HomeMy WebLinkAbout2629 WILSON ST; ; 87-470; Permit.,, z 0 ;: < a: < -' 0 "' 0
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Q I hereby affirm that I am licensed under
provl1lon1 of Chapter 9 (commencing with
$«:tlon 7000)' of Division 3 of the Business
and Profe11lons Code. and my license is in t'uli fO(c• and effect.
I fl11eby affirm lhal I am exempl lrom lht Contrac-
1or s License Law tor the IOllowmg reason (Sec 7031 5 Business anc:1 Profess,ons Coc,e Any city or county whic.t, re· quires a perm11 to conslrucl. -aller improve demolish or
repair any struclure. prlOf to its 1ssuarlte also requires !heap-plicanl !or such perm11 to tile a signed sta1emen1 that he ,s hcense<l pursuant lo the provIst0ns of the ConuactOf s
License law (Chapter 9 commtncmg w1lh Sec110n 7000 ol 0Ms1on 3 ot the Business and Proless,ons Code) Of that 1s ex· empt lherefrom and the basis tor the atlegeo exemption Any
v10Ia110n ol SecllOn 7031 5 by an apphcant !or a permII sub-
Iecrs the apphcanI to a c1vll penally of not more than hve hun-
dred d~lars ($500)
I, as owner ol lhe property or my employees with wages
as lhe+r sole compensaI10n. wilt do the work. and the struc•
lure Is nol mtencted °' ollered tor sale (Sec 7044 Business
and Proless100~ Code The Conlractor's license law does
not apply 10 an owner ol property who builds or improves
thereon and whO does such work himself or through tus own
employees, provided lhal such ImprovemenIs are not intend·
ed or ollered for sale It, however. the bu1ldm9 or improve-
ment Is sold wIthm one year of completion, the owner·budder will have the burden ot provmg lhat he did not butld or ,m-
prove for the purpose 01 sa!eJ
I I, as owner o1 the property, am exclusively contracttng
wllh licensed contractors 10 consIrucI Ille pro,ect {Sec 7044.
Busmess and Protess10ns Code The Contrac:Ior·s license
Law does 001 apply lo an owner ol property who builds Of im-
proves lhereoo. and who eon1racIs tor each pn:lfecls with a
contractCN'(S) hcense pursuanl to the Contractor's License Law)
( 1 As a homeowner I am Improvmg my Mme and the tonow mg cond1l10ns exist
t The wOl'k Is bemg performed prlOf to sale 2 I have hved ,n my home !or twelve months
pnor to complehon of this work
I have not claimed lh1s exemption during the last three years
0 I am exempt under Sec ______ . 8 & P C
for this reason -------------
C I hereby all"m that I have a cen,hcate of consent to
self-,nsure. or a certificate of Workers· CompensaI,on In-
surance. or a cerlthed copy thereof (Sec 3800. Labor Code)
POLICY NO
COMPANY
Copy lS hied with the cIIy
D CerI1hed copy is hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS. COMPENSATION INSURANCE
(This section need nQI be completed 1f lhe perm,I
,s tor one hundred dOllars ($ 1()()) or less)
0 I certify Iha! In lhe performance ot the work for which
1h15 permll Is issued. I shall not employ any person ,n any
manner so as to become subJe<:t to the Workers Cornpen-
sallon Laws ol Cal1lornia
NOTICE TO APPLICANT. If, alter making this Certificate
of Exemption. you should become sub1ecl to the Workers
Compensation provisions of the Labor Code. you must
forthwith comply w1lh such provIs,ons or this permit shall
be deemed ,evoked
D I hereby affirm that lhere is a conslructton lending
agency for the performance of the wono. tor which ttus per•
m,t ,s issued 1sec 3097. c,v,I 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 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
JOB AOORESS AV. ST.RO. THOMAS BROS NO. I ocj~/ :8710NI
BUSINESS LICENSE • VALUATION PERMIT NUMBER
1/,, ') 9 1,J1l .<!.t;N c:;:---1--/,of) q, 41° LJ°b I BLOCK I suB01vts1or"( /Sh !':!.Q ,g,/ 0Q ~<:/'Su, CONTRACTOR CONTRACTORS PHONE • ZON~ .,, ~ ~ r '7v· YIJ OW>-/J£P OWNER'S NAME . . I OWNER'S PHONE
A.I/~>./ /\4 D RR lb CONTRACTOR'S ADDRESS STATE LICENSE NO BUILDING SO. FOOT AGE
OWNER'S MAILING ADDRESS
~ /A/JS 1~111 s""' 'j r: (' A IP 1 ~ R tJ.r> CJ ~~S DESIGNER DESIGNER'S PHONE
DESCRIPTION OF WORK
M :z, II' IN' ,J/f(' (tf A I? A (j' /2.. n.. DESIGNER'S ADDRESS STA TE LICENSE NO.
