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HomeMy WebLinkAbout1340 HILLVIEW CT; MULIT-PERMIT FILE; CB030297; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-29-2003 Plumbing Permit Permit No: CB030297 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1340 HILLVIEW CT CBAD PLUM Status: ISSUED 01/29/2003 SB Parcel No: 2052105300 Lot #: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: CANON RES NEW H20 HEATER Inspect Area: Applicant: A&J FOSTER, INC. STE B 13706 HWY 8 BUS EL CAJON CA 92021 619-390-44 77 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES Total Fees: $27.00 Inspector: 0 0 0 0 1 0 0 Owner: SMITH TERRIE LYNN 1340 HILLVIEW CT CARLSBAD CA 92008 Total Payments To Date: $0.00 5870 01/29/03 )00:2 :}l r:Gr:,, $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Balance Due: $27.00 Eypr.Dr.'.'D p. ER!\{\jT ..,,,.~ ~ rr~.11,;, liihl PEP:' · : ',;$ [;'.<':RED IN f,CCORDANCE WITH U.9.C. SECTION ·1u6.4.4 FINAL APPROVAL Date: .SIGNATURE ..J.rk=~-- Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any i n I im'I r whi h · i n h rwi PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 · ~1i'8.Rg~eli':lJNJi:Qilt'lfA1JioM~~~~[t~lilt~F.~~~~I~11~/'i'f.~~.;;:l~fflf.'t1~""!1~W.W~~~~~1riii J 340 W 1 Jview ct FOR OFFICE USE ONLY PLAN CHECK NO. C/J t?J at 9 7 EST. VAL. _________ _ Plan Ck. Deposit _________ _ Validated By __________ _ Date ______________ _ Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units SFR Assessor's Parcel # Existing Use Proposed Use Description of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms ""2•iiJ;1!'f."tc"'o't:i/,,~~t.e!lJ;,,r.\HeQ · ,,a11l~li:e~~tt~P.\j'llc: rt1Q;~~.!,~J!\';:l~!!!~i1\~J;;:m')~:ilil1'<~~,1:'l!iil:r/';,i\~~!!:t.le~ir,mm:1~~~,~"ll!!li:~Wl1'!\'~,i1ll:'~i!;l"!i~:.1"{1:~"!~1f~-:i~1'l1'~~1filtllr,~\~~)'!;i~~ ...... ..i,~ .. ~··"'~~; .... ~!r7fe'·•···Jf.6.,w .. ,P __ T 3"'45iiiii;r;"~t;"""'-"'ear 1s5act' .... '°"""'""''l.A . '9':tuod"'il'"" ,. I O u'!:t5 03.:.; L::> :> , •.•. , Name Address City State/Zip Telephone # Fax # lmi!~ii#w,,rm'.ir•,fi\!1\rt!ilrm1~niitra?.i"iil'i~:mrc:IITI'r,~ii'ili:1fftmf~ifa~t~tw. •• 71tif'if.it,.,~~~ll1!w~~&l~tt!tf'1Jifk1Will]ii~m~Jll[,~ili~f}1i~:,t~"rnrnti1m:J;f~~: , ... ,~ ... A;;~;•'i~;;;·~;:·c~-;·;i·~~~t~;~--13706~~-Hwy. 8 Bus. El Cajon, ca. 92021-(·619) 39u~44 // Name Address . City State/Zip Telephone # t4~~1jj[t{Q~~]jJ.WJIW:~~61tlj[~illliBUr!!~M~li~~~!na~~}:l1Ii~a1:.~~!l!~llil:i~iI~l!itil~lz.~i~i.iiftlffli.i~iiJi:r11~~~if&1ti~lf~jll~~jtJ1~l~[li::i~i~ canon Terrie 1340 Hi J J vj PW Ct Carl.shad Ca. 9~008 760-803-1537 Name Address City S.tate/Z1p Telephone # (Sec. 7031.6 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to Its issuance, also requires the applicant for such permit to file a signed statement that ha is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001). Nam/i & J Post~r Pltlfflbing Addl 3706 B H\l'f. B Bue. ress El §ajon CA 92021 (619)390-4477 State License # --ee-cJ3~Q~l,,,;;i-Q ___ _ License Class __ .._C..:-=---3u.6.._ ___ _ Designer Name Address City State/Zip Telephone ,,.;;:,~;;;:s-~t'-e_r,i"i( ___ ,-.·-;..,.-·:?-.l'<!_,~ 17 A=-j· •,t--:.-~-,ffl'.-.·-,.;11m-.-,-m'i!--~-,.r,~11,r;1!!]i,;::¥.f.;r1:x-iii:rr,:;,:-""',riK~ii1'!'i'l',il:'\\'J,~il1t"i:''ll!~lil!i)J!,f"',;;~l~!:ll~§i,·11!TiJffi::~f.fl;mr,1m11ffill"''11'1fi~»-,"~~::~••!f.I:m:11!11l!'irJ't-'"m1T,1i'!i!:M1't,Rrsii;~,i*mtmI' !!'.',~,ij!J..t.'l:.O~,;;J., . .,~d.Yi: ..... ~J!.~ .. ~11ott.f$.'1JiifJt:t.~~tri'M.~lli,f,illl,.-i.ii!i&""',~Uif.Wii,ij!i!"l':lili!i.i.~;1J.1W: ~,i-ilii::i~.e,ti!~fir'~~~~~;jj,~itiof.£fta.~C!ll~~l~a.~~1M1.1~ll,llil~.a1!-,fh~1i~~.i:b':~.,.,; ~ . ...-..... ~t.,-.JJ!ij!i..~!,!,j Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 I have and will maintain workers' compensation, es required by Section 3700 of the Labor Code, for the performance of the work for which this permit is isslM.d. My worker's eompensatlon Insurance carrier and policy number are: Insurance Company Late Co . Ins. Policy No. 467 01 000071 3 Expiration Date 04-01-03 (THIS SECTION NEED NOT~E COMPLErmi?F THE PERMIT !S FOR ONE HUNDRED DOLLARS ($100) OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify-that In the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage ls unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000) · t n to the o of co tion, damages as provided for In Section 370Ej of the a or 9>de, Interest and attorney's fees. SIGNATURE:~~~~~~~~~~~~~~;:r;~~~~~~~~~iiw.~m~~m DATE-+-,'-""''--~------ 0 I, as owner of the property 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 not apply to an owner of property who builds or Improves thereon, and who does such work himself or through his own employees, ·provided that such Improvements 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). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon, and contracts for such proj~cts with contractor(s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I !have / have not) signed an application for e building permit for the proposed work; 3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work [include name / address / phone number/ contractors license number): ______________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work Indicated (include name / address / phone number / type of work): ________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ DATE=======---- [f}'.QMJj~_'~'[t,\f:_fli($if[~!flFliilijfltgnjNjN.i!lf~/{ttfiiffl\l)im!LdJ~JN'iflffij.M)Jf§}~~·-'1-li111'-~1h~UU.fiilit~Ji\iU11~~1\rL~\ffi{ft~)~1tfi~ Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 26505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 0 YES q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. [ij\1lr~G~tij~Jti'i~ml~J~~NQJ[&:<~~Ntl¥il:ii>~f.,\i;~}~'!l~mirlk~"[\1,~.l\~im!"f.f:rl1i~ful~l'l\ll~~ll.w]lrJJij~\Wi"T!:f!t.E;1~]][€~m~1iJ,~lfill:m:1rn:~l~4)~1~~~1l~fil~\•l~ I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 3097(i) Civil Code). LENDER'S NAME -------1\H~-------LENDER'S ADDRESS !~~llrJi\li:Bir@~'i'Eifc.§iifLlf!QA1tf.i.§Nl1llfa;,~"i;·~~U8lllr.~1'-.i,1J1nfJ~~a ... ~-IW-~--~--.... ,,,-.-, ;-r-~-,lf-1, .... B-.. --~-,._-_,'lfil-.~-.. -. ---.-.,-,!!l¼'!'i-.-,.-~-~'li-~-lC_W_~-,·---,.riii-f'J:J_i'_illill_°i'~-~-"!~---B-m-~i"-1-11:"-,ilk-N-'.~-.. -1-ili-~r-J!'Jt-,'~Jii I certify that I have read the application and state that the above Information is correct and that the information on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit\' of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit Is required for excavations over 6'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued b~the bulldin Ottlcial under the provlsio of this Code shall expire by ilmltatlon and become null and void If the building or work authorized by such permit Is not commenc i ,~ ~iY,s ~he dat • uch ermll or If the building or work authorized by such permit Is suspended or abandoned at any time after the work is commenc or V°/'"J5•(Se . lform Building Code). APPLICANT'S SIGNATURE • DATE f / 2 ~ ---t-1 ------------ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB033118 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 1340 HILLVIEW CT CBAD PLUM 2052105300 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: Project Title: Applicant: CANON TERRIE L CANON RES-ADD GAS LINE FOR FIREPIT 1340 HILLVIEW CT CARLSBAD CA 92008 760-434-8086 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES 0 0 0 0 0 1 0 Owner: CANON TERRIE L 1340 HILLVIEW CT CARLSBAD CA 92008 Issued: Inspect Area: ISSUED 11/17/2003 KMT 11/17/2003 11/17/2003 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00 SV'··"-··· 8817 11/17 /03 0002 01 02 CGP 27,00 f'!NAL. APPROVAL ~lf-Tf:.71~:tcLEMU,NCE ----- SIGN/\llJRE ~ )u ----'-------- / PERMIT APPLICATION GITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Legal Description Lot No. Subdivision Name/Number Assessor's Parcel # Existing Use !, Cotta .n 1.3 f" CJ Htl7v1elU Address ,5 CBt9:D City FOR OFFICE USE ONLY PLAN CHECK NO. {!(30 33 / )6 EST. VAL. _________ _ Plan Ck. Deposit --c-~------- Validated By i:A~ Date { I { t~ Unit No. Phase No. Total # of units Proposed Use # of Bedrooms # of Bathrooms (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant tor a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)1. Name Address City State/Zip Telephone# State License # _________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 6. ~_K~s• C9"'1'Al't~A TlPN Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self•insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. O I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company______________________ Policy No._____________ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to crlmlnal panaltias and civil fines up to one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of tha Labor coda, interest and attorney's fees. SIGNATURE.______________________________ DATE 11. Q:WNEf!·BUl!,.QE8.PtcLAllAT!ON ' ---:::==:;::;==:::;;;::::::;::;;;:::__.,,,,..-----·-·"""''l" I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O I, as owner of the property 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 not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is ~ 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). ~s owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. 2. 3. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ~O 8 have not) signed an application for a building permit for the proposed work. r . I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number/ contractors license number):. ________________ --''--------------------------------- 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work):, _____ ....:::::.:..... ____ -l------,,---,=Yt..L-1-----------------------1-~---.J-------- -XPROPERTY OWNER SIGNA TUR ~..dc....l::..-::lt_...!~::,.'.i..,:~,...:::..._~· 1.::=:~:::.J£~e:.l.......o......,=-,----DA TE ----1,'---4'--+-+--,,t:--+-V s / /coMPLETE THIS SECTION FOR NQN-Rf!ilDENTIAL BUILDINQJ>ERMrrs QN~ Y Is the applicant or future building occupant required to 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 Act? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 0 :,'ES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. !§ cONS.IfCUCilQ"'''-eN.PJNQ ~GENCY ' •*-~ ~ .... \ .. :.=-~~. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME ______________ _ L9, Ae!'!J,C~t CEBIIFIQ~TION I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit,, of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 6'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit · suspended or abandoned at any time after the work is co enced a period of 180 days (Sectio 6.4.4 Uniform Building Code). ~ APPLICANT'S SIGNATURE _.:::::......\~e::;.._4=,,..&...~..J_.L./.:..._,.&:.,~!.-~ZJ~~~::::::,,----- PINK: Finance DATE City of Carlsbad Bldg Inspection Request For: 03/18/2004 Permit# CB033118 Title: CANON RES-ADD GAS LINE FOR Description: FIREPIT Type: PLUM Sub Type: Job Address: Suite: Location: 1340 HILLVIEW CT Lot APPLICANT CANON TERRIE L Owner: CANON TERRIE L Remarks: can you final? Total Time: CD Description 29 Final Plumbing 0 Act Comment _ff_ J./t Associated PCRs/CVs Inspection History Date Description 11/18/2003 23 Gas/Test/Repairs Act lnsp Comments AP JM FIRE PIT Inspector Assignment: JM --- Phone: Inspector: s~ Requested By: CHRISTINE Entered By: CHRISTINE IMCfvd cJ "' z 0 " " .. " (j w Q .. i[ 0 u .. w Q ... 3 ~ w z ~ 0 z 0 " " "' z w .. "' 0 u ,,, <r w " .. 0 ~ 1[ O I hereby affirm that I am licensed under pro11islons of Chapter 9 (commencing with Section 70CXJ) of Division 3 of the Business and Professions Code, and my license 1s 1n lull force and effect. I hereby alf,,m that I am exem~• 1rom the 'or's L·cense Law for the 1ol'ow,ng reasC' 1Sec £1us,ness and Proiess,ons Code Any c,:y O' countv,. ·,cc ·e qu,res a perm,! to construct. airer ,-pr8•>e. cerno,,,n C' repair any struclure. ;ir,or to ,ts 1ssuar-ce <1<0 ·eau,res 'he ao pl,cant for such µerm,t lo hie a s,qnec sven•enl !ha• ne 1\ ,censed ~ur1waet to the prov1s,ons or trp Vnlroc:r o License Law ,cnapter 9 commenc,ng ·w,'h Sfc11n1 71JC'J ~• ~1v1s1on 3 of :he gusmess a~d Proless,ons Co~e. ar tha• empl therefrorr. and the tlas,s for the al'egeo e,ernp: o~ vioiat,on ol Secl'8n 7031 ~ by an appl,canr 'w a permit ,eels the appl1ca1: to a c,v,I pena'ty 81 no\ -8re than t,·,e dreo dollars 1S~OO) I, as owner oi the property or my ensplo'/ees w,:h wa,es as !he•r sole compensar,on. wrll do the wo·k a1d 'he struc ture ,s nol ,n1enced or oflered tor saie !Sec 1844 8us•ne~s aM Profess,on~ Code. The Con1'ac10, , L1ce~se La# does nol apply to an owner ol property who builds or ,rrpro•1es Jhe,eon and who does such work himself o· lhrough h:s own employees. prcv,ded that such rmp<ovemenls are not ,ntend ed or offered lor sale II. huwever the ou,ldr~g or improve rnent ,s sold w1\h,n one year of completion. the owner-bu Ider w,11 have the burden ol proving lhat he did nor build or rm prove for the purpose ol sale/ I, as owner of lhe property am exclus,ve•y contracting wrlh 11censed contractors to consttuct The pro1ecl (Sec 7044 Business and Professions Code The Contractor's License Law does not apply to an owner of property who bu rids or ,m proves thereon. and who contracts for each oro1ects with a con1,acto,(s) 1,cense pursuant to ltie Co~!rac\or's License Law I As a homeowner I am 1mprov1nq rny home Jnd tne follow ng condrt,ons exist 1 The wor~ rs being performed pr,o, 10 sale 2 I have lived 1n my home for twelve monlhs prior to completion of th,s work I have not claimed th,s exempt•on durrn~ lhe lasl t~ree years I am exempl under Sec B & PC for :hrs reason ____________ _ I -Xi hereby affirm tt>at I ~.ave a cert1l1cate of consent to I SP f-,ns~'e. or a certrhcate ol \l'/orkers Compensation I~ surance. or a cert1'1ed copy tnereof 1sec 3800 Labor Codel I oouc, 00 TC721698048 CO-,,PANY = Coo, ,s ,,M,ai;;,yJ,<ll;ld Casualty: :::::Xcert1fred copy 1s hereby furnished CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE 1Th,s section oeed not be completed 1f the permit 1s lo, one hundred dollars 1S100! or less) ' = I certify that ,n the performance ol me work to, wr,,ch I !~sn~:::~! ~: ;~s::~~:h:~lb~Z~tt~;~~Y ~~;k~;~s~:;;;pa;~• I satron Laws of Cal1forn1a I NOTICE TO APPLICANT 11. ar1er making this Certrlrcate I o' Exemption you should become subject to the Workers· 1 Compensation pro,isions or the Labor Code. you must lorthwrth comply with such prov1s1ons or thrs permit sra,: be deemed revoked I I hereby affirm thatijp,n~a construction le,111~ I agency for lhe pprlo,mance of the work 'orwhrcr. th s per I m1t rs issued ;Sec 3097. Covrl Code) Leaders \Jar,,e Le1der s AdCr~ss USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. JOB ADDRESS CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161 AV. ST.RO. NEAREST CROSS ST. APPLICATION & PERMIT BUSINESS LICENSE # VALUATION PERMIT NUMBER _1340 Hillview Ct ·, l'linhland Dr LOT I BLOCK I SUSOIVISION l ASSESSOR PARCEL NO r 5402 -----I ZONE I s;iu ~ \e,10 I DATE OF APPLICATION! 11-17-86 CONTRACTOR CONTRACTOK~ t-'HUNtc 11 OWNER"S NAME OWNE R"S PHONE ---. ·--. "'BbiLOING SO FOOT A u1=1f-hv 729-3508_ U','1/NER'S MAILING ADDRESS ?RlQ ·;:il J\u.o A.J!<OAQ DESIGNER DESIGNER'S PHONE 1340 Hillview Ct. Carlsbad 92008 DESCRIPTION OF WORK QTY. f--- f-- OTY -~n] -~ DESIGNER'S ADDRESS s e F LR ELEV YC "'□ GRADING PERMIT ISSUEO NO STORIES TYPE CONST STATE LICENSE NO. OCC GP EDU OCC LOAD FIRE SPF' I I SASK,,,, COACC RCS UN<Vi I ID ~ D I RfOEVELOPMENT AREA 'CJ -...□ vO NO Nat Valid Unless Machine Cert1f1ed PLUMBING PERMIT· ISSUE ;?~ !I QTY. MECHANICAL PERMIT -ISSUE c.,,-3 ,,-, SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP ; INSTALL FURN oucTs uP 10 100 ooo BTU su1c□"G PERMIT 00121oooo_os22c E j EACH l:}LJILOING SEWER I OVER 100.000 BTU SIGN PERM 1T G01 810-0'.J-0•= .. 8221 EA CH WATER HEATER A~ Li _? ~~-~! __ ---+-~$_2~.S_Q__ _ ·-·-; BOILER· COMPRESSOR UP TO 3 HP PLAN CHECK --0□1-810-00-00-882~ EACH GAS SYSTEM I TO -1 OUTLETS TOTAL PLUMB-\iG 001-810-:)0-00-5222 ' $10.00 EACH GAS SYSTEM J OR "10Rf I M~TAI F RE'PL;.C~ ----+---------ELEC~~l_(:;_AL 001-810-00-D0-8223 -- GLE llUCT MECHANICAL D0'-8iD-=0-00-8224 E'ACH INSTA~ ALTER. REPAIR W!\TER PIPE ---------e---- EACH VACUUM BREAKER HOOU UUCTS MOB!LEHOME 001-810-,J0-00-8225 IVAlER SUFTNER RELOCATION OF EA FURNACE HEATER SOLAR '.J01-8iG-DO-DD 08~2~26~+---------- 1 u.r:i-, Pen~ ;;R,\111 , :'.~1:1r I T(JTAI Pi UMHIN\, ' $10 .00-1! DRYER VE~T srnm1G MUl'ON 850-519-92-33 rori:,L MECHANICAL F1RE-SPRIW<LERS oo 1-81o-co-o:-s227 320-81D-OD-OG-8740 ELECTRICAL PERMIT -ISSUE ~--1...c~·•,..,.lt" ···--·--1-'.i\.Kl-'.