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Home My WebLink About2717 YORK RD; ; CB900543; Permit04v o 3;90 11:54 Page 1 of 1 B U I L D I N G Job Address: 2717 YORK RD Permit Type: PLUMBING Parcel No: Valuation: 0 Construction Type: NEW P E R M I T Str: Permit No: CB90054 3 Project No: A9000643 Development No: Fl: Ste: ' 1 "{0 04 Oc .JO ,_ .)01 ()1 02 -00 C n{t_ I g 3-L( Occupancy Group: Class Code: Status: ISSUED Description: CHANGE ELEC TO GAS OWNER : QUINN, MR. & MRS. *** Fees Required *** Fees: Adjustments: Total Fees: Fee description 10.00 .00 10 .00 Enter "Y" for Plumbing Issue Fee Gas Piping System * PLUMBING TOTAL *** Applied 04/03/90 Apr/Issue Validated By: DC Lie. 729-0801 Fees Collected & Credits *** To al Credits: Total Payments: Balance Due: Units Fee/Uhit 1.00 2.50 .00 .00 10.00 Ext fee Data 7.50 Y 2.50 10.00 CITY OF CARLSBAD 2075 Las Pal.mas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075· Las Palmas Dr .• Carlsbad, CA 92009 1619) 438-1161 1. t PERMIT TYPE A O COMMERCIAL NEW O1ENANT IMPROVEMENT 0 TENANT IMPROVEMENT B C 0 INOUSlRIAL □NEW ~ES IDEN! !AL O APARlMENT 0 DUPLEX O OEM0LI Tl ON D MECHANICAL D POOL QCONDO □SINGLE FAMILY DWELLING OAO0JTJON/ALTERATION QREL0CATIOII □MOBILE HOME □ELECTRICAL □PLUMBING OSPA □RETAINING WALL QSOLAR Q0THER ___ ~_._. 2. PROJECT INFOR PLAN CHECK No. F Bui I ding or Nearest Cross Streets LEGAL DESCRIPTION Lot No. Subdivision Name/Number Unit No. Phase No. CHECIC BELOW If SUIMI TTEO, D 2 Energy Cales 02 Structural Cales 0 2 Soils Report 0 1 Addressed Envelope EXIST ING USE PROPOSED USE 3. CONTACT PERSON NAME ADORESS ZIP COOE CITY SIGNATURE 4. APPLICANT 0 CONTRACTOR NAME CITY STATE 0 AGENT FOR CONTRACTOR ADDRESS STATE ZIP CODE DAY TELEPHONE 0 AGENT FOR OWNER DAY TELEPHONE 5. PROPE~TY OWNER . NAME ,M/t!PJ1.5 Gu r/,/IV OWNER ~ '11 '1 vor-£'-e c{ AODREfs 0 LESSEE O TENANT cm C1t,,-ls1>ed STATE c:.A--ZIP COOE 7c.GC ~ DAY TELEP~0NE { 2 C,-0 Z°O } 6. CONTRACTOR U NAME -~'{)(: ,.,. '$. 8' 11::3'. I ! ~ (2. 7. cm -~t::,;-·w,·1 SIGNATURE DESIGNER CITY WORKERS' COMPENSATION STATE TITLE DATE ZIP CODE DAY TELEPHONE STATE LI C. # ~orkers' Compensation Declaration: hereby affirm that have a certificate of consent to self-insure issued by the Director of Industrial Relations, or a certffic:ate of Workers• Compensation insurance by an adnitted insurer, or an exact copy or duplicate thereof c:ertifled by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POLICY MO. EXP! RAT ION DATE Certificate of Exemption: 1 certify that in the performance of the work for which this permit is issued,. I shall not employ any person in any manner so as to become subject to the ~rkers• Coq>ensation Laws of California. SIGNATURE DATE 8. OWNER-BUILDER DECLARATION Owner-Builder 'Declaration! I hereby affirm that I am ex.empt fr-om the Contractor's L"icense Law tot· the following reason: 0 1 as owner of the property or my e~loyees 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 Contrac.tor•s License Law does not apply to an owner of property who builds or irrproves thereon" and who does suet, work himself or through his own employees, provlded that such im,,rovements are not intended or offered for sate. lf, however, the building or improvement is sold within one year of c.ompletion, the owner-builder Will have the burden of proving that he d1d not build or illl'rove for the p..irpose of sale.). D E, as owner of the-property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and 'Professior.s Code: The Contractor•s l lcense Law does not apply to an owner of property who builds or i~roves thereon, and contracts for such projects with contrat:tor(s) licensed pursuant to the Contractor Is License law). D I am exempt under Section ___________ Business and Professions COde fo,r th1s reason-~ (Sec. 7031.5 Business and Profession.s Code; Any City or County which req'Jires a permit to construct, alter, improve, demolish, or repair any structure, prior to lts 1s-suance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's llcense law (Chapter 9, conmencTng with Section 7000 of Division J of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alte-ged exemption. Any violat\on of Section 7031.S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). SIGNATURE DATE COMPLETE THIS SECTION FOR N0N·RESI0EMTIAL BUILDING PERMITS OMLY: Is the appt icant 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? DYES ONO ls the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' □YES ONO ! s the facility to be constructed within 1,000 feet of the outer boundary of a school site? Ores IF ANT DF THE US11ERS ,\RE YES, A FINAL CERTIFICATE OF llCll.l'o\NCl MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS IIET mt IS IIEETIIIG THE AEIIIIIRENEIITS Of THE OfflCE Of ENERGENCT SERVICES ANO THE AIR POI.LUTIOII CONTROL DISTitlCT. 9. CONSTRUCTION LEN~ING AGENCY hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(il Civil Code}. LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE I certify that I have read the appl"ic:ation and state tkat the above infor1nation ls correct. I agree to C01f1JIY with all City ordinances arxt State taws: relating to building construction. I hereby authorize-representatives of the City of Carls.bud to enter upon the above IJl(>nt1onc-d property for inspect;on purposes. I ALSO AGREE TO SAVE INOEMNI FY ANO lEEP HARMLESS THE CITT OF CARlSBAO AGAINST ALL LIABILITIES, Jl.llGMENTS, COSIS Alll EXPENSES WHICH MAY IN ANY VAY ACCRUE AGAINST SAID CITY IN COIISEWENCE OF THE GR.l\lfTING Of THIS PU"IT. Expiration. Every permit issued by the Building Offielal under the provisions of this Code shall expire by limitation .r1r"ld become null and void if the building or work authorized by such permit is not c001T1enccd within 180 days from the date of such permit or if the building or work author·izcd by such perrnit is ~uspcnded or aboi3ndoncd at any time after the work is c:oomencf:'d for a period of 180 d.ctys (Section 303(d) Uniform Building Code). 0 BY P~ONE APPROVED BY: DATE: ---------~ YELLOW: Applicant PINK: Finance PERMIT# CB900543 CITY OF CARLSBAD INSPECTION REQUEST FOR 04/06/90 INSPECTOR AREA P~ PLANCK# CB900543 OCC GRP DESCRIPTION: CHANGE ELEC TO GAS TYPE: PLUM JOB ADDRESS: 2717 APPLICANT: QUINN, CONTRACTOR: YORK RD MR. & MRS. OWNER: QUINN, MR. & MRS. REMARKS: T3/RS/ SPECIAL INSTRUCT: GAS LINE FOR KITCHEN TOTAL TIME: CD 23 LVL DESCRIPTION PL Gas/Test/Repairs ------------------ ------------------ ------------------ CONSTR. TYPE NEW STR: FL: STE: PHONE: 619 729-0801 PHONE: ~ Jl PHONE: 729-8 ~ INSPECTO ~~ STOVE ACT COMMENTS M (, J fYC-- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS