HomeMy WebLinkAbout2660 WILSON ST; ; 86-423; Permit"' z 0 ;::
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0 I hereby affirm 1ha1 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
lull force and effect.
lie No ------CIJSS
I hereby amrm that I am elCemp1 lrom the Contrac-tor's license Law tor the tollowing reason (Sec 7031 5
Business and Professions COCle Any city or county wh1Cn re-quires a perm,t to conslruct, alter, improve demolish_ or
repair any struclure, pnor to its issuance also requires !heap-pl~nl for such permit to hie a s,~ned stalement that he Is licensed pursuant to the provisions ol lhe Lonuacto, s license Law ( Chapter 9 commencing with Section 7000 ol
Otv1s1on 3 of the Business and Professions COCle) or tllat 1s ex-empt therelrom and the basis tor the alleged exemption Any
vIotat1on of Section 7031.5 by an applicant tor a permit sub-
Iects the apphcant to a civil penany of not more than five hun·
dred dollars ($500}
I as owner of the property. or my employees w11h wages as their sote compensaI1on, will do the work. and lhe slruc·
Iure Is not mlended or oflered lor sale (Sec 7044 Business
and Professions Code The Contractor's license law does not apply to an owner 01 property who bu1tds or improves
thereon and who does such work himself or through his own employees, provtded lhat such improvements are noI intend·
ed or offered lor sale II, however, lhe bwldmg or 1mprove·
menl Is sold within one year of complehon. the owner•bu1\der will have lhe burden of proving that he did nol bu1id or im•
prove for the purpose of sale)
□ I, as owner of the property, am exclusively contraclmg
wIlh ltcensed conlraclors to conslrucl the prOJecl (Sec 7044 Business and Profess10ns Code The Contractor's Ltcense
Law does not apply to an owner ol property who builds or Im· proves thereon. and who contracts tor e.ach protects with a
contractor(s) hcense pursuant to the Contractor's License Law}
0 As a homeowner I am improving my home, and the follow mg cond1l1ons exist 1. The work Is being performed prlOf to sale 2. I have hved m my home tor twelve monihs
pnor to completion ol this work 3. I have not claimed this exemption during !he last three years.
0 I am exempl under Sec ______ , B & P C
for this reason -------------
D I hereby aflum lhat I have a certllicale of consent to
self-insure. or a cert1f1cate ol Workers Compensation In-
surance. or a cert1f1ed copy thereof !Sec 3800. labor Code)
POLICY NO.
COMPANY
0 Copy Is hied with the cIIy
0 Cert,lted copy ,s hereby lurmshed
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed ,t the permit
Is for one hundred dollars ($100) or less)
D I certify that in the performance of the work for which
1t11s permit Is issued. I shall not employ any person in any
manner so as to become subject to !he Workers· Compen-
sation Laws of Cahforma.
NOTICE TO APPLICANT: If. after making this Certificate
of Exemption. you should beeome subIect to the Workers·
Compensation provIsIons of the Labor Code, you must
forthwith comply with such provisions or this permit shall
be deemed revoked.
0 I hereby affirm that there is a construction lending
agency for the perlormance of the work !Or which this per-
mit is issued (Sec. 3097. Civil Code)
Lender's Name ____________ _
Lender's Address ___________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS AV ST.AO. NEAREST CROSS ST.
l°~/2 ;;;;ONI
BUSINESS LICENSE tt VALUATION ~';;MIT NUMBER
?...6 60 U///4 C, 11 h~r-. o/~3 LOT BLOCK I SUBO VISION I ASSESSOR PARCEL NO I; D CONTRACTOR ~ CONTRACTORS PHONE • ZONE / ~~ -/ --z._ -/ ,o ~-OWNE A'S NAME ~//4 OWNER'S PHONE ,. ---~u-
121a y-(c_ 'r \kK<L
CONTRA~OA'S ADDRESS LICENSE NO PLAN 1.0. # BUILDING SO. FOOTAGE
OWNER'S MAL NG ADDRESS /
7 6t< "? (,/v!sr/J_ DESIGNER DESIGNER"S PHONE
DESCRIPTION OF WORK ~ . .
()-•• ··-/Jh~ -~~~P" J?/./f-eh-• .,/ /o DESIGNER'S ADDRESS LICENSE NO.
