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HomeMy WebLinkAbout2706 YORK DR; ; CB940445; Permit04/20/94 09 :44 Page 1 of 1 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