HomeMy WebLinkAbout1285 YOURELL AVE; ; 81-238; Permit<II z 0 ;::: C cc C _,
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M I hereby efllrm that I am licensed under
l!'io-,111on, of Chapter 9 (commencing with
S.Ctlon 7000) of Division 3 of the Business
and Profeaalons Code. and my license Is In
full fo,~:.nd ettect.
L•c No ;z:.d85r,q Class ~-----
1 hereby atf,nn that I am exempt from the Con· ~:a;-~:!~=::~ ~t~~:~~~.~ county which requires a permit to construct
alter. improve, demolish, 0< repair arty structure,
p,10f 10 Itt issuance also requires the apphcant tor such pemut to hie a signed statement that he 1s
hcenMd pursuant to the pr0'¥'1s1ons of the Con·
tractor's License Law (Chapter 9 commencing with Sect10n 7000 ot Ot¥1St0n 3 of the Business and Pro-
fHSIOns Code) or that ,s exempt therefrom and the basis tor the alleged exemption Any vtC>Sahon of
Section 7031 S by an apphunt to, a permit sut>tects tne apphcant to a c1v11 penalty ot not more than trve hund<ed dollaD ($500)
0 I, as ow-of the property, °' my employees
\llf1lh wages as thetr sofe compensation. will do the
wonit. and the structure ,snot intended Of ottered tor saJe (Sec 7044, Business and ProfesstOl'ls Code
The Contractor's License Law does not appty to an owne< of pr()perty whO builds Of improves thereon and who does such Wont himself or through his own employees. proYlded that such ,mproveme;its are
not intende1 or offered for sale. II. however, the
building or improvement IS sold within one YNI of
comp&et1on. the owner-bt.ulder will have the burden of p<ov1ng that he dtd not build or improve for the purpose of salel
C I, as owneJ ot the pro,oerty, am exclusively
contrac:h~ with hcensed contractors to construct
the p,ote(:t (Sec 70U. Business and Protesst0ns
Code The Contractor·s Ltcense Law does not appty
to an owner of property wno builds or improves
thereon. and who contracts 10f each pro1ec1s with a
contrac:tcwts) hcense pursuant to the Contractor's
L1Cense Law)
D I am exempt under Sec
'°' this reason
___ .B&PC
D I hereby affirm that I ha~ a certIhcate ot consent
10 self.,nsure, or a certificate of Workers
Compensation Insurance, Of a cert,hed copy thereof
(See 3800, ut>o< Code!
POLICY NO
COMPANY __ _ l Copy IS hied Wllh lhe City b ,,-+ I
0 Cer11tied copy ,s hereby tum,shed
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed ,t the permtt ' ,s fOf one hundre<j dollars (S100) or less)
D I cer11ty that ,n the performance ot the wOttt tor
which this pemut ,s issued, I shall not employ any
person ,n any manner so as 10 become sub1ec1 to
the WOt1le<s Compensahon Laws of CahfornLa
NOTICE TO APP\.ICANT ti, alter malun~ tn,s Cen,
he.ate ot E.xempoon. you sn<>uK' become sut>,ect t? lhe Worke<s' Compens.att0n provisions ot lhe Labor
Code you must forthw1lh comply with such
prov1s1ons or this pemut shall be deemed revoke<'
D I hereby affirm that !here Is a construction
lending aoency lo, lhe perlormance of 1he wont tor
wh1Ch this permit 1$ issued (Sec 3097. C1v1I Code)
Lenders Name __________ _
Lender, AOOress _________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, Callfomla 92008 (714) 438-5525
JOB ADORESS
You1<1:l..L, ,A\J~. A~-iTI0~=r~rI
BUSINESS LICENSE # VALUATION PERMIT NUMBER
l~f,_t; ~z.,t,3 Jo 63~ 61-t.38 lWNER'S NAME I ~~er:7:.HJs PRIME CONTRACTOR CONTRACTORS PHO~E • ZONE
M\tz.lA..\A t<A'<IJtJ Jo~~~,,,, -!... ~1<lJL'"Tl(j .1 7/)fl
__ ,,
-u1~
OWNER'S MAILING AOORESS CONTRACTOR'S AODRESS LICENSE NO. fS-l PLAN 1.0. # BLOG USE CODE
~~E-f?o, ~ 7~-GA"~i' n .. "" ~50'1
LOT I BLOCK I SUBOIVISION I A5/~l,':!.c~~Z. -CR ,(5o OEStGNER I -STATE LICENSE # STANOARD PL~1S"f. (: ~~DIN.z_~AGE
DESC~~O!I OF ~A_i=:;;-,,,o-r + l"' f>'Ll "'.c-"(
t'fA.C.A ~T ,, ~di
-•:n ~ OESIGNER"S ADORESS DESIGNER'S PHONE 6/19/813709 111 (. • ~~e. -ro f'A\J\\L,..'( ~\.'1 0 13709 6/ I 9/ BI 10 • '"' F/P FLA ELEV. NO OCC GP EDU -
STORIES R-3 vO N~ ----
CENSUS TRACT I GP LAND use I PARKING SPACE I RES UNITS I GRADING ~ERMIT ISSUED I REOEVELOPMENT TYPE OCC LOAO FIRE SPA
AREA CONSTN ...ClO YO N'Q v0 Nltl v--vO ~ Nor Valid Unlt!ss Machine ~rtifitd
QTY. ~UMBING PERMIT -ISSUE / QTY. MECHANICAL PERMIT -ISSUE g#t)(J SUMMARV ACCOUNTNUMBER
-J -
EACH FIXN.AE TRAP / :;if, INSTALL FURN. DUCTS UP TD 100,000 BTU BUILDING PERMIT ~ll'\.1--\LJ
EACH BUILDI~ SEWER / OVER 100,000 BTU SIGN PERMIT -
EACH WATER HE'\.{ER AND/ORV~ BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 5 ",1}•, J • ' "-"'I -
EACH GAS SYSTEM 1-{o 4 olf"'(ETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING J
EACH GAS SYSTEM 5 o W RE METAL FIREPLACE ELECTRICAL -r.oo
EACH INSTA~ .. ALTEf0i'EPA~ATER PIPE
-7:! .. oo VENT FAN SINGLE DUCT MECHANICAL
EACH VACUU~EAKER '\. MECH EXHAUST -HOOD/DUCTS MOBILEHOME
WATER so.P(NER '\. RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) "\.." , ~-ri::" .J'l,lr) T)\)/"'71 nC ~ -<. Or. SOLAR
/ '\. TQT,l;l MECHANICAL STRONG MOTION _7/-.
