HomeMy WebLinkAbout2835 Hillsboro Ct; ; 83-135-80; Permit., z 0 .:: C a: s u .. 0
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D I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
full force and affect.
L,c No 27-2-e-86 Cla1s -8--l-
I hereby affirm tha! I am exempt from the Contrac-
tor"s License law for the followmg reason (Sec 7031 5 Business and Protess,ons Code: Any city or county which re-
qurres a permit to construct. alter. improve. demol1sn, or ~epa1r any structure. prior to ,ts issuance also requires the ap-
plicant for such perrrnt to hie a signed s1atement that he Is
l,censed pursuant to the prov1s1ons of the Contractor's
L•cense Law {Chapter 9 commencrng wrth Sect,on 7000 01 D1v,s1on 3 o1 the Business and Professions Code) or that 1s ex
empt therefrom and the basis !or !he alleged exempt,on Any
violation of Sec!•on 703! 5 by an apol1cant for a permit sub-
jects the applicant to a c1v1I penalty of not more than live nun-
dred dollars :$500)
-I. as owner of the property, or my employees with wages as their sole compensation. will do the work. and the struc-
ture Is not intended or otfered for sale (Sec. 7044, Busmess
and Professions Code: The Contractor's License Law does
not apply to an owner of property who builds or improves
thereon and who does such work himself or through hrs own
employees. provided that such ,mprovemen_ts_are not intend-ed or offered for sale If, however, the bu1ld1ng or improve-
ment Is sold within one year of comptetIon, the owner-builder
will have the burden of proving lhat he did not bu;ld or im-
prove !or the purpose of sale)
::7 I, as owner of !he property, am exclusively contracting
wHh licensed contr~ctors to construct the pro1ect (Sec. 7044,
Bu»ness and Professions Code: The Contractor's License
Law does not apply to an owner of property who builds or im-proves thereon_, and who contracts for each projects with a contractor(s) license pursuant to the Contractor's License Law)
CJ As a homeowMr I am improving my home, and the follow-
ing cond1t1ons exist
1 The work Is being performed prior to sale 2 I have 1'1ved rn my home for twelve months
prior to completion of th_is work
I have not claimed this exemption during the last three years
L I am exempt under Sec _____ _ B & P.C for ttus reason ____________ _
D I hereby a!l,rm that I ha,e a cer1,t,ca1e of consent
10 self-,nsure or a cert1l,ca1e of Workers
Compensat,on Insurance. or a certr!,ed copy thereof
(Sec 3800 Labor Code)
POLICY NO ~I-IP 265 92 50
coMPANY Ei remen I s Fund
□ Copy IS f<le<l with the c,ty
D Cert1t,ed copy 1s hereby furnished
CERTIFICATE. OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE
(Th,s section need not be compleled d the perm,t
Is !or one hundred dollars 1$100) o, less)
O I cert,ty that rn the performance ot the wor!<. for
wh,ch this perm,t ,s issued. I shall no1 employ any
person ,n any manner so as to become sut>1ec1 10
the Wor1<erS Compensat,on Laws ot Cal,Jom,a
NOTICE TO APPLICANT If, a!!er mak•WI 1n,s Cert,
hca!e ot Exempt,on. you snould become sub1ec1 10 the Worl<ers· Compensa1ron pro~Is,ons of 1he Labor
Code. you mus! lorlhwrth comply w,th such
pr0~Is,ons or th,s perm<t shall be deemed revokeO
0 I hereby all.rm that there ,s a construct,o~
IenO,ng agen,:.y 'o' the perfo,mance ol rhe worl< •or which 1h,s perm,\ ,s •ssued 1Sec J09? Ci.ii Code·,
''"" s N,~, UN ION BANK
LenOersAdo,ess 525 11811 Street
San Di ego, CA
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS
?Q"lh 1-1; l l c:.hn\¥1 r"11""+
OWNER'-S NAME
-1.Hl:t..1_ IINI T H I OWNER'S PHONE
_ --29.9-.51.nn
QWNE R'S MAI LI NG ADDRESS
3900 Harney Street/ San DiegoJA 92110
LOT
80
BLOCK I SUBDIVISION l ASSESSOR PARCEL NO. Calayera Hills Tract 82-8.
DESC~!PTION OF WORK; I✓-Sinale Famil v Att..rh.-rl ,,.,_.. ..h....t.GI. t •~
~ ' ' '-\I.
>I MJ ~-
AV STrA:E-OF APPLICATION AO.
l'lilH>. ?,_
CONTRACTOR
PArT.El.C_ <;r.FM<" TNr.
