HomeMy WebLinkAbout2838 Hillsboro Ct; ; 83-135-74; Permit"' z 0 .: : :l '-' "' Q
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D I hereby affirm that I am licensed under
provisions of Ctiapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
~~II ~~rce ,8J62~~-Q,,,1 B-1
I ~ereby affirm '.hat I am exe'Tipt from th~ Cortrac-tor s L1ce~se Lav, 10' t~e :o lowing ·easor !Sec 7031 5
Business and Profess,Jns Code Any city or cou~ty which re-quires a perm,: ·o const,ucl alter 1-np·o1·e den101,sh o·
repair any st'octure pr,0r :o ,Ts 1ssua1ce a!so re~u,res the ao·
pl,cant 'or ,uc~ perm,t to file a s,g1ec statement :ha'. ~e rs
l,censeo porsuant lo the prov1s,ons of tie Cortrac'.cr's
L ~ense ~aw 'ChaJ:er g commeo:110 wtr Sect,on ?JOO of
D1v,s1cn 3 c-t the B~s,~ess a~c P•ofess-,ors C:,dei or 1",at ,s e,-emot :~e,e11orn anc 'he bas,s for :he alleged e,enior,or A~1·
v,oat Jn al Secr,or 703· 5 by ar ap',cant for z perm,t s"b
,ect> tre app Icdnt to a :i,il penal'.y ol not more '.han five hcn-creC OD,ld"S 1$5001
I, as uw1er of the property, or my emplcyees with wages
as the,· sole comoer-sat,,Jn will do the work and the struc-
ture Is 101 rntended 8r offe'ed tor sale !Sec 7J44 Bus1ress
and Pcofess1ons Coae The Ca~'.·actor"s L1ce~se Law does not apJIY to an owner ot proper:y w~o builds or I:r,proves
thereon and who does such work himself or through his ow~ employees provided that sucn Irrorovements are not intend-
ed or offered for sale Ii Mwever, the bu,ld,ng o, 1mprove-11ent Is srnd w,th,n one year of cnmplet1on. the owner-buiIde0
w1I' have the burden of prov,ng that he did not build or im-prove for the purpose of sale,1
,:-I. as owner of the property, am exclusively contractrng with licensed contr2ctors to rnnstruct the project {Sec. 7cl44
Business and Professions Gode The Contrac!or's License Law does not apply to an owner of prope,ty who builds or Im• proves thereon. and who contrac!s lor each proiects with a
contractor{s) license pursuant to the Contractor"s Lrcense ~wl
'.J As a homeowner I am improving my home, and the follow· ,ng cond1t,ons exIs!
1 The work_ IS be_ing performed prior ta sale
2 I have loved In my home for twelve months
prior to complet1on of th_1s work
I have not claimed this exemptron during the last ttiree years
I am exempt under Sec ______ . B & P C for this reason
0 I hereby atttrm that I ha,e a cert111ca1e or consent to sel!-msure, or a cert,t,cate of Workers
Compensat,on Insurance. or a cert,t,ea copy !hereof {Sec JOC(), Labor Code)
POLICY NO
COMPANY
KWP 265 92 50
Firemen's Fund
0 Copy IS l1led with the c1ty
D Cert,t,ed copy Is hereby furnished
CERTIFICATl OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE (Th,s se.::t,on need no! be comple1ed ,f the perm,t
,s tor one hundred dollars Is100I or less)
0 I cert,ty that ,n the performance ol the won< tor
wh1ch 1h,s perm,! -IS ,ssued. I shall nol employ any
person m any manner so as to become suOJelT lo the Wor1<ers Compensation Laws of Cal,tom,a
NOTICE TO APPLICANT 11. after mak,nJ this Cert,
hcate ot Exempt,on you should t>ecome sut>Iec1 t'J lhe Wor1<ers Compensat,on prov,s,ons ol tr1e Labor
Code. you must to'1hw,t~ comply w,I11 sue~
prov,s>0'1S or th,s perm,! shall De d!:'en1ed revoked
0 I hereby affirm That lhere ,s a coristruct,on lend,ng agency •o, lhe per'orr-r.ance ot the worl< tor
wh,ch th,s perm,I ,s •ssued ,Sec ],()g? Ci,,· Code,
Lenders Nam!:' Uni on Bank
LendersAddress 525 11 B 11
San Diego,
s.t
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 AV. ST.~OATE OF APPLICATION BUSINESS LICENSE # 1o~~cr~ PERMIT NUMBER RO.
~1;3,,1~1 t/-
2838 Hillsboro Court PLAN 3 1/28/83 1710
OWNER"S NAME I OWNER'S PHONE CONTRACTOR CONTRACTORS PHONE # ZONE .
TREETOPS UNLIMITED 299-5100 PACIFIC SCENE, INC. 299-5100
OWNER'S MAILING ADDRESS CONTRACTOR·s ADDRESS LICENSE NO. PLANl.0.# ~LOG use CODE 3900 Harney Street/San Diego, CA 92110 3900 Harney St./San Diego 272686 ,.,T4 BLOCK I s'c!§.'1~'{)-'era fJfj_EfS~R PARca No Tract 82-8 DESIGNER LICENSE# STANOAROPLAN. # '-BUILDING sa. FOQTAGE
DEsc~in9iFew0f8.mily T, .0. r'hrism~n/l">rchi tects ("' .Q?O<"> ;...(;7 Attached DESIGNER'S ADDRESS DESIGNER'S PHONE / ;)4; . 0 <10.Q Ai '">ert :t. /Sa ,;qr;_ '20'.\0 ~2W:tfuls .J..Uf ~{._..€.,c..~~-nl-n; =~
.. -· ---'" FLA ELEV. NO r-~ EDU
~N 3 / _o,-/ ,',.l .= vO NO
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CENSUS TRACT I GP LANO USE PAffE RES UNITS GRADING PERMIT ISSUED l REDEVELOPMENT ~fJtJ ace LOAO FIRE SPA I AREA ~
vO NV YON □ ,□ ' Not Valid Unlers M.lchine Certified
QTYI -PLUMBING PERMIT· ISSUE 7, c=:.r QTY. MECHANICAL PERMIT· ISSUE 3 c:c SUMMARY/ACCOUNT NUMBER
1-EACH FIXTURE TRAP ·.-<.f ") l l INSTALL FURN. DUCTS iJP TO 100.000 BTU w.. I l BUILDING PERMIT 01·00-00-8220 -c,_ _, :s-.J::0.---· ----EACH BUILDING SEWER (L) -OVER 100,000 BTU SIGN PERMIT 01 ·00-00-8221 ~ ---· ------+-··-------------
EACH WATER HEATER ANO.OR VENT ~.-.::: BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01·00-00-8806 .4 I \ .l, ~,--------_J__ r-----------·· ---
'±S.(-il) EACH GAS SYSTEM 1 TO 4 OUTLETS {-) 80ILER1COMPRESSOR 3-15 HP TOTAL PLUMBING 01·00·00·8222 ·-----------
--~ 3 ?}' ~r, (Y') EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01·00·00-8223 ----; -------------------4 ~ --I , I EACH INSTA~ .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01 ·00·00-8224 (',(""" ------+
__ }-~ACH VACUUM BREAKER _ ___ _ _ __ !_ _ _ MECH EXHAUST HOOOiDUCTS MOBILEHOME 01·00·00-8225 --~-. ---
, WATERSOFTNER ~ . RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP -----r-,----l EACH ROOF DRA',N 1INSI0!:1 --------. : SOL.~R ___ 0_1 ·00-00-8226
TOTl'.L MECHANICAL STRONG MOTION 80-92-33-0519 4.4,">-~ TOT Al PLUMBING I . y_c:; CT' \4 ( l
·------~
FIRE SPRINKLERS 01 ·00·00-8227 ~ . --~--~--___ ._ .. ----. -------i . , La..ci . .i_.L PUBLIC FACILITIES FEE 32-00·00-8923 QTY. ELECTRICAL PERMIT· ISSUE ,-S·~ QTY. SOLAR· ISSUE ~-----
BRIDGE FEE
NEW CONST EA AMP~swr· HKR _-_1_(5(5~ ------------------~S. COLLECTORS SCHOOL FEE· DISTRICT ·---·-~------I PH J PH STORAGE TANKS Carlsbad 80-92-21-0519 ------, ----~-··· ----------------------·-------EX 1ST 8 LOG EA AMP,iSWT ·BK R ROCK STORAGE I Encinitas 80·92-22-0519 ·--
PUMP ----,J./ J-' -----------I PH 3 PH San Dieg_0!~ ____ 80·92-23-0519 ----------------·--t------------¾ REMODEL ALHR -PER CIRCUIT . --~-PLAIJ CYECK-ffr -------n /J.I 1 _✓ San Marcos 80·92·24·0519 -. -------------------TEMP PO LE 200 AMPS , , r--. --------,-------C '),· ~ bLT ------. OVER 200 AMPS -' -TEM-P-□c-cuPANcv-;·3□-□AvsI -----
__ ,,_ .. ---,------··
~ --------·----\-----------
' ----\ ' ------l ----------O'~ TOTAL ELECTRICAL TOTAL 'SOLAR TOTAL FEES PAYABLE I I ~q SoCa7 I ?D ('[' .'.\ '.,
I HA~ CAREFULLY EXAMINED THE COMPLETED ··APPLICATION AND PERMlr" AND DO HEREBY Expiration. Every permit issued by the Buildirtg Official under the provisions ofthiS , * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER CERTl'FY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code shall expire by !imitation arid become null and void If the building or work .5•0·· DEEP A.NO DEMOLITION OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit is not commenced within 180 days from the date of such STRUCTURES OVER 3 STORIES IN HEIGHT permit, or if the truildinff or work authorized by such. permit is suspen_ded or ISSUED: TO COMPLY W1TH All C1TY, COUNTY AND STATE LAWS GOVERNING BUILDING CON-abandoned at anv time a er the work 1s commenced tor a D&riod of 180 d•"'S STAUCTION, WHETHER SPECIFIED HEREIN OR NOT. ! ALSO AGREE TO SAVE INDEMNIFY AND
APP~Tr:~·cr1~0J1 0 .. OWNER□ CONTRACTOR 0 APPR VED BY ot3/;7) KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAlD CITY !N CONSEQUENCE OF THE BY PHONE' 0 \ J# _,, GRANTING OF THIS PERMIT. --• i 0 I 't~
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INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION ""· ""· 0,3 ,uJ...
To
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING . -I ~ -,I ftU. I.A lfil,JH-ll i:.. .. t• t• ef ~-FRAME
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO
PLUMBING UNDERGROUND IA, i Ill,,". ,.,_,
PLUMBING TOP OUT t.t·e-1 --;] ~ --.
TUB AND SHOWER PAN
GAS TEST '7,1. ,:u/, /IJL .,
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC /..1(,8-f ('Ji-
ELECTRIC SERVICE
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING 1.o1.M N{:
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 .JCl
BUILDING --;:s:p ,i;.n.,~ f'W
SPECIAL CONDITIONS ,;::w .,
CERT OF OCCUPANCY ISSUED '
,.,. ...,J~ I-.,..~ , ~
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES .. .
INSPECTION REO IF INSPECTOR'S DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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Tll!.:; 1 S 'HJ l.ulT' FY Td.AT INS!'T >\TION l .AS BEEN INSTALLED IN
COt:"'1 ,"MANCF' h .i '(Ii i. 'l.L CIJRR!.'. ENERGY !!EGULA TIONS. CAI.I FORNI i
A~'il . ~TH 'JE (''lf,?'. TITLE L5, ST !'t. ~ CAI,11•0' iN 'tlf:
,0J.1.D!NC ..
EXTERIOR WALLS
ManufactU.i:tC Jj/YJ __ Thickness/Type 3 z~ 1
~/Value __ ;,_:; __
.,. .. ~TLINGS
T / / I/_ I/ I (,; Batts: Manufacturer c_;//J7 Thickness h /'7 R/Value__......;,/ __
GENERAL CONTRACTOR: _____________ J.1C,ffo _______ _
B\ TITLE DATE ------------------------
INSULATION CONTRACTOR: APOLLO INSULATION LIC.ffo_:',~6..:..01.:..5=------
BYcf ~ $~., TlTLEc:/¥7= DATE ~/;?w;_/.:l?-,3
. : -~--.' ----em: -.