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HomeMy WebLinkAbout2560 WILSON ST; ; 81-389; Permit... Cl) z 0 ~ C a:: C .J (J Ill a IC I[ 0 a:: Ill a .J 5 ! Ill z 3 0 z 0 ~ ~ z Ill ... :Ii 0 (J Cl) a: w " a:: 0 3 0 ,y affirm that I am licensed under provlal,,!_ns of Chapter -9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is In full forc~')!Jt!'J',-~ lz _ / Ltc No ..>-L CT/Class I hereby atfmn that I am exempt from the Con- ~!o;'~~!~:1:: ~; ~,~':1~1~~r~1~ county wtuch requires a permit to construct alter, ,mprove, demohsh, or repair any structure, pno, to its issuance also requires the applicant for such permit to hie a signed statement that he 1s licensed purs~t to the prov,s,ons of the Con- tractOf's License L:aw (Chac:,ter 9 commencing with SecttOn 70CXJ of 01v1st()fl 3 of the Business and Pro- fessions Code) or that ,s exempt therefrom and the t>,as,s fo, the alleoe,d exempt,on. Any v1olat1on of Section 7031 5 by an applicant to, a perrr11t subjec.ts tne applicant to a c1v1I penalty of not more than five hundred dolla~ ($500) □ I, as owner of the property or my employees -.,th waoes as their sole compensation. will do the work, and the structure Is not intended or offered tor sale (Sec 7044. Business and Professions Code The Contractor's license Law does not apply to an owner ol property who builds or improves thereon and who does such w0f1<. himself or through his own employees. provided that such 1mproveme;its are not mtende1 or ottered tor sale II, however. the building or improvement Is sold w1thm one year ol completion, lhe owner-builder will have the buroen of proving that he did not build or improve for the purpose ot sa,le). □ I, as owner ot the prO()erty, ilm exclusively contractmi) with hcensed contractors to cons1ruct the protect (Sec 70,U, Business and Professions Code· The Contractor's License Law does not apply to an owner ol property who builds or improves thereon, and who contracts for each proJects with a contracl0f1s) license pursuant to the Contractor's. Ucense Law). D I am exempt un<Jer Sec ____ , B & PC. for this reason _________ _ D I hereby affirm that I hai'e a cert1t1cate of consent to self-insure. or a cert1f1cate of Workers· Compensation Insurance, or a certified copy thereof (Sec 3800, La'.A-Ll'./ A' ,V z-- POLJCY NO __ _ ____ _ COMPANY iJI JI/ Ff~ _ _ _ ~ Copy IS filed With the city D Certified copy Is hereby lurn1she<J CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed 1t the permit ,s tor one hundred dollars ($100t or less) D I certify that m the per1ormance of the work tor wh,ch this permit Is issued. I shall not employ any person m any manner so as to become sub1ect to 1 the Wof'kers· Compensation Laws of California NOTICE TO APPLICANT It, after makm~ !his Cert• flcate of Exemption, you should t>ecome sub1ect t? 1he WOf'kers' Compensation prov,s,ons of the Labor Code. you musl lor1hw1th comply w11h such provisions or 1h1s permI1 shall be deemed re..,oked O I hereby affirm that there ,s a construc1,on lending agency tor the perlormance of lhe wonr. lor wh1Ctl lhtS permII 1s issued (Sec 3097 Ctvtl Codel Lender s N~e __________ _ Lender's Address _________ _ USE BALL POINT PEN ONLY & PRESS HARO APPLICAN FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSB BUILDING DEPARTMENT ...... 'LICATION & PERMIT 1200 Elm, Carlsbad, California 92008 (714) 438-5525 ~y~ /A/,'/ c.:. A~i.T-~;;;F;:i;iTIONI BUSINESS LICENSE tt ~C:,1';,f PERMIT NUMBER Sot J ...,,.,,JI ZI l.f..? 'J ;;~·s;;_;.J>hJJlS.-~fy /J/½~.:-.,.,1 77;NE;;;;, PRIME CONTRACTOR . CONTRACTORS PHONE • ZONE ~l-3</CJ 8~CbT lf'€J,?o/Jt:.?1,,1~//'). 72--9-/7 Jt.J OWNEA"S MAILING ADDRESS . CONTRACTOR'S ADDRESS LICENSE NO. PLtr:~ 11 BLOG USE CODE 2~() W/Ue,Jv r:;-T. C.lf/-LI \ ~ A---1) 3o9.<:'-'5"-rH7& 577Et'r .3 7 2-3l/9 ,~ I BLOCK lwit'.c~Al;A-I ASSESS:z PARC5° NO. , 7 DESIGNER STATE LICENSE " • STANDARD PLAN# BUILlN~TAGE IS -I Z-2 ~ ~ a-z:-/~Q/)1a ,1~ Ct,. 3 72-3£/1 D!SCRtPTION OF WORK /) -DESIGNER'S ADDRESS DESIGNER'S PHONE _j-1_~ gf:ooW1~ --~ 3{)9~.5711-?E ~ -z.z!J-1 7/9 -i-T7?rt--/l t -F/P FLA ELEV. NO r-~ EDU A-,...