HomeMy WebLinkAbout2833 HILLSBORO CT; ; CB961403; PermitB ll I L D 1 N G P r-: R M I T PPrmi t N 1: ~[~ 1 bl 1: 1 1
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Jnb Ad.Jress: 2833 HILLSBO&O l'f
f-Prm1.t Typ£": ILUMBING
fen Ce l. N ~) : 1 6 / -4 7 2-8 1-0 0
Vah.at:ion: ~
Jccupancy Group: R0fe10nc~#:
Description: REPLACE WATER HEATE~
Su.1te :
Proiert N(:
['evelopmE:nt N >:
8892 081'02/96 0001 )~
c-~1-<r
Cor.st:rt..,t:1on TYr VI\:
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3tatt..::::;: I ·suF >
Applied: 0'3 /U~/9t
Apr/lcsue: 08/~J/➔~
Entered By: M:>.'
Appl/Ownr : EVANS, DJR':'HY 619 120-0944
2833 HI~LSBORO CT
CARLSBAD, CA. 920V8
*"'* Feec Required
F'ee. :
AdJ.J.stments:
':'otdl Fee•.;:
FAe description
Er.ter 'Y" for Pl
E,;,;:ch Wc.1tE•r HE>ater
* PLUMBING TOTAL
CITY OF CARLSBAD
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Ext: f •e ~> ,t..d
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27. 'O
~ L APPRQ\1f\l _ _
"--~DATE ~
I :ARA.JC E _____ ,
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPUCATION I!\ ~ PLAN CHECK NO.
City of Caelsbad Buildi,v D-etant
2075 Las Pal-De., Caelsbad, CA 92009 (619) 438·1161
I. PRkMJ I liPE PLAN CK DEPOSIT. _______ _
I
EST. VM.
VAUD. BY, __________ _
From Llst 1 (see back) give code of Permit-Type: ___________ _ DATE
--... -----------. -----. ----. -----. ------------------. ----
For Residential Projects Only: From List 2 (see back) give
Code of Structure-Type: ___________________ _
Nee lDs.vGain of Dwelling Units
2. PROJF.Cr INFORMATION FOR OFFICE USE ONLY
il:GAL Df!stkiPilUN Loe No.
CHECK BEWW IF SO BMI 11 £0:
BuJJdmg or Suite No.
c_-r-
Subd1v1S1on Name/Number
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ I Addressed Envelope
Unit No. Phase No.
ASSESSOR'S PARCEi
DESCRIPTION OF WORK '(lc .. pk~ \.,JG,.. s; ... ,... PROPOSED USE
SQ. FT. # OF STORIES
3. WN IALI PF.RSUN (II dllierent from apphcanc)
NAME (last name first) ADDRESS
CITY
4. APPilCANI OWN IRACIOR
NAME (lase name first)
STATE ZIP CODE
UAGENI FORWNIRACIOR
ADDRESS
CITY STATE ZIP CODE
# OF BEDROOMS # OF BATIIROOMS
DAY TELEPHONE
DOWNER UAGENI FDR OWNER
DAY TELEPHONE S. PROPillli OWNER .KJ
NAME (last name fir,t) &-/!'fP ,...~47
CITY~ ri,'1-6u STATE c:'i &. wN ht(~ro~
NAME (last name first)
CITY
c~;?,<.S ADDRESS ~~~ /.,/ LLc_z,~;,~ <:._ E
ZIP CODE 7z..=,,,,_.t7 DAY TELEPHONE 6/"j: ZZf??"f:#4
ADDRESS
STATE
STATE IJC. #
ZIP CODE
UCENSEC:U.SS
DAY TELEPHONE
DESIGNER NAME (last name ftr~t) CITY BUSINESS IJC. #
ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE STATE IJC. # 7. WukkF.RS' WMPENSXliUN
Workers1 Compensauon beclarauon: I hereby affmn that I have a ceruUcate of consent to self-msure issued by ffie Director of lndusmal
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof cenified
by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY POUCY NO. EXPIRATION DATE
Cemhcate of Exempuon: I cerufy ffiat m the perlonnance of the work for which this pemut IS issued, I shall not employ any person m any manner
so as to beco s bject to the Workers' Compensation Laws of California.
ATE
I hereby aihrm that I am exempt from the Confracfofs License ~w ior the ioliowmg reason:
□ I, as owner of the propeny 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 does nor apply to an owner of propeny who builds
or improves thereon, and who does such work himself or through his own employees, provided that such improvemen[S are 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.).
□ I, as owner of the propeny, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions
Code: The Contractor's License Law does nor apply to an owner of propeny who builds or improves thereon, and contracts for such projec[S
with contractor(s) licensed pursuant to the Contractor's Llcense Law).
□ I am exempt under Section _______ Business and Professions Code for this reason:
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a pennir to construct, airer, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for such pennic to tile a signed stacemenc that he is licensed pursuant to the
provisions of che Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code)
or chat he is exempt therefrom, and che basis for the alleged exemption. Any violation of Section 7031.S by any applicant for a pennit
subjects the applicant to a civil penalty of not more than five hundred dollars [SS00J).
SIGNATIIRE DATE
COMPUIE IRIS SECIION fdk NON-RESIOEN IIAL BOIWING PERMll'S ONLY:
Is the applicanc or future building occupant required co 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 Ace? □ YES □ NO
Is the applicant or future building occupant required to obtain a permit from the air pollution cona-ol district or air quality management disnict? □ YES □ NO
ls the facility to be constructed wichin 1,000 feec of the outer boundary of a school site?
□ YES □ NO
IF ANY OF 1llE ANSWERS ARE YES, A FINM. CERTlFICATE OF OOCIIPANCY MAY NOT BE ISSUED AFfER JULY I, 1989 UNLF.sS 1llE APPIJCANT
HAS MET OR IS MEETING 1llE REQUIREMENTS OF 1llE omCE OF EMERGENCY SERVICES AND 1llE AIR POIJ.IJTION OONTitOL DISTRICT. 9. WNS I KOCI ION LENDING R.:ENCY
I hereby afhrm ffiat ffiere is a construcuon lending agency for ffie performance of the work for which ih1S permit IS LSSued (Sec 3097(1) Civil Code).
LENDER'S NAME LENDER'S ADDRESS 10. XPPUCXNI CERIOICXIION
I certify ffiat I have read ffie apphcat1on and state chat the above miormauon 1s correct. I agree to comply wuh ail C1ry ordinances and State laws
relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned propeny for inspection
purposes. IM.SO AGREE 1U SAVE INDEMNIFY AND KEEP HARMLESS 1llE C1Y OF CARIS11AD AGAINST AU. LIABilJTIES, JUDGMENTS, CXJSTS
AND EXPENSES WlllCH MAY IN ANY WAY ACCRUE AGAINST SAID C1Y IN OONSEQIIENCE OF 1llE GRANTING OF TiflS PERMIT.
OSHA; An OSHA pennit is required for excavations over S'O" deep and demolition or construction of structur~ over 3 s[Ories in height.
Expiration. Every permit issued by the Building Official under che provisions of this Code shall expire by limitation and become null and void if the
building or work authorized by such pennit is not commenced within 365 days from the date of such pennit or if the building or work authorized by
such pennit is suspended or abandoned at any time after the work is mmenced for a period of 180 days (Section 303(d) Unifonn Building Code).
APPIJCANTS SIGNATURE DATE: .;sll--> ~
PINK: Finance
C,
PERMIT# CB961403
DESCRIPTION: REPLACE WATER
TYPE: PLUM
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 08/06/96
HEATER
STE:
INSPECTOR AREA
PLANCK# CB961403
OCC GRP
CONSTR. TYPE VN
LOT: JOB ADDRESS: 2833 HILLSBORO CT
APPLICANT: EVANS, DORTHY
CONTRACTOR:
PHONE: 619 720-0944
PHONE:
OWNER:
REMARKS: MW/DOROTHY/720-0946
SPECIAL INSTRUCT:
TOTAL TIME:
CD
25
LVL DESCRIPTION
PL Water Heater/Vents
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PHONE:
INSPECTOR ;.Y-~----------
ACT COMMENTS
J_ ____ _
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS