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HomeMy WebLinkAbout2645 WILSON ST; ; 81-363; Permit<I) z 0 ;:: < er: < _, u w 0 C I[ 0 u z 0 ;:: < <I) z w ... 2 0 u <I) ic w ><: er: 0 ~ 0 I , 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 _____ Class _____ _ I hereby affirm that I a,n exempt from the Con· ~~cr~t!~:;:: ~w ~t~~.1:1~~~~1~ county which requires a permit to construc1 alter. improve, demot1sh, or repau any structure, pnor to its issuance also requires the applicant fo, such pemut to hie a signed stat~t that he 1s hcensed pursuant lo the provisions of the Con· tractor's License Law (Chapter 9 commencing with Sect.on 7CXX) of Omst00 3 of thtl Business and Pro- fessions Code) or that •S exempt therefrom and the t,u,s for the alleged exemption Any v10lahon of Sect,on 7031 5 by an applicant for a pemut sub1ects tne applicant 10 a c,v,I penalty of not more than hve hundred dOllars {S5(X)) C I. as owner ot the property, or my employees ••th wages as their sole compensation, will do the w~. and the structure 1s not intended or offered tor saJe (Sec 7Q,U, Business and Professions Code The Contractor's License Law does not apply to an 1 owner of property who builds or ,mproves thereon and whO does such wont himself or through his own employees. provided that such 1mproveme;its are not intende1 or offered for sale II. however, the building or improvement 1s sold within one year of completion. the owner-builder wlll have the burden of proving that he did not build or improve lor the purpose of sale). □ 1. a..s owner of the property, am exclusively contract10i with licensed conlractors to construct the pro,ect (Sec 70,,&.C, Business and Professions Code· The Conuacto(s License Law does not apply to an owner of property who builds or improves thereon. and whO contracts for each proJects with a contractorts) license pursuant to the Contractor"s License Law). D I am e,empt under Sec _____ , 8 & PC lor this reason □ I hereby affirm that I ha11e a certificate of consent to self-insure, or a cert1f1cate ot Workers· Compensation Insurance. or a cert1f1ed copy thereol !Sec ~~l.abor':"e_) ___ -----I PANY Copy IS filed with lhe city 0 Cert1hed copy 1s hereby furnished CERTtFICATl OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE (This section need not be completed 11 lhe perm11 1s for one hundred dollars ($100) or less) 0 I certify that ,n the performance of the work lor which 1h,s pemut 1s issued. I shall not employ any person ,n any manner so as to become sub1ec1 to lhe Wo~ers· Compensation Llws of Gallforn,a NOTICE TO APPLICANT If, alter makmJ this Cer11 hcate of Exemphon. yov shovld beCome sub1ec1 l'J the Workers· Compensation prov1s1ons of lhe Ubof Code. you must forthwith comply w,tn sucn provisions Of' this permit shall be deemed revoked 't 0 I hereby affirm lt\at !here 1s a construction lending aoency '°" 1he per10f'mance of the work to, wtuc!'l this perm11 1s issued (Sec 3097 C1v1I Code) Lenoe, s Name __________ _ Lenoers A0<1ress _________ _ USE BALL POINT PEN ONLY & PRESS HARO APPLICAN' FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBJ BUILDING DEPARTMENT ~-. LICATION & PERMIT 200 Elm, Carlsbad, California 92008 (714) 438-5525 JOB ADDRESS (J J /1.