HomeMy WebLinkAbout2629 WILSON ST; ; 82-476; Permiten z 0 ;::
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' . O" 1.J,ereby •Hlrm that I am licensed under
p<ovlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license Is In
full force and effect.
Lie No _____ Class
I htleby affirm that I am exempt lrom the Contrac-to<'s l,cense Law lor the lollowing reason (Sec 7031 5 Business and Protess,ons Code: Any city or county which re-quires a permit to construct, alter, imprOYe, d~ish, or repair any structure, pnor to its issuance also requires the ap-~~~or ~~~a:':1 ~,,,~~~~ ~r\~i~~~:~:
~~~ }';,~r::.:s =.i~~:t~i::~~:.
:g\!~1~1~: ~~1~s~r:nt~~=,~~r:1:::.
jects the applicant to a civil penalty ol not mort than flVt hun•
dred dollars ($500)
c ~•s owner of the property, or my employees with wages
"' 1r sofe compensation. will do the work. and lhe struc-0 s not Intended o, offered to, sate (Sec 7044, Business
..J and Proloss,ons Code: The Contractor's license Law does
5 ~! to an owner of property who btlllds or Improves " and who does such -k himself or. through his own ii s, provtded that such improvements are not Intend· "' lotlj! lo, sale 11, however, the btlilding o, lmproYe-
Z sold within one year ot complebon, the owner-builder :It ha e the burden of prOV!ng that he did not btlild or Im-o tor the purpose of sale).
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D I. as owner of the property. am exclusively contracting
with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner ot property who btlllds or Im-proves lhefeon, and who contracts for each projects with 1 contractor(s) hcense pursuant to the ContractOf's License Law).
0 As a homeowner I am Improving my home, and the follow· Ing corlditlons exist: I. The work Is being pertormod prior to sale. 2. I have lived In my home tor twelve months
3. rt v: ~p~~:c,ot i'~i; :'!ptlon during tho last three years.
D I am exempt under Sec. ______ , B & P.C.
fo,th?!!' k -¾,, ~ Ill. ~41,)0
0 I hereby affirm thal I have a cen1hcate ot consent to self•insure. or a cen1t1caIe of Workers'
Compensation Insurance. or a cen1hed CoPY !hereof
(Sec :ieoo, Labo< Code)
POLICY NO
COMP"NY
0 Copy IS filed Wllh the city
0 Cen1hed copy 1s hereby furnished
CERTIFIC"Tl OF EXEMPTION FROM WORKERS' COMPENSATION INSUR"NCE
(This section need not be compleled ,r lhe perm,I
Is !or one hundred dollars ($100) or less)
0 I certify that ,n the perlormance of the w()(k lor
wh1Ch ttus pemut ,s issued, I shall not employ any
person ,n any manner so a.s to beeome subIecI 10 Ihe Wonters· Compensa11on Laws of ca111orn1a
NOflCE TO APPLICANT If, after mak1n"1 trus Cert•
ltcale ot Exemp11on. you should bee~ subIec1 I? the WOf'kers· Compen~t1on provIs,ons of lhe Li,b,04'
Code, you musl lorthw1lh comply with such
provIsIons or this permit shall be deemed re\'Okeo
O I hereby allum lhat there 1s a cons1rucIIon lencl•"Q ~enc~ tor !he performance of lhe wo'1il for
wtuch th,s perm,I ,s issued (Sec J097 C1v1I CoOel
Lenoer s Name __________ _
Lender's AOOress _________ _
USE BALL POINT PEN & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA • ··-DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008-1989 (714) 438-5525
JOB AOORESS AV, ST. ,DATE OF APPLICATION-I 8;3E7;EN5:_•
VALUATION VRMIT NUMBER
~/n2.'f /J //1 '3 ;,N '7"--RO, /; -.. r-J' y f?? OWNER"S NAME
17;t9:;;S5E
COljTRACTOR -7?, ' CONTR"<fORS PHONE • ZONE
A-1l~lY A'JtJRR.IS .,.,:;,,; --.,,/
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OWNER'S MAILING ADDRESS tONTAACTOR'S BM . LICENSE NO. PLAN 1.0 . # BLOG USE CODE
5/f/'1 £. .
LOT BLOCK I SUBOIVISION I ASSESSOR PARCEL NO DESIGNER l LICENSE• STANDARD PLAN # BUILDING SO. FOOTAGE
DESCRIPTION OF WORK
DESIGNER'S ADDRESS DESIGNER'S PHONE
1/-t?C f~~~ .._,/ I I ;:-0 -F/P F LR ELEV. NO OCC GP EDU /7 4 I STORIES I
vO NO ---
CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I GR"OING ~ERMIT ISSUED I
REOEVELOPMENT TYPE OCC LOAD Fl RE SPA
AREA CONST
YO ND vO NO YO NO Nor Valid UnMSs Machint urrifi«f
QTY. PLUMBING PERMIT · ISSUE -7>°-QTY. ~NICAL PERMIT · ISSUE ~~ SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP /.,. INSTALL FURN. O\lCTS UP TO 100,000 BTU BUILDING PERMIT 01 ·00·00-8220
/ EACH BUILOING SEWER I'~, s.r.J ""'-..Q._VE R 100,000 BTU SIGN PERMIT 01·00·00·8221
EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP T!N.....HP PLAN CHECK 01 ·00-00-8806 ,. /
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP ............. TOTAL PLUMBING 01-00-00-8222 / (/. (/ (.,,
EACH GAS SYSTEM 5 0 R MO RE METAL FIREPLACE " ELECTRICAL 01-00-00-8223 I
EACH INSTAl .. ALTER. REPAIR WATER PIPE VENT FAN SINGLE OUCT MECHANICAL 01-00-00·8224
EACH VACUUM BREAKER MECH EXHAUST -HOOO/OUCTS MOBILEHOME 01·00·00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) cn1•c n1 .oo.nn.oooc
TOT I.L MECHANICAL STRONG MOTION 80·92·33-0519 ._
TOTAL PLUMBING I I 7 11-17 FIRE SPRINKLERS 01 ·00·00·8227
QTY. ELECTRICAL PERMIT · ISSUE -:X£fl-QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32·00-00-8923
.... BRIDGE FEE
NEW CONST EA AMP/S~JBKR COLLECTORS SCHOOL FEE • DISTRICT
I PH '\_ 3 PH STORAGE TANKS Carlsbad 80-92-21-0519
EXIST BLOG EA AMP/SWT/BK'\_ ROCK STORAGE Encinitas 80·92-22-0519
I PH 3 P"N.._, PUMP San Dieauito 80-92-23-0519
REMODE L/ALTER PER CIRCUIT " PLAN CHECK FEE San Marcos 80·92-24-0519
TEMP POLE 200 AMPS " OVER 200 AMPS '\. -
TEMP OCCUPANCY (30 DAYS) "\ -
I TOTAL ELECTRICAL
--I_\ TOTAL SOLAR TOTAL FEES PAYABLE I /~OCJ
C HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Exp,rot,on Every permit issued by the Bo tiding Oftlc,1I under the prov11Ions of 1h11 * AN 06HA PERMIT IS AEQUIREO FOA EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by ltm1t1t1on and become null and void If the bu1ld1ng or work ~· O" DEEP ANO DEMOI..ITION OR CONSmtJCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS author1.Zed by such permit 11 not commenced within 180 days from the date of such STRUC~S ~ 3 STORIES IN HEIGHT permit, or 1f the build,~ o, work authonzed by such permit Is suspended or ISSUED TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON-abandoned 11 anv ,,,.,. 1 er the work ,s commenced lor I oenod of 180 divs STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND A~i~~ ~WNER0 CONTRACTOR 0 APPROl(ED B~ • D"TE 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 1//~,)--J), GRANTING OF THIS PERMIT
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INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GRnuT
FLOOR & CEILING SUB FRAME
SHEATHING '
FRAME '
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO
PLUMBING UNDERGROUND I
PLUMBING TOP OUT
TUB AND $HOWER PAN
' GAS TEST -
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING
G. F. I. -SMOKE DETECTOR '
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL -/
PLUMBING (J,,7,PY, ~
ELECTRICAL 1 ---, . ~
MECHANICAL ~
GAS ...
BUILDING
SPECIAL CONDITIONS
CERTQPOCCUPANCYISSUED
I -, .. . ;. 9';)...-</?h j
~
FIELD INSPECTION RECORD J
'
REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES -
INSPECTION REQ. IF INSPECTOR'S 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
I
PILES CAISSONS
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APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM.
CITY OF CARLSBAD SE 1 2~ it! l 'ENGINEERING DEPARTMENT
438-5541 \l \»~ ISSUED BY .
FOR APPLICANT TO Fl LL IN I I ..., ...___,~
DATE ISSUED
BUILDING lP 7 ,U//..SoA ADDRESS VALIDATION
OWNER II E fY 1'. t11oe I s
.... /f;ll'
MAILING
ADDRESS
LATERAL CHARGE COMPUTATION
CONTRACTOR /'-ft.1 v STANDARD 4" (Max. H. 30', V. 10')
OVER 30' H. @ FT.
CONT RACTOR'S OVER 10' V. @ FT.
ADDRESS STANDARD 6" (Max. H. 30', V. 1 O')
OVER 30' H. @ FT.
NEW BUILDING I EXISTING BUILDING I OVER 10' V. @ FT.
LEGAL DESCRIPTION TOTAL CONSTRUCTION COST ---.. .--..
SERVICE CHARGE (REPAVING ETC.) ~
'-, I
TOTAL LATERAL CHARGE
REMARKS: LINE COST DATA
ASSESSMENT DIST. NO.
FRONTAGE COST PER FT. TOTAL
OTHER
LATERAL LOCATION CONNECTION FEE
...: I I ...: I
en en NO. UNITS COST PER UNIT TOTAL
/", /" --. PUMP STATION FEES
'-....I '-../
NO. UNITS COST PER UNIT TOTAL
I I ·-
ST . 16'-({)-:;,-
TOTAL CHARGES (LATERAL ETC.)
LATERAL NO. INSTALLATION DATE
WHITE: Engineering GREEN: Finance YELLOW: Sanitation PINK: Building GOLDENROD: Permitter