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151 Hemlock Ave; ; CB891410; Permit
"' z 0 ~ a: .. ~ u ~ Q i[ T a: "' Q ~ 5 I "' z ~ O I hereby •lllrm lhal I am licensed under provialona of Chapter 9 <commencing with S.ction 7000) of Dlvlslon 3 ot the Business and Proleaalons Code, and my license •s in lull force and ellect I rereby alf1rm that am e,ernpt lr~m tne tor's L•cense La>'< tor the foll8w,ng reaso~ ,se, Bus,ness and Profess,ons Cooe Anv c,ty o· c•urt,· ;io,v, qu,res a oermd to construct. a,ter ,morove demG.,~r. or repair any slructure or,0110,1s issuance also requ,res 'he-'" pl,canl lor such oerm,t to ',1e a s,une~ swerneo: :nal ne s l,censed pursuant to the prov,s•ons 01 tke Lr.o:ra:T8r ,, ire~se Law 'Cha~ler 9 C0'11men,:1°g ,i 1" Sect,00 700~ ,, D11"\1oe 3 o! lne Business and Prafess,or, ~or.e, or that ,s e, e~pl !herelro,r, anO the bas,s ror lhe allegec e,eo-opMn Ar)' •✓1ola!io", ol Sen,on 7031 S ny an appl·:anr 1w;; ew,1,1 ;0t ,eels the app11canr to a c,v,1 pena"y uf ri01 ,1~re tl'an 1,,c r , ared 001·,ars 1 $~00, ;;<; ow~er •)I •~e prope'T) o· m·/ erPe ,.,rr ,.;i;e' as •~eir sole comoensa1,on w'il do t~e Tu·e ,snot ,rterded or oflerec for ,a,e '\~c ano p,o•ess10n, C~de 1 he Cc~•·acT~r, L,ce"s" :_;;"' r.oe, no1 app') 10 an owner vl p·,JJerly whu bu,:o~ ~, ~'J'c;e, !hereon and wra Goes suth war, h,r";elf o· •~rou:il1 111., ow", emp oyee1 orov,ded 1na: s,J,,_h ,~wo,e'llenr, are nm nleno ~do· of'e1ed 'O' sale ·1. "'J'Wevn the budd1nu o, "nprove menr ,s ;old w1!h·,n one year ot com;;1e11or. :he owse, t,, dP• w 1· have ne bu'den of pr8v•ng !~at he a,c ncl t;u Id J' prcve l~r :ne ~urpose o• sa.e, a; owne· ot lhe orc~erty a·, e,c.csi,·e')' ro~"acl•"S "tr cersed co""actors IC ccrs' A' •~e r,ro1ec' ,Sec i'."1.:,. Bu~.ress a1c Prcless,o~, Coae ~~e Co,,11-1ctor s L ·.en," I aw does not apoiy tu an ownec of [,roper•v "'no Dui'dc ,,, "' woves •nereon and w~o :01:·aC!s 10, eacn pr,1el.ls "'·:". a co~lranor(,;i 1,cerse pursuao' •o ·~e Co····ac:c· s L:'"''' Law1 As J homeowne' I am •mprov;ng rsy ho·ne a"C :ne !ul :iw ,ng cond1t1ons e~1s1 1 The won, ,s De,ng performed pr,or ta so1e 2 I ~ave l•ved 1n my honie tor 1wei-,e mo"t"•s p·,or to compiet,on ol th,s work I na~e not c'a,mec th10 exemption du'1rg lhe las: lhree years , am exempt u~de· Sec _____ _ B & PC I lor th,s reason ____________ _ z 0 " .. "' z "' .. ,. 