HomeMy WebLinkAbout2803 WILSON ST; ; CB901616; Permit08/27/91 15 :11
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B U I L D I N G P E R M I T
Job Address: 2803 WILSON ST Str:
Permit ype: RESIDENTAL ADD/ALT (UNDR $10K)
Parcel No: i56-142-15-00
Valuation : 7,308
Co nstruction Type: VN
Occupancy Group: Ml Class Code:
Description: 406 SF GARAGE
Penni t
Project
Development
Fl: Ste:
No: CB901t.>16
No: A9001823
No:
Status : ISSUED
Applied: 10/05/90
Apr/Issue: 08/27/91
Validated By: KZH
Appl/Ownr : HUGHES , SHIRLEY 619 434-b031
4565 LAMBETH CT
CARLSBAD , CA 92008
OWNER BRANDON, BRAD
*7* Fees Required
Fees:
Adjustments:
Total Fees:
Fee description
Buil lir,g Permit
Plan Check
Strong Motion Fee
* BUILDING TOTAL
Enter "Y" for Plumbing Issue Fee
Each Plumbing Fixture or
Each Building Sewer
Each Water Heater and/or
Gas Piping System
* PLUMBING TOTAL
Enter "Y" for Electric
Enter "Y" for Remodel
* ELECTRICAL TOTAL ($10 Minimum)
Enter 'Y' for Mechanical Issue Fee>
Each Install/Reloc Appliance Vent>
* MECHANICAL TOTAL
CITY OF CARLSBAD
1 4 .50
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
Credits
.00
261.00
-40.00
Ext fee Data
99.00
64.00
1.00
164.00
7.50 Y
2 .50
6.50
2 .50
2.50
22.00
5.00 Y
10.00 Y
15 .00
15 .00 Y
4.50
20.00
PERMIT APPLICATION
Ci ty of Carlsbad Building Departlment
2075 Las Palmas Dr ., Carl sbad, CA 92009 (619) 438-1161 EST. VAL -,--
PLAN CK OEPOSIT _____ -r-:::r-..12~""'2:..£.._
VALID. BY ____ ~----,,:c--'=~~'----
1. PERMIT OATE ----L./2...:i?:;.._·,-,__..'5,:_-_-_'?,L·--"""'----
A • COMMERCIAL NEIi TENANT IMPROVEMENT
B O INDUSTRIAL ONEIi □TENANT IMPROVEMENT
C ~ESIOENTIAL □APARTMENT 0CONOO ~NCLE FAMILY OIIELLINC Wool TION/ALTERATIOII
n
□DUPLEX @DEMOLITION 0RELOCATIOII □MOBILE HOME □ELECTRICAL □PLUMBI NG
□MECHANICAL 0POOL 0sPA □RETAINING IIALL □SOLAR □OTHER
~ 10/05/90 0001 O
C PRMT 0
2
2. PROJECT INFORMATION PLAN CHECK No .
Address :1. i;✓.o~ \NI LSO/v ST•
Ne"aren'Cr'55s Streets
Bui I ding or Suite No.
(H 1.:,·1-1 <-A MI) J t<<..";)
LEGAL DESCRI PTION Lot No. Subd1 v1 s I on Narne/Nurber Unit No. Phase No.
CHECK BELOII I F SUBMITTED:
E) 2 Energy Cales Jiiilz Structural Cales
3.
4.
5.
6.
D 2 Soils Report D 1 Addressed Envelope
ASSESSOII 'S PARCEL EXISTING USE PROPOSED USE
1 (rn 1is r E:IZ '54 1 ·r c)
,:/ -..2.., 1 • .c=cc" Q, <J .a,::,. :r,·c .,.._
BLOC. SQ, FTC.
CONTACT PERSO
NAME 5 HI R 1 '-''I 11 c11; 7-l-z;s
CI TY --~~_p-e-r
APPLICANT
# OF STORIES
1/ ADDRESS
STATE (' /4 ZIP CODE
NAME S H 1/<l.., l::--Y fl Wt;/"f i!: ..:S ADDRESS
CITY e /~.12L5 fJ/J.b STATE r·/] ZIP CODE
PROPERTY OWNER OIINER
NAME 8 "2AJ> cl' 4"A-Y.!c 1":1Au1;'1,DOI,(,.' AooREss
CITY C 4-l<LS Q,t/ i) STATE CA ZIP CODE
CONTRACTOR
NAME
Cl TY STATE
ADDRESS
ZIP CODE
RE/'1'10 Vi'r diix IS r
N e"W A R-e:A
OOIINER
4--T6 ~r
?.2LV6'
~CENT FOil OIINER
Lh;;;;,.~ r# er
DAY TELEPHONE 1 -:i'1-C t" > ~ ,.1
/
nLESSEE □TENANT W '-"'S'c>/4/ S" r
DAY TELEPHONE
DAY TELEPHONE
LICENSE CLASS _____ _ CITY BUSINESS LIC. #
CITY STATE
TITLE
ADDRESS
ZIP CODE
DATE
DAY TELEPHOIIE STATE LIC. #
7. WORKERS' COMPENSATION
Workers• COl'f1)ensat10n Declaration: hereby affirm that have zi cert 1f 1cate of consent to self-insure issued by the Director of lndus t r1al Relat1ons,
or a certificate of Workers' C~nsat ion Insurance by an adni tted insurer, or an exact copy or duplicate thereof cert ified by the Di rector of the
insurer thereof filed with the Building Inspection Department (Sect ion 3800, Lab. C).
