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2837 Hillsboro Ct; ; 83-135-79; Permit
"' z 0 ~ .. ::l u ... 0 .. ![ 8 .. ... 0 ~ 3 ~ ... z ! z 0 ~ z ... .. ,. 0 u "' ir ... "' .. ~ il O t 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 ~~II ~~rc~8(2~~~· _ Cla1s _B_-L ___ _ I hereby aftirrn that I am exempt from the Contrac- tor's License Law for the lollowmg reason (Sec 7031 5 Business and Professions Code Any city or county which re- quires a perm,t to construct, alter, ,mprove. demolish, or repair any structure. prior to I1s issuance also rnqu;res the ap- plicant for such permit to file a signed stalement that he 1s l•censed pursuant to the pr0'/1s,ons o1 the Contractor s L,cense Law (Chapter 9 comrnenc,ng with Sect,on 7000 of Dw,s,on 3 of the Bus1~ess and Professrnns Code) or that Isex- empt therefrom and the basis for the alleged exemption. Any vIolatIon o1 Section 7031 5 by an applicant for a permit sub· iects the applicant to a c1v1I penalty o1 not more than live hun- dred dollars {$5001 ---:, I, as GWner of the property, or my employees with wages as their sole compensation. will do the work, and the struc-ture 1s not intended or offered for s2le {Sec 7044. Business and Professions Cor:Je The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work h1rnselt or through his own employees. provided that such improvements are not intend-ed or ottered for sale. If, however. the building 01 improve- ment Is sold within one year ol completion, 1he owner-builder will have the burden of proving that he did not build or im- prove for the purpose ol sale) ,: I. as owner of the property, am exclusively contracting with licensed contrcctors to construct the project (Sec 7044, Business and Professions Code· The Contractor's License Law does not apply to an GWner of property who builds or im- proves thereon, and who contracts for each pro1ects with a contractor(s) license pursuant to the Contractor's License Law) □ As a homeowner I am Improv1ng my home. and the lollow- ing conditions exist 1 The work 1s being performeo prior to sale 2 I have l,ved In my home for twelve months prior to completion of this work I have not cla,med thrs exempt,on during the last three years C I am exempt under Sec ______ , B & P.C. 1or this reason D I hereby affirm that I ha,.e acer1,11cate of consent to self-insure, or a cem!1cate ol Workers Compensa11on Insurance. or a cer1,t1ed copy \hereof ISec JEOJ. Labor CoClel POUC, NO KWP 265 92 50 coMPANv Fi.r..emen I s. Fund □ Copy •Stiled Wl!h !he city 0 Gert1t,ed copy 1s hereby tum1shed CERTIFICA.H. OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE (Th,s section need no! be completed 1f the permr1 1s for one hundred dollars ($100! o, less) D I cert,ty that In the pertormance o1 the work 10, which !h<S perrmt 1s issued. I shall no1 employ any person In any manner so as to become subIecT !o the Workers· Gompensat,on Laws of Ca11!orn1a NOTICE TO APPLICANT If. alter makm'., this Cer1, hcate 01 Exemption you should become sub1ec1 !'J 1he Wor1<ers· Compensation prov,s1ons of the Labor Code. you mus! forthwith comply with such provisions or !his perm,t shall be di>emed re,oked D I ne,eby alf1rm' 1na1 rnere ,s a corist,ut!