HomeMy WebLinkAbout2725 WILSON ST; ; 82-393; Permitu, z 0 ;::
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0 I he, llrm 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 effect.
Lie No Class \
I hereby affirm that t am exempt from the Con ~~o;·:~~~:;:: ~ ~f~~.:1:Wc:.l,'6:~,~
county which requires a permit to construct
alter. improve, 6emollsh. or repa,r any structure.
pno, to ns Iss~nce also requires the applicant fo, ~~~S:rm~,~~~e 1~ ~~~!',!!="~t t~ 'eo:,~ 1
tractor's License Law (Chapter 9 commencing with
SectK>n 7aX> of D1v1sl0'1 3 of the Business and Pro-
fessions Code) or that ,s exempt therefrom and the b,a.s,s fo, lhe alleQed exemplK>n Any v10la1ton of
Section 7031 ~ by an applicant 10< a perm,t subJects tne apphcAnt lo a cIvII penalty of not more than five hundred dollars (1,500)
□ I, as owner of the property, or my employees
..,,1h waoes as their sole compensation. will do the
work, and the structure ,snot intended or offered for
sale (Sec 70.U, Business and Profess,ons Code
The Contractor's License Law does not apply to an
owner ol property who builds or Impro1tes thereon and who dOes such wo,k himself or through his own
employees, pro¥1ded that such ,mi,<oveme;its a,e
nol 1ntende1 or offered for sale If. howe¥er, the
building or improvement Is sold w1th1n one year of
compleflon, the owner-builder will have the burden of provtng that he dtd not build or Impro¥e for the
purpose ol salet
□ I, as owner ol ltle prapeny, am exclusively
contrachng with licensed contract0<s to construct the pro1ect (Sec 7044, Business and Professions
Code The Contractor's license Law does not apply to an owner of propeny wrio builds or improves
~~~i~~ 7.~~nc~n~~~!~~~ ~~~h~,~~~;::.:
license Law)
0 I am exempt under Sec
for this reason
,8 & PC
D I hereby altum that I ha..-e a cen1ftcate of consent
to self-insure, or a cen1f1ca1e of Workers·
Compensa1ton Insurance. or a cen1hed copy thereof
(Sec 3800, Labo< Code)
POLICY NO
COMPANY
0 Copy IS hied Wlll'l the City
0 Cen11ted ccpy 1s hereby turn,sheo
CERTIFICATl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE (This section need not be completed ,t the permI1
Is lor one hundred dollars (S HX>) or less)
0 I cen1ty that in the pert0<mance of the wof11. for
which this perm11 ,s issued, I shall not employ any
person In any manner so as lo become subIect 10
lhe Wot1i1;ers' Compensa11on Laws of Cahforn,a
NOTICE TO APPLICANT II. alter malun~ ttus Cen1
ftcate ol Exemp11on. you should beeome subJec11?
tne WMers' Compensa11on provisions 01 the Labor Code. you must tonnw,th comply with such
prov,s,ons Of 111,s permit Sha.II be deeme<J revoked
0 I nereby athrm lha1 there •S a construction
Ieno1no agency tor the performance ot lhe work tor
which lh1S permI1 15 1ssue<J (Sec 3097 C1v1I COde)
Lenders Name ___________ _
Lender's AOOress __________ _
USE BALL POINT PEN ONLY & PRESS HARO APPLICANT T---.LIN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBA JILDING DEPARTMENT AF CATION & PERMIT 1200 Elm, Carlsbad, California 92008 (71 <4) <438-5525 ' I
A~·i.Tr~i/f/lf ~ BUSINESS LICENSE rt VALUATION PERMIT NUMBER ~ J~ln_ ~-r5G/?411/ ~ i>--' OWNER'S NAM~ / l OWNER'S PHONE PRIME CONTRACTOR f ' CONTRACTORS PHONE • ZONE ,q~ 7~9¥590 (nwv£...(2---
OWNE A'S MAI LING ADDRESS CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLOG USE CODE ,:t 7~~ W115t5~ 51".
LOT I BLOCK I SUBDIVISION I ASSESSOR PARCEL NO DESIGNER STATE LICENSE # STANDARD PLAN# BUILDING SO. FOOTAGE
DESCRIPTION OF WOAI(
/"'I • ,l DESIGNER'S ADDRESS DESIGNER'S PHONE
u..>:t.~c:-~(-j_-,<_ I 1o· ~TTAlG,~ -----F/P F LR ELEV. NO OCC GP EDU
-=foR... Fv-nJ ~ ~1-rlo() STORIES
vO NO ---
CENSUS TRACT I GP LAND USE I PARKING SPACE I AES UNITS I GRADING ~ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SP A AREA CONST
YO ND vO NO vO NO Nor Valid Unless Machine Ctrtifi«J
QTY. PLUMBING PERMIT • ISSUE ~So QTY. MECHANICAL PERMIT -ISSUE 3,otJ SUM MARY/Accgy~~ ~.W•¥3.EB ,--t
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT loHbM-i;;n c: ::fll -1 --_J'.
EACH BUI LO ING SEWER OVER 100,000 BTU SIGN PERMIT 01-000·4221
EACH WATER HEATER ANO/OR VENT -1 BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK r11r· :, n1 11-#/1 ~
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING -01-000-4222
EACH GAS SYSTEM 5 OR MORE MET AL FIREPLACE ELECTRICAL 01-000-4223 ----~VENT FAN SINGLE DUCT EACH INSTAl .. ALTER, REPAIR WATER PIPE MECHANICAL 01 ·000-4224
EACH VACUUM BREAKER ME CH EXHAUST -H000I0UCTS MOBILEH0ME 01-000·4225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER M0BILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01-000-4226
TOTl';L MECHANICAL STRONG MOTION 65-640-0519 ---i -TOTAL PLUMBING FIRE SPRINKLERS 01-000-4227 J. QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 25-000-4933 QTY. ELECTRICAL PERMIT -ISSUE 0 C, BRIDGE FEE
NEW CONST EA AMP SWT 8 KR COLLECTORS SCHOOL FEE -DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 65-623·0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinilas 65-624-0519
1 PH 3 PH PUMP San Dieguito 65-625-0519
REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 65-626-0519 ----TEMP PO LE 200 AMPS -OVER 200 AMPS ---TEMP OCCUPANCY (30 DAYS) --------TOTAL ELECTRICAL -T-TOTAL SOLAR TOTAL FEES PAYABLE l -J ---I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit issued by the Budding Off1c1al under the provisions ofth1s * AN OSHA P£""11T IS R£QUIAED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm1t1hon and become null and void If the building or work 5· 0" DEEP ANO DEMOl.lTION OR CONSTRUCTION Of
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit 11 not commenced w1th1n 180 days from the date of such STRUCTUAfS OYER 3 STORIES IN HEIGHT permit. or tf the bu1ldin or work authorized by such permit Ia suspended or ISSUED TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON· abandoned at any time a l~he work IS commenced for a oenod at 180 Aau• STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
AP'ZIC NT'S~.;..GNAT ~ __£:7 OWNER □ CONTRACTOR 0 APJCOVECO BY
1Dd//ijS1-
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 BY PHONE 0 ~J. . .., ~ .t. GRANTING OF THIS PERMIT -~-J __, -... ----~ l .r----... • l-/
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INSPECTION TYPE DATE INSPECTOR
BUILDING I
FOUNDATION •
REINFORCED STEEL
MASONRY . .
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME ' ,,
I
SHEATHING
FRAME :
EXTERIOR LATH lNSULATION I '
INTERIOR LATH & DRYWALL I
PLUMBING I
SEWER AND BL/CO !
PLUMBING UNDERGROUND I
PLUMBING TOP OUT I
TUB AND ~HOWER PAN I
GAS TEST
ELECTRICAL I
TEMPORARY POWER !
ELECTRIC UNDERGROUND I
ROUGH ELECTRIC j
ELECTRIC SERVICE i
BONDING
G. F. I. -SMOKE DETECTOR I
MECHANICAL I
DUCT & PLEM., REF. PIPING ~
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICA L l
MECHANICAL I
GAS . -----BUILDING ';{./!}~ ~
SPECIAL CONDITIONS t -, . ~
CERT OF OC \NCY ISSUED I
I
g';l.-05'13 ,:
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL '""'
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES,CAISSONS
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