HomeMy WebLinkAbout2560 WILSON ST; ; 84-203; Permit~ D '"°" •••~ "'"' •• ,..,.., '""' \ ~~ ,..-Provis I Ofll ol Chapter 9 (commencing with
~ Ind p,..of11s1ons Code, and my license Is In
• >-[ S.Ctlor'l ltoo) of Division 3 of the Business
~ ~l~Clas,0~-'/1'
0 0 1 hef" by ~"'" that I am exempt from the Cootrac· llr's ucef15' Law lor the lollowing raasoo (Sec 7031.5 ~s,ness andl>,tessioos Code Any city or county which,..
~res a pe"llr to construct, alter, Improve. demolish, or ~1r any Slflttufe. priof to its issuance alsorequ,res the ap-
tcant tor ~ permit to Ille a signed statement that he ls
Q11Sed pu"""t 10 the provisions ot the COntractor's
1<ense t.aw :hapter 9 commencmg with Sect,on 7000 ot t,,slon 3 ol ti. Business and Protesslons Code) or that is ex· r,>t therefro,llld the baslo for the alleged exempt10n Any
llllatoon of Sectioi, 7031.5 by an applocant for a permit sub· ,:ts the applQII 10 a clvol penalty ol not more than love hun· tee! dollars (Im).
C I, as OWn«d the property. or my employees with wages
atheor sole conpensatoon. will do the -k. and the struc· we is not inteoled or ottered for sale (Sec. 70-14, Business
""Protessions Code: The Contractor's License Law does • apply to a, owner ol property who builds or lmprDYes
rereon and whc does such work himset1 or through his own q,loyees, prONled that such Improvements are not Intend•
II or offered lo sale. II. however. the building or lmprove-llllll Is sok1 w1LWI one year ot comp~tlon, the owner·builder
"'1 have the illlden of proving that he did not build or Im-""" for the po,pose of sale).
D I, as owne< d the property, am exclusively ccntracbng
:~~":.'~d °:~~~~~;0 ~::''"f:.!hec!:~:J~\:~~ Llw does not 'P!lly to an owner ol property who builds or im-J)fWeS thereon, &nd who contracts tor each projects with a
..,,ractor(s) llotnse pursuant to the COntractor's License Llw).
0 As a horn80Wllof I am Improving my home, and the follow· "II conditions tlJSI: t rh~~~!.i~ ~= Fork>< ~~""°ths
3. rr:: ::1Pc':~ot 11~: =~ption during the last tine years
g~~::_-:;giunderSec ______ ,B&P.C.
□ I hereby afhrm tha1 I have a cert1hca1e ol consent lo self-,nsure. or a cenit,cate of Workers'
Compensation Insurance. or a cen1hed toPY thereol
:1:::~a-~ C/~t s28Cj.f-
COMPANY ,/j~-/y
fr'eopy IS filed with lhe C1ly
0 Centhed c0py ,s hereby furnished
CERTIFICA Tl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
s secuon need not be completed 11 the perm,t 1s tor one nundred dollars (S 1(X)) or less)
0 I cerhty that 1n the performance of lhe w~ fOf which this pern111 1s issued. I shall not employ any
Person 1n ~y manner so as to beeome sub1ec1 10
the Workers' Compensa1ton Laws of Gahlom,a
NOTICE TO APPLICANT It, after makin1 ttus Cert•
lteate of Exemption. you should t>ecome subIec1 I? the Workers· Compensait,on prov,s,ons of the LabOf Code. you must lorthw1th comply with sucn p,0~IsIons Of lh1s perm,1 snall De deemed revoked
0 I hereby alhrm that 1ttere Is a constructIon
ler\Cl1ng agency IOt' the perfOJmance of tne woo lo,
YWhlCh HUS permit 1$ ISSued (Sec 3097, C1~1I Code)
LenoersNam• ~/.
Lenoer·• Address ;c;:,,
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT AP~lgATION & PERMIT If 1t1 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS
t12d~T-1o1 7 111rvN 1~s:iLg NSE •
VALUATIO~ tf ERMIT NUMBER
~-560 l1 )1 )~n ~+,. Cu , l~ba d. u II ooc -i 203 0
rYfcNc;( +'('\ecj Uar ~ l1dct~D/~e CONTRACTOR (,1 J(JM CONTRACTORS PHONE • ZONE
.)' ~ tU~ 1;/\ ~'--icJr.. ~Cfle(l{ t?.3-~
OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS fiQC)/ Ll,l::ENSE NO. PLAN I.O. /I BLOG USE CODE
~Sbo .
