HomeMy WebLinkAbout2707 YORK DR; ; 86-232; PermittJ) z 0 ~ < er: < .., u ... 0
USE BALL POINT,l'Bt Giii.\ 11, PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
a: ~by affirm that I am licensed under
o [ provisions of Chapter 9 (commencing with
1-S.Ctlon 7000) of Division 3 of the Business ~ and Professions Code, and my license is in
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JOB ADDRESS
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LOT BLOCK I SUBDIV ISION
CARLSBAD BUILDING DEPARTMENT
Carlsbad, California 92008-1989 (619) 438-5525 APPLICATIO~EI MIT
PERMIT NUMBER
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I hereby alhrm that I am exempl from lhe Contrac-
tor's License Law for the lollowmg reason (Sec 7031 5 Busmess and Professions COde Any city Of county wh,cli re·
quires a penrul to construct. alter. 1mpr0\le, demohsh. or repair any structure, prior to its issuance also requires ?heap-
plicant !or such permI1 to Me a s1Qned s1a1emen1 Iha! he Is
licensed pursuant to lhe prov,sions of the Conuac1or s
License Law (Chapter 9 commencing with Section 7000 ol D1v1s1on 3 ol lhe Busmess and Professions Code) or that ,sex·
empt therelrom and lhe basis lor the allegeo eKemptton Any
violation of Sec11on 7031.5 by an apphcant for a permI1 sub·
Iec1s the apphcant to a civil penalty of nol more than live hun·
dred dollars ($500)
'J t, as owner of the properly, or my employees with wages
as their sole compensation, wilt do the work, and the struc·
lure Is nol intended or oflered for sale (Sec 7044, Busmess
and Proless1ons Code The Conlractor's License Law does not apply to an ow-ner of property who builds or Improvt!S
thereon and wllO. does such work himself or through his own
employees. provided thal such improvements are not mtend· ed or offered for sale If, however. the building or Improve-
rnen1 Is sold within one year of completion. lhe owner-builder
will have the burden al provmg that he did not build or im-
prove for the purpose ol sale).
□ I, as owner of the property, am exclusively contracting
with licensed contractors to construct the pro1ec1 (Sec 7044.
Business and Proless1ons Code The Contractof's License
Law does no! apply to an owner of property who builds or Im•
proves thereon. and who contracts for each prOjects with a
[~eclor(s) license pursuant to the Contractor's License
D As a homeowner I am Improvmg my home, and the follow
ing conditions exist·
1. The work. Is bemg performed prior 10 sale
2. I have hved m my home tor twelve months
prior lo completion 01 this work
3. I ha11e not claimed this exemption durmg the tast three years
□ I am exempt under Sec ---4----, B & P.C
for th,s reason ______ _,I------
C I hereby altum thal I h~,e ce, ·1,cate of :onsentto
self-insure. or a cerllficate of Wo s ompensatIon In-
surance. or a certified copy thereof c . Labor Code)
POLICY NO
filed Wtlh the city
copy 1s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed 11 the permit
is for one hundred dollars ($ 100) or less)
0 I certify that in the performance of the work for wtuch
this permit Is issued. I shall not employ any person in any
manner so as to become subject to the Workers· Compen-
sation Laws ot Cahtorn1a.
NOTICE TO APPLICANT: If, after making this Certificate
of Exemption. you should become subject 10 the Workers·
Compensation provisions of the Labor Code. you must
forthwith comply with such pro\lisionsor this perm ii shall
be deemed revoked.
PLAN 1.0. # BUILDING SO. FOOTAGE
DESIGNER'S PHONE
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STORIES
DCC GP EDU
1 vO NO --6/10/86 621 ,,_ _____ ,.... _____ ,.... _____ ,.... __________ ..._ __ -..--=__:.:==-----l-----+----4----4------l
I CENSUSTRACT I GPLANDUSE IPARK ,NGSPACE1 RESUNITS 1 GRAOINGPERMITISSUEO 1:~~~VELOPMENT ~~~;T OCCLOAO FIRESPP 0001 621 6/10/BS
1 J J y □ " □ v O "O v O N □ Nor Valid Unlf!fs Machine Certified 11--.-----'--------'--------,-'------L,,----,r---=--=---...L.----=---==---1---..--...L.---:--.>-----_J_---==---=--1...---------------~---l
I PLUMBING PERMIT -ISSUE 1~ ~--o}...,, QTY. MECHANICAL PERMIT -ISSUE ~ SUMMARY/ACCOUNT NUMBER t7 / ,-L
11----+--------------------l---'-'----+--+--------------------+---===-----1------=~-----------~---..!,l--l----'C:-A---l EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 001-810-00-00-8220 0 V . ...J V
