HomeMy WebLinkAbout2665 WILSON ST; ; 85-215; Permit~[
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0 I hereby affirm that I am licensed under
prpvlslona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeas!ons Code, and my license is In
full force and effect.
lie No ______ Class
I hereby alflrm that 1 am exempt lrom the Contrac· tor's license Law tor the following reason (Sec 7031 5 Business and Proless10ns COde· Any city or county wh,ch re-Quires a perm,1 to construct. atter. improve, demolish, or
repair any structure, prior to 11S issuance also requires !heap·
plicant for such permit to ltle a signed statement that he Is hcensed pursuant lo the provIs10ns of lhe conuactor s
license law (Chapter 9 commencing with SecttOn 7000 of 01v1s1on 3 of the Business and Professions Code) or 1ha11s ex·
empt therefrom and the basis lor lhe allegeo exemp1,on Any v10latt0n of Section 7031.5 by an apphcant loc a permit sub· Iects the apphcan1 10 a c,vII penalty ol not more than live hun· dred dollars ($500).
0 I, as owner ol 1he property. or my employees w1Ih wages
as their sole compensation, will do the work, and 1he struc·
ture Is not intended or offered for sale {Sec 7044, Business
and Professions Gode. The Con1ractof's Ltcense Law does not apply lo 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 intend· ed or o11ered tor sate. II. however, the building or improve·
ment Is sold within one year of complellon. the owner·bullder
w1U have the burden of proving thal he drd no1 bmld or im-
prove for the purpose of sa1e)
0 I, as owner of the property, am exclusively contracllOg
with licensed contractors to construct the project (Sec. 7044.
Business and Professtans Code: The ContracIor's License
Law does not apply to an owner of property who bmlds or im-proves thereon, and who conIracIs for each pro,ecls with a
contractor(s) hcense pursuant to the Contractor's License Law)
0 As a homeowner I am Improvmg my home, and lhe !o{low-mg conditions exist:
1. The work Is being performed pnor to sale
2. I ha-ve lived in my home for lwelve months prior to comp1ett0n of this work.
3. I have not claimed this exempt10n during the
last three years
D I hereby aft1rm !hat I hai1e a cert1hcate ol consent
to self-insure. or a cer11t1cate ot Workers
Compensation Insurance. or a cert,lted copy thereof !Sec 3800 Labo, COde)
POLICY NO
COMPANY
□ Copy ,s hied with the c,ly
D Cen1t1ed copy 1s hereby lurnished
CERTIFICATl OF EXEMPTION FROM WORKERS COM PENSA T!ON INSURANCE
(This section need not be compleled 11 lhe permit
1s tor one hundred dollars (S 1CXJI or less)
D I cert,ty lhal In the performance ol the work !or *h1ch this permit Is issued. I shall not employ any
person in any manner so as to become sub1ecI 10 !he Wor1c.ers· Compensation Laws or Calitorn1a
NOTICE TO APPLICANT It. aller makin~ in,s Cert, ticate ol Exemp11on you should t>ecome subIecI 10
lhe Wor1c.ers Compensation prov,s,ons ol the Labor
Code. you must tonh..._1th comply with such
provisions or this permI1 shall t>e deemed ,e ... oke<I
O I hereby atf1tm lhat ltiere ,s a construcIIon
Iendtng agency tor the performance ol Ine wor1o. lo,
wn,ch ltus permit Is ,ssued tSec .)()97 C,"11 COdel
Lenders Name ___________ _
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA .. , ·-
CARLSBAD BUILDING DEPARTMENT -APPLICATION & PERMIT 1200 Elm. Carlsbad. California 92008-1989 (619) 438-5525
JOB ADDRESS AV. ST.AD. NEAREST CROSS ST.
I;~:,;p;A~r
BUSINESS LICENSE ti -z/41;;~ PERMIT NUM?