0 u "' "' "' " a: 0 ~ L t il I hereb\' altirm that I nase a cer\11,cate of consen: to self ,n<;Jre or a cer11f,cate ot Wor~ers Compensation in su·a~ce or a :e'1d•ed copy \he,eol 1Sec 3800 Labor Code> POL,CY NO C0\1PANY Cop 'S '1'ed '<llh lhe city Certil,ed cooy ,s hereby furnished CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE ,Tn,s section need nm be CO'l"Pleted ,t the perm,t ,s for one hundred do' ars ,s1001 or 1!'551 I cert,ty that ,n the performance of !he ,,.o,~ !or wh,c~ th,sperm,t ,s ,ssued, I shall not employ any person ,r Jry cnanoer so as 10 become sub1ect to the Wor~ers Co'"Tlpeo sat,on Laws of Ca11lorn,a NOTICE TO APPLICANT If after ma~,ng th,s Cert1f1cd\e ol Exemption you should become subJeCt to the 1/\'or~ers Compensation prov,s,ons of t~e Labor Code. )'Ou riust forthw,11• comply w,Th such provisions or tC,15 perm,! sh~II be deemed re,oked I he,eby affirm that the-e o a ~c0 ~:rJ:t 0nci•; agPncy '"' !he perlormasce o' !~e -.·o·• '"' ·-.·r c~ tr,s ~c- .-,,,\ ,s ,ssued ,:Se,: 3097 l , 1 Co·Jp, LP~de' s l'.arl'e Le~der S Adjress USE BALL POINT PEN ONLY & PRE~S HARO .. ···-· CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr .. Carlsbad, CA 92009-1915 (619) 438-1161 JOB ADDRESS AV ST.RD. THOMAS BROS NO. DAf&,;f;tONI BUSINESS L!CENSE # VALUATION PERMIT NUMBER /5/ ,1/t'm/ocfa lo <?;(-ltf/O cm BLOCK SUBQIVISIQN I ASSE',.~4"R.3:&1'~ I Is" OD CONTRACTOR CONTRACTORS PHONE 11 ZONE -ll/' -!liur<..-13/1..iPtuN Pln,J/i. 7:29-1/'1/lf DWNf R'S NAME /J, .Kt/-(Ch,).) I OWNfR'S PHONE ..r CONTRACTOR'S ADDRESS STATE LICENSE NO. BUILDING SQ FOOT AGE , cPb17 ~Jp ~-~l/f ~'JO OWNER'S MAIi.iNG ADDRESS nJove DESIGNER DESIGNER'S PHONE s,;.,,,,p /JS QESCRIP~ o;~AK -/__,., '.l'IIL_ .. 0--~4L"l/'I DESIGNER'S ADDRESS STATE LICENSE NO. .. .., . ' 0 F1_R EL~V "o OCC GP EDU ST081ES 'L.J ".c._; ---I CENSUS TRACT I PAf-'Kl"'f ',PACf F' ~ c, l, r-,, -,-<; I GRADING PERMIT ISSUEC I RE:DE:V[LOPMEr-.T TYPE OCC LOAD F•RE SPF' AREA CONST ,o ' D '= ,[J YC "<D Not Valid Unless M,1chine Cerrrt,ed QTY PLUMBING PERMIT ISSUE ~<oO QTY MECHANICAL PERMIT· ISSUE l~oc SUMMARY/ACCOUNT NUMBER EACH f-lXTUllE TRAP INSTALL FURN DUCTS iJP TO 100 000 BTU l:IUll_u11~·" f-'tli~ I UIJ 1 b 1 L··OO·-'.JD-8.::"20 I EA[H tllJlliJING SEV<'ER OVER 100.000 BTU SIGN PERMIT O:J 1 -81 O··JO-Q,J-B? 21 EACH WATER HEAIE.k ANU UR Vt.ii.I . BOILER CUMPRESSOR UP TO 3 HP PLAN CHECK 001·810-00·00-8891 EACH GAS SYSTEM 1 TU 4 U U l l t IS . SOILER COMPRE.SSOR 31~ HP TOTAL PLU~B:\~ oo· 810.r:io oc-sn2 /£/ EACH GAS SYSTEM J OR MORE \H_ l A'_ F1REPLACF ELECTRICAL QOH:llO·OJ 00·8t23 EACH INST AL Al TEn_ REPAIR WAT ER PIPE:. . VENT FAN SINGLE DUCT MECHAil.lCAL C-D 1 -81 O· :JO ·00 ·82 24 EACf1 VACUUM BREAKER