~J ~,--A~i.TrAT~~p;;;;N, BUSINESS LICENSE # 1i/o?~ PERMIT NUMBER 1/r,+S' ,;l.3)...Y'~ g, -~?-OWNER'S//i/~;f If'-I I 7.;;~E~;;s- PRIME CONTRACTOR I CONTRACTORS PHONE• ZONE J%£t7tS. Scl!Roc/c. ,:J:nc. OWN;;;,G A°ti,~/~ tf ~ CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLDG USE CODE (9 /f,,ef< --//6S-~,te~ J9 _; Ivel, S',1JJ.A ;if-JS'// Y LOClK ~S-~UBDIV'SION "7,,,/fil ASSESSOR PAR~~;L NO DESIGNER STATE LICENSE It STANDARD PLAN# BUILDING SO. FOOTAGE J,, /o '111Crt1/ a--.S.-w;· IIVA--rL.l'fe-t-;1.,1,3 DESC~I ION OF WORK tt; /~!'30:J.~O) t"I: ~,,,..-·-- 'LJ-,4? ~ DESIGNER'S A0DRESS DESIGNER'S PHONE ~, """''..,, ,,.n,. u • 'y~~ 0 I ~725, 9/29/Si 21 --• ,___ -FIP FLA ELEV. NO f<-t Er vO NO --- i.AIES CENSUS TRACT I GP LAND USE ~~;~eel RES UNr 1 GRADING ~ERMIT ISSUED I AE0EVEL0PMENT 11 Ii} OCC LOAD FIRE SPA AREA YO N D vO NO vO NV'J Not Valid Unlffs Machine Certified V QTI PLUMBING PERMIT -ISSUE ~50 QTY. MECHANICAL PERMIT -ISSUE 3.no SUMMARY/ACCOUNT NUMBER Vf EACH FIXTURE TRAP "'2-> .. w-1 INSTALL FURN DUCTS UP TO 100,000 BTU Jj. -./ BUILDING PERMIT -ii/_/ _ _... II EACH BUILDING SEWER (,..,( 0 OVER 100,000 BTU /' SIGN PERMIT ,.,., /J -_.. I . I --, .... r; I/ PLAN CHECK '1-~/ -1t-1 'tJ rnr,u -":?~ ,, • 41b EACH WATER HEATER ANO /OR VENT BOILER/COMPRESSOR UP TO 3 HP 7 EACH GAS SYSTEM l TO 4 OUTLETS "'7/ ... ("j BOILER/COMPRESSOR 3-15 HP / TOTAL PLUMBING f I /J.../ • ..'..l't'. EACH GAS SYSTEM 5 0 R MO RE METAL FIREPLACE / ELECTRICAL ' ' ~'7-~ -I / v-'\ \. t:/,MJ EACH INSTAl .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT -MECHANICAL MECH EXHAUST -H0OO/OUCTS / MOBILEHOME , EACH VACUUM BREAKER WATER S0FTNER RELOCATION OF EA FURNACE/f¢TER MOBILEHOME PARK INSP EACH ROOF DRAIN (INSIDE) / SOLAR I I . TOTAL MECHA7 t/. STRONG MOTION t.t-. t:,,( I') TOTAL PLUMBING I U-/ . i I'. -FIRE SPRINKLERS I SO~ISSUE , PUBLIC FACILITIES FEE ... \ --\_ :2.-oo ~ QTY. ELECTRICAL PERMIT -ISSUE QTY. r;: BRIDGE FEE -. ' ' I • NEW CONST EA AMP/SWT/BKR //Ill /J, .....,....( -I COLLE raj{" I / l '\._ SCHOOL FEE -DISTRICT Al IM' l PH 3 PH -7-. ST,~ ff TANKS I / Carlsbad I -c \ EXIST BLOG EA AMP/SWT /BKR ~ \~ ~ STORAi E ,,, V ~ Encinilas l PH 3 PH "~ PUMP l ... ti~ . San D1egu1to REMODE L/ALTER PER CI RCUIT 7/\ PLAN C ~tel \EE _ \ ~ -San Marcos TEMP PO LE 200 AMPS ./ 'Q" '))\ ' I l' \ ~ r--... -/' J / "' OVER 200 AMPS ./ ~ I \ \ r: ~a. n -f;.p__~ tci) "' f-Z...7--1 _, TEMP OCCUPANCY (30 OAYSJ /. I \J . -'-, ' ·---/ d TOTAL ELECTRICAL I //.,1 TOTAL SOLAR • I TOTAL FEES PAYABLE I q;?; V.3D -- I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT' AND DO HEREBY Expiration. Every permit issued by the Building Off1c11I under the prov1s,ons of this * AN OSHA PERMIT IS AE0UIAED FOA EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by l!m1tat1on and become null and void If the building or work 5' 0" DEEP ANO DEMOLITION OR CONSTRUCTION Of' DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit 1s not commenced w1th1n 180 days from the date of such STRUCl\JRES OVER 3 STOAIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON-~~:;;;,r:i 1~11:~v '::!1Je~\h=~~r:~t:o~:1.:i~~~~ rn:.7.;;,i'~i'r:8':J~~ or ,I -· STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND ◄~ICAN ', ~,TURE 1f-OWNER □ CONTRACTOR ~ APPRI~ ID'1f~!t1 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~ ~~ BY PHONE 0 GRANTING OF THIS PERMIT. ✓ .. V ..9:? u::: >, <ii 0 a. E Ql t- i 'O 0 (!) ~ C <11 .,._2 ci a. <( I .:,:_ C ii 0 r/) r/) Q) r/) r/) <( I ;;: .2 a; >- ch r/) Ql () 0 a: <Ill <di D ~ Ql (> ~ ii: INSPECTION TYPE BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING 1 FRAME EXTERIOR LATH lNSULATION INTERIOR LATH & DRYWALL PLUMBING SEWER AND BL/CO PLUMBING UNDERGROUND PLUMBING TOP OUT TUB AND ~HOWER PAN GAS TEST ELECTRICAL TEMPORARY POWER ELECTRIC UNDERGROUND ROUGH ELECTRIC ELECTRIC SERVICE BONDING A G. F. I. -SMOKE DETECTOR'. MECHANICAL DUCT & PLEM., REF. PIPING HEAT -AIR COND. -SOLAR SYSTEMS VENTILATING SYSTEMS DATE INSPECTOR CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. JOB SITE FINAL PLUMBING ELECTRICAL ! MECHANICAL -. -GAS . . . BUILDING . ' SPECIAL CONDITIONS I CERT OF 0 >ANCY ISSUED ' I FIELD INSPECTION RECORD , REQUIRED SPECIAL INSPECTIONS REQ. IF INSPECTOR'S IN SPECTION CHECKED APPROVAL DATE SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE I OVER 2000 PSI - PRE STRESSED I CONCRETE .. POST TENSIONED CONCRETE ' FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS , - , fi -• . - 'ff l.,Q S~3 . - _ INSPECTOR"S NOTES -/ ~ _\ ' ' ,=-,£:.~ 4--I .-;.J-r7 ,J~4? ~!S-1 ,-0 ,..., J / VIJ.? (' f .1/1 -,1--~ / -k lI V ~ .,,,.,.,,, ;f ~-at.. /--1 'h~ r, Iv' , I A ~ _M ,.__ JI O A. ./If'~ A ~ I • ~ -(/ ?J-J.l..~ all /4~ A£ ,.,✓, - ti ll ~ f/ _a.Lt . V I. ~ ~.,, ~-/¥7/ -ef-Uv4. • ~ -. , ., fl I --~ /1 II. IL/f /4/'I~ ~ "A _, ,:. ..... : .,J o /L-~ /2!1_ -:.-0 LI --f/ / O'//a LL'>.- II /-yp I . . ·-· ' • ' - . •· ' - \ APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM. CITY OF CARLSBAD ENGINEERING DEPARTMENT 438-5541 FOR APPLICANT TO FILL IN BUILDING ADDRESS OWNER MAILING ADDRESS CONTRACTOR CONTRACTOR'S ADDRESS NEW BUILDING LEGAL DESCRIPTION REMARKS: ...: en r EXISTING BUILDING wt/So LATERAL LOCATION l ST. LATERAL NO. _______ INSTALLATION DATE--------1 l SE ISSUED BY ___ __:/___;; ___ ....::..:c...:..::.......:._:._...:l'-----'C...-- DATE ISSUED--------c....._-------'--- VALIDATION LATERAL CHARGE COMPUTATION -,:., -STANDARD 4" (Max. H. 30', V. 10') __ ___;;/_.:._ ____ _ OVER 30' H. ___ @.,,.'-___ FT. _________ _ OVER 10' V. @ FT. ________ _ STANDARD 6" (Max. H. 30', V. 10') ________ _ OVER 30' H. ___ @, ___ FT _________ _ OVER 1 0' V. ___ @ ___ FT. ---*;:::,;-""';-";;;;::--""'-7 -.-'- TOT AL CONSTRUCTION COST--_.:._==......;:..-'-----./~)- SERVICE CHARGE (REPAVING ETC.) __ ~....::;..:.~-----,-.......;a -TOTALLATERALCHA RGE --=l.-;I=-'~ ''=------ LINE COST DATA ASSESSMENT DIST. NO.-------------- FRONTAGE ____ COST PER FT. ___ TOTAL __ _ OTHER ___________________ _ CONNECTION FEE NO. UNITS_/ __ COST PER UNIT __ -__ TOTA L_1_1/_ PUMP STATION FEES NO. UNITS ___ COST PER UNIT ___ TOTAL--- TOTAL CHARGES (LATERAL ETC.) __ /_6_7~()=------ WHITE: Engineering GREEN: Finance YELLOW: Sanitation PINK: Building GOLDENROD: Permitter INTERDEPARTMENTAL INFORMATION SHEET BUILDING DEPARTMENT BUILDING ADDRESS: PLANNING DEPARTMENT AUG 26 1981 CITY OF CARLSBAD Bulldlng Department ZONE _ ___,,~~l/'--~-=-----LOT s I z E __ Ql..of--l~:=:-------LOT WIDTH. _______ _ UNITS ALLOWED ~TS PROVIDED __ __,,,________ ----\----------- PARKING sPAcEs REQUIRED '1-PROVIDED_~D~~Ju _______ _ % COVERAGE ALLOWED ----~(9.............,¥.__ ______ PROVIDED __________ _ BUILDING HEIGHT ALLOWED e~ PROVIDED __________ _ FRONT SETBACK: ~ ALLOWED © .,,,.-: PROVIDED ---~-=-- SIDE SETBACK: INTRUSIONS LANDSCAPE & IRRIGATION PLAN COMMENTS: <ENVIRONMENTAL PROTECTION REQ: '\ OK ENGINEERING DEPARTMENT ,S FD. REAR SETBACK: R.O.W. INDUSTRIAL WASTE _______ IMPROVEMENTS ________ / SEWER CONNECTION ________ DRIVEWAY LOCATIONS ___________ _ GRADING PERMIT ____ ~ __ EASEMENTS __ ;.._ ______ DRAINAGE _____ 1l LEGAL DESCRIPTf~k f2A · rJ-/..«.;;; I() (/.J.:lb,;., kta 4F rha.f o2 / &J \!\'\ ADDITIONAL COMMENTS __ • __________________________ _ FIRE DEPARTMENT SPRiliKLING SYSTEM ___________ FIRE PROTECTION EQUIP . _______ _ FIRE ALARMS EXITS _______________ _ FIRE HYDRANTS LOCATION _________________ _ ADDITIONAL COMMENTS OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ___ _ WATER DEPARTMENT REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _ ;z_ .1:-.,1.~-v;i/~J.~~.\,~,,'};J)Jtv,"t./~~,~.l .. ,At\t,...A;,\:.~v!'·~t?~.,~-A.(i.l~AAl❖Al,IAA,~A.l,.~/~A.At,AM✓.~,).t j <.!:rtttf tra tr nf ®r nq.nrnry ffe~::~\ I ~ CITY O F CARLSB AD ~ 1, -~~-~ ~ This Certificate issued p11 rsum1t to th e requirements of Section 306 ► j of the Uniform Building Code certifies that at the time of issuance ~ ~ this structure complies with applicable ordinances of the City ► j regulating building construction use. ~ !< u .. Clon;fk•"~ Sing 1 e Family Dwe 1 ling Bldg. p.,.;, No. 8 h 3 6 3 ~ Group ______ Type Con struction _____ F ire Zone ______ Use Zone ______ ~ Occupant Load ________ ..:.... ________ _..:.______________ ► ~ Ownerof Buildin~ ... AJlen R.· Mo:_rr;is . ... 'Mdress 262.9-· W:i;lson :St, ~ ~ Bui lding Address".!; )264-5-W-i-1s~on St. ~-.Locality-Car sbad , CA.-92Q08 ~ j , • • { <· .'.I • ~ • l . I!. ... ?·,.--· ... --" • •-· .. ~-. ~ t. I I / ~ ~ ______________ ___:_ ___ By+--1~~:__;_-1-~.L...-l.!.'--1-~=---- ~ __________________ Dot ~ ,----------- ~ NOTE: Alteration,, chonge1, oddition1 or chong•• o occupor\C)' null ritn thi• cortif" ate. ~ (Post in conspicuous place) :►. ~WWWW~WW~Wffo//WWWWWWWWTI"YJWWWWWWW\/f/WffWW'J.<_ I .! I \ I \ \