1 QTY.
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 001·810-00-00-8221 --• _
EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00·00-8806 ~ /, • ~
l----+--=-EA--=-CH--=-G-'A.:..S.:..SY_S::_T_:Ec...M_I_T0::__4..:..0..:..U_T.:..LE.:..T_:S _____ -l-----=---i----l-B_O_IL_E_R_/.:..CO.:..M_P_R_E_S_S_:_O_R_3_1_5_H_P ______ +-___ ::___-1-_TO.:_T_A_L_PL-'U_M_B_IN-'G'------'OO-=-l·.::..8...:clO·OO_-_oo_-B_2_2_2 _ __,/ __ <.,;,...~....co-o __ _
EACH GAS SYSTE M 5 0 R MORE METAL FIREPLACE ELECTRICAL 001-810·00-00-8223 • /-C . #-fl
EACH INSTAl . ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001-810-00-00-8224 • -1---,-,------------------EACH VACUUM BREAKER MECH EXHAUST HOOO 'OUCTS MOBILEHOME 001-810-00-00·8225
WATER SOFTNER RELOCATION Of EA FURNACE/HEATER MOBILEHOME PARK INSP
1---+-E_A_C_H_R_O_OF_D_R_A_IN_i_l'J_S_ID_E_) ---------+------ll----'-----.-==-=.c-:--=-:-,-c-,;-:--,-------r---'-------+-!e'so,,Le..,A!.!.R ______ __,oc.::.o.:...1•.::..810·00::..·.::..00::..·B::.:2:.::2.::..6+------.,...,::---l
TOTkL MECHANICAL STRONG MOTION 880-519-92-33 1 / ./ _
TOl AL PLUMBING I FIRE SPRINKLERS 001-810-00-00-8227
QTY ELECTRICAL PERMIT -ISSUE QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 332-810-00-00-8930 ,!$/
'l--+------------------1--1-~:__---Jl----+---------------l---------l~----------------+----------l
I NEW CONST EA AMP SWl BKR COLLECTORS SCHOOL FEE -DISTRICT 11----+------------------+-------ll----1-------------------l-------ll-_.::'.~=:....:...::c::._...::.:.:~~---------+----------l
1 t--+-'-P_H _________ 3_P_H _____ +-------+--+-ST_O_R_AG_E_TA_N_K_s ___________ ---l------'-~f--...:C::::a:::rl::'.:sba=d--------------l------------l
I EXIST SLOG EA AMP1SWT BKR ROCK STORAGE Encinilas 11----t------------,--------+-------,l----+------------------l------1~-....::.:.==--------------1-----------l
I I---+-' _P_H _________ 3_PH _____ --+------+---I-P-'-U_M_P _______________ --le-------n--_.:S::::a:.::n'..:D:::1e~g,:_u:::ilo:_ ___________ -4-________ --l
I t--+-R_E_M_O_O_E_L_A_LT_1:_R __ P_ER_c_1R_c_u_1_T _____ +-------+--+-PL_A_N_C_H_E.:...CK_FE.:...E:__ __________ ---l------lf--...:S:::a::.:n..::M.:.::a::.:rc:::o:..s ___________ --J-________ ---I
I TE MPPOLE 200AMPS 11----t------------------+-------,+----+----------------+------+-~~~=-=,....,.,.~------------ae-----------t
I 1--_+-_o_v_E_R_2.:..00'-A_M_P_S __________ -+------ll---+-----------------+---_:_--ll-__ L_IC_E_N_S_E_T_A_x ____ o_o_1-_a1_0_-o_o_-o_o-_s_16_2_j_ ________ -J
I TEMP OCCUPANCY 130 DAYSI MFF 880-519-92-57 / _-_ _-.,..,.
: i--i----------------t------Jt-----t----------------l-----fl--C-R_E_D_IT_D_E_P_O_S_IT--------~"'li,..,.£.--:~F-+-,-.... (J'V;,}'--:/-f'
II TOTAL EltL1RICAL I TOTAL SOLAR I 11·~, I /-, TOTAL FEES PAYABLE / f /
,,-------------------------------,-----------.... -----11-----~--~,..~----------;....: .... ._ __ .,__-1
D h h :~ ~E CAREFULL y EXAMINED THE COMPLETED • APPUCA TION ANO PERMIT , ANO 00 HEREBY Expirat,on Every permit ,ssued by the Building Ofllc1al under the prov15,ons ofth!S xosil-PEAMi IS~f-01£: CAIIATIONS OVER
I hereby athrm t at t ere ,s a construct,on len I CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm11at1on snd become null and void II the bu,ld,ng or work ry'r,,A~O .,MOL STAUCTION OF
agency tor the performance of the wort< lorw ,s per DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS authorized by such petm,11s not commenced within 180 days from lhe date ,>I such S •A J I I EIGHT mit is issued (Sec 3097 Civil Code) I permit or 1f the building or work authorized by such permit 1s suspended or ,.
I ISSUED TO COMPLY WITH ALL CITY COUN1 Y ANO STA TE LAWS GOVERNING BUILOI NG CON L.!•~b?.a!!ndo~n:!!ed~a!!!t..!a!!n!l.cYl!!!im!!e!..!a!!!ft_!•!..' !!th!!e!.!w~o~r~k..!1!!s~c~o:!!m:!!m~e!!!n:!!C:.!e!!!d!_!f!llO!_r .!•.£!! ™"!!!"!ll0:2d~O!!f_!IJl80i'.£d!!•!n"'-,..-:-::Jllil!i~~.,.~!/i ... ~l..+,-.,_.,_.,_-,ff, _________ -1
Lender's Name STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO O -~ -~PR ED ff/ / m , __ __..,... I KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS COSTS ANO APPLICANT'S SIGNATURE lf-OWNER CONTRACTOR"°"' V~ DATE
Lende'S Add I EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE~ ,......._ ' f"\. _ I\ -.. ,../ 7 --:,-T\. ' ~ / o "b
: GRANTING OF THIS PERMIT -~ ~ >--~·-~ _ "-....... , BY PHONE '1 . /J/"'-1 'i 4 1! I (o • , •i ,
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TYPE I DATE INSPECTOR I
BUILDING I
FOUNDATION I
REINFORCED STEEL I
I
MASONRY I
GUNITE OR GROUT I
SUB FRAME D FLOOR D CEl~ING
SHEATHING D ROOF D SHEAR
FRAME I
EXTERIOR LATH I
I
INSULATION I
INTERIOR LATH & DRYWALL I
I
PLUMBING I
D SEWER AND BL/CO D PVCO
UNDERGROUND □,WASTE D WATER
TOP OUT □ WASTE D WATER
TUB AND SHOWER PAN I
GAS TEST I
D WATER HEATER D SOLAR WATER
' I
ELECTRICAL I
D ELECTRIC UNDERGROUND 0 1UFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPQRARY
D BONDING D POOL I
I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPEC~1ON WHEN ALL APPROPRIATE ITEMS ABOVE HA E BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
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FIELD INSPECTION RECORD \
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
REO IF INSPECTORS ' INSPECTION 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
~-. '
PILES CAISSOr>.S
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PLAN CHECK NO ~~e< ADDRESS .....:.;;;c?-i..7'_'1}..,...z...;,_tµ~ __ /✓. ____ · ___ _ ~L~~~ •
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ZONE: ___ _
SCHOOL DISTRICT:
SETBACKS: FRONT
TYPE OF PROJECT,£~~
SANj DIEGUITO _ ENCINI?:.~--CARLSBAD
SIDE REAR
SA~RCOS
DISCRETIONARY ACTIONS: _________________________ _
REDEVELOPMENT PERMIT REQUIRED: ---------------------------
LANDSCAPE PLAN COtt4ENTS: ________________________ _
ENVIRONMENTAL REQUIRED: ------------------------------
ADDITIONAL COMMENTS: _________________________ _
·OK TO ISSUE: ~ DATE:_~.......ifi1-. ___ _
™-11i1i1AW,ii....,;._JJMIWiiiii,----:iii,1---'WWW&1__..____.,w
ENGINEERING /
LEGAL DEscR1PTroN vERIF1rn?_-ii,._/___ APN cHEcKrn? /11&1, -3S ~ -o~
P.F.F.: PARK-IN-LIEU QUADRANT: __ _
RIGHT-O_F_-W_A_Y_:~::;, ... •-~L:.s.,:b~-114-: .... e.....~~~---
FEE PER UN IT: -----
TRAFFIC IMPACT FEE PER UNIT: ________ _
EASEMENTS: _____________ _ DRIVEWAY:
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IMPROVEMENT S: _____________________________ _
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LATERAL: -----------------INDUSTRIAL WASTE PERMIT: --------
GRADING PERMIT : ______________________________ _
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_________________ GRADING COMPLETION CERTIFIED: ____ _
DRAINAGE: -------------------------------------
ADDITIONAL COMMENTS: --------------------------------
DPD2:DPD6:04/15/86
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