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HomeMy WebLinkAbout2559 WILSON ST; ; CB920072; PermitB U I L D I N G P E R M I T Permit No: CB920072 Project No : A9200218 Develop111ent No: 03/30/;:)2 15:41 Page 1 of 1 Job Address: 2559 WILSON ST Permit Type: RESIDENTAL ADD/AL7 Parcel No: 156-130-30-00 Valuation: 15 ,659 Construction Type : VN Occupancy Group : R3 Class Code: Description: 188 SF+ 188 SF DECK Appl/Ownr : HARDESTY , KENNETH & ROBIN 2559 WILSON S'l' CARLSBAD, CA 920 Fees Required Fees: Adjustments: Total Fees: Fee description Bu .. ding Permit Pldn Check Strong Motion Fee A BUILDING TOTAL Enter 'Y" for Elect Enter 'Y" for Remod * ELECTRICAL TOTAL Enter 'Y' tor Mechani al Each Install/Reloc App * MECHANICAL TOTAL Str: 619 CITY OF CARLSBAD F_: :te: 7015 03/30/92 0001 01 02 C-PRMT LR l5 CQ \ 118-00 Stat Applied: Apr/Issue : Validated By: 729-8684 ..:,UED 01/21/9L 03/30/92 SBB I • 00 206.00 118 .00 Ext fee D ta 2.00 284.00 10.00 y 10.00 y 20.00 15 .00 y 4.50 20.00 j 2075 Las Paltnas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Depart11ent 2075 Las Pal-s Dr., carlsbad, CA 92009 (619) 438-1161 I. PilltMI I IYPE A -0 Commercial D New Building 0 Tenant Improvement B -D Industrial D New Building □ Tenant Improvement C -&:>1lesidential □ Apartment □ Condo □ Single Family Dwelling ~dition/ Alteration D Duplex D Demolition □ Relocation □ Mobile Home □ Electrical D Plumbing □ Mechanical □ Pool D Spa D Retaining Wall □ Solar □ Other ____ _ C-PRMT 2. PRQJECT INFORMATION FOR OFFICE USE ONLY Address ~ m Loi L-~O N $1--:, C. B Building or Suite No. c.~Rt.,~,-ol"t..., Nearest Cross Street t? l,.. m ST'• LEGAL DESCRIPTION Lot No. SulxhV1s1on Name/Number Onie No. CHECK B~~:1;siiM~1 ;Et: 0 □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ I Addressed Envelope ASSESSOR'S PARCEL DESCRIPTION OF WORK NAME R o6,"" EXISTING USE CITI STATE ZIP CODE DAY TELEPHONE 4. APPl.lCAN I u CUN I HACIUH □ AGEN I FOR CON lltACIOR JSlOWNER □ AGEN I FOil OWNEll NAME J,!-EW -+ 'Q.olb1N ~~cs.7-, ADDRESS ~ ,r;;!;"c1 W/l-~ow st-. Phase No. CITI c. I\-o... L ~ t1, ~ STATE c. ~ ZIP CODE ~ 2® 8' DAY TELEPHONE 7 2,C, -f ~ 8 '{ s. ~~~rnk~~N~ ~.:, t-., ADDRESS ;;i. r'>C, ·v .11 '--~o"" Sr • CITI CARl-S ~ l'H) STATE Crt° ZIP CODE '7UJO'{ DAY TELEPHONE 7 "JA -~WS'-/ 6. mmRXCioR NAME ADDRESS CITI STATE STATE UC.# DESIGNER NAME ::TA-rn€ 5. ch , w-1 l'I ZIP CODE LICENSE CLASS ADDRESS fi'8 q DAY TELEPHONE CITI BUSINESS UC. # p I LL bi2.. 206-00 CITI _5A-W Yn~C.O $ STATE C ~ ZIP CODE q 1..0 Co 9 1. WOIUillltS' WMPENSAl1ON DAYTELEPHONE 7</t./-'19oiSTATELIC.# C-J'-:.-737 Workers' Compensation Oeclarauon: I hereby alhrm that I have a cerultcate of consent to sell-insure issued by the Director of industnal 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 Cerubcate of Exempuon: I cerufy that in the performance oi the work for which this permit 1s issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. oWNEit-BOllDEit OECLAltATION □ D Owner-Builder Declarauon: I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 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). 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 co 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 t ap li~ant to a civil penalty of not more than five hundred dollars [$500)). SIGNATURE ~~ DATE / -/ -9 z._ Is the applicant or future building occupant required to submit 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? □ YES □ NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ YES □ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO [F ANY OF THE ANSWERS ARE YES. A FINALcrRTIFICATE OFCXX:UPANCY MAY NITT BE ISSUED AFTER JULY 1, 1989 UNIJlSS TIIEAPPUCANT HAS MET OR IS MEETING TI-IB REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND THE AIR POIJ.lJ11ON CDN1ROL DISfRICT. 9. OONS'm0Cl1ON LENDING AGENCY I hereby alhrm that there 1s a construction lend mg agency lor the performance of the work for which this permit 1s issued (Sec 3097(,) OVII Code). LENDER'S NAME LENDER'S ADDRESS to. APPUCAN"I C£1mFJCATJON I cerufy that I have read the apphcauon and state that the above iniormauon 1s correct. I agree to comply with all City ordinances and Scace 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 AI.SO AGREE TO SAVE INDEMNIFY AND KEEP HARMLF.SS TIIE CTIY OF CARI.SBAD AGAINST AIL UABIUTlFS, JUDGMENTS, CDSTS AND EXPENSES WHICH MAY IN ANY WAY ACDUJE AGAINST SAID CTIY IN CDNSEQUENCE OF nm GRANTING OF nus PER.MIT. 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 Building Code). DATE: /-U -C/2-APPLICANTS SIG~ (2~ WHITE: File YEU..OW: Applicant PINK: Finance " PERMIT# CB920072 DESCRIPTION: 188 SF+ 188 SF TYPE: RAD CITY OF CARLSBAD INSPECTION REQUEST FOR 08/14/92 DECK INSPECTOR AREA PD PLANCK# CB920072 OCC GRP R3 CONSTR. TYPE VN STR: FL: STE: JOB ADDRESS: 2559 APPLICANT: HARDESTY, CONTRACTOR: WILSON ST KENNETH & ROBIN PHONE: 619 729-8684 OWNER: REMARKS: MH SPECIAL INSTRUCT: AM PLEASE TOTAL TIME: --RELATED PERMITS--PERMIT# TYPE CB920354 RAD :~g::~ /J/J -i) I/ I INSPECT0/7 r~ J!(L___, STATUS ISSUED CD LVL DESCRIPTION ACT COMMENTS 14 ST Frame/Steel/Bolting/Welding 19 ST Final Structural 29 PL Final Plumbing 39 EL Final Electrical 49 ME Final Mechanical ***** INSPECTION DATE DESCRIPTION ACT 070692 Interior Lath/Drywall AP 070292 Insulation AP 061892 Sewer/Water Service AP 060492 Ftg/Foundation/Piers AP HISTORY ***** INSP COMMENTS PD PD PD TOP OUT MP