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