~1 (, 2:,qc6~S W \ I "'Sc:,c-.. ~ S'Lf ~ fTTJ,rJP 17ch~ _:5.
LOT I BLOCK I SUBOI VISION I ASSESSOR PARCEL NO DESIGNER LICENSE# STANG D F!;,"lN It BUILDING SO. FOOTAGE
DESCRIPTION OF WORK
L'YU..\ .½rl D .£ ~~ t1r'h (', F trYv ./ DESIGNER'S ADDRESS DESIGNER"S PHONE
~.~A, w e.~ hP.a..U.,,'-. F/P FLR ELEV. NO CCC GP EDU
STORIES
vO NO ---
CENSUS TRACT I GP LAND use I PARKING SPACE I RES UNITS I GRADING ~ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR AREA CONST
YO ND vO NO vO NO Not Valid Unlt!ss Machine wrtifi"1
QTY. PLUMBING PERMIT -ISSUE ·7 E!:-QTY. MECHANICAL PERMIT -ISSUE 5-SUM MARY/ACCOUNT NUMBER
EACH FIXTURE TRAP
, INSTALL FURN. DUCTS UP TD 100,000 BTU BUILDING PERMIT 01 ·00·00·8220
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMlT 01 ·00·00-8221 -
EACH WATER HEATER AND/OR VENT BOILER/CO MPRESSOR UP TO 3 HP PLAN CHECK 01 ·00-00·8806
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPR ESSOR 3-15 HP TOTAL PLUMBING 01 ·00·00·8222
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·00·00·8223 -
EACH INSTA~ .. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01 ·00·00·8224
EACH VACUUM BREAKER MECH EXHA UST -HOOD/DUCTS M0BILEH0ME 01-00·00-8225
WATER S0FTNER RELOCATION OF EA FURNACE/HEATER MOBILEH0ME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR n1.nn-nn.R??~ I S .OC>
TOTI.L MECHANICAL STRONG MOTION 80-92·33-0519 --------
TOTAL PLUMBING I FIRE SPRINKLERS 01 ·00·00-8227
QTY. ELECTRICAL PERMIT · ISSUE ~-QTY. SOLA R -IS SUE
PUBLIC FACILITIES FEE 32-00-00-8923
BRIDGE FEE
NEW CONST EA AMP/SWT/BKR COLLECTORS SCHOOL FEE -DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 80·92·21-0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas 80·92-22-0519
I PH 3 PH PUMP San Dieguito 80-92-23-0519
REMO0E L/AL TER PER CIRCUIT PLAN CHECK r'EE San Marcos 80-92-24·0519
TEMP POLE 200 AMPS
OVER 200 AMPS -TEMP OCCUPANCY (30 DAYS) -----
TOTAL ELECTRICAL ~r TOTAL SOLAR TOTAL F EES PAYA BLE
I /5, ocJ
I HAVE CAREFULLY EXAMINED THE COMPLETED .. APPLICATION AND PERMIT" AND DO HEREBY Eap,ratoon Every permtt ,......, by the Bu•ldong Off octal under the provtStOnl ofltlil * AN 08HA PEIIIIIIT IS IIE0UIRED FOA EXCAVATION$ OYER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code lhall eap,re by tom1tatlon and become null and VOid If the buoldong or -5· 0 .. DEEP ANO DEIIOUT10N Ofll CONSTl'IUCTION ~
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS aulhorozed by 1uch permol ,s nol commenced wothon 1110 days from the date ohucll STAUC1\JIIIES OVEfl 3 STOAIES IN HEIGHT perm,t. or of the buoldol or work aut11011zed by 1uch perm,1 19 -pended or ISSUED TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON abandoned at any t,me a er the work 19 commenced for a ""'"od of Ulil "-• STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND AP""""NT'S SIGNATURE • OWNER□ CONTRACTOR fD-APPROVED BY DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND ~ '-f-1-gf EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE {a,v;Jc~n/J;\c~ BY PHONE 0 GRANTING OF THIS PERMIT I
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INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
I
GUNITE OR GROUT '
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING --
SEWER AND BL/CO
PLUMBING UNDERGROUND '
PLUMBING TOP OUT
TUB AND $HOWER PAN
GAS TEST '
ELECTRICAL I
TEMPORARY POWER I
ELECTRIC UNDERGROUND '
ROUGH ELECTRIC
ELECTRIC SERVICE I
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL ' '
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
ELECTRICAL
NECHANICAL
GAS
BUILDING
Sl'ECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
' %lf-O;J03
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
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
-PILES CAISSONS
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