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Home My WebLink About2790 WILSON ST; MULTI-PERMIT FILE; 63-5487; PermitAPPLICATION FOR u u __ 0116 PERMIT 54 87 CITY OF CARLSBAD -BUILDING INSPECTION DIVISION PHONE PArkway 9-1181 -Ext. 36 Owoo, N••• Ht.X:::.he.lf 11...ct,t-l.. /.,, < M,m,, Add"" -5'?. /.'J',2.~J,,,,,.,, ~./4.1} ~~::::ct~:n~~.'..~ .. illb.~'. ...................... '..~:~.~- 1 .~.'. ........... Mailing Address .:Z~~~; ... J.la.~~~~············d~ .............. ~.~.~~~ (Please Print) Number Street c~· Phone To Construct O To Add ~ To Alter O To Repair O To Convert O To Move From ............................................................ .. Type of Const .. ~.1'v.(. ..... Kind of Foundation ......... ~.L .. No. of Stories ....... ( .... To Be Used for .~~cf... .............. .. ( Freme, Mcsonry, Etc.) ( One Fcmily Dwellinq, Store, Etc.) Floor Space of Proposed Construction (sq. feet) ....... :3..(). .. 9 ................... Const. Vcluation $ ....... ~.~.0. .. 0.~ .. ?. .. ~ ..... ::'.':: ............................................... . attached 0 Floor Space of Garage (sq. feet) ................................................. detached O Const. Valuation $ .................................................................................................... .. LEGAL DESCRIPTION Lot Block Subdivision • .............. • ::,::::::~79j)j?:_~;; : : ::::::.·~::: ~""'J}_];/fi~; : ::: LAND AREA ...................................... NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE ................. ./ .............................. (INDICATE SIZE, USE AND LOCATION ON PLOT P✓LL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION, OR ADDITION? YES................ NO ............... .. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION, If c check is tendered for ~·ayment of the cbove fee end the check is not honored when presented for pcyment, your Building Permit will be immedictely revoked. Front Yard Set Back ................................................................... . Driveway Permit Required Yes ( ) No (t( Fee .................................... .. Side Yard Set Back ..................................................................... . Grading Permit Required Yes ( ) No (✓... ................................................... .. Rear Yard Set Back ..................................................................... . Sewer Disposal Plant Capital Cont. Fee ................................................................... . Distance Between Bldg .............................................................. .. Sewer Pumping Station Capital Cont. Fee ................................................................. . Off Street Parking Spaces ......................................................... . Sewer Main Line Cost .................................................................................................... .. Sewage Disposal System ............................................................ .. Sewer Lateral Connection Charge .............................................................................. .. Zone -Residential ( Water Stocked Lands Charge ...................................................................................... .. Zone -Commercial Water Main Pipe Line Fee ......................................................................................... .. Variance Water House Service Charge ...................................................................................... .. Eng. Check By .............................................................................. . Water Meter Charge .................................................................................................... .. Sub Total ..................................................................................... . Plans Approve~ .. (' ...... /15) ....... /-...................................................... Plan Check Fee ....................................................................................................... . Approved by ....... /(.~ ... C).! ..... ~.~ ................. Building Permit Fee ........ /Q.. ..... ~ .......................................................... .. Date ............ /95.::::. .... 9....::: ... G....2,......................................................... Total Charges ....... /0.. ... ~ .................................................... .. <II z 0 .:: < a:: < ~ u .., C C I[ u 0 I M firm that I am licensed under provlsl01 ::hapter 9 (commencing with Section 7000) of Division 3 of the Business and Profe■slons Code, and my license Is In full force and effect. ltt No ______ Class _____ _ I hefet,y atfum that I am eumpl from the Con-~:o;·a:!