HomeMy WebLinkAbout2660 WILSON ST; ; 86-474; PermitIJJ z 0 ;::: ,c a: ,c ... u w 0
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0 I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
S.Ctlon 7000) of Division 3 of the Business
and Professions Code, and my license is in
full force and effect.
Lie No ______ Cius
I hereby affirm that I am exempl lrom the Contrac-
tor's License Law !or !he lollowmg reason (Sec 7031 5 Business and Professions Code Any city or county wh1eli re-
quires a permit to cons1ruct. alter. improve. demolish, or
repair any structure, pnor 10 ,ts issuance also reciu1res !heap-
pttcanl for such perm,1 to Me a s19ned statement that he 1s licensed pursuant to lhe prov1s10ns of the Conuac1or's License Law (Chapter 9 commencing with Section 7000 of
Oiv1s1on 3 of lhe Business and Proless1ons Code) or that 1s ex·
empt therefrom and the basis lor the allegeo exempt!On Any
v10lat10n of Sectton 7031.5 by an apphcant !Of a permit sub· Jetls the apphcanI lo a civil penalty of not more than ltve hun·
dred dollars ($500)
0 I, as owner ol the property, Of my employees wtth wages
as their sole compensation, will do the work. and the struc·
ture Is not mtended or offered !or sale (Sec 7044. Bus mess and Prolesst0ns Code· The Contractor's license law does
not apply to an owner of property who builds or improves
thereon and who does such work h1msell or through his own employees, provided that such improvements are not intend·
ed or ottered IOf sale II. however. the bulldIog or ,mprove-menl 1s sold w1thm one year of complet,on, the owner-builder
will have the burden of proving that he d1d not build Of im-prove tor the purpose ol sale)
0 I. as owner of the property, am exclusively conlractmg w1tl"t hcensed contractors lo construct the pr01ect {Sec. 7044.
Business and Professions Code The ConuactOf's Ucense law does no! appty to an owner of property who builds or im-proves !hereon. and who contracts for e.1ch pr01ects w1lh a
contractor{s} license pursuant to lhe Contractor's License Law).
D As a homeowner I am improving my home. and ll"te !~low-
ing concht1ons e1osl 1 The work 1s being performed prtOr to sale
2. I have IJVed m my home tor lwelve months prior to completion of lh1s work.
3. I have not claimed lh1s exemphOn during the
tasl three years.
D I am exempt under Sec ______ , B & P C.
for lhis reason ____________ _
0 I hereby affirm that I ha11e a cer1111cate ol consent to
sell-insure. or a certificate ol Workers· Compensation In•
surance. or a cert1l1ed copy thereof (Sec. 3800. Labor Code)
POLICY NO
COMPANY
0 Copy 1s !tied with the city
0 Certified copy 1s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
(This section need not be completed ,I the permit
1s tor one hundred dollars ($100) or less)
D I certify that in the performance of the work for which
!his perm•! 1s Issued. I shall not employ any person 1n any
manner so as to become sub1ect to lhe Workers· Compen.
sation Laws ot Cahforma.
NOTICE TO APPLICANT: If. after making this Certificate
ol Exemption. you should become subJect to the Workers·
Compensation pro11isions of the Labof Code. you must
forthwith comply with such pro111sions or this permit shall
be deemed revoked.
0 I hereby affirm that there is a construction lending
agency for the performance of the wor1( for which this per-
mit 1s issued (Sec. 3097. C111il Code)
Lender's Name ____________ _
Lender's Address ___________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT T O FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT C~rlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS 7/. Lt!) u,,;~,~AV~S .AO. NEAREST CROSS ST. I DATE Of APPLICATION' BUSINESS LICENSE " VALUATION PERMIT NUMBER
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LOT BLOCK I SUBDIVISION I ASSESSOrtP RCEL NO fJ ,cer, CONTRACTOR CONTRACTORS PHONE • ZONE
t k t 5 L Nc-f2--OWNER'S NAME I OWNER'S PHONE
Krr /C t ( l.B rf N .;: 7'Lq ~I fl,_ CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BUILDING SO. FOOTAGE
OWNER'S MAILING ADDRESS
Z,r.,Cf ( c,ln , 0 12.. DESIGNER DESIGNER'S PHONE .
DESCRIPTION OF WORK Sc:->vGfl-p,Pe I Iv S Trf '-'-UN l)€7L{fflc'1.{ N µ DESIGNER'S ADDRESS LICENSE NO.
._ /1/2 r % J, e t?tr>i >t_e C/f -f>d 'JO 6/06/866224 14~0 F/P FLR ELEV. NO OCC GP EDU
/P./tV A#--ff'r'A·I 11~.Jf, • I /...;ttfr /J,riL-STORIES 0001aeeti 6/06/ 86 14;0
YO NO ---000182 " Oil
CENSUS TRAtT I GP LANO USE I PARKING SPACE l RES U N ITS GRADING PERMIT ISSUED
I
REDE VELOPMENT TYPE OCC LOAD FIRE SPR 5/06,
AREA CONST
YO N 0 vO NO YO NO Not Valid Un/en Machine Cerrdied
-J/ .
QTY. PLUMBING PERMIT· ISSUE QTY. MECHANICAL PERMIT· ISSUE SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP /f'J :..-INSTALL FURN. DUCTS uP TO 100,000 BTU BUILDING PERMIT 001·810·00·00·8220
/ EACH BUILDING SEWER ./_~ OVER 100,000 BTU SIGN PERMIT 001 ·810·00·00·8221 -
EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001 ·810·00·00·8806 ,
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001·810·00·00·8222 /7
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 001·810·00·00·8223
EACH INSTAl . ALTER, REPAIR WATER PIPE VENT FAN SINGLE OUCT MECHANICAL 001-810·00·00·8224
EACH VACUUM BREAKER MECH EXHAUST HOOD/DUCTS MOBILEH0ME 001 ·810·00·00·8225
WATER S0FTNER RELOCATION OF EA FURNACE1HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) ,_ SOLAR 001·810·00·00·8226
/,...,., TQT;;L MECHANICAL ~TR0NG MOTION 880·519·92·33 ~
TOTAL PLUMBING I I '1 FIRE SPRINKLERS 001 ·81 0·O0·00·B227
QTY. ELECTRICAL PERMIT • ISSUE QTY. SOLAR • ISSUE
PUBLIC FACILITIES FEE 332·81 0·00·00·B930
NEW CONST EA AMP SWT BKR COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad
EXIST BLDG EA AMP SWT BKR ROCK STORAGE Encinitas
1 PH 3 PH PUMP San Dieguito
REMODEL A LTER PER CIRCUIT PLAN CHECK FEE San Marcos
TEMP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX 001·810·00·00·8162
TEMP OCCUPANCY 130 0AYS) MFF 880·519·92·57
CREDIT DEPOSIT
TOTAL ELELTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I ;L/--
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ANO PERMlT ANO 00 HEREBY Expiration Every permit issued by the Building Offlc1al under the prov1s1ons of this * AN OSHA PERMlT IS REOUIREO 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 bu1ld1ng or work 5· 0"' DEEP ANO DEMOLITION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit 1s not commenced within 180 dar;sf f m the date of such STRUCT\JAES OVER 3 STORIES IN HEIGHT permit, or 1f the bu1ld1nr. or work authorized by such per 1t 1s suspended or ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON-abandoned at any time a ter the work 1s commenced for ,. nod of 180 davs
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO
APt~~T~ ~;}{iu~ owN(\
CONTRACTOR 0 APPROVED BY 1 D?✓b ✓tt KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0 ~ GRANTING OF THIS PERMIT
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I
I
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT I
I
SUB FRAME □ FLOOR □ CEll.!.ING
SHEATHING D ROOF D SHEAR
FRAME I
I
EXTERIOR LATH I
INSULATION I
INTERIOR LATH & DRYWALL I
I
PLUMBING I
□ SEWER AND BUCO □ PL/CO
UNDERGROUND D WASTE O 1WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN I
GAS TEST I
D WATER HEATER D SOLAR WATER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND □: UFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMP(l)RARY
D BONDING D POOL I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
I
CALL FOR FINAL INSPECTVON WHEN ALL APPROPRIATE
ITEMS ABOVE HA 'IE BEEN APPROVED.
FINAL J
I
PLUMBING I
I
ELECTRICAL I -s... J
MECHANICAL I ~ "'-...) J
GAS I '.._J ~
BUILDING I -~ ' SPECIAL CONDITIONS ~ (\ -~ I ..
' J
I
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS 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 CAISSor-.s -
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-
. -