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HomeMy WebLinkAbout2559 WILSON ST; ; CB920354; Permit' . B U I L D I N G P E R M I T Permit No: CB9203~4 Project No: A92009/6 04/21/92 15:59 Page 1 of 1 Job Addtess: 2559 WILSON ST Permit Type: RESIDENTAL ADD/ALT Parcel No: 156-130-30-00 Valuation: 8,760 Construction Type : VN Occupancy Group: R3 Class Code: Description: 120 SF 2S ADD/REMODEL ' : 2 STORY Appl/Ownr : HARDESTY ,ROBIN AND KE~ 2559 WILSON ST CARLSBAD,CA 9200 Fees Required Fees : Adjustments: Total Fees : Fee description b 1ld1nS' Pe1.mit Plan Check Strong Motion Fee * BUILDING TOTAL Enter "Y" for Plumb ng Each Plumbing Fixtur. Each Building Sewer * PLUMBING TOTAL Enter "Y" for Electric Enter "Y" for Remodel * ELECTRICAL TOTAL Enter 'Y' for Mechanical Iss1 Fe Each Install/Reloc Appliance Ven * MECHANICAL TOTAL St1: DPve lol:'•r en t l\J : F ~ 7327 0412!'92 • 0001 01 02 C-PRMT 178-00 CR /Se,'7 !:..tat. _ ~J Applied: 04/08/92 Apr/Issue: 04/21 /92 Valiclated By: MDP 619 729-8684 Credits .00 70.00 178.00 *'<* Ext fee Data 4.50 108 .00 70.00 1.00 179.00 7.50 Y 15.00 6.50 29.00 10.00 Y 10.00 Y 20.00 15.00 Y 4. s·o 20.00 ,. AL APPROVAL IN DATE_/·........_.---1 CLEARANCE------1 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-l 161 PERMIT# CB920354 DESCRIPTION: 120 SF 2S 2 STORY TYPE: RAD CITY OF CARLSBAD INSPECTION REQUEST FOR 06/26/92 ADD/REMODEL' INSPECTOR AREA PD PLANCK# CB920354 OCC GRP R3 CONSTR. TYPE VN STR: FL: STE : JOB ADDRESS: 2559 WILSON ST APPLICANT: HARDESTY,ROBIN AND KEN CONTRACTOR: PHONE: 619 729-8684 OWNER: REMARKS: MH/729-8684 SPECIAL INSTRUCT: MID-DAY IF POSSIBLE TOTAL TIME: --RELATED PERMITS-- LVL DESCRIPTION PERMIT# TYPE CB920072 RAD CD 14 34 ST Frame/Steel/Bolting/Welding EL Rough Electric ------------------ ------------------ -- ---------------- ::~::: /}//_ ~ r /JJ INSPECTO~s:P~. STATUS ISSUED ***** INSPECTION HISTORY***** DATE DESCRIPTION 061992 Roof/Reroof ACT INSP AP PD COMMENTS PERMIT APPLICATION PLAN CHECK NO. 1 L ~ 3 ~, City of·carlsbad Building Departllll!flt 2075 Laa; Pal-s Dr., Carlsbad, CA 92009 (619) 438-1161 I. PEIM I IYPE A • LI Commercial LI New Building LI l'enant Improvement C-PRMT 70-00 B -0 Industrial LI New Building D Tenant Improvement C -,.Residential D Apartment O Condo D Single Family Dwelling t:r'Acldition/ Alteration D Duplex D Demolition D Relocation D Mobile Home D Electrical D Plumbing □ Mechanical D Pool D Spa D Retaining Wall D Solar D Other ____ _ 2. PROJECT INl'ORMATION FOR OFFICE USE ONLY Address ~5.S 9 Building or Su11e No. t o. mt o. CHECK BEWW IF s6~m; / ,3 ° .. 30 i D 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report D I Addressed Envelope ASSESSOR'S PARCEL EXJSTING USE PROPOSED USE DESCRJPTION OF WORK ~( ey""c; I_ SQ. FT. 20 ~~e ~ Q_e,..-.r.. # OF STORIES ,....,. .__ ADDRESS oA (L 1 /Ser~· rom app 1can CITY STATE ZIP CODE DAY TELEPHONE ◄• :'~~~~~q!.~m ~frb19}, %~~~~1~5 ~NE~ 1~Ai:N~ m; ~~ER CITY C, ~ ft-STATE Cflt' ZIPCODE c..,,-,,..,.. DAYTELEPHONE /C, ~72,9-fC:,f (/ NAME KeN N'r,~CJ ADDRESS as.sq w,~oH sl- CITY C~~ L_se,r,. °t) STATE (,,. ZIP CODE Cj?J)Df 6. rnmRACiu ""'. •"'-41!--e.-8u., Li)t:7l- DAY TELEPHONE NAME ,__., ADDRESS CITY STATE STATE UC.# ZIP CODE LICENSE CLASS ADDRESS DAY TELEPHONE CITY BUSINESS UC. # DESIGNER NAME CITY STATE ZIP CODE DAY TELEPHONE STATE UC.# 1. WOit.R£itS" 00MPENSAl1ON Workers' Compensauon Declarauon: I hereby alhrm that I have a cenihcate of consent to sell-insure issued by the Director of Industrial Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE Cerulicate of Exempuon: I cerufy that m the performance ol the work for which lh1s permit 1s issued, I shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. OWNER-B0llDER omnoN Owner-Builder Declarauon: I hereby alhrm that I am exempt from the Contractor's License Law tor the lollowmg reason: D j I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale.). 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 of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). D I am exempt under Section ________ Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the a plicant to a civil penalty of not more 1han five hundred dollars [$500]). SIGNATURE DATE -g , 'j z_ Is the appli nt or future building occupant required to bmit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES □ NO ls the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES D NO IF ANY OF TI-IE ANSWERS ARE YFS, A FINAL CERTIFICATE OFCXX:UPANCY MAYNOf BE ISSUFD AFl"ERJULY 1, 1989 UNlF.SS UIEAPPUCANT HAS MET OR IS MEETING TIIE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND 1llE AIR POLLUTION CDNTilOL DISTRICT. 9. WNSll{0CIION ffiNDING AGENCY I hereby alb rm that there 1s a construcuon lending agency tor the performance of the work !or which 1fi1s permit 1s issued (Sec 3097 (1) O VII Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT c£1t'm'tcA'i1oN I ceruly that I have read the apphcauon and stale that lhe above mlormauon 1s correct. I agree co comply with all City ordinances and Stale laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE INDl™.Nll'Y AND KEEP I IARMI.F.SS 11IB CTIY OF CARLSBAD AGAINST AIL UABIUTIF.S, JUDGMENTS, CDSTS AND EXPENSF.S WIDCII MAY IN ANY WAY ACX:JUJE AGAINSf SAID CTIY IN CDNSEQUENCE OF TIU-: GRAN11NG OF 11DS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform,uilding Code). APPLICANTS SIGNATURE DATE: ':f -BI q :z.. ~ A. /2. ~,Qa~ I ' WHITE: File YELLOW: Applicant PINK: Finance