HomeMy WebLinkAbout2800 WILSON ST; ; CB880799; PermitCl) z 0 i= C er C ..,
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0 I hereby affirm that I am licensed under
provlalono of Chapter 9 (commencing with
S.Ctlon 7000) of Division 3 of the Business
and Profea1lon1 Code, and my license Is in
full force and effect.
I rweoy att+rm that I am exempl lrom the Contrac
ror s Ltcense Law tor the Io1Iow1ng reason (Sec 7031 5 Business and Proless,ons COde Any c1ly Of county whtCt. re·
quires a perm11 lo conslruct. alter. ,mprovt, demolish. or
repa;1t any structure pr!Of to I1s Iss~nce also requ,res !heap·
phcant IOI' such pertrkt 10 hie a s19ned statemenl Iha! he Is hcensed pursuanl to lhe provisions ol the ~onuactor s
License Law (Chapter 9 convnencmg with Section 7000 ol O,v1s10t1 3 of the Business and Proltsst0ns Code) or thal ,sex
empt lherelrom and rne basis tor lhe allegeo exemp1,on Any vlOlaltOn of Sect10n 7031 5 by an applicant tor a perm,! sub Iects the apphc.ant 10 a CMI penally of not more Ih.an !1vt hun
Ored oouars ($500)
1. as owner of the property Of' my employees w11n wages
as 1ne1r sole compensation w,11 do lhe wock and the strut
ture ,s noI ,nter\ded or ottered fOf' sate (Sec 7044 Business
and ProfesslOll~ Code The ContraclDf s Ucense Law ooes
not apply to an owner ol properly who builds or improves
!hereon and who does such WOfk tumselt or lhrough his own
emotoyees. provtded rhat such 1mprovemen1s are nol Inlend-ed or ottered fOf sale If, however the build mg oc improve
ment Is sold wIIn,n one year ot complehon the owner builder will have the burden ot proving that he did not build or 1m-
pr011e IOf the purpose ot sale)
1. as owner of the property, am exclusively conu acting with hcensed con1racIors 10 construct lhe pro,ect (Sec 704•.
Business and Professions Code The Con1racIof's lttense l aw does not apply to an owner 01 property who builds or Im-
pr011es !hereon, and who contracts to, each pro,ects with a conlractor(s) tic.ense pursuant to the ContractOf's license Law)
1 As a homeowner I am Improvmg my home. and lhe lo0ow Ing condnions e,usl 1 The work ,s being pert04'med prior 10 sale
2 I ha"e lt\led In my hOme tor twelve monlhs
prior 10 complehon ot 1/'us work
I have not claimed lh1s exemplK>O during lhe las! three years
D I am exempt under Stt ______ . 8 & P c
IOf lh1s reason ___________ _
C I ne1eby affirm lhat t have a cert1f1cate of consent to
self-insure or a cer11llca1e ol Workers Compensation In-
surance. or a certified copy thereof (Sec 3800 Labor Codel
POLICY NO
COMPANY
Copy ,s hied w,th the City
~ Certified copy ,s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(Th1s section need not be compleled 11 the permit
,s lor one hundred oollars ($100) or Ins)
D I cen1fy Iha! in the performance of the work for which
1h15 permit 1s issued. I shall not employ any person in any
manner so as 10 become sub1ect to the Workers Compen-
sation Laws ot Cahlorn,a
NOTICE TO APPLICANT II. alter making this Cet11flca1e
of Exemption. you should become subIect to the Workers
Compensation provIsIons ol the Labor Code you mus1
lorthw1th comply with such provisions or this permit sh.all
be deemed revoked
0 I hereby afhrm that there Is a cons1tuc1ton lending
agency IOf the performance of the work lor which this per
mIt ,s issued (Sec. 3097. C1V1I Code)
Lender's Name ________ ~--~
Lender's Address
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
JOB ADDRESS AV ST.RO. THOMAS BROS NO.
1;;fa_;p;;N1
BUSIN~ VALUATION PERMIT NUMBER
c:? Boa w,/sc/f.J .ST 7?'//9?.
LOT I BLOCI< I SUBDIVISION I ASSESSOR~iCEL NO CONTRACTOR , , CONTRACTORS PHONE • ZONE (~ 7 f' 0 7 J?? I -/5.:l-2.2-~~d.s~ ~J":r 7S/ ..r;p,.rr
~~::~,, .i I OWNER'S PHONE ..:z;:;c_
# ~av,e~/ CONT RA CT OR'S ADDRESS STATE LICENSE NO BUILDING SO. FOOT AGE
OWNER"$ MAILING ADDRESS , ~-.. a.1~ .::.c~ -,,.,./ 8~?7.,3~
~Kt::>0 a).,~.v ~r e~.e,9.0
DESIGNER DESIGNER'S PHONE
DESC~l~t o•rro;{ A //~ 7 /# /J,e r / /y,,..a r ~~✓~~~~ ,62?~ 3256 W22/88 0001 01 02
DESIGNER'S AOOR ESS STATE LICENSE NO BldPmt 662-oi
~'9~~ ..... ✓~,ST
FI P F LR ELEV. NO
0 ACCG/4P EDU
v□-,~-STORIES
,, '/ I CENSUS TRACT I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TV,~PE ~
OCC LOAD FIRE SPP
N~
AREA ,r./ CON
YO v□ N vO NO Not Valid Unl~s Machin~ Ctrtd1M
,
• ti.. "Q ~~'9MMARY/A CCOUNT NUMBER QTY. P LUMBING PERMIT -ISSUE 7~ QTY. MECHANICAL PERMIT -ISSUE /s..l,D.
(,,'a EACH FIXTURE TRAP 7 INSTALL FURN DUCTS i.JP TO 100.000 BTU ~"fU , ... ~mm, PERMII UUl-ij IU-00-00·ouu '$-~
I EACH BUILDING SEWER OVER 100.000 BTU v-SIGN PER~ll. n 00 l-810·00-00-8221
EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP " '" pV.~~~ -001-810-00-00-8891 3S~
7 EACH GAS SYSTEM l TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP \ TOTAL PLUMB!"'"-n. u ,90 i -810-00-00-8222 ~..::J , ·' __ . ,._\(, 1) .. ,~ bo1-810-oo-oo-8223 /2{ :;J EACH GAS SYSTEM ~ OR MORE MET AL FIREPLACF rt. E
EACHINSTAL ALTER,REPAIRWATER PIPE 2-VENT FAN SINGLE OUCT 0 c,,\t ua ..... ,_1-1.JL...r.,..,1-001 -810-00 00-8224 _g K"
EACH VACUUM BREAKER MECH EXHAUST HOOO OUCTS
,
~•1dn ~t.''MOBILEHOME 001 -810-00-00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER V"'~-SOLAR 001-810-00-00-8226
EACH ROOF DRAIN t ,NSIDE I I DRYER VENT t./5L STRONG MOTION 880-519-92-33 6)
TOT i;L MECHANICAL FIRE SPRINi<LERS 001-810-00·00-8227
TO I Al PLUMBING I <3.:J (/"'(. ~P--. re PUBLIC FACILITIES FEE 320-810-00-00-B740
BRIDGE FEE 360-810-00-00-87 40
QTY. ELECTRICA L PERMIT -ISSUE s ~ QTY. MOBILE HOME SETUP PARK-IN-LIEU (AREA l
J NEW CONST EA AMP SWI BKR /S-t) .J.--J .f V CAR PORT TIF 312-810-00-00-8835
I PH 3 PH -AWNING LA COSTA TIF 311-810-00-00-8835
EXIST BLDG EA AMP SWT BKR GARAGE FMF
l PH 3 PH LICENSE TAX 001 ·810·00-00·B 162
REMODEL ALTtR PER CIRCUIT MFF 880-519-92-57
TEMP POLE 700 AMPS
OVER 700 AMPS
TEMP OCCUPANCY 130 DAYSI
C REDIT DEPOSIT ~.3Sti ?
TOI Al EllLIRICAL I t/ ~. ,-J TOTAL TOTAL FEES PAYABLE I /4/,d ~
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT AND DO HEREBY Exp1r1t1on Every permit issued by the Bu,ldtng Otf1c11I unde, the prov1s,ons of this * AN OSHA PERM:T IS REQUIRED FOfl EJI.CAIIATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expue by ltm11■t1on and become nulf and void II the building or work 5' O" DEEP AND DElrlOt.rTION Ofl CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I!> authorized by such perm,t 1s not commenced wIttun 180 days ltom the datet:>1 such STRUCT\JAES OVER 3 STOAIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON :~~~n~ t~t 1:~y ~!'Je~~h:~~,:~!h~~~:i~le~~~~ :9~'::~'~t'~:r;.~~ Of
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND p ANT' I n CONTRACTOR ~ APPP&O BY <~
DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND ~p UC S S G~NATURE • OWNER
,;;/;~ti' EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OFF~•uc. A BY PHONE f] _;J ,/./J GRANTING OF THIS PERMIT -.,rrr _,
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TYPE
BUILDING
OUNDATION
EIN FORCED STEEL
_F
_R
_M ASONRY
lG UNITE OR GROUT
SUB FRAME D _IJ[OOR D CEILING
-s_
F
HEATHING ~ ROOF D SHEAR
RAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
D SEWER AND BUCO D P.,,UCO
UNDERGROUND A°WASTE "LJ WATER
TOP OUT fiWASTE D WATER
TUB AND SHOWER PAN
GAS TEST
D WATER HEATER D SOLAR WATER .
ELECTRICAL
D ELECTRIC UNDERGROUND D UFFER
ROUGH ELECTRIC ..
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL
MECHANICAL
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
DATE INSPECTOR
.,4 / )
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I ,2'J -¢7 1./.1,,,t;'
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3, 5,..~ /foy
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S" .-;
CALL FOR FINAL INSPECTION ,WH~N ALL APPROPRIATE
ITEMS ABOVE HAVE Bl:EN APPROVED.
FINAL . ' .
PLUMBING
ELECTRICAL /'l
MECHANICAL I I /
GAS -I I i!_
BUILDING l<✓tl-01 LL--!_,:_
SPECIAL CONDITIONS '
Gf!:i'8 8' .,0 7'7 o/
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
REO IF INSPECTOR'S £_ kL £.. .. i2., /_ ·=--INSPECTION CHECKED APPROVAL DATE Li_-t:,.S, l>..v;,-1-/ ,
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TEN$)ONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS • . .. SPECIAL MASONRY
PILES CAISSONS \ -.
. ...
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DEVELOPMENT PROCESSING SERVICES DIVISION
2075 LAS PALMAS DRIVE
CARLSBAD, CA 92009-4859
(619) 438-1161
MISCELLANEOUS FEE RECEIPT
Applicant Please Print And Fill In Shaded Area Only
JOB , )
ADDRESS ,£..-,
ASSESSOR'S
PARCEL NO.
OWNER
OWNER'S
MAILING
ADDRESS
CONTRACTOR
O\/E
d'--;O ZIP TEL72 -532
PLAN ID NO.
0221 06/22/88 0001 01 05
Hise 355-00
VALIDATION AREA
ESTMATED VALUATION 7g-; 9 0
PLAN CHECK FEE 001•810-00-0~/ 358
CONTRACTOR'S
MAILING
ADDRESS _____________________ _J IF THE APPLICANT TAKES NO ACTION
WITHIN 180 DAYS, PLAN CHECK FEES
CITY ZIP TEL. WILL BE FORFEITED.
-;::ST~A;-:;T:::E _______ =..:.,_--:B::-u-=s::-1N-=E-=--ss __ :.=:.:.._ ____ __j
LICENSE NO. LICENSE NO.
SUBDIVISION ------LOT(S)---------+---------------------
CHECK IF SUBMITTED:
2 ENERGY CALCS
□ 2 1987 ENERGY CALCS
FOR NON RESIDENTIAL BLDGS
DESCRIPTION OF WORK E 'fY'\'0Jo£ L. 0'0° 2 STRUCTURAL CALCS
2 SOILS REPORTS
□ 2 SELF ADDRESSED ENVELOPES
DATE GIVEN/
SENT TO APPLICANT DATE
CONTACT PERSON .-\a ' LA COST A LETTER
E SCHOOL FEE FORM
P & E CORRECTIONS LIST
CERTIFICATE OF OCCUPANCY
DATE
White -FIie Yellow -Applicant Pink -Finance Gold -Assessor
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: 89-0799 DATE: May 11, 1989
PROJECT NAME: ___ R_I_C_H_A_R_D_A_N_D_C_I_N_D_Y_M_A_C_G_U_R_N ___________ _
ADDRESS: _____ 2_80_0_\V_I_L_S_O_N_S_T_R_E_E_T ________________ _
PROJECT NO.: _______ UNIT NUMBER: _______ PHASE NO.: ______ _
TYPE OF UNIT: _ R_E_S_. _T_._1. _______ NUMBER OF UNITS:
CONTACT PERSON: ___ ~_A_C_G_U_R_N ______________________ _
CONTACTTELEPHONE: __ 7_2_9_-_5_3_2_7 ________________________ _
uUILt.JING, IATI:~, ENGll~EEt<ING, PLANl'IIING At&:> FlrtE:.
INSPECTED Ad DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
.I
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
COMMENTS: -----------------------------'------
Rev. 1/86 ng CANARY: Utilities PINK: Planning GOLD: Fire
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: 89-0799 DATE: MY 11, 1989
PROJECT NAME: ___ R_IC_l_iA __ D_A_t_D_C_I_N_O_Y __ 1_A_C_G_U_R_N ___________ _
ADDRESS: lL50f ET
PROJECT NO.: ________ UNIT NUMBER: ________ PHASE NO.: _______ _
TYPE OF UNIT: _ R_E_S_._T_.1_. _______ NUMBER OF UNITS:
CONTACT TELEPHONE: __ 7_2_9_•_5_3_2_7 ________________________ _
I ,.., I L
INSPECTED ~ DATE s/*7 ~ DISAPPROVED BY: INSPECTED: APPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
COMMENTS: ----------------------------------
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: 89-0799 DATE: May 11, 1989
PROJECT NAME: ____ R_I C_H_A_R_D_A_N_D_C_I N_D_Y_M_A_C_G_U_R_N ___________ _
ADDRESS: _____ 2_80_0_W_I_L_S_O_N___:_S_'r_R--'-E_E_T ________________ _
PROJECT NO.: _______ UNIT NUMBER: _______ PHASE Nl 1.: ______ _
• TYPE OF UNIT: _R_E_S_._T_._1_. _______ NUMBER OF UNITS:
CONTACT PERSON: MAC GURN
CONTACT TELEPHONE:. __ 7::..:2::..:9=-----=5:..::3:..::2:.:.7 ________________________ _
t:iUILl>ING, WATER, ENGINEERING, PLANNING AND Fl~E;;
~y~PECTEDll,///;:f DATE
INSPECTED: MAY 1 6 1989
INSPECTED DATE
BY: INSPECTED:
INSPECTED DATE
BY: INSPECTED:
coMMENTs: Costa Real Municipal Water D1stnc,
Engineering Department
(619) 438·3367
APPROVED V DISAPPROVED
APPROVED DISAPPROVED
APPROVED DISAPPROVED
MUNICIPAL WATER DISTRICT
Rev. 1/86 REEN: Engineering CANARY: Utilities PINK: Planning GOLD: Fire
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: 89-0799 DATE:
ADDRESS: 2800 ,.,tLSON STREET
PROJECT NO.: ---=:::::;;;;;;;~::::::--UNIT NUMBER: ________ PHASE NO.: _______ _
c::=-=~~=T!::!•!:!:;::=::~::::_ ____ NUMBER OF UNITS: TYPE OF UNIT:
CONTACT PERSON; ____ A_'-__ G_U_R_N ______________________ _
CONTACT TELEPHONE: __ 7_2_9_-_5_3_2_7 ________________________ _
JUILL,lt ~.
INSPECTED ~ /0/4
BY: ___ ~~e-...u-~~'-4:l----
INSPECTED BY: _________ _
INSPECTED
BY: _________ _
DATE
INSPECTED:
DATE
INSPECTED:
DATE
INSPECTED:
APPROVED //IA-DISAPPROVED __ _
APPROVED DISAPPROVED __ _
APPROVED DISAPPROVED __ _
COMMENTS:----------------------------------