f)A}irJ-£ ~ ~r -Ql2fl ~ ~Jl. 71:-1 0016 09/01 0101 02BldPmt 15-0
u J F/P FLA ELEV. NO OCC GP EDU
STORIES
vO "-0 ---I CENSUS TRACT I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED REDEVELOPMENT TYPE OCC LOAD FIRE SPP AREA CONST
,□ ND vO NO vO NO Not Valid Unlt,n Machine Certifi«J
QTY. PLUMBING PERMIT -ISSUE 7 5' QTY. MECHANICAL PERMIT · ISSUE /6()-d SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS uP TD 100.000 BTU tfUILDINlJ rtKMII uu 1 ·IJ 1 u-00-UU·o«v /_r -EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 001-810-00-00-8221 ,
EACH WATER HEATER AND•OR VENT ' BOILER/COMPRESSOR UP TD 3 HP _/ PLAN CHECK 001-810-00·00-8891
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILE R/COMPRESSOR 3 15 HP / TOTAL PLUMBING 001-810-00-00-8222
EACH GAS SYSTEM ~ OR MORE METAL FIREPLACE / ELECTRICAL 001-8 t0-00-00-8223
EACH INSTAL . ALTER. REPAIR WATER PIPE VE NT FAN SINGLE DUCT / MECHANICAL 001-810-00-00-8224
EACH VA CUUM BREAKER MECH EXHAUST HOOD •1),1,11'.;TS MOBILEHOME 001 -810-00-00-8225
WATER SOFTNER RELOCATION OF EAJ,,tffi"NACEIHEATER SOLAR 001 -810-00·00-8226
EACH ROOF DRAIN I INSIOE I DRYER VENT / STRONG MOTION 880-519-92-33
/ECHANICAL FIRE SPRINKLERS 001-810-00-00-8227
T01AL PLUM8INL I , PUBLIC FACILITIES FEE 320-810-00-00-8 7 40
.5 I¢ 3/ V MOBILt Ho;IE SETUP
BRIDGE FEE 360-810·00·00-87 40 QTY. ELECTRICAL PERMIT -ISSUE 11 PARK-IN-LIEU (AREA )
NEW CONST EA AMP SWT BKR IJ .,, I CA\.PO~T l,,f TIF 312-810·00·00·8835
1 PH 3 PH ......... v A'lflNG A fl 7 LA COSTA TIF 311·810-00·00·8835
EXIST BLDG EA AMP•SWT BKR ./ / /1/ JJ, GARAG/\ , 1 lY FMF
1 PH 3 PH / J V , V I LICENSE TAX 001-810-00-00-8162
REMODEL ALT t R PER CIRCUIT / / ' < // I l MFF 880-519-92-57
TEMP POLE 700 AMPS V I \ . I
OVE A ZOO AMPS / --J ' I
TEMP OCCUPANCY 130 OAY_V
/ CREDIT DEPOSIT
107C1 RI LAL I TOTAL TOTAL FEES PAYA~ ;~-'
I HAVE CAA=E LLY EXAMINED THE COMPLETED 'APPLICATION ANO PERMIT AND 00 HEREBY Expiration Every permit issued by the 8u1ld1ng Offic1■I under the provIsIons ot ttus * AN OS~PE IS IIEOUIAEO FOfl EXCAVATIONS OVER CERTIFY EA PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by 11m,tat1on and become null and void It the building or work 5· o·· DEEP OEMOllTIOl<I OR CONSTRUCTION OF
DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT I~ authorized by such permit ,snot commenced within 180 days from the date 01 such STRUC S '\"IER 3 STOAIES IN HEIGHT permit. or ,f the buatd•~ or work au1ho,ized by such permit ,s suspended or ISSUED TO COMPLY WITH ALL CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON-1band0ned 11 any time I er the work Is commenced for a oeuod of 180 dl\l~ -I • STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO OWNER □ CONTRACTOR 0 APPROVED B~ J---
1
rer71 1$7 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS At APPLICANTS SIGNATURE •
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OFT n. ,u. .~ ~ IN PHONE fJ GRANTING OF THIS PERMIT \ , • ~ -~ --
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TYPE
BUILDING
OUNDATION
EINFORCED STEEL
F
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ASONRY
UNITE OR GROUT
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UB FRAME D FLOOR D CElpNG
HEATHING D ROOF D SHEAR
RAME F_
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INSULATION
NTERIOR LATH & DRYWALL
PLUMBING
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D SEWER AND BUCO [J P)-/CO
UNDERGROUND D WASTE D 1WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN I
GAS TEST I
D WATER HEATER D SOLAR WATER
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ELECTRICAL I
D ELECTRIC UNDERGROUND D UFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMP9RARY
D BONDING D POOL I
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MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS ' I --
VENTILATING SYSTEMS I
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DATE INSPECTOR
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CALL FOR FINAL /NSPECfl.ON WHEN ALL APPRO_/pfit(A FE
ITEMS ABOVE HAVE BEEN APPROVED. -• •
FINAL I V /
PLUMBING . . / .. ~ I '·'
ELECTRICAL I / I
MECHANICAL I /
/ . GAS I
BUILDING ' / I
SPECIAL CONDITIONS y . . /
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FIELD INSPECTION RECORD .
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES ,. REO IF INSPECTORS INSPECTION CHECKED APPROVAL DATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED " CONCRETE ,,
FIELD WELDING /.
HIGH STRENGTH / BOLTS
SPECIAL MASONRY ./1,.,'
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