HomeMy WebLinkAbout2800 WILSON ST; ; 84-534; Permit.,, z 0 ~ ac -c ..., u w a
ac O I hereby affirm that I am licensed under o [ provlalona of Chapter 9 (commencing with ti Section 7000) of Division 3 of the Business
,c and Profeaalons Code, and my Ileen~ Is In ~ full force and effect. '(!. D k:, ~ -;1✓~-t;Clm T -
U ~ ""',!that I am exempt from the Contrac-tor's License Law lo, the following , .. son (Sec. 7031.5
Busmess and Professions Code: Any c,ty or county which re--quires a permit to construct, alter. Improve, demolish, Of
repair any structure, priof 10 ,ts issuance also requires the ap-ploc.,nt tor such permit to file a SJQned statement that he Is
licensed pursuant to the prOV1sk>ns of the Contractor's License Law (ChaptOf 9 commencing with Sectoon 7000 of
Division 3 of the Bus,ness and Professions Code) or that Is n· mpt therelrom and the basis tor the alleged exemp110n. Any =1;~ ~~~~,:~Jc~~ ~~~:i;:.:,~ ~~ ~~~
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dred dollars (S500).
0 I, as owner ol the property, or my Bfnployees with wages
as thelr sole compensation. will do the work. and the struc-ture Is not lnttnded 0< ottered f0< sale (Sec. 7044, Buslnoss
and Prolesslons Code: The Contractor's Llcanse Law does :,~n,:,• :::a :.ri:rs:r.::.1:~f ~i~:~~~r:= employees, provided that such Improvements are not intend-
ed or ottered tor sate II, howeYOf, the building or lmprOYe-~nt is sofd within one year of completk>n, the owner-builder w,11 have the burden of prOY1ng that he did not bulk! or lm-prOYe tor the purpose of sale).
0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the proiect (Sec. 7044,
Business and Prolessions Code: The Contractor's License Law does not apply to an owner ol property who builds or Im· proves thereon. and who contracts tor each projects with a contractor(s) license pursuant to the Contractor's Ucense Law).
0 As a homeowner I am lmprOYing my home, and the 1ollow· Ing conditions exist: 1. The work is being perlormed prior to sale.
2. I have lived In my home for twelve months
3. l't: :;"~~1:.iot 11~: -=~ption during the
last three years.
reby affirm InaI I ha·.,e a cen,hcale ot consent t-insure, or a cen,hcate ol Workers·
nsatIon Insurance, o, a certified CoPY thereof
:1c7:~la_$o / ~q l.,Z-
.:Y_PANY -£~~
~ Copy IS hied with the city
0 Certified copy ,s hereby tum1shed
CERTIFICATl OF EXEMPTION FROM WORKERS· COMPENSATION INSURANCE (This section need not be completed ,I the perm,t
1s 10t one hundred dollars (S H)O) Of less)
O I cen1ty that in the perl0tmance of the woo tor which this perrmt 1s ,ssued. I shall not employ any
person in ~Y manner so as to become sub1ect 10 lhe Workers· Compensation Laws ol Cahlom,a
NOTICE TO APPLICANT II, oiler malun~ tn,s een,
hcate of Exemption, you sfl<>uld t>ecome subjecI I? tne Workers· Compensation pro'llIs1ons of the Laoor Code. you must forthwith comply w11h such
provisions ()( lh•s permit shall oe deemed re"Okecl
0 I hereby affirm that Ihere 1s a cons1ruc11on 1end1ng agency t()f the perlormance ot !he won-. to,
which ttus perm11 •S ISSue<l tSec 3097 CMI CO<)e)
Lendet" s Name __________ _
Lender's Address _________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT }//5" 1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525
JOB ADDRESS
l.J.1\\Co\'\.l Aii.T,, Dq ~~~C~N, BUSINESS LICENSE # VALUATION PERMIT NUMBER
2&:l('I') 51.ll ... '1 ~~
owo:·s,.IE~ ti l rn A<-. r:. .. f?f\ i OWNER'S PHONE ~ .;;;J(~~ l' c -01.1.M\~
CONTRACTORS PHONE • ZONE say 7 2 q -~Z:1 172.3<X:iO
OVl~ER'S MAILING ADDRESS T
T cr%t~s As:~ t-l i 0 LICENSE NO. PLAN 1.0. # BLOG USE CODE
~ ,.. -'\.JL
--.. "'· LOT I BLOCK SUBDIVISION I ASSESSOR PARCEL NO DESIGNER LICENSE• STANDARD PLAN # BUILDING SO. FOOTAGE
DESCRIPTION OF WORK " . ~-· . " ..