/ TOTAL PLUMBING r .... b.lXJ FIRE SPRINKLERS
~00
PUBLIC FACILITIES FEE
QTY. ELECTRICAL PERMIT -ISSUE QTY. SOLAR • ISSUE BRIDGE FEE
I NEW CONST EA AMP/SWT/BKR C:: ,Ol COLLECTORS SCHOOL FEE -DISTRICT
I 3 PH -STORAGE TANKS 1 PH Carlsbad
EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE Enc10,Ias
1 PH 3 PH PUMP San DIegu110
REMODEL/Al TEA PER CIRCUIT PLAN CHECK FEE San Marcos
TEMP POLE 200 AMPS -OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS) ----
TOTAL ELECTRICAL ,~
Ll)O TOTAL SOLAR TOTAL FEES PAYABLE I 100,zh '
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Exp,rat,on Every permit l&lued by the Building Ott,c,al under the prov11Ion1 of th,s * AN OSHA PERMIT IS R£0UIAEO FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code 1hafl expere by ltm,tation and become null end void 11 the building or work S' O" DEEP o\NO 0£MOUTION OR CONSTMJCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS aulh0<1Zed by such permit II not commenced w,thtn 180 days from the date of such STAUCT\JAES OVER 3 STORIES IN HEIGHT perm,~ O< 11 the budcll::Jl o, work euth0<1Zed by such permit os suapended or ISSUED TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON abandoned at anv time• er the work,, commenced for• o,mod of 180 "••• STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND 2M:-J1, OWNER□ CONTRACTOAlil:: APPROVED BY DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS COSTS AND
1,:)/lM /tu I I}~
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TH Alrlt>.JT X BY PHONE D 1(o-/t{---81 GRANTING OF THIS PERMIT
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DEPARTMENTAL INFORMATION SHEET • ECEIVED
BUILDING DEPARTMENT DATE :
BUILDING ADDRESS:
-J-UN-1~6z--1-98_1 __
CITY OF CARLSBAD
Balldlng Department
PLANNING DEPARTMENT
·,,.°NE R ~ I LOT SIZE LOT WIDTH -------------------
UNITS ALLOWED UNITS PROVIDED
PARKING SPACE_S_R_E_Q_U_I_R_E_D __ o __ /L___ PROVI_D_E_D=======e===r=============
% COVERAGE ALLOWED F PROVIDED I -------------
BU IL DING HEIGHT ALLOWED PROVIDED -----------
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED--~-~~/ __ _
( PROVIDED --+--+¥"!'-~--
\, INTRUSIONS
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LANDSCAPE & IRRIGATION PLAN COMMENTS :
ENVIRONMENTAL PROTECTION REQ= ~G~x~r:::~M~f_f....._ _____________ _
ADDITIONAL COMMENTS : ~/4--.-e_ ~:NI-A
~ i,c , I
OK TO ISSUE:~DATE ''"'' N'/oK TO FIN;;-_______ DATE ___ _
ENGINEERING DEPARTMENT /0 I .-
R.O .W. INDUSTRIAL IMPROVEMENTS ---------------------
SEWER CONNECTION DRIVEWAY LOCATION S ---------------------
GRADING PERMIT _______ EASEMENTS _________ DRAINAGE ____ _
LEGAL DESCRIPTION ~6 -(}.3~-. 03
ADDITIONAL COMMENT~~ 0 ~02
OK TO ISSUE:~ DATE6-/.b ;6/PwI ____ oK To FINAL ____ DATE ___ _
FIRE DEPARTMENT
SPRI~KLING SYSTEM FIRE PROTECTION EQUIP . -------------------
FIRE ALARMS EXITS _______________ _
FIRE HYDRANTS LOCATION _________________ _
ADDITIONAL COMMENTS
OK TO ISSUE: DATE OK TO FINAL DATE ----------------------
WA.i\l?R DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _