HomeMy WebLinkAbout2815 WILSON ST; ; 85-498; PermitC
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0 I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Proleaalons Code, ~ .. d my 11.!ense is in
lull force and effect.
lie No 44334gc1m C36
I hereby alflfm that I am eicempl lrom the Contrac-
lor's License Uw fOf the following reason (Sec 7031 5
Busmess and Proless,ons COcle Any city or county which re-
quires a permit to consuuct, alter, improve. demohsh. or
repair any structure. puor 10 its issuance also requ1rts !heap· phcant !or such permI1 to tile a s1Qned statement !hat he Is
hcensed pursuant 10 lhe pr0Vts10ns of the Con1rac1or s License Law (ChJpler 9 commencing w11h Sechon 7000 ol Otv1s,on 3 ot lhe Business and Protess,ons Code) or t~t ,sex-
empt therefrom and the bas,s !or the allegeo e;cemphon Any Y1olat1on ot Secuon 7031.5 by an apphcant !or a permI1 sub· 1ects 1~ apphcant 10 a CIVIi penally of not more than hve hun·
dred dollars ($500)
rJ I, as owner of the property, or my employees with wages as their sole compensal!on. will do the wOfk, and !he siruc· lure Is nol intended or ollered lor sate (Sec 7044, Busmess
and Professions Code The Con1rac1or·s License Law does nol apply 10 an owner ot praperty who buIkSs or improves thereon and who does such w0tk h1msel1 or through his own
employees, provided lhat such 1mprovemen1s are not intend· ed or ollered lor Sole. 11, however, lhe bu1khng or improve·
menl 1s sold within one year of compIe110n. the owner•bu1lder WIii have the burden ol proving Iha! he did nol bU!ld Of lffl·
prove fOf lhe purpose ol sale}.
□ I, as owner or the property, am exclusively con1rac1mg
with licensed contractors to consuuct the pro,ect (Sec 7044, Busmess and Professions Code: The Contrac1or·s LK:ense
Law does not apply lo an owner of pr(lperty who bu1tds or 1m· proves thereon. and who con1rac1s lor each pro,ec1s with a contraclor(s) ncense pursuanl to lhe Conlractof's license Law)
□ As a nomeowner I am improving my home, and lhe lollow·
Ing conc:lthons e,osl t The work is being performed pr.or to sale
2 I have lived in my home lor twelve months prior to comple110n ol 1h1s work.
3. I have not cl.aimed !his exemploo dunng lhe last three years
DXnereby affirm that I ha•e a cer11hca1e ol consen1 10 self ,nsure, or a cer111tca1e ol Workers
Compensal+on Insurance, or a cer11t1ed copy lhereol
(Sec 3800. Labor COdei
POLICY NO TI:621698048
co MPANY Mary land Casualty
~y IS hied with lhe Ctly
0 Cer11lled cooy 1s nereby !urn.shed
CERTIFICA Tl OF EXEMPTION FROM
WORKERS COMPENSA !ION INSURANCE
(This sec1,on need nol be como1e1eo ,1 the perm,1
1~ IOf one hundred OOllars ($100) or tess)
O I cen,ty Iha! 1n lhe perfOfmance ol !he wo111 tor
wh1cri th,s permit 1s issued. I snan no1 employ any
person 1n any manner so as 10 become suo1ec1 10
the Wo,...,ers Compensa11on Laws ot Ca:1ttorn1a
NOllCE TO APPUCANl It afler mak,nJ ttus Cen1
t,c.111e of Exemp1,on you sflovld beeome sub1ec1 l'l
lfle WMers Compensation provisions ot !he Labar Code, you musl lortri...,,,n comply w11h such
prov,s,ons or ir,,s perm,1 shall be oeemeo ,e.,,okeo
O I hereby athrm 1h31 there 15 a consuuc!lon
1end1ng agency to, 1ne pert01mance ol 1he wort,. 10,
wruch 1r11s perm11 ,s issued tSec "J/J97 C1v11 COdel
Lend<!• s N>me ___ No __ n_e ______ _
Lender s Aoaress _________ _
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1 USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO Fill IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
~I2oo·EIm. Carlsbad. California 92008-1989 (619) 438-5525 APPLICATION & PERMIT
JOB ADDRESS AV. ST.AD NEAREST CROSS ST
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DATE OF APPLICATIONII BUSINESS LICENSE • VALUATION PERMIT N UMBER
r /
?81 c; wi l ~on <::+-J.tinhl;mn Zl.uo 7 /Q/8r; 8177 i-al/ff LOT I BLOCI( I SUBDIVISION I ASSESSOR PARCEL NO -CONTRACTOR CONTRACTORS PHONE • ZONE
OWNER'S NAME I OWNER'S PHONE 11...-1 ---Dl ·-1..~--t:0"7 ,,, i:::,
CONTRACTOR'S ADDRESS -LICENSE NO PLAN 1.0 . JI BLOC' USE CODE Donna Flaminq 434-4082
OWNER'S MA LING ADDRESS ?Rlq ~1 Zl.uo ,1,1·:p,1Q
2815 Wilson Ave. OESIGNER LICENSE• STANDARD PLAN # BUILDING SO. FOOTAGE
DESCRIPTION O F WORK --TT---Rt:>nl-DESIGNER'S ADDRESS DESIGNER'S PHONE --
1---F/P FLR ELEV. NO OCC GP EDU
STORIES 711 I /656659 vO NO ----10.
CENSUS TRACT I GP LANO use I PARK ING SPACE I RES UNITS
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GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FI RE SPA
AREA CONST
YO N 0 vO NO vO NO Not Valid Unless Machine Certdied
QTY. PLUMBING PERMIT · ISSUE $7.50 QTY. MECHANICAL PERMIT · ISSUE SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU / BUILDING PERMIT 01 ·00·00-8220
EACH BUILDING SEWER OVER 100,000 BTU / SIGN PERMIT 01·00-00-8221
1 EACH WATER HEATER ANO/OR VENT <:;? r;n BOILER/COMPRESSOR UP TO 3 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 c1-0-"''
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE / ELECTRICAL 01 ·00·00·8223
EACH INSTAl . ALTER. REPAIR WATER PIPE VENT FAN SINGLE Dj>rl" MECHANICAL 01-00-00·8224 ·->-
MECH EXHAUSYHOOOIOUCTS EACH VACUUM BREAKER MOBILEHOME 01 ·00·00-8225
WATER S0FTNER RELOCATl,8N OF EA FURNACE/HEATER M0BILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01 -nn-nn.ooo~
TOT I.L MECHANICAL STRONG MOTION 80·92·33-0519
TOTAL PLUMBING I $10.00 FIRE SPRINKLERS 01 ·00·00·8227
QTY. ELECTRICAL PERMIT · ISSUE QTY. SOLAR • ISSUE
PUBLIC FACILITIES FEE 32·00·00·8930
BRIDGE FEE
NEW CONST EA AMP'SWT BK R COLLECTORS / SCHOOL FEE • DISTRICT
I PH 3 PH _,, STORAGE TANKS / Carlsbad 80·92·21-0519
EXIST BLOG EA AMP/SWT'BKR _/ ROCK STORAGE / Encinitas 80·92-22-0519
I PH 3 PH / PUMP / San Oieguito 80·92-23-0519
REMODEl'ALHR PEA CIRC_µH' PLAN CHECK FEE / San Marcos 80·92· 24-0519
TEMP POLE 200 AMPS/ /
OVER 200 AMPS ./ / LICENSE TAX 01-00-00-8162
TEMP OCCUPA.PKY 130 DAYS) / MFF 80-92-57-0519
< ✓ CREDIT DEPOSIT
TOTAL ELElTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I srn . nn
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ANO PERMIT ANO 00 HEREBY Exp1rat1on Every perm,t issued by the Bu1ldtng Oft1c111 under the prov,s,ons of th,s * AN OSHA PERloll:T IS REQUIRED F0A EXCAVATIOflS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by lim1tat1on and become null and vo,d If the building or work 5' O" DEEP ANO OEMOUTIOH OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit 1s not commenced within 180 days from lhe date of such STRUCT\JM.S OVER J STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON :~::On°~ '!t t=~v ~~=
1
~ffe~;h:~~r:~!h:~~~~le~~~~ :80:~~•~fs~:r,.".~ or
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO APPLICANT'S SIGNATURE Jf-OWNEft:.~ CONTRACTO~ APPROVED BY 'DAT1'1/fs KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO -vt'~._ ' 0i~ ~ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT BY PHONE 0
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TYPE DATE INSPECTOR
BUILDING •· . ~S--04q i' I ..
FOUNDATION FIELD INSPECTION RECORD I ~ . -REINFORCED STEEL
MASONRY
GUNITE OR GROUT
I
I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES J
INSPECTOR S I INSPECTION REO IF DATE I CHECKED APPROVAL
FLOOR & CEILING SUB FRAME
SHEATHING □ ROOF □ SHEAR
I SOILS COMPLIANCE
PRIOR TO
FRAME FOUNDATION INSP I
I
EXTERIOR LA TH STRUCTURAL CONCRETE I
OVER 2000 PSI I
INSULATION PRES TRESSED '
INTERIOR LATH & DRYWALL I CONCRETE
POST TENSIONED I CONCRETE
PLUMBING FIELD WELDING I
SEWER AND BUCO D IPUCO
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE D WATER
I
HIGH STRENGTH I BOLTS I
I SPECIAL MASONRY I
TUB AND SHOWER PAN ' l
GAS TEST _j
PILES CAISSOr>.S I
D WATER HEATER □ SOLAR WATER I
I
I ~
ELECTRICAL I
I
□ ELECTRIC UNDERGROUND □ UFFER
ROUGH ELECTRIC i
D ELECTRIC SERVICE D TEMPORARY I
I
D BONDING D POOL I
I
I
MECHANICAL I
I □ DUCT & PLEM., D REF. PIPING I
HEAT -AIR COND. SYSTEMS I -VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
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I
I -FINAL ~ ./'
PLUMBING I, ~'1,(6:;: __,,._,.,
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ELECTRICAL I
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MECHANICAl-
GAS
I
I BUILDING
SPECIAL CONDITIONS I
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