DESIGNER'S ADDRESS DESIGNER•s PHONE '"'
~WcJL.flA_ hdA 6 -F/P FLA ELEV. NO OCC GP EDU
STORIES
vO NO ---
CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I GRADING ~ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA
AREA CONST
YO ND vO NO vD NO Not Valid Unlffs '4chin~ wrtifil!d
QTY. PLUMBING PERMIT · ISSUE ?~S'tJ QTY. MECHANICAL PERMIT· ISSUE 3,oo 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
EACH WATER HEATER ANO/OR VENT ? .s r, 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 /0.0-'-.)
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·00·00·8223
EACH INSTA~ .. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01 ·00·00·8224
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS M0BILEHOME 01 ·00-00-8225
WATER S0FTNER RELOCATION OF EA FURNACE/HEATER MOBILEH0ME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01-00-00-A?O~
TQH,L MECHANICAL STRONG MOTION 80·92·33-0519 ------r 2P~ TOTAL PLUMBING FIRE SPRINKLERS 01·00·00-8227
QTY. ELECTRICAL PERMIT· ISSUE ~-oo QTY . SOLAR • ISSUE PUBLIC FACILITIES FEE 32·00·00·8923
BRIDGE FEE
NEW CONST EA AMP/SWT SKA COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 80--92·21·0519
EXIST SLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas 80·92· 22·0519
1 PH 3 PH PUMP San Dieguito 80·92· 23-0519
REMODEL/AL TEA PER CIRCUIT PLAN CHECK FEE San Marcos 80-92· 24·0519
TEMP PO LE 200 AMPS .
OVER 200 AMPS I 1:)/.,,,--t----
TEMP OCCUPANCY (30 DAYS)
T -
TOTAL ELECTRICAL TOTAL SOLAR TOTAL FEES PAYABLE r /~.c>-o'
I HAVE CAREFULLY EXAMINED THE COMPLETED' APPLICATION AND PERMIT ' AND DO HEREBY Exp,rallon Every permit 1aaued by the Butldtng Off1c:,al under the prov,sIon1 of th11 * AN OSHA PERMIT IS REOU1AE0 FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exp,re by 1tmItatIon and become null and void If the bu1ld1ng or work s· O" DEEP .\NO DEMOUTION OIi CONSTRUCTION ~
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit 11 not commenced w1th,n 180 days from the dale of such , STAUCT\JRES OYER 3 STOIIIES IN HEIGHT
ISSUED. TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON ~~::On~ 1~1 'Z~v '::'~~I~e~~h=~~r:~!"~~:i.::.::: ::.~::,i'~f·r:r."-~ or. '\
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
AP½LIC NT'S SIGNATURE ,/.1 /.WNER □ CONTRAC-l'O:~ APPROf'l:D BY ~ DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE (/AA ~m~ ~ -/ '.74' BY PHONE I f'-~1-l'I GRANTING OF THIS PERMIT
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INSPECTION TYPE DATE INSPECTOR .. ~4-6~~ • -BUILDING
FIELD INSPECTION RECORD ./
FOUNDATION -•-
REINFORCED STEEL REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTOR'S DATE MASONRY CHECKED APPROVAL .
GUNITE OR GROUT SOILS COMPLIANCE
FLOOR & CEILING SUB FRAME PRIOR TO
FOUNDATION INSP
SHEATHING STRUCTURAL CONCRETE
FRAME OVER 2000 PSI
PRES TRESSED EXTERIOR LATH lNSULATION CONCRETE .
INTERIOR LATH & DRYWALL POST TENSIONED CONCRETE • PLUMBING FIELD WELDING --
SEWER AND BL/CO '1 HIGH STRENGTH -' BOLTS PLUMBING UNDERGROUND I
1PLUMBING TOP OUT SPECIAL MASONRY
I, •
TUB AND $HOWER PAN ,, -
GAS TEST I PILES CAISSONS
ELECTRICAL I ' -
TEMPORARY POWER
ELECTRIC UNDERGROUND ' I ' -.. , . -
ROUGH ELECTRIC ----
ELECTRIC SERVICE I
,
BONDING ·-·
G. F. I. -SMOKE DETECTOR -
MECHANICAL --
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS . -
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRI/TE
ITEMS ABOVE HAVE BEEN APPROVED. .,.
JOB SITE FINAL r /' ~ a--. .,.1,
•) -
PLUMBING IY U i 1/l'vlr .
ELECTRICAL ;,, -vi ,1 r • I --"1 r u / ' . -\ .
MECHAl'>HCAL l nvr, w--'. I Jr'/', .
GAS 1./t /v 1611( J..v -1 ft/ ' . . . • . -~ . I >--BUILDING . //./ I f
SPECIAL CONDITIONS V ~YD) ~
CERT OF OCCUPANCY ISSUED I / 7 v.,.r --