK -001-810·00·00·8891 3.:S
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP ~ -TOTAL PLU....,,.,""n;., 001-810-00·00·8222
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE f".(l:Ql;TRlcf.a.'L _ a.cft-810-00-00·8223 /~~
EACH INST AL . ALT ER. REPAIR WAT ER PIPE VENT FAN SINGLE OUCT ' MECHANJ.1,~Q\;f., _ QQt."'l'!J~·00·8224
EACH VACUUM BREAKER MECH EXHAUST HOOO!OUCTS _Mad.Et~U. -:.t.$\l'IQOOl ·810·00·00·8225
WATER SOFTNER RELOCATION OF EA FU RNACE1HEATER ~'~LAil.lo\'t YI'"' 001·810·00·00·8226
EACH ROOF DRAIN !INSIDE) DRYER VENT -r.\.\A"f~?iNG MOTION 880·519·92·33 I
TOH,L MECHANICAL .. FIRE SPRINKLERS 001-810-00-00·8227
TO I AL PL UMBING I PUBLIC FACILITIES FEE 320·810·00·00·8 7 40
BRIDGE FEE 360-810-00·00·87 40
QTY. ELECTRICAL PERMIT • ISSUE ..5.00 QTY. MOBILE HOME SETUP PARK·IN·LIEU (AREA >
NEW CONST EA AMP SWT HK A CAR PORT TIF 312·810·00·00-8835
1 PH 3 PH AWNING LA COSTA TIF 311·810·00·00-8835
EXIST BLOG EA AMPISWT BKR GARAGE FMF
I PH 3 PH LICENSE TAX 001·810·00·00·8162
I REMODEL ALTt R PER CIRCUIT 111 .rD MFF 880-519·92·57
TEMP POLE 700 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYSI
CREDIT DEPOSIT " ----TOTAL ELECTRICAL l 15 47.)
TOTAL TOTAL FEES PAYABLE l ~~~
-,
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT'" AND DO HEREBY Exp,r1t1on E--.ry permtt issued by~he 1ld1ng Ofhc,al under lhe prov1s1oos of lh1s * AN OSHA PERl,t:T IS AEQUIAED FOR EXCAVATIONS 0\/EA
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exp,re by l!mttahon and ome null and void It the building o, work 5· o•· DEEP ANO DEMOllTION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I!:, authorized by auch permit ,s not com nc~1thin 180 days from the date of soct'I STIIUCTUAES OYER 3 STORIES IN HEIGHT perm,1. or 1f 'fni bultd•J or work U\Or d by such permit ,s suspended o, ISSUED TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON abandoned Al ny tune A er the W r IS CO menCIMI tor a Der,od OI 1110 Aav•
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
AP~;;~d /kd}WNER □ CONTRACTOR 0
A~ ~ DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE fJ 1'~/;..tj~ GRANTING OF THIS PERMIT
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TYPE I DATE INSPECTOR
BUILDING I
I I ..
FOUNDATION I
REINFORCED STEEL I
MASONRY I
I
GUNITE OR GROUT '
SUB FRAME D FLOOR D CEl~ING
SHEATHING D ROOF D S~EAR
FRAME l
EXTERIOR LATH I .
INSULATION I
I
INTERIOR LATH & DRYWALL I
\
PLUMBING I
' D SEWER AND BUCO D PUCO
UNDERGROUND D WASTE 0 1WATER
TOP OUT D WASTE D Vj/ATER
TUB AND SHOWER PAN I
GAS TEST I
D WATER HEATER D SOLAR W1' TEA
I
ELECTRICAL I
D ELECTRIC UNDERGROUND o :uFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL I
' I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR CONO. SYSTEMS I . . -
VENTILATING SYSTEMS .. -I '· ..
I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
FINAL I
PLUMBING I . ...
ELECTRICAL i _f '\
MECHANICAL I ~
GAS i . 't~.1 ,-...
BUILDING I \... \ \ . ~\.
SPECIAL CONDITIONS I C\i \..\-V
I 1 '
0.A3S l 7;;;,~
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ. IF INSPECTOR'S DATE 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
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A2 PRO"£~ -~ ... 29 1988 t _,
of CARI.SBA~
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