CONTRACTOR'S ADDRESS
BUSINESS LICENSE#
CONTA CT AS PHONE #"
3900 Harney St./San Diego, CAl272686
DESIGNER LICENSE #
L.0. Chrisman/Architects C-9239
DESIGNER'S ADDRESS DESIGNER'S PHONE
VALUATION ...JZ,l.o
ZONE
PLAN 1.0. #
STANDARD PLAN#
PERMIT NUMBER
BLDG USE CODE
BUILDING SQ. FOOTAGE
/-Z.. 7--3
..,....,xes~ULC I NC-9939 Hibert St./San -3830
' , , F/P F LR ELEV. EDU
J>I JIN.? ,o ,o --I j &, r-,.;' ,JC-ii:-.: ; .i . II'
GP LAND USE ace LOAD FIRE SPR . AREA CENSUS oRACT I l'~E RES 7" I GRADING PER~IT ISS D I REDEVELOPMENT
,□ ,O :::r:,J.._ '1K v0 N)§. Not Valid Unless Machine Certified .
QTY. PLUMBING PERMIT· ISSUE j 7 L'Sfi QTY.I MECHANICAL PERMIT· ISSUE 3-tt SUMMARY/ACCOUNT NUMBER
-+-~-j INSTALL FURN. DUCTS iJP TO 100.000 BTU I :S1 EACH FIXTURE TRAP u. N -BUILDING PERMIT
SIGN PERMIT
01-00-00-8220
----
01-00-00-8221
::,04 UD.
EACH BUILDING SEWER (a ·~ _'<f---_ OVER 100 000 BTU
EACH_WATER HEATER ANO.'DR VENT ·=--_c __ --~ -B□-ILER/~~MPRES_soRUP-rn 3 HP --• PLANC~-=---01·00·00-8806_+-.e=~~~~~~
EACH GAS SYSTEM_l_T_O 4 _ou_T_LETS t-----d-'-'-~'-11'---J B_O_I_L_E_R(_~_O_M~PR_£E_SO R 3 15 HP . TOTAL PLUMBING --_0_1·_00-00-8222
~
I
f---+-~ACH GAS_~YSTE~ 5 O_~_M_ORE__ _ __ · _ _{__ METAL FIREPLACE ~ I'(' ELECTRICAL 01-00-00-8223
EACH l~~TA~ .ALTER,RE_PAIR WAT~~P_E __ ~--__ _ 3 VENT FA~~GLE DUCT rr-. .(~ MECHANICAL _____ _Q_!_:_00-00-8224
---+E_A_C_H_V_A_CU_U_M_BRE~~ ------------: _ M~l~_!?HAUST H~_O_D_'□_u_cr_s_ MOB_IL_EH_O_M_E __ --_0_1-00_0_0·_8225 i-----l--~~ER SO~NER _ ___ _ ____ ----'-----'---ll-RE_~OCATION 0~_ EA FU RNACEiHEATER ~ . MOBILEHOME_ PARK INS_P ___ _
1-·
f--
EACH ROOF DRAIN IINSIOE)
L• ---
TOTAL PLUMBING
---+---01·00-_00-822.6
80-92-33-0519 -----
!-------· --,~---f-___3 ~-S1Q -~ TOTt;L MECHANICAL
NEW CONST EA AMP" ... ---. -~~~-I : cif SOLAR -~ _ . _SWT_B_K_R__ _j_(;(')-~ 1-~ oo_ I lo . STRONG MOT_ION_ --_ 3 PH ___ ·• __ ._ ~-FIRE SPRINKLERS _
__J
QTY. ELECTRICAL PERMIT -ISSUE QTY. SOLAR -ISSUE I-_ PUBLIC FACILITIES _FEE_
01-00-00-8227
=32·00-008923_ L I I 3d OD I
I--f----
-/------·· -----------it-BRIDGE FEE
COLLECTORS .-=-----· SCHOOL FEE -DISTRICT --
-----
----·--
f--EXIST BLOG EA AMPtSWT:BKR >----+----------· ------+-
--lf--___,__ Encinitas
80-92-21-0519
80-92-22-0519
~-□-RA~'=._!_M_KS _ _ --+--_,/ ___ _
ROCK STORAGE
Carlsbad ----
f---------3 PH I PH
) _==DEMOOE_L~AL T~
PUMP __ _ __ ='1----+-+-----➔I-San D~eg~_
PLAr-.i CHECK rEE --+------,1------s;~s
1
__ -_ ,_0_9_,_-,~4 -□5-::_,9_L __ · -~-=-----=----_-,
~ 80-92-23-0519 -t----
Pf:R CIRCUIT t------
TEMP POLE 200 AMPS ---+---➔-·--+--I I OVER 200 AMPS
11 TEMP OCCUPANCY {30 DAYS) --~ ---
_, __I_ ----~------
TOTAL ELECTRICAL
Y:J"CY'. I \,__ TOTAL FEES PAYABLE l -1'-tC). O\..o
I HA~E CAREFULLY EXA.'MINED THE COMPLETED "APPLICATION AND PERMIT" AND 00 HEREBY E)(piration. E~ry per_mi_t i~ued by the Building_ O_ffictafundertheproviSionsofthiS
CEAT1FY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code 5hall upire by lim1tat1on and become null and void, If the build" g or work