\~ & A-Ti-r-. vO NO STOR'IS 10/2 /81 1338 21ie.s, "'GP LAND USE I PARK ING SPACE I AES UNITS I 0 11 8 . r I 8 I L· 8 .5 I CENSUS TRACT GRADING f'.ERMIT ISSUED I REDEVELOPMENT f1j OCC LOAD FIRE SPR AREA YO ND vO NO v0 Nti,., Not Valid Unlffs Machine Cutifitd QTY. PLUMBING PERMIT -ISSUE ?,~D QTY. MECHANICAL PERMIT -ISSUE ~-CO SUMMARY/ACCOUNT NUMBER -.,,, --~ EACH FIXTURE TRAP -; ... J('.1 INSTALL FURN. DUCTS iJP TO 100,000 BTU C/-.-e" BUILDING PERMIT ,-1,. ~o -~r /) a, f EACH BUILD IN~ SEWER OVER 100,000 BTU SIGN PERMIT 1_ -I EACH WATER HEATER AND/OR VENT -v.-~J/} BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK / fJ ~ -I r( '11WX~ //L .7£ EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING F / _, 17 , J"" l'. 1 EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL -i.:..~ - EACH INSTAl .. ALTER. REPAIR WATER PIPE I VENT FAN SINGLE DUCT "2--MECHANICAL q~ EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME F - WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP EACH ROOF DRAIN (INSIDE) SOLAR d I _,,. TOT.t.L MECHANICAL q ~TAONG MOTION h~D~ TOTAL PLUMBING I rt.Jo ~ FIRE SPRINKLERS - 2-oo , PUBLIC FACILITIES FEE QTY. ELECTRICAL PERMIT -ISSUE QTY. SOLAR -ISSUE BRIDGE FEE . . ,, . NEW CONST EA AMP/SWT/BKR //,V/r v-..l --COLLECTORS -· SCHOOL FEE -DISTRICT 1 PH ' 3 PH STORAGE TANKS Carlsbad EXIST BLOG EA AMP/SWT /BKR ROCK STORAGE Encinitas 1 PH 3 PH PUMP San Diegu,10 REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE San Marcos .. . TEMP POLE 200 AMPS \ . ....... /"'\ /) / -C\ □VER 200 AMPS l _f/ t,Lr -1-EE.. .,..---h l //.J ~, o,.J ) TEMP OCCUPANCY (30 DAYS) r-C-·--(, , .... -,--TOTAL ELECTRICAL -i-1. TOTAL SOLAR TOTAL FEES PAYABLE I 14-1,JJ -i-- I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANb PERMIT' AND DO HEREBY Expiration Every permit issued by the Bu,ldtng Ofhc,al under the prov1S1ons of th,s * AN OSHA PERMIT IS AEOUIAEO FOA EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INClj:DING THE Code shall expire by lim,tahon and become null and void If the bu1ld1ng or work S' O" DEEP AND OEMOllTION OR CONSTRUCTION Of DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF' PERMIT IS authorized by such permit 1s not commenced within 180 days from the date of such STRUCTUR£S OVER J STORIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUJLDIN<l CON-:~i:;::o~ '!t 1:~v ~~:1~H.~~.;~~r:~!h~~~~l.J~~7 r~7i~I~.-r~~~~ or i STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INQEMNIFY AND APPLICANT'S SIGNATURE • OWNER□ CONTRACTOR JI! APPR(f"tD BY -~-~7~/ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE bF THE //4-.---~. d---BY PHONE 0 .... GRANTING OF THIS PERMIT. \,__;I ~ IT Q) u:: >, ~ 0 a. E Q) I- I 'O 0 (!) 0 Cl) <I) Q) <I) <I) <( I 3: g ai >- ui <I) Q) (.) 0 a: <IS iii Cl € Q) (.) C <IS C u:: C Q) Q) c'5 0 u Q) a. <I) C INSPECTION TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL I MASONRY I GUNITE OR GROUT I FLOOR & CEILING SUB FRAME .. ,// I tf. II&_ SHEATHING I FRAME \) •" .Y ~ EXTERIOR LATH lNSULATION \\ (. I VN_ INTERIOR LATH & DRYWALL I h 2,0 ..-I ~ PLUMBING : I I , I SEWER AND BL/CO ! PLUMBING UNDERGROUN.D I PLUMBING TOP OUT I TUB AND $HOWER PAN I I i , GAS TEST I /J//7 ~ ELECTRICAL I I -, I TEMPORARY POWER I I ELECTRIC UNDERGROUND I ~ I. ROUGH ELECTRIC I rift, ,-/rr--.. I I ./ I• ELECTRIC SERVICE I BONDING A I G. F. I. -SMOKE DETECTOR·. I I MECHANICAL I ~ I I DUCT & PLEM., REF. PIPING I tJ//1 ,-r~ HEAT -AIR COND. -SOLAR SYSTEMS I -I VENTILATING SYSTEMS I CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. JOB SITE FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS CERT OF C _PA_N_C_Y_IS_S_U_ED _____ ~---~----- ' FIELD INSPECTION RECORD , REQUIRED SPECIAL INSPECTIONS INSPEC TOR'S NOTES INSPECTION REQ. IF INSPECTOR'S DATE ('~_.IV\ l ,,,(;."'-_--., ~ _.f,_~ _/ g -CHECKED APPROVAL -,. -- SOILS COMPLIANCE ._A_J~ _j'., L& ) 4tf'-/J {/ .. ,...J. PRIOR TO ~ /IA· ... 6'_1 ,, 4-~ t, /J... FOUNDATION INSP 76 .. _ .,/ STRUCTURAL CONCRETE r.. ~1-1 , ~ .J (J A .,. ~,I; ,J 1 OVER 2000 PSI , PRES TRESSED CONCRETE POST TENSIONED CONCRETE - FIE:LD WELDING ~&_ HIGH STRENGTH /ryJ b# ,,J~ Ov'.h.i ».)~ BOLTS -- SPECIAL MASONRY . I PILES CAISSONS - --. ' , \ . . \ . ' -C. ... -. ' ' . . ,__ -.