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Home My WebLink About2275 HILLYER ST; ; CB040560; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-20-2004 Miscellaneous Permit Permit No: CB040560 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: 2275 HILL YER ST CBAD MISC 2081614300 $0.00 Subtype: REPAIR Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Project Title: ZIPPER RES HOT MOP& RE TILE Inspect Area: Applicant: HAMMOND & MASING CONTRACTORS STE E 9770 CARROLL CENTER RD 92126 858 536-2440 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE Owner: ZIPPER JOSEPH&ALICE 470 GARDEN BLVD GARDEN CITY NY 11530 ISSUED 02/20/2004 SB 02/20/2004 02/20/2004 $89.00 $0,00 $0.00 $89,00 Total Fees: $89,00 Total Payments To Date: $0.00 Balance Due: $89.00 5728 02/20/ 04 0002 01 02 '-'\ /\/' CGP 89-00 FINAL APPROVAL DATE j ( L((/£<. CLEARANCE '------ SIGNATURE ~ PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 cl FOR OFFICE USE ON~ / / PLAN CHECK No.Cf??'1~ EST. VAL. __________ _ Plan Ck. Dei::>osit -=--------- Validated ~--------- Date '.2f7Pl0( Address (include Bldg/Suit~ Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Proposed Use #of Stories # of Bedrooms # of Bathrooms City State/Zip Telephone# Fax# □·owner O Agent for Owner City State/Zip Telephone# (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 ption. Any violation of Section 70 7y any applicant for a permit subject the a nt to civil pen;; of not mor than fi~~~s)t~5~ ). State License # -~)_L/_)......,..5: .... /~'.L~--License Class ___ {?~------ City State/Zip Telephone # City Business License# ,a,/31/ff Designer Name Address City State/Zip Telephone State License # _________ _ W..Q!!KERS' COM~ATION 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. I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 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 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. 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 a 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 -----------COMPLEJE THIS SECTION FOfl NON-RESIDENT/AL !IUILDIN!,) •PERMITS ONLY 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? 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. [§,_,&Qt!UR!.!QD9.t,I \.EN!?JJ'iG A._gE.JiJiY~---·- 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 ______________ _ fi.. APPLICA..N"F CEIUIFICATION 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 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by th lding Official under the lsions of this Code shall expire by limitation and become null and void If the building or work authorized by such permit is not com d within 180 days fro ate of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is com for period of 180 · 106.4.4 Uniform Building Code). DATE PINK: Finance City of Carlsbad Bldg Inspection Request For: 03/04/2004 Permit# CB040560 Title: ZIPPER RES HOT MOP& RE TILE Description: Type: MISC Sub Type: REPAIR Job Address: 2275 HILL YER ST Suite: Lot 0 Location: APPLICANT HAMMOND & MASING CONTRACTORS Owner: ZIPPER JOSEPH&ALICE Remarks: Total Time: Inspector Assignment: 0 )\/\ Phone: 00000000000 Inspector: ---- Requested By: RUDY Entered By: ROBIN CD Description f~ Comment :~_s_h~oQw~e~1r~P-~an/,,_R_o"}8'~n-T~ub~s--✓./ ____________________ _ J_L__ ~ V -1.Jl,.., ~ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments