HomeMy WebLinkAbout2281 HILLYER ST; ; CB052955; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
l
08'-12-2005 Miscellaneous Permit Permit No: CB052955
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
2281 HILL YER ST CBAD
MISC
2081615000
$0.00
Subtype: OTHER Status:
Lot#: 0 Applied:
Entered By:
Reference #: Plan Approved:
DARRACQ RES HOTMOP TO EXISTING
DOWNSTAIRS SHOWER
Owner:
CONTRACTORS DARRACQ GAIL
EE
977l)-i:>AflRC[.L CENTER RD 92126
858 536-2440
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees: $89.00
PERMIT-FEE
2281 HILL YER ST
CARLSBAD CA 92008
Total Payments To Date: $0.00
Issued:
Inspect Area:
Balance Due:
ISSUED
08/12/2005
KG
08/12/2005
08/12/2005
$89.00
$0.00
$0.00
$89.00
$89.00
4638 08/J~ "/\
. ._/v) 00()2 :}:l
CGP·
Inspector: ~ FINAL APPRO~
Date: fJ 17, 1 Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
02
PERMIT APPLICATION
FOR OFFICE USE O~ Kl(! ._,,-/
PLAN CHECK Nc(J__JJ}. .JI,?( '5:J
' CITY OF CARLSBAD BUILDING DEPARTMENT EST. VAL.--~;.__ _____ _
1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit s-.u..-------
Validated By_-f"7"""f:r-,-,-r-:..:;;::::::==-
Date _____ ..:_-1,.__-#--==-_,_i<.....,,c...-
Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units
Proposed Use
I of Bedrooms II of Bathrooms
~://7{9
Fax I
State/Zip Telephone I
(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 to 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, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged
ption. Anv. violation of Sa~tion 7031.5 by any applicant for• permit subject the ap ·c nt to ~ii analty of more t n five hu dred dolla ($§.QQ 1._ .
/rah "r£. , :), ~,::u z:>?C/¼:J
City Stata/Zi~ Tala,l!.hona I
State License I--''---'--'-..:;._.,______ License Class __ ...... _______ City Business License II /;;2.,/ JC/(0
Designer Name Address City State/Zip Telephone
State License I _________ _
te'.~fl~ · · ··1$!\\li"tti"W:~~~,i.1l~1~~~~,.W.~~~'Mii~~~i1.fi'!i:J~:li*,f;i::ii:fg;'>)t1'ir<::H;&'l;l1:,,1~4\l:.'llii'k£?:i0:s1,i.'~~aJ.:,, :,;.::,, ··•·:., ~,;;-
workers' Compensation Declaration: I hereby affirm under penahy of perjury one of the following declarations:
0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Coda, for the performance
of t~ork for which this permit is ieauad. .
0' I have and will maintain workers' compensation, as required by Section 3700 of the Labor Coda, for the performance of the work for which this permit is
issued. My worker's panntion ins nee carrier and policy number are:
PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS)
Expiration Data /..?~E?!/}o/
CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any parson in any manner so as
to become subject to the Workers' Compensation Laws of California.
WARNING: Fallur secure workers' compensation co,,.,.g• la unlawful, and lhall subject en employer to criminal penaltlH end clvll fines up to one hundred
$ ,0001, J...-Allltlon to the coat of compenntlon, demegH H provided for In Section 3708 of the abor code, lnterHt end attorney's fHs.
DATE "',"'-'--t'-="'-------
.. ~)i'1~--~£-Y:ffii:~1fi)~~'1/il\i'~i.;;,!~fMil,.
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 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 don 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 ere 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).
0 I, es 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(sl licensed
pursuant to the Contractor's License Law).
0 I am exempt under Section ______ Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO
2. I (have / have not) signed an application for a building permit for the proposed work.
3. I have contracted .with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number):
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone
number/ contractors license number): ______________________________________________ _
5. I will provide soma of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type
of work):. ________ -'--------------------------------------------------
PROPERTY OWNER SIGNATURE---------------------,----DATE _________ _
1¢.0~i.-,JtE!:;Ii0'111f.OB.WQN"JM.S,.Q£.«t~i:li!lQINQlffl;8M!tJ/'.QH,ll 'IJ.'«tfili~~!l~~lllfl{~~i~1ii.l1~~~ii'~~i~}l~-!;f<11iiJ,,,i<:.:rt biit;;;l.)! ',,\1~; i;12.,~ ..
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program und11r Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 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? 0 YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR flOLLUTION CONTROL DISTRICT.
l!!~!iQN~Jr8l.fg'JJQft!WlR!N*Q~~Z~J2¥~!;1t~ MJ1\1~"1W'.::!~~JfuH,~>'·t-2·k!imt, ';-Mihi\ ,i/j ',f .ii-,?fJ:t:~11 S(•,:i.',:( ,filU$r)L; ,Vi . , · ,. • · ,, .. •·.
I hereby affirm that there is a construction landing agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code).
LENDER'S NAME ______________ _ LENDER'S ADDRESS _________________________ _
ft~@R'iM.AJJIN.si!~~'li.~~'.!I~~'i:!i,~~,&1"1t;i;½iii.\1f;,11,tJ:i~~,l1:J,1J~ .. ,;11~t.U~t~g1;:~\i1~,;t~~~~i~P..~ilfiii1.t~'i\'~\t;;.,:.;;t.•"':i1r·.;,/,'i.,~J;, .. ,
I certify that I have read th• application and state that the above Information is correct and that the information on the plans is accurate.' I agree to comply with all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES,
JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS 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 wi · 180 da s from the date of such permit or if the building or work authorized by such permit is suspended or abandoned
at any time after lhe work is commenced f per' 180 days (Section 106.4.4 Uniform Building Code).
WHITE: File YELLOW: Applicant PINK: Finance
DATE "8 /).)_ lu.J I J
City of Carlsbad Bldg Inspection Request
For: 08/16/2005
Permit# CB052955
Title: DARRACQ RES HOTMOP TO EXISTING
Description: DOWNSTAIRS SHOWER
Type: MISC Sub Type: OTHER
Job Address: 2281 HILL YER ST
Suite: Lot 0
Location:
APPLICANT HAMMOND & MASING CONTRACTORS
Owner: DARRACQ GAIL
Remarks:
Total Time:
CD Description Act Comment
Inspector Assignment:
Phone: 619247 69
Requested By: NA
Entered By: CHRISTINE
17 Interior Lath/Drywall wt.---' ___________________ _
27 Shower Pan/Roman Tubs !}L ____________ _
_____ A/
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments