HomeMy WebLinkAbout2645 WILSON ST; ; 84-543; PermitVJ z 0 ;:: < a:: < .... 0 "' 0
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0 I hereby affirm that I am licensed under
provlalona of Chapter 9 (commencing with
~lion 7000) of Division 3 ot the Business
and Profeaalons Code, and my license Is in
full force and effect.
lie No _____ Class
I hereby alhrm thal I am exempl from the Contrac-tor's License uw t0< 111< follow,ng , .. son (Sec 7031 5
Business and Proless,ons Code Any c,ty or county whicn re· quires a permI1 to construct, alter. ,mprove. demohsh, or
repan any s1ructure prior 10 11s issuance also requires :heap-phcant for such permit to hie a stQned statemenl lhal he ,s
hcensed pursuant 10 lhe prov1s1ons ol the <;onuactor s License law (Chapter 9 commencing with Section 7000 ol
Div1s1on J of the Business and PTotessions Code) or lhat 1s ex-empt lherelrom and the ba~s tor lhe al egea exemp110n Any v1ola11on ol Sec:llon 7031 _5 by an apphcanl for a perm11 sub·
Jetls !he app1tcan1 10 a civil penalty ol not more than live hun-dred do<lars ($500)
0 I, as owner ol the property, or my employees w11h wages as lhe,r sOle compensat10n. will do lhe WOtk, and the slruc·
lure is no1 intended Of ollered for sale (Sec 7044 Business
and Protess10ns Code The Con!rKlor's lteense Law does not apply 10 an owner of property whO t>uilds Of improves
!hereon and who does such work himself or through hrs own employees. prOVJded that such .mprovements are not tnlend·
ed or ottered for sale lf, however. lhe bu11d1ng or Improve-men1 1s SOid w11h,n one year ot completion, lhe owner·bu,k:ler WIii have lhe burden o1 proving lhal he did not butld Of ,m♦ prove 10< tilt purpose of sale).
IJ I. as owner of lhe pro,perty. am exclusrvtly conlracting
w,th hcensed con1rac1ors 10 construct lhe protect (Sec. 7044, Business and Profess10ns Code. The Contracto,'s license Law does not apply to an owner ot property who builds°' im-proves thereon. and who contracts lor each pro,ects wnh a contraclor(s) hcense pursuant 10 the Contracl0f's lteense Law)
D As a homeowner I am ,mprovmg my home, and the lollow mg cond111ons ex,sl 1 The work ,s bemg per1ormed prior to sale 2 I have lived in my h0me loc twelve monlhs
prlOf 10 comp'-IIOn Of lhtS work 3 I have nOI ctauned th,s exemption during the 1as1 1nree years
B&PC
0 I hereby aft.rm tha I ha.-e a cer11f,cate ol consent
to self insure. or cert1t,ca1e ol Workers Compensation lnsuran e. or a cen,hed CoPy lhereot
(Sec 3800. Labor C
POLICY NO
COMPANY (?'\ \
0 Copy 15 ftle<l w\11~ C1ly
D Cer11t1ed copy ,s hereby tu,n,shed
CERTIFICA Tl OF EXEMPTION FROM WOR~ERS COMPENSATION INSURANCE {Th,s section need not be completed ,I the pe,m,t
•~ tor one hundred 0011ars (S HX)) or 1ess1
0 I cen,ty that ,n the performance ol lhe wor1ro. tor
wh1cn lh•S permit Is issued I shall not employ any
person ,n a,ny manner so as 10 beeome sub1ec1 to
lhe Wo~ers Compensa1ton U ws ot Cahlorn,a,
NOTK:E TO APPLICANT It, alter maktn~ !his Cet11
ficate ot Exemption you should beeome sub1ect I?
the W()n(ers· Compen~t1on provisions o t !he UbOf
Code you mus1 lonn .... 11h comply .... I1h such
prov1s,ons or this perm,1 Shall be deemed ,e..,okeo
0 I hereby affirm thal !here 1s a construction
1en<Jmg agency tor lhe pertormance ot the won,. tor wn,cn 1h,s perm11 ,s 1ssue<> tSec XJ97 C,1111 CocJe)
Lenoer s Name __________ _
Lenoer s Address ---------~
I
1 USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION W ITHIN SHADED AREA AND DECLARATIO N S.
I
CARLSBAD BUILDING DEPARTMENT I APPLICATION & PERMIT I 1200 Elm, Carlsbad. California 92008-1989 (619) 438,5525
~ I JOB AOORESS AV ST.RO. NEAREST CROSS ST l0i~1;~?ei 0
NI
BUSINN Stcc;~r
VALUATION PERMIT NUMBER u:: I ~45 W1t.."bl>N ~-:-S 5'2'2. >, I f'!-J-fj ;;;
I LOT I BLOCK .j sueo1v1S1ON I ASSESSOR PARCEL NO
~;:__ciij&1 LO 8f-.
