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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 A. H·.l' ~ J J lt!/11,. , J 1-aqe 1 ,f 1 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\: ")-.. 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 t • 0 l • l, I) ; 7 . ll Ext: f •e ~> ,t..d ') fl • (• ~ y -; • CiJ 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 ------------------ ------------------ ------------------ PHONE: INSPECTOR ;.Y-~---------- ACT COMMENTS J_ ____ _ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS