HomeMy WebLinkAbout1270 YOURELL AVE; ; 81-550; PermitrJ> z 0 ;::
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~hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my llc~-;ils In
lull for nd allec!,. f\
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t hereby afhrm that I am exempt from the Con· ~~o;·~~~~::: ~w ~~t~':.~~~r~CJ(~
county which requires a pemut to construct
altet", improve, ~•sh. or repa,r any structure.
pnor to its IssUM1Ce also requires the appheant for
such permit 10 hie a signed statement that he 1s hcensed pursuant to lhe p<owIstons of the Con·
tractOf·s L.cense U w (CNIPter 9 commencing with Sec-hon 7CO) of Dtv1sK>ll 3 of the Bos,nes.s and Pro-
te",ons Code) or that ,s exempt therefrom and the
basis tor the ailleg«t exemphon Any vt0latton of Sechon 7031 ~ by an applicant for a permit sut>,ects
tne apphcant to a c,v,I penalty ot not mc>fe than hve hundrod dollars ($500)
O I, ~ owner of the p<operty, 0< my employees
vri,1fh wages as lheir sokl compensa11on. will do the
wo,1(., and the structure ts not intended or offered tor sale (Sec mu. Bus,~s a.nd ProfessH)hs Code
The Contracto<'s lteense Law does not apply to an
owner of property who bu1tds o, improves thereon and who does such w~ himself 01 thrOUQh his own
employees. provtded that such ,mproveme:its are not mtende-:, Of offered tor sale If, hOwever. the
building o, Impr0Yemen1 ,s sol<:I w1tt11n one ye¥ of comp .. hon. the owner-builder will have the burden
ot proving th.at he did not butk1 Of improve tor the
purpose ot sate)
O I, as owner of the property, am exctus1vety
eontrac:t,n9 with lteensed contrac101s 10 construct
the p,o,ect (Sec 70U Business and Protesst00s Code. The Contractors license Law dOeS no1 apply
to an owner of property who builds or improves
~~:;:i~~ 7.~nc:~~!~~~ ~~c~i'~~~~;!!;,!
License Law)
D lamexemptundefSec
lor 1h1s reason
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CJ, -~by alltrm that I ha~e a cer11t,cate of consenl ~;:i;~1Insure, or a cert1t1cate ol Workers·
Compensation Insurance. or a cert1t1ed CoPy thereof
{Sec 3800. Labo< Code)
z POLICY No"'BT3~ g COMPANY Lei."\~ t:b :TA !:. Co ~ ~y 1$ filed with lhe city z "' Q. 2 0 0
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CERTIFICA n OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
(This section need not be completed 1t lhe permit
1s to, one hundred doUvs {$100, Of ~ssl
O I certify lhat In the perlOfflWlCe of lhe w°"'-to, wtnch th•s perm,t ,s issued. I shall not emp10y any
person in any ~nner so as to beCome sub1ecl to
the Workers· Compens.at1on Laws of Cahtom1a
NOTICE TO APPLICANT It, after makin;J lhIs Cert1 hca1e of Exemption, you should be-come subjecl l'l
the WOl'kers· Compensation prcwIs1ons ot the Labor
C(Xje y0u must forthwith comply with such provisions Of u·us permit shall be deemed revoked
D I hereby atltrm lhal !here ,s a cons1ruc1,on
lenchno agency tor lhe perlormance of lhe wonc !Or which this permit Is issued (Sec 3097 C1v1I Code)
Lender s Name __________ _
Lenders Address _________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT Tn c1LL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBA IUILDING DEPARTMENT A ICATION & PERMIT
1200 Elm, Carlsbad, California 92008 (71,4) -438-5525
JOB ADDRESS
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AV ST ,◊ATE OF APPLICATION! BUSINESS LICENSE d VALUATION PERMIT NUMBER
•. ; 7 0 RO I ,;; I~ ; I ;} ~ 1J..J9 z,c;o-c g1 s?D OWNER"S NAME I 1~qNE;:;;~ ~~~~~,\A vV'\h\ () (J
CONTRACTORS PHONE• ZONE
(' ~C\~•'\f ~, {\t'> :\Of·nr <? R... Slc t -2i53/)
OWNER'S MAILING A00RESS . CONTRACTOR'S A00RESS
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LICENSE NO. PLAN 1.0. # BLDG use CODE
\ dlO ~,,u-Re l\ U..0e nu..~ D () ~ (n mri : i\ p ~55l)R / 1 / ?OLAfZ..
LOT I BLOCK I SUBDIVISION I AS¥SS0fl PARCE_!-N~ } 0ES•GNER L O.. \'(e !> , c l \!ATE LICENSE " STANDARD PLAN# BUILDING SO. FOOTAGE ,oc,.., -0 _r--,:;)_ u I i; '" I
DESCRIPTION OF WORK _-\ ' _-\-
'--V-,\i \. k. ~ L • (\.__" f ~ [\ (,' (',._ Q ,:2.._ •. I -l~C::.,;:> ~S DESIGNER'S ADDRESS DESIGNER'S PHONE
~ ~·l.~( ,. \ \u.l'\fQ\ .. ~ ~1.2·1.a~ j -I 913 C.. 1 F/P FLR ELEV. NO OCC GP EDU
STORIES
vO NO ---
CENSUS TRACT I GP LAND use I PARK ING SPACE I RES UNITS I GRADING J'.ERMIT ISSUED I
REDEVELOPMENT TYPE OCC LOAD FIRE SPR
AREA CONST
YO ND vO NO vO NO Nor Valid Unlffs ~chine <Arrifi,d
QTY. PLUMBING PERMIT· ISSUE 7.50 QTY. MECHANICAL PERMIT· ISSUE 3.o.V SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU ./ BUILDING PERMIT
EACH BUILDING SEWER OVER 100,000 BTU ./ V SIGN PERMIT • EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP / PLAN CHECK
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSO R 3-15 HP / TOTAL PLUMBING
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE / ELECTRICAL
EACH INSTA~ .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE 0U9"' MECHANICAL
EACH VACUUM BREAKER MECH EXHAUST /QODIOUCTS MOBILEH0ME ---
WATER S0FTNER RELOCATl~i EA FURNACE/HEATER M0BILEH0ME PARK INSP
EACH ROOF DRAIN (INSIDE) / SOLAR [~.c;;;,l)
/ T0T.t;L MECHANICAL STRONG MOTION -T TOTAL PLUMBING FIRE SPRINKLERS
~.oo PUBLIC FACILITIES FEE
QTY. ELECTRICAL PERMIT · ISSUE 2 .00 QTY. SOLAR • ISSUE BRIDGE FEE
NEW CONST EA AMP/SWT BKR I COLLECTORS -:.<.oo SCHOOL FEE • OISTRICT
1 PH 3 PH I STORAGE TANKS "'7 .T"lD Carlsbad
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas , 1 PH 3 PH 1 PUMP //_.oo San o,egu1to
REMODEL ALTER PER CIRCUIT PLAN CHECK FEE 7: ,_::;ri San Marcos
TEMP PO LE 200 AMPS
OVER 200 AMPS ---
TEMP OCCUPANCY 130 DAYSI ---------->------
TOTAL ELECTRICAL -r TOTAL SOLAR 1350 TOTAL FEES PAYABLE I J"t>.5"0
I HAVE CAREFULLY EXAMINED THE COMPLETED• APPLICATION AND PERMIT' AND DO HEREBY Ea:p.r1t1on Every permit issued by the Bu1ld1ng Off1c11I under the provisions ofth1s * AN OSHA PEIWIT IS REQUIRED FOfl EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exp.re by hm1t1t1on and become null and void If the building or work ~· o--DEEP AND DEMOLITION OR CONSTmJCTlON Of authorized by such permit ,snot commenced w1th1n 180 days from the date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS
:~:Jon~ 1!1 t=~y t~•~.i~~~~r=~:h:-:.::.:~~7 r~~~•~.-r~~ or
/ STRUCTVR(S OYER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON-
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND m.LICANT~:a:S SIGNAT RE : ~;; 0 CONTRACTOR 9-~~ DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS. COSTS AND O NER I l-Z-l-81 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE tl BY PHONE 0 GRANTING OF THIS PERMIT / I
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INSPECTION TYPE DATE INSPECTOR
BUILDING .
FOUNDATION
REINFORCED STEEL I
MASONRY
• GUNITE OR GROu.:r-
• FLOOR & CEILING $UB ·FRAME
SHEATHING
FRAME
TERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING --I SEWER AND BL/CO '
PLUMBING UNDERGROUND I
PLUMBING TOP OUT
TUB AND !:;HOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND I
ROUGH ELECTRIC I
ELECTRIC SERVICE I
BONDING A
G. F. I. -SMOKE DETECTOR. I
MECHANICAL I
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS .
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED ----------~----'-------
~ J-S-YU
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE .
POST TENSIONED
CONCRETE
FIELD WELDING \
HIGH STRENGTH
BOLTS -
SPECIAL MASONRY
PILES CAISSONS
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