·on Iern:J,ng agency for thP pertormanc-e ol trie work !o, which this perrrI1 ,s ,ssued 1sec 3097 c,v,, Code: Lenae, s Name lln j on Baak Lenders AC!dress 52 5 .. 8 .. Street San Diego, 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, Car\sbad, California 92008-1989 (619) 438-5525 JOB ADDRESS AV.-ST, DATE OF APPLICATION BUSINESS LICENSE # "r?'l~~ eERM;;19 2837 Hillsboro Court PLAN 2 RO. 7/28/83 1710 OWNER'S NAME 1299-~~~R'S PHONE C()NTRACTOA CONTRACTORS PHONE fi ZONE . ,; .,, " ""'' TMTTl'n PACIFIC SCENE, INC. 299-5100 OWNEA'S.,MAILING ADDRESS CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # ~LOG USE CODE -,nnn .. • Street/San Dieno. CA 92110 3900 Harney St./San Diego, CA 272686 ~o; T BLOCK k':5t1UiDIVISION 1: ASSESSOR PARCEL NO. DESIGNER LICENSE# STANDARD PLAN# BUILDING SO. FOOTAGE invPra Hil s Tract 82-8 /,_ "2--::z_ DESCRIPTION OF WORK 11.~ "' I n I"&...,..;----'"·-.,-h.;' . -r _n.,.,n r 0 nn1n !Comilv A. . . -' --. DESIGNER'S ADDRESS DESIGNER'S PHONE -!_ I ? es ~ 1 •' ~'" -' L/ I ~ -(f-::!iir! ' ' ,,,... --. --"' FLA ELEV. NO or:'3 EDU -. ~ ' ~s I PLA!i ·2~ , " vO NO CENSUS TRACT l GP LAND USE I PA%CE I RES ,NITS GRADING ~ERMIT ISSUED I REDEVELOPMENT 1rh OCC LOAD FIRE SPA AREA ~~ YD '□ •□ N vD N\;J' Not Valid Unless Machine Certified I ' QTY. PLUMBING PERMIT -ISSUE 7 . c::::' QTY. MECHANICAL PERMIT -ISSUE 3CO SUMMARY/ACCOUNT NUMBER ,< EACH FIXTURE TRAP ~. :r= I INSTALL FURN DUCTS iJP TO 100.000 BTU LL r 'I BUILDING PERMIT 01 ·00-00-8220 3('LL r--,i, [ EACH BUILDING SEWER -1.o '= OVER 100,000 BTU SIGN PERMIT 01-00-00-8221 --t _ __d,__cc::; ---~---l Ci7,t-Q I EACH WATER HEATER ANO 'OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 ----- i EACH GAS SYSTEM 1 TO 4 0 UTLETS -; ___ do, c:::: __ 801LER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00-8222 -------- EACH GAS SYSTEM 5 OR MORE -l METAL FIREPLACE ·:i_ ('( ELECTRICAL 01-00-00-8223 h Slo.""T'. ---------_· __ ---------------30.CD EACH INST Al. ALTER. REPAIR WATER PIPE ·::,, VENT FAN SINGLE DUCT :n_-rr MECHANICAL 01-00-00-8224 -~\i~_AR EACH VACUUM BREAKER MECH EXHAUST HOQQ.'DUCTS MOBILEHOME 01-00-00-8225 -----....__ -- WATER SOFTNER RELOCATtON OF EA FURNACE/HEATER ~QBILEHOME PARK INSP ~-~ -------~ -- i EACH ROOF DRAIN 1INSIDE'1 -----SOLAR -01-00-00-8_2.26 ~-J TOT.C.l MECHAN!CAL STRONG MOTION 80-92-33-0519 ·3 (.,;/,.., ----I ~-'51-c:J \1,..,1'1 ------ TOTAL PLUMBING ~ FIRE SPRINKLERS 01-00-00-8227 -lL~CD_ QTY. ELECTRICAL PERMIT -ISSUE 5.CD QTY. SOLAR · ISSUE ~B~IC FACILITIES FEE 32-00-0Q-8923 -BRIDGE FEE --------------=-,5 rr NEW CONST EA AMP'SWT BKR _J COLLECTORS --· -----SCHOOL FEE • DISTRICT --------- 1 PH 3 PH STORAGE TANKS Carlsbad 80-92-21-0519 ---------------L,.._ --------- EXIST BLDG EA AMP/SWT BKR ROCK STORAGE Encinitas 80-92-22-0519 ---------------}--' ( / IPH J PH PUMP ~~eguito 80-92-23-0519 -----------------. !_LAN cHECK--FEE-... r ,..,, -,; -~ - REMOOEL:ALTER PER CIRCUIT ./. San Marcos 80-92-24-0519 ------------------------------ TEMP POLE 200 AMPS ~-1J/rrY ~ ~ --------------L. c-----+ OVER 200 AMPS -1.---------------------~----/ -- TEMP OCCUPANCY 130 DAYS) ~--v_ ':J. ./ ----•----------- -TOTAL ELECTRICAL i ~ ri" -u ----· --./ - \ TOTAL~ TOTAL FEES PAYABLE I I 7L+O.O-o • i . I HA\LE CAREFULLY EXA~INED THE COMPLETED "APPLICATION AND PERMlT" AND DO HEREBY EKpiration. Every permi_l issued by the Building Official undefthe prov,s,ons of this * AN OSHA PERMIT IS REQUtREO FOFI EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by limitation and become null and void. If ;~g or work ·5' O" DEEP AND DEMOLITK>N OR CONSTRUCTION Of DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authonzed '?Y such permit 19 not commenced within lBOdays from I ciate of such STRUCTUR£S OVER 3 STORtES IN HEIGHT permit, or 1f the build1l or work authorized by such permit · suspended or ISSUED: TO COMPLY WITH ALL C!TY, COUNTY AND STATE LAWS GOVERNING BUILDING CON-abandoned at anv time er the work is commenced for a: .-...r of 180 da··s. STRUCT!ON. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPUC ~· A?-OWNERZ'f CONTR_.4~ APPR VED BY Ylfl KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABlLIT!ES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY !N CONSEQUENCE OF THE . I "¥--#1 _ GRANTING OF THIS PERMIT. ---· --NE 0 -a •• . ' -- ~ U: > ro 0 0. E "' f-- 1 'O 0 "' C "' -~ ~ C. - 0. "' I ~ C a: 0 "' "' "' "' "' "' I § © >- ,; "' "' '-' 0 a: "' <ii 0 ~ "' '-' C "' C U: C "' "' 0 0 0 "' 0. "' C ~ ;c ,: INSPECTION TYPE DATE INSPECTOR BUILDING FOUNDATION , REINFORC_E!)_ST~EL, MASONRY GUNITE QR GROUT FLOOR & CEILING SUB FRAME SHEATHING FRAME EXTERIOR LAT, INTERIOR LATH-& DRYWALL PLUMBING SEWER AND BL/CO PLUMBING UNDERGROUND PLUMBING TOP OUT TUB AND $HOWER PAN GAS TEST ELECTRICAL TEMPORARY POWER ELECTRIC UNDERGROUND ROUGH ELECTRIC ELECTRIC SERVICE BONDING G, F, L -SMOKE DETECTOR MECHANICAL DUCT & PLEM,, REF, PIPING HEAT -AIR COND, -SOLAR SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HA VE BEEN APPROVED, JOB SITE FINAL PLUMBING ELECTRICAL MECHANICAL GAS vY BUILDING , -~" 'l,,v,. M r-11- SPECIAL CONDITIONS "'. ,. CERT OF OCCUPANCY ISSUED ' 153-13'5 .,g FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTiON REO IF INSPECTORS DATE ' CHECKED APPAO\/.AL --- i '::iO<i_S CC!r--.~P'_:A\iCE: PRiOR TO ------- FOUNDATION :\JSP 1-----------------STPLJCT JAAL CCl"JCRETE OVER 2000 PSi PRES TRESSED CONCRETE ·-,_._ POST TENSIONED CONCRETE l=IELO WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY ' ' ----I PILES CAISSONS I i ------- --, - '! -------- •, ------ - • ». . ---'-- -• ·----- -- -. ' -- T,:1: 1 fO c. ... rtTIFY TIIAT INSUJ .">TION I:AS BEEN INSTALLED IN CO}<'i"ORMANCE WI · TllL CURRENT ENERGY REGULA TIO NS, CALI F'ORNlft AD"TNT~ RA'J. E conr:, TITLE 25, STATr OF CAL;FL•'. • • IN THE ·BL ~ •. D, l<V LOC'i\TED "' SlTE Ann™: J,237 Number 1'· ' I I , 0..._,_ J.aL,:a.e,, __ c:...,, t . Ca c /4,oq o( St1eet 1 City . filiTERIOR WAI.I l ]-I ·-:> // It /' I M.anufa,turer_...;,..::-1--l::..:1/J'/:.+---T.hicknesa/Type v L.:J. R/Value __ r __ l CEILINGS ~ Batts: Manufacturer J//YJ h I/_ I/ Thickne"s /cl R/Value /9 GENERAL CONTRACTOR: __________ __;LIC. II _______ _ BY ___________ TITI,E _____ DATE _______ _ T NSlJI.A TT ON CONTRACTOR: () BY~~ u APOLLO INSULATION LTC./1 '.'86015 --=---'-'------ TJTI,EJ¥7= DATE 1/J .r/~0