MECH EXHAUST HOOD DUCTS MO Bl LEHO ME 001-8 1 ·J ·00· 00·82 2:: V;'AHR SOf-TNER RELOCATION OF EA FURNACE HEATER SOLAR :JG 1-8 10 -00·00 -8226 LC.Ci--< f-(:11'. ~,R,'.,. ',,•,~:I'' 1 . DRYER VENT STRONG ~0~10"./ 880·'.J19-92·33 TOTk.L MECHANICAL FIRE SPRIW\L~RS :JC 1·81 O -00·00-82 27 1 () l Al Pl IJ\<1fitNL I /1,./ . -PUBLIC FACILITIES FEE 32:J.81 J·OO·DG·37-rn F;oe BRIDGE FEE 360-810 ·DO-DO· 8 7 4G OTY ELECTRICAL PERMIT· ISSUE QTY. MOBILE HOME SETUP PARK·lr,HIEU ,),REA ' NE:W CONST EA i'.IMP SW! !)KR CAR PORT Tlf 31 2-81 0-00-00·8835 I PH \ PH AWNING LA COSTA TIF 311·810-00-00·8835 ~x1ST \)l:JGE.AAMPSl/,'T f'.KH GARAGE FMF 1 PH ', PH . LICENSE TAX ccqi1.J-:·: ;',>s·s~ R[¥•nFt AITtR PEH !. 9CUII MFF 88DY9·::!2-'.:7 Tt.',1P POl E /IHI ,'1">11", U\'E.R !llli AMP~ 1£',1P (IL,[UPAN(.Y JC [li.'IYS1 . . CREDIT DEPOSIT ! ii l A I f I t I.; q I 1. t; ! I " TOTAL FEES PAYABLE I /c.£- I HAVE CAREFULLY EXAMINED THl COMPLETED APPLICA TiO,"< ANO PfRl.1IT 4ND DO HfREBY Exp1rat,on Every pa,m,t ,ss"eo byli"\e Butld1ngOlhc1al under the prov1s1ons olth1s * AN OSHA PEPM:T tS REQUIRED FOR EXCAVAlK>NS OVER CERTiFY UNDER PENAL'Y OF PERJLJPY THAT AU. iNFORMAf,Of~ 'iEPF0°< ,\JCLUDING THE Code shall exp.re by l1rn,1ar,o-, and become nuH and void 11 lhe building or work 5· O" DEEP ANO DEMOllTION OR CONSTRUCTION OF DECLARATION;, ARE lRLJE AND CORRE::CT ANJ F"URTHER CERT',F'f ANS AG8Ef •FA PERM'T i', autl"tor,zed by sue~ perrn,t -~ ri,:,t commenced within 180 days from the date of such STRUCTIJRE.S OVER J STORIES IN HEIGHT ISSUED TO cm,,PLY WITH A>-L CJTY COUNlY ANG STATi: LA','.'S '._,;(;,'ER:S.ING BiJILD!NG coi, ~~~~~t~n~ ,:t 1:~v ~~~~1;t,'.;'111:~~r:~~~~~e~ie~uf~~ ~~~~•~,s~:g~:~~d or STRUCTlrJN WHETHER SPECIFIED HEREIN OR r-.c,~ I l•LSO AGf1~E:: ;o :,;A'JE ;f..DEMN:H MW P OWNERn CONTAACTOR0"' APhi ~~ 1f/4/~ KEEP HARMcESS THE C<'Y OF CARLSDAO AG.'<"' Ale L,AR L·,es cLICH1',e,,1 s CCSTS AND AP UCAN"S ~~MLF~ EIPfNSES WHICH MAY IN ANY WAY ACC8Uf AGAl"JST ':'A"r> ';'ry "; :--·1•;~E_~,ff'.Ct. C,F THE~ • ' BY PHONE n Gf-lA'H!NGOFTHISPEf-1Mir • _.,...~_,..,., . ._q" "°''",.." ~. .3' u. > ~ 0 0. E ~ >- -c C CJ C ro u 0. 0. "' I ~ C a. 0 m ~ ru ,, " "' 3 0 w >- w u C ro C u. C © ~ CJ 0 u w 0. " C C ~ s TYPE I DATE INSPECTOR BUILDING ' I CJ3 %q I '-fl 0 FOUNDATION I FIELD INSPECTION RECORD REINFORCED STEEL I MASONRY ' I GUNITE OR GROUT I REOUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL SUB FRAME D FLOOR D CEILING SOILS COMPLIANCE SHEATHING D ROOF • SHEAR PRIOR TO FRAME I FOUNDATION INSP EXTERIOR LATH ' STRUCTURAL CONCRETE OVER 2000 PSI INSULATION I INTERIOR LATH & DRYWALL ' PRES TRESSED CONCRETE POST TENSIONED I CONCRETE PLUMBING ' FIELD WELDING D SEWER AND BUCO D PUOO UNDERGROUND • WASTE • WATER HIGH STRENGTH BOL Ts TOP OUT • WASTE • WAtER SPECIAL MASONRY TUB AND SHOWER PAN I GAS TEST I PILES CAISSONS • WATER HEATER • SOLAR WATl:R I ELECTRICAL I • ELECTRIC UNDERGROUND • UfFER ROUGH ELECTRIC I • ELECTRIC SERVICE • TEMPORARY • BONDING • POOL ' I I MECHANICAL ' • DUCT & PLEM., • REF. PIPING HEAT -AIR COND. SYSTEMS I VENTILATING SYSTEMS I I ... - ' CALL FOR FINAL INSPECT/ON WHEN ALL APPROPRIATE ITE_MS ABOVE HAVE BEEN AP.PROVED. FINAL I PLUMBING I . ELECTRICAL I ,\~ MECHANICAL -' . ' • GAS I l 'v\ \\ l"._ BUILDING I ' ':-~ "\, '"F'''.AL CONDITIONS ' )..., '\. I I " ,, r C~Y OF CARLSBAD / ,· IN ECT N REQUEST PE!<MIT# CB891410 I rt 9/25/89 DESCRIPTION: SEWER CONNECTION UI INSPECTOR AREA PK PLANCK# CB891410 OCC GRP JOB ADDRESS: 151 HEMLOCK AV APPLICANT: ARTHUR BROWN PLUMBING CONTRACTOR: BROWN, ARTHUR PLUMBING OWNER: REMARKS: TEL/MH/729-4914 SPECIAL INSTRUCTIONS: TOTAL TIME: CD 22 22 LVL DESCRIPTION PL sewer/Water Service PL Sewer/Water service -------------------- CONSTR. TYPE NEW STR: FL: STE: PHONE: 619 729-4914 ;:~::: 619-7/749J4~\ illl INSPECTOR~ ....... ~~"---=µ.__~~~=---'-=--- ACT COMMENTS 11:f_ G,r., e,,, ,-/ avr pol('{,: s ) ***** INSPECTfoN HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS C C I T Y 0 f C A R L S B A D DEVELOPMENT PROCESSING SERVICES APPLICATION AND COST ESTIMATE Of SANITARY SEWER LATERAL CONNECTION WORK ORDER NO. : PART I -TO BE COMPLETED BY DPS SEWER LOCATION: BUILDING PLAN CHECK ND.-.,,·==--"' ADDRESS: /5/ #4<1L9ct;;: APN: :z.ei-2.rz -IS' LEGAL DESCRIPTION: Lo-,: ;~,, Bw ~K ,, r'11 /144 54965 / /J'¼P at 7 CONTACT PERSON: 7011~ (J1. We,y7 e;'-PHONE NO.: 7/5-t{,()// 1 -..../---MINIMUM d, INCH ABS SEWER PIPE IN PLACE -NOT TO EXCEED _I 10 TIET DEEP AND 30 LINEAL FEET HORIZONTAL DISTANCE. ADDIITDNAL CHARGES FOR ANY DISTANCE EXCEEDING 30 LINEAL FEET HORIZONTALLY ____ FEET AT ____ PER FOOT ADDITIONAL CHARGES FOR ANY DEPTH EXCEEDING 10 FEET ____ FEET DEEP AT ____ PER FOOT ADDITIONAL CHARGES FOR PLUGGING EXISTING SEWER LATERAL TOTAL CHARGES FOR CONSTRUCTION ADDITIONAL CHARGES FOR CITY OF CARLSBAD SERVICES AT 50% OF ABOVE CHARGES TOTAL CHARGES 1911 ACT A.O. NO.: DWG. NO.: RECT. NO.: PART II -TO BE COMPLETED BY UTILITIES DEPARTMENT FOR SEWER LOCATION $ ---- $ ___ _ $ ___ _ $ ___ _ $c ____ _ $ {cfl6 . 60 BY: Main Depth: ___ _ Lateral Depth at Property: ---- DPD2:FDRM:DPD8