HomeMy WebLinkAbout2706 YORK DR; ; CB940445; Permit04/20/94 09 :44
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B U I L D I N G P E R M I T
Suite:
Lot#:
Permit No: CB940445
Project No: A940 0 619
Development No:
Job Address: 2706 YORK RD
Permit Type: PLUMBING
Parcel No : 167-393-08-00
Valuation: 0
Construction Type: NEW
Occupancy Group: Reference#: Status: ISSUED
04/20/94
04/20/94
DC
Description: GAS REPAIR
Appl/Ownr : BOYLE PLUMBING
***
1458 POWELL ROAD
OCEANSIDE, CA 92056
Fees Required *** ***
619
Applied:
Apr/Issue:
Entered By:
758.l..5229
Fees Collected & Credits *** -----------------~--------------------------
Fees:
Adjustments:
Total Fees:
Fee description
27.00
.OQ
27.00
~ -
Total Credits:
Tota"l Payments:
Balance Due:
Units Fee/Unit
.00
.00
27.00
Ext fee Data ----------------------------------------------~ --------------------------
Enter "Y" for Plumbing
Gas Piping System
* PLUMBING TOTAL
ssue Fee > ,, >
CITY OF CARLSBAD
7.00
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
20 .00 Y
7.00
27.00
. .
PERMIT APPLICATION . CD PLAN CHECK NO.
City of Carlsbad Building Department
2075 Las Pal-s Dr., carlsbad, CA 92009 (619) 438-1161 . FSf. VAL. ___________ _
1. PERM11' 'rYPE PI.AN CK DEPOSIT ________ _
VAIID.BY ___________ _
DATE
From List l (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 INFORMA110N FOR OFFICE USE ONLY
Address Building or Suite No.
Nearest Cross Street
CECAL bEscRIPiioN Lot No. Subct1V1s1on Name/Number Unit No. Phase No.
CHECK BEWW IF s0BMII IEO:
D 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report D l Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
DESCR1PTION OF WORK v-1~-e'l-;-0.,~t ~>
SQ. IT. # OF STORIES
3. WN IACI PEitsON (1r dulerent from applicant)
NAME (last name first)
# OF BEDROOMS # OF BA TIIROOMS
ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
4 . .APPUCAN I LI CON IRAclOR LI AGEN I FOR CON I RACIOR
ADDRESS
DOWNER OAGEN I FOR OWNER
NAME (last name first)
CITY STATE ZIP CODE DAY TELEPHONE
s. PIIDPER'ri' oWNER
NAME (last name first) ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
6. rntmtAcmR f!>o y / ( P ( o #'ff .l r 1/ ADDRESS t4 5€1 Aiw er, Ac! NAME (last name first)
c,TY or St lt STATE ~ ZIP CODE '( o-.,() S fJ DAY TELEPHONE ?:-s e-s~ f
STA TE UC. ~5" I .,. 34 LICENSE ClASS C-3C CITY BUSINESS UC. # / / Cf 3 ffl (J
DESIGNER NAME (last name hrst) ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE STATE UC.#
1. WoRKERS' OOMPENsAlioN
Workers' Compensation beclarat1on: I hereby affirm that I have a ceruhcate of consent to sell-insure issued by the Director of lndustnal
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).
INSURANCE COMPANY POLICY NO. EXPIRATION DATE
cerubcate of Exemption: I certify that in the performance of the work for which this permit 1s issued, I shall not employ any person in any manner
so as to become subject to the Wo kers' Compensation Laws of California.
SIGNATUREIJh/i /11 DATE 4-,)..{)-9
D
D
D
ere ya 1rm a am exemp rom e o owing 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 co 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)).
SIGNATIJRE DATE
COMPLE't'E THIS sEC'tloN FOR NoN-RESIDEN'i'IAL 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 O 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
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□ YES D NO
IF ANY OF TIIE ANSWERS ARE YES, A FINAL CER'llFICATE OF oa:upANCY MAY NOf BE cyiUED AFI'ER JULY 1, 1989 UNLESS TIIE APPUCANT
HAS MET OR IS MEETING TIIE RF.QUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICF.S AND TI1E AIR POU.lfl10N OONTilOL DISfRICf.
9. OONS'lRUCllON LENDtNG AGENCY
I hereby affirm that there 1s a construcuon lending agency for the performance of the work for which this permit 1s issued (Sec 3097(1) CIVIi code).
LENDER'S NAME LENDER'S ADDRESS
10. APPUCAN I CfiltnFICAIION
I certify that I have read the apphcauon and state that the above mlormauon 1s correct. I agree to comply with ail 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 AI.<;O AGREE ID SAVE INDEMNIFY AND KEEP HAR.MLF.SS TI-IE CTIY OF CARI.5BAD AGAINST AIL UABIIITIF.S, JUDGMENTS, CDSTS
AND EXPENSF.S WIDCI-I MAY IN ANY WAY Acx:RUE AGAINST SAID CTIY IN OONSF.QUENCE OF TI-IE GRANTING OF nus PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the
building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by
such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform BuildiPg Code)0 f
APPLICANT'S SIGNATURE /J'1 .'-.... DATE: 4:-o'Q'-,-
WHITE: File PINK: Finance
0
PERMIT# CB940445
DESCRIPTION: GAS REPAIR
TYPE: PLUM
JOB ADDRESS: 2706 YORK
APPLICANT: BOYLE PLUMBING
CONTRACTOR:
OWNER:
REMARKS: MH/MARVIN/758-5229
RD
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 04/21/94
STE:
INSPECTOR AREA
PLANCK# CB940445
OCC GRP
CONSTR. TYPE NEW
LOT:
PHONE: 619 758-5229
PHONE:
PHONE:
SPECIAL INSTRUCT: E SIDE ECR OFF CHESTNUT
INSPECTOR __ /.,_~? _______ _
OR 985-2610 f
TOTAL TIME:
CD
23
DATE
LVL DESCRIPTION
PL Gas/Test/Repairs
DESCRIPTION
ACT COMMENTS
kf_ _____ _
***** INSPECTION HISTORY*****
ACT INSP COMMENTS