8.
INSURANCE COMPANY POLICY NO. EXPIRATION DATE
Cert ificate of Exef'l1)t1on: I cert ify that in the performance of the work for wh1ch thu permit 1s issued, I shall not ~loy any person 1n any mal'V1er
so as to become slbj e-ct to the \Jork.ers • CC>fl1)Cnsat I on Laws of California.
SIGNATURE DATE
OWNER-BUILDER DECLARATION Owner-Bu1ldcr Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 I as owner of t he property or my ~loyees with wages as their sole compensation, will do the work. and the st ructure 1s 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 bu1lds or in1)roves thereon,. and who
does such work h1msel f or through his own Cfll>loyees, provided that such i""rovemcnts are not intended or offered for sale. If, however, the building
or iq>rovement is sold wi thin one year of c~let1on, the owner-builder wilt have the burden of proving that he did not build or i""rove for the purpose
of sale.).
0 I, as owner of the property, am exclusively contracting w1th licensed contract ors to construct the project (Sec. 7044, Business and Professions Code:
The Contractor's l1cense Law does not apply to an owner of property who builds or '""roves thereon, and contracts for such proJects with contractor(s)
licensed pursuant to the Contractor• s License Law).
0 I am ex~t under Section ___________ 8us1ness and Professions Code for this reason:
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, in,.:>rove, demolish, or repair any structure,
pr ior to i ts 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, corrrnencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exeff1:)t therefrom,
and the basis for the al leged ex~tion. Any v1olat1on of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not
more than five hundred dollars [S500]).
SIGNATURE \ DATE
COMPLETE THIS SECTIOII FOi! NON·RESIOENTIAL BUILDING PERMITS Oll~Y:
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·Tamer Hazardous Substance Accou,t Act'
□YES O NO
Is the applicant or future bui lding occupant required to obtain a permit from the air pollution control district or a1r quality management distr1tt7
□YES O NO
Is the faci I ity to be constructed within 1,000 feet of the outer boundary of a school site?
0YES
I F AIIY OF THE ANS\a:RS ARE YES, A FINAL CERTIFICATE OF OCaJPANCY HAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET Oil IS MEETING THE REQUIREMENTS
Of THE OFFI CE OF EMERCCNCT SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT.
9. CONSTRUCTION LENnING AGENCY
hereby affirm that there 1s e construction lending agency for the performance of the work for which this permit is issued (Sec 3097Cil Civil Code).
LENDER'S NAME LENDER'S ADDRESS
APPLICANT'S SIGNATURE I certdy that I have read the application and state that the above 1nformat1on 1s correct. I agree to comply with all City ordinances and State laws relating
to building construction. I hereby authorize representu1vcs of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. l ALSO
ACREE TO SAVE INDEMNIFY ANO KEEP HARMLESS THE CI TY OF CARLSBAD AGAINST ALL LIABILITl[S, JWCMENTS, COSTS AND EXP[NS[S IIHICH HAY IN ANY IIAY ACCRUE AGAINST SAID
CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
Expiration. Every permit issued by the Building Official under the provisions of this Code shall exp1re by l1mitat1on and become null and void 1f the building
or work authorized by such permit 1s not conmenced w1th1n 180 days from the date of such permit or if the building or work authorized by such permit 1s suspended
or abandoned at any ume after the work is comnenced for a period of 180 days (Section 303Cdl Uniform Building Code).
APPLIC~T 'S SIGNATURE
---~ •
OBY PHONE APPROVED BY: _______ _
DATE: __________ _
PINK: Finance
03/26/92 INSPECTION HISTORY LISTING
FOR PERMIT# CB901616
DATE INSPECTION TYPE INSP ACT COMMENTS
10/07/91 Ftg/Foundation/Piers RI RI MH/BRAD/
10/07/91 Ftg/Foundation/Piers MP AP
10/04/91 Ftg/Foundation/Piers MP NR
10/03/91 Ftg/Foundation/Piers RI RI MH
10/03/91 Ftg/Foundation/Piers MP NR
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CO LV!. DESCRIPTION
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ACT COMMENTS