-~17
I /47.inr/ 412 B/B67532 14~0'
f~-er F/P FLA ELEV. NO OCC GP EDU
STORIES
vO NO
CENSUS TRACT I GP L ANO USE I PARKING SPACE RES UNITS I GRADING PERMIT ISSUED
I
REDEVELOPMENT TYPE OCC LOAD FIRE SPR
AREA CONST
YO NO vO NO vO NO Not Valid Unless M~chine Certtlied
QTY. PLUMBING PERMIT -ISSUE ,~ QTY. MECHANICAL PERMIT · ISSUE 3-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP --INSTALL FURN. DUCTS UP TO 100.000 BTU BUILDING PERMIT OOl ·Bl0-00-00-8220
,/ EACH BUILDING SEWER ~ ~ -OVER 100,000 BTU SIGN PERMIT 001-B 10-00·00·8221 ---, 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 I BOILER/COMPRESSOR 3 15 HP TOTAL PLUM BING 001·810·00-00-8222 /V~
EACH GAS SYSTEM 5 OR MORE I METAL FIREPLACE ELECTRICAL 001 ·810·00·00·8223
EACH INSTAL . ALTER, REPAIR \\'ATER PIPE VENT FAN SINGLE OUCT MECHANICAL 001 ·810-00·00·8224 -~
EACH VACUUM BREAKER ME CH EXHAUST HOoo:ouCTS MOBILEHOME 001 ·810-00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN I "ISIDE) SOLAR 001·810·00-00·8226 . TOTJ;L MECHANICAL STRONG MOTION 880·519-92·33
TOTAL PLUMBING I Ill A 0 --FIRE SPRINKLERS 001-810-00·00-8227
' I 5~ PUBLIC FACILITIES FEE 332·810-00·00·8930
QTY. ELECTRICAL PERMIT • ISSUE QTY. SOLAR • ISSUE
NEW CONST EA AMP SWl BKR COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad
EXIST BLOG EA AMP1SWT BK R ROCK STORAGE Encinitas
1 PH 3 PH PUMP San Oleguito
REMODEL ALTER PER CIRCUIT PLAN CHECK FEE San Marcos
TEMP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX 001·810·00·00·8162
TEMP OCCUPANCY (30 DAYSI MFF 880·5 t 9-92·5 7 ~ ,,
CREDIT DEPOSIT ,yv/
TOTAL ELEURICAL I TOTAL SOLAR TOTAL FEES PAYABLE I fl/ 1/
• Exptrahon Every permit issued by the 8u1lding Ofhc1al under the prov,s1ons of this I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ANO PERMIT ANO 00 HEREBY * AN OSHA PERMIT 1S REOUIAEO FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hmItat1on and become null and void If the building or work 5· O" DEEP ANO DEMOLITION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT ANO 1 FURTHER CERTIFY ANO AGREE IF A PERMIT IS authorized by such permit Is not commenced w1thm 180 days from lhe date of such STRUCT\JR£S OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON-~~~~~n°~ I
~t
1
=~v ~~'~fle~rth=~~,:~!~0~~~e~le6~6~ ;>9~~~•~ts~:gedna~~ or
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO
AP~NATU ~ OWNE~ CONTRACTOR 0 APPROVED BY JI-DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS COSTS AND 'l--r*---~ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0 GRANTING OF THIS PERMIT fr' ., ~.
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TYPE I DATE INSPECTOR --., ' --.
BUILDING I
I .... .:
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I
MASONRY I
I
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES
REO IF INSPECTOR S t INSPE CTION CHECKED APPROVAL DATE
SUB FRAME D FLOOR D CEl~ING
SHEATHING D ROOF D SH1EAR
SOILS COMPLIANCE
PRIOR TO
FRAME I FOUNDATION INSP
EXTERIOR LATH I
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I
I
INTERIOR LATH & DRYWALL I
PRES TRESSED
CONCRETE
POST TENSIONED
I CONCRETE
PLUMBING I FIELD WELDING
D SEWER AND BUCO D PUCO HIGH STRENGTH
UNDERGROUND D WASTE D :WATER
TOP OUT D WASTE D VVATER
BOLTS
SPECIAf-MASONRY .
TUB AND SHOWER PAN I
GAS TEST I
I PILES CAISSON"
D WATER HEATER D SOLAR W~TER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND 0 1 UFFER \._ ... \
ROUGH ELECTRIC ' I
-..... ..
., --
D ELECTRIC SERVICE D TEMPQRARY --.
0 BONDING D POOL I
I
MECHANICAL I
I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I ,, I
I
' . '
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED. • -
FINAL
PLUMBING
ELECTRICAL .
MECHANICAL -
GAS
.... -I . " .,
BUILDING
,,
-' SPECIAL CONDITIONS