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