CONTRACTORS JHONE• ZONE 0 Cl. I E OWNER'S NAME I ( ~:E£4H%
Cl> I I-A u....r&N Mofl(.1~ CONTRACTOR'S ADORESS LICENSE NO PLAN 1.0. it BLDG use COOE I I
I OWNER'S MAI LING AODRESS :5:' 0 1.e.45 W1~0N -:>T. OESIGNER LICENSE a STAN DARO PLAN # BUILDING SQ. FOOT AGE CJ I
DESCRIPTION OF WORK
OESIGNER'S ADORESS OESIGNE R'S PHONE -C:
fiTtD LQJse_ Ql I I /JU/ co ~4<. .. u
tJ IJ/fiJt, • -
NO Cl. -F/P FLA ELEV. OCC GP EDU I /jf.,/ Cl. STORIES <I'.
vO NO ---• I CENSUS TRACl I GP LAND USE 1 PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA _:,c_ AREA CONST C:
YO ND vO NO vO NO Not Valid Unless M~chine Certd,ed i:i:
QTY. PLUMBING PERMIT -ISSUE 7 ":)O QTY. MECHANICAL PERMIT -ISSUE ►0 SUMMARY/ACCOUNT NUMBER 0 -----::I_ -V, EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100.000 BTU BUILDING PERMIT 01·00-00-8220 G-1--4-.~r'l V,
Cl>
OVER 100,000 BTU SIGN PERMIT V, EACH BUI LUING SEWER 01-00-00-8221 V,
f/,.. :J'S -<I'. EACH WATER HEATER AND OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK __,, 01-00-00-8806 I EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTALPLU~ 01-00-00-8222 ~
~RICAL
-_Q EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE 01-00-00-8223 ----Cl> EACH INSTAl . ALTER, REPAIR WATER PIPE VENT FAN SINGLE OUCT _,,,. j,"" MECHANICAL 01-00-00-8224 >-->--
EACH VACUUM BREAKER MECH EXHAUST HOOO'DUCTS ~ MOBILEHOME 01-00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACE1HEATER .,I--"'" MOBILEHOME PARK INSP vi V, EACH ROOF DRAIN (INSIDEI ~ Cl> SOLAR --01-00-00-•00~ u ----0 TOH,L MECHANIC/ STRONG MOTION 80-92-33-0519 a: I ---TO I AL PLUMBING FIRE SPRINKLERS 01-00-00-8227 co ro
S~SUE
PUBLIC FACILITIES FEE 32-00-00-893) D QTY. ELECTRICAL PERMIT -ISSUE ~-~ QTY. ~ BRIDGE FEE
COL~S Cl> NEW CONST EA AMP SWl BKR I\ SCHOOL FEE • DISTRICT u C: I PH 3 PH l ...,.~ORAGE TANKS Carlsbad co 80-92-21-0519 C:
EXIST BLOG EA AMP SWT SKA ' ti V ROCK STORAGE Encinitas 80-92-22-0519 u:: / -I PH 3 PH A j v-PUMP / San Dregu1to 80-92-23-0519 :s
REMODEL ALTtR PER CIRCUIT ./ Ir /;_/ PLAN CHEI FEY San Marcos I 80-92-24-0519 C: TE MP POLE 200 AMPS / 'j, V I ' i/4 '1) ~ OVER 200 AMPS y -'l -A l-1" LICENSE TAX 01-00-00-8162 CJ _, Ll
TE MP OCCUPANCY 130 DAYSI ............. ( ~ _., .L ¥1. w MFF 80-92-57-0519
~ .
............. J ' / 11. CREDIT DEPOSIT < ...--1"' ~ . 'J s,) 0
lO~iCAL I ~ TOTAL SOLAR I u
TOTAL FEES PAYABLE 44.50 Cl> 0. V,
E I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT AND DO HEREIIY E•pirahon Every permit issued by the Bu1ld1ng Off1c1al under the prov1s1ons of this * AN OSHA PERM:T IS REQUIRED FOR EXCAVATIONS O\IER I CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exptre by ltmttarion and become null and void U the budding or work ~-0" DEEP AND DEMOLITION 0A CONSTRUCTION O~ DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authonzed by such perm,t ,snot commenced within 1800ays from the date of such
STRUCTURES O\IER 3 STORIES IN HEIGHT ~ ISSUED TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON :~'::::On°.:d 1
~t t~~y ~~~:1:~ei;h:~~,:~!~0~~~~/e~~~~ !8~~~16,sr:r;.~!d Of .c STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANTS SIGNATURE • OWNER□ CONTRACTOR 0 APPROVED BY DATE 3: KEEP HARMLESS THE CITY or CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND
IA~t~ 1',..~ A~ I /l--30.flf_ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE -a~~ BY PHONE 0 GRANTING OF THIS PERMIT /J?1,nu/')
0 I ',
TYPE ' DATE INSPECTOR I
BUILDING I
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTOR S DATE CHECKED APPROVAL ..
, FLOOR & CEILING SUB FRAME I
SHEATHING D ROOF D SHeAR
. . SOILS COMPLIANCE
PRIOR TO
-l FRAME I
FOUNDATION INSP •
EXTERIOR LATH I STRUCTURAL CONCR6H:
OVER 2000 PSI
INSULATION I
INTERIOR LATH & DRYWALL I
PRESTRESSE'D
CONCRETE
POST TENSIONED
I CONCRETE
PLUMBING I FIELD WELDING
SEWER AND BUCO D IPUCO I
UNDERGROUND D WASTE D WATER
HIGH STRENGTH .. BOLTS
TOP OUT D WASTE D WATER SPECIAL MASONRY
TUB AND SHOWER PAN I
1
GAS TEST I PILES CAISSOII.S
0 WATER HEATER D SOLAR WAtER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D lJFFER .:
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPORARY .
0 BONDING D POOL I . .
-:. ...
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPINf3
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
C
I
CALL FOR FINAL INSPECTION WHEN ALL APPRQPRIA TE
ITEMS ABOVE HAVE. BEEN APPROVED. • ' •
FINAL
PLUMBING ; ; .
ELECTRICAL : . .-c-..•
MECHANICAL
t' • !
BUlLDING
SPECIAL CONDITIONS