d-(ofoS (;J, l-$ ,,-...J s r ff;iz;.e 5 ~ 'V 1...\ LDT BLOCK l SUBDIVISION l ASSESSOR PARCEL NO. CONTRACTOR CONTRACTORS PHONE • ZONE 1s~ z;;~r;~ f>;c_, I.I !)FotJ f lw. 7~N:;;;7E CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLDG USE CODE
OWNER'S MAIL NG ADDRESS
$ r; r~d~ ~14!J/ f_.Q ~ 9c:1tJuJ ~f.S {))(/.r>ON DESIGN EA , LICENSE :z STANDARD PLAN# BUILDING SO. FOOTAGE
DESCRI TION OF WORK , ' '1//_ DESIGNER'S ADDRESS DESIGNER'S PHONE
~.j)z) .JV-/ l ""'-I \...I. \~R,_/ _(._Of),..,,, II I F/P FLA ELEV. NO OCC GP EDU • • STORIES (j I j (J I vO NO ---•
CENSUS TRACT I GP LAND use l PARK ING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA AREA CONST
YO ND vO NO vO NO Not Valid Unless Machine Certtl1ed
QTY. PLUMBING PERMIT -ISSUE -J.51-QTY. MECHANICAL PERMIT -ISSUE "' -SUMMARY/ACCOUNT NUMBER "")A --EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100.000 BTU BUILDING PERMIT 01·00-00·B220 -:,,,t__O, ..J.r J
EACH BUILDING SEWER . OVER 100.000 BTU SIGN PERMIT 01·00·00-8221
""L-&rw i-""'
EACH WATER HEATER AN010R VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01·00-00-8806
EACH GAS SYSTEM I TO 4 OUTLETS c2 J V BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00-00-8222 LtJ,-,--
EACH GAS SYSTEM 5 OR MORE MET AL FIREPLACE ELECTRICAL 01-00-00·8223 //) -EACH INSTAl . ALTER. REPAIR WAT ER PIPE VENT FAN SINGLE DUCT MECHANICAL 01·00·00·8224
EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS MOBILEHOME 01·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE /HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01-00-00-~,,~ . /-o-~~ TOTI.L MECHANICAL STRONG MOTION 80·92-33-0519
I r-TO I AL PLUMBING FIRE SPRINKLERS 01·00-00-8227
QTY. ELECTRICAL PERMIT -ISSUE QTY. SOLAR • ISSUE PUBLIC FACILITIES FEE 32·00·00·893J -s-..... BRIDGE FEE -NEW CONST EA AMP SWI BK R COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 80·92·21-0519
EXIST BLOG EA AMP1SWT BK R ROCK STORAGE Encinitas 80-92·22·0519
1 PH 3 PH PUMP . -San D1egu1to 80·92·23-0519
REMODEL AL Tt R PER CIRCUIT ~--PLAN CHECK FEE San Marcos 80-92-24-0519
TEMP POLE 200 AMPS -
OVE;R 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY (30 DAYS) MFF 80-92-57-0519 ......
CREDIT DEPOSIT L-<..J • --r
TOTAL ELEClRICAL I Jo ." TOTAL SOLAR TOTAL FEES PAYABLE I z@~~~ t •' ,...-
I HAVE GAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT" AND DO HEREBY Expiration Every permit issued by the Bu1ld1ng Othc1al under the provisions of th,s * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm1tat1on and become null and void It the budding or work 5· o·• DEEP AND DEMOllTION OR CONSTRUCTION OF authorized by such perm,t 1s not commenced w1th1n 180 days from the date of sucn DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS perm,I. or of the buoldinPt:~• ork authonzed by such permit IS suspended or STRUClURES OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUN1Y A.ND STA.TE LAWS GOVERNING BUILDING CO~-abandon9'11t any time a t work ,~ommeM:ed lor a period ol 160 davs
STRUCTIOtl WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANDW/iPP. 1 ~ U-CONTRACTOR 0 APPROVED BY OATE KEEF HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND C GNAT E ~d OWNE~ 4/l EXPEMSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE '.1ft_..,/ BY PHONE 0 I l/✓;c,-£J-GRANTING OF THIS PERMIT .., ~ . ./ ;,,,
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TYPE I DATE INSPECTOR I
BUILDING I ---8s-o :i-1 ' ;::, -
FOUNDATION I ~ "' I FIELD INSPECTION RECORD
REINFORCED STEEL I -MASONRY I
I
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES --1
INSPEt''rlON REQ IF INSPECTORS DATE CHECKED APPROVAL
FLOOR & CEILING SUB FRAME I
I SOILS COMPLIANCE
SHEATHING □ ROOF □ SHBAR -FRAME I u .. ~-k~ G -
EXTERIOR LATH I ' 6''/,0-16 ... CJ -
PRIOR TO
FOUNDATION INSP .
STRUCTURAL CONCRETE
OVER 2000 PSI-"'
INSULATION I /] -INTERIOR LATH & DRYWALL I ~-/3.;8S r{?'/'t-,
PRES TRESSED
CONCRETE
POST TENSIONED
I CONCRETE
PLUMBING I FIELD WELDl!-iG
SEWER AND BUCO □IPL/CO I
UNDERGROUND □ WASTE □ WATER ,,....
HIGH STRENGTH •
BOLTS
TOP OUT □ WASTE □ WJ?<TER ~"(.U?( ' -C\ , r-,,,,.
SPECIAL MASONRY
TUB AND SHOWER PAN I
GAS TEST I PILES CAISSONS
□ WATER HEATER □ SOLAR WAtER
I
ELECTRICAL I
' □ ELECTRIC UNDERGROUND □ lJFFER -..... '
ROUGH ELECTRIC I ~,,(J~ ~" □ ELECTRIC SERVICE □ TEMPORARY . ' ,,
□ BONDING □ POOL I ' I• -..
I
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPINµ
HEAT -AIR COND. SYSTEMS I -\
VENTILATING SYSTEMS .... ·•-. ' ... , --\ . ',.( I t '"
' -' ,. -\ -. ' ' I '
CALL FOR FINAL INSPECT~iN WHEN ALL APPROPRIATE ITEMS ABOVE HA V BEEN APPROVED.
FINAL I
PLUMBING I
I '
ELECTRICAL I
MECHANICAL I
I
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'
GAS I --~ -j A --.
•BUILDING I 1--i-t"~ ~ I -.
SPECIAL CONDITIONS I '
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