DECLARATIONS ARE TRUE AND CORRECT AND l FURTHER CERTIFY ANO AGREE IF A PERMIT IS aufhc~nzed by such ~f!lil is not commenced within 180days from I ttateof such perm1t, or 1f the bu1ldmg or work authorized by such permit suspended or ISSUED TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON abandoned at an l1rt1e after the work 1s commenced for a r of 180 da 5 STRUCTION, WHETHER SPECIFIED HEREIN OR NOT l ALSO AGREE TO SAVE INDEMNIFY AND :u . KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS COSTS AND AP ~NT GNATURE ¥ OWNE CONTRACTOR 0
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY iN CONSEQUENCE OF THE _/'::) /"7
GRANTING OF THIS PERMtT ~ 1'1/f-r A L,/-. \ BY PHONE 0
* AN OSHA PERMIT~ REQUIRED FOR EXCAVATIONS OVEA
5' O'' DEEP ANO DEMOLITION OR CONSTRUCTK>N OF
STRUCTURES OYER 3 STORIES IN HEIGHT •
APPR{V~D BY
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INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION •• ,uJ,"" 1 ...
IJ
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING -· I,•~·""' n.l.l.. .. /,#J,84, Ir . FRAME ··-:--...
EXTERIOR LATH~NSULATIONf.-\•Ei't I • ,, ·"' ~ .J ,~ '
INTERIOR LATH'& DRYWALL "" j 1 '-...... I. ..,
PLUMBING
-··
SEWER AND BL/CO
PLUMBING UNDERGROUND fc,.IQ,M • ..
PLUMBING TOP OUT ;, ~ ~-AA J . -~. ,.
TUB AND ~HOWER PAN
GAS TEST /,?A,8-1 ,IJL
ELECTRICAL ..
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC J.?J.,B4 /IJL
ELECTRIC SERVICE ••
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING I ... ,n, •
'IJ""l"V'"I' ~
HEAT -AIR COND. -SOLAR SYSTEMS •J .
VENTILATING SYSTEMS .
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS ,'V',.}
BUILDING , -~'0--",.V, AA ,..11-
SPECIAL CONDITIONS 'I. . " CERT OF OCCUPANCY ISSUED
~3-l~S-8D
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES . . .
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL --------------· --~--. i I SOILS COMP:_1 AN:::,E I I ·--·· ------' PR10R T(', I ;::OlJrs..CAT10r-. lr-..,SP i ··--·-· . ·-
. S ~RUCTL1RA1_ CONCRETE I
'.JVER 2000 PSI
i PRESTRES!::EC
CONCRETE -------POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH I BOLTS
: SPECIAL MASONRY
' I
P!LES CAISSONS
----
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-1 ,lS IS ·;-' Cl ,..,.FY TIIA.r INSUJ .\Tillt~ r,s BEEN IN~'l'ALLED lN
1'.()tW()RHA!-.,.: F WITH 'f !i .. CURMNT ENl"RG ,;•r;u1.A TION '&Li FORNlA
st. Li::. , ,. ll'-.. ', nn. ·L , T ! TLE 2 c;, S.'\V' ,c Ui. CAI.. , IN •, s
!JlJll.L ,·W l.O · ,:,J A1':
F ··. /RiOR WALLS
I · ~ t
Manufacturer _ _..~-1-/"-//:.-;-(J __ Thi,•kness/Type 3 ½ R/Value __ /._/ __
CEILINGS ~
Batts: Manufacturer cT//J7 / ½ ,, Io Thickness. h /ot R/Value / ----
GENERAL CONTRACTOR: ___________ ___;LIC./f _______ _
BY _____________ TITLE ______ DATE _____ _
TNStn.ATlON CONTRACTOR:_APOLLO INS~IIAT_ION LIC./f ---------
llYcf~ $--'km, TlTLEcf¥7=: DJ\' ,, _8-+-,/_,1:_.s,;..,.b ..... :J?_._,.._.3_
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