-IN-LICU iAKi:.i\. MORII F HOME SETUP PUBLIC FACILITIES FEE BRIDGE FEE 360-81 0-00-00-87 40 N!:WCONSTEAAMPS½l l:\KH ----c:.-_,.-~--r---rc-::-=:c-----------,----=-,1r- TI F 134-81 0-00_0_0_8_8_35-l--- _ _,_ _________ . l PH :; Pl-' __ ,__ v-~-N~~ ______ 7 _~-,,,-c_-_--:_cc_.-_--_~~----=--LA COSTA TIF 133-810-00-00-8835 oc 1-s 1 o-cc,-o:-s 1 ::2 EXISfblD(;E:AAM~~-~1 HK GARAGE ., _Jl_ FMF I PH :l PH -----t-------tf---+------=--_______ _,_____ J LICENSE TAX f---+-R_E 'viODEL Al T t -f------+--+----c,,L ------I --M"FF __ _ 880-519-92-57 +----------- TEMPPnl 200A'v1PS OVER U AMPS / ff MP OCCUPANCY '30 nAYSI +---+- --- lfl!Al f:f-l~lf-11(.t\! T I I HAVE CAREFULLY EXAl\t'INED THE COMPLETFD "APPLICAT'ON ANO PERMIT"' ANO 00 HEREBY CERTIFY UNDER PENALTY OF PEPJURY THtiT A.,.l INFORMATIOl'i HEREON INCLUDING 1HE DECLARATIONS ARE TRUE AND CORRECT ANO I tUPTHER CERTlf'Y AND AGREE IF A PERMIT IS ISSUED· TO COMPLY WITH ALL CITY. COUNlY AND STATE Lti,WS GQ\IERNING BUILDING CON STRUCTION. WHETHER SPECIFIED HEREIN OR J\.OT I Al.SO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND EXPENSES WHJCH MAY !N ANY WAY ACCRUE AGAINSf SAID CITY IN cmJSEQUENCE OF THE GRANTING OF THIS PERMIT -+------- -+-------1 --------I~------------------➔---- t I CREDIT DEPOSIT IO A. TOTAL FEES PAYABLE I _ilQ_._ 00 E)(p1rat1on Every perrmt issued by the Buold,ng Q!t•c,111 unde, theprov,s,ons o!th,s Code shall exp,re by l1m1t11t1on and become null and void I! ttie burldmg or work authorized b~ such permit 1s not commenced w1th1n 180 days from the date of such perm,t, or 11 the bu1ld,ng 01 work authorized by such perm,t 1s suspended 01 abandoned at any hme after the work ,s commenced tor a pe_r_1_oq q_! __ 180 days APPLICANT'S SIGNATURE JI. OWNER O CONTRACTOR[] s c,c1 . uLXl.(\ ·-11A~ ~ BY PHONE [l * AN OSHA PERM:T lS REQUIRED FOR EXCAVATIONS OVER 5· o·· DEEP A.NO 0£:MOLITION OR CONSTRUCTK>N Of STRUCT\JRES OVER 3 STORIES IN HEIGHT >CPR~: IA~ ,;; ) ~A;Et_ 1 :)~ w LL >-~ 0 o_ E © f- D 0 (') C rn 0 o_ o_ .,: I ~ C 0: 0 w w w w w .,: I ~ .2 w >- © u C rn C U: C 0 ~ (') 0 u 0 o_ w C "' ~ ;; TYPE DATE INSPECTOR BUILDING FOUNDATION ! REINFORCED STEEL ! MASONRY GUNITE OR GROUT SUB FRAME □ FLOOR □ CEILING SHEATHING □ ROOF □ SIHEAR FRAME ! EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING C SEWER AND BL/CO C P,L/CO UNDERGROUND D WASTE O WATER TOP OUT □ WASTE TUB AND SHOWER PAN GAS TEST □ WATER -,- 1 □ WATER HEATER □ SOLAR WATER ELECTRICAL □ ELECTRIC UNDERGROUND ROUGH ELECTRIC ' 1 IJl UFFER ' l □ ELECTRIC SERVICE □ TEMPORARY □ BONDING □ POOL T l MECHANICAL 1 □ DUCT & PLEM., □ REF. PIAING HEAT -AIR COND. SYSTEMS , VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HA)iE BEEN APPROVED. FINAL PLUMBING I ELECTRICAL I I I r- MECHANICAL GAS I BUILDING I LJ,'1-~ I /M· I SPECIAL CONDITIONS It <;?{, ~1 > ]0 FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES /J - /--w?ec-/4/-.M?vU-CA//4/ / INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL foevM-- / / ~ -SOILS COMPLIANCE PRIOR TO , F"OL,NOATION INSP . --~ STRUCTURAL CONCRETE ' OVER 2000 PSI PRESTRESSED CONCRETE I POST TEN:=:,IONEO ! CONCRETE - FiE_ D V'iELOlf\/G --------I.-.. ... HIC]H STRE:.NGTf-_, BOLTS S~"ECrAL 'JASONFlY -I Pll.ES CAISSON~-! I ~-------- ------ ' r ! ,--------·-- -------------- I-----~----------- ------- ----- ,d e •I I". 'I