~::: ~w ~~,~~:~c2'~,\~ county which requires a pemut to construct alter, improve, demohsh. or repair any structure. pnor to 11s tSsuance also requires the applicant for such penrut to hie a signed statement that he ,s hcensed pursuant to the prOYIstons ol the Con· tractor's License Law (Chapter 9 commenc,ng with SectK>n 7'IXX) of Otv1st0n 3 of the Business and Pro.. lessK>ns Code) or that ,s exempt therefrom and the basts tor the alleged exempt,on. Any vt0l.ltt0n of SectK>n 7031 5 by an applicant tor a permit subfects IC tne applicant to a cIvII penalty of not more than five Ill hundred dol!M$ (S500I 9 '---'l as owrwtr ot the property, or my employees 3 ~~ wages as their sole compensation, w,11 do the I =•~ t~~~us~~ ~t=,~~f:'t!:' ~ ~~:=L~:~~~ ~~~c!w,~:c~ ~ and whO does such Wont himself or through his own O employees, provtded that such Improvemeilts a,e not 1ntende1 or offered for sale If, hOwevet", the building or improvement Is sokl w1th1n one year of completion, the owner-builder will have the burden of pro~mg th.It he dtd not build °' improve for the purpose ot s;oJe) ,-r ( □ I, as ownet" o( ihe pr~~. am exclusively con1ractins, with hc&nsed contractors to conslruct the pr01ect (Sec 70,U, Business and Professions Code The Contractor's License Law does not apply to an owner of property wno butlds or improves z 0 .:: < <II z .., ... ~ 0 u <II ii: .., " a:: ,0 ~ ~:'=i~ 7.~c:1~~!~: ~~~t!r~\~;::.: LicenH Law) 0 I om exempt under Sec _____ , B & PC tor this reason __ __ D I hereby affirm that I ha'llt! a cert1ftcate of consent 10 self.insure, or a cert1hcate of Won(ers' Compensation Insurance. or a certified copy thereof (Sec Jl!OO. Lobor Code) POLICY NO COMPANY 0 Copy IS filed w11h the city 0 Certified copy Is hereby furn1she<J CERTIFICATl OF EXEMPTION FROM WORKERS· COMPENSATION INSURANCE (This section need not be completed 11 lhe permit 1s for one hundred dollars {SlOO) Of less) O t cer11ty thal In the performance ot the wOf'k '°' which this perm,t Is issued, I shall not &mploy any person an any manner so as 10 become sub1ect to the Worti.ers· Compensation Laws of Callforn1a NOTICE TO APPLICANT 11. otter mak1n~ lhos Cen, flcate ot Exemption, you shoutd become sub1ect t? 1he Workers· Compens.a!lon provIst0ns ol the L.abof Code. you mus1 forthwith comply with such provisions or th,s perm,t shall be deemed ,evoke<! O I he,eby aff1,m !hat there 1s a construction 1end•™i1 aoency lor the periOfmance ol the work fOf wruch this permI1 Is issued (Sec X>97, C1v1I Code) Lenders Name __________ _ Lenders AOdress _________ _ USE BALL POINT PE./oNLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. A CARLSBAC JILDING DEPARTMENT AF CATION 1-r fERMIT 1200 Elm, Carlsbao, l.a11fornla 92008 (714) 438-5525 .. ',:· JOB ADDRESS A~:T·1c;idi7it;I BUSINESS LICENSE 4 VALUATION PERMIT NUMBER . ;)..._, q o WIL-S 61\ s+. ~ 7o ¥".:!-gy OWNER'S NAME P. e.u.cUe~ i ~O:,:e/;rd.1 PfUME CO .. TflACTOR . CONTRACTORS PHONE • zQfiE ~:36 -r h o l'\I'\ ~ .s ~/A ,JL -I OWNER'S MAILING ADDRESS• CO .. TflACTOfl'S AOO,,ESS LICENSE NO. PLAN 1.0. # BLOG USE COOE -::l... 1 5 0 WI U O#J 4S..(-. LOT I BLOCK I SUBDIVISION I ASSESSOR PARCEL NO. DESIGNER STATE LICENSE# STAN DARO PLAN# BUILDING SO. FOOTAGE DEscR,PT,oN oF woR.~K _+o RI O -~ C.l"\nrD _ C... t:)p L,A •· 1.-1' 11/"1.-.. ->O I 0£SIG .. ER'S ADDRESS DESIGNER'S PHONE -~~ fl a A,/08/8~6 31 A'~.' ....... -.. F/P FLA ELEV. NO ace GP EDU ooo 16n~fl l,IC 3/ 82 83.i STORIES vO NO --- CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I GRADING J'.ERMIT ISSUED I REDEVELOPMENT TYPE ace LOAD FIRE SPA AREA CONST YO NO vO NO vO NO Not V•lid Unkss M•chine Certifi«J QTY. PLUMBING PERMIT -ISSUE 7 i; (\ QTY. MECHANICAL PERMIT • ISSUE 3.00 SUMMARY/ACCOUNT NUMBER - EACH FIXTURE TRAP INSTALL FURN. 0UCTS UP TO 100,000 BTU BUILDING PERMIT 01·000•4?20 .,.?)5- EACH BUI LO ING SEWER OVER 100,000 BTU SIGN PERMIT 01·000·4221 EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·000·4806 .~. <r~ ;, EACH GAS SYSTEM I TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·000·4222 EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·000·4223 EACH INSTA~ .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01·000·4224 EACH VACUUM SR EAKER MECH EXHAUST -HODO/DUCTS MOBILEHOME 01 ·000·4225 WATER S0FTNER RELOCATION OF EA FURNACE/HEATER M0BILEHOME PARK INSP EACH ROOF DRAIN (INSIDE) SOLAR 01 ·000·4226 T0TI.L MECHANICAL STRONG MOTION 65·640·0519 ----I -L.. TOTAL PLUMBING FIRE SPRINKLERS 01·000·4227 QTY. ELECTRICAL PERMIT · ISSUE 2.00 QTY. SOLAR • ISSUE PUBLIC FACILITIES FEE 25·000·4933 BRIDGE FEE NEW CONST EA AMP/SWT/BKR COLLECTORS SCHOOL FEE • DISTRICT I PH 3 PH STORAGE TANKS Carlsbad 65·623-0519 EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas 65·624-0519 I PH 3 PH PUMP San Dleguito 65·625-0519 REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 65·626·0519 TEMP POLE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (JO DAYS) - TOTAL ELECTRICAL -r-TOTAL SOLAR TOTAL FEES PAYABLE I f3 5 S-, E,rpirallan &.ypen111tlaaueelbyt11e8ulkllng0fficaat-t11epr0¥1t1on10(1h11 I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMtr• ANO 00 HEREBY * AN OSHA PERMIT IS RE0UIAE0 FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Coda 11111 ....... by .__, and becOme null -vo,d If the butldong or wortt s· 0" DEEP MIO OEMOUTION OR COfCSTRUCTION OF DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS aulllClltllld 'auall pem,11 le IICll-iced w,lllln 180 daya from the date of such STAUCTURtS OVER 3 STORIES IN HEIGHT ,..._ ,. .. ~or _. autllorized by tueh permit is suspended or ISSUED TO COMPLY WITH ALL CITY, COUNTY ANO STATE LAWS GOVERNING BUILDING CON ...... ·-..... lie-'! IS -iced for a-ol tlli> A•u• STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO APPUCANT1S IIGNATURE • OWNE~ CONTRACTOR 0 ~/M~ 1~lJ/h- KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITt!S. JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TME Jn .JI 1/J~ ~~~)_ GRANTING OF THIS PERMIT _ hlfM BYPHONE 0 - If v I I 7 ~ u:: ~ "' 0 a. E Q) I- I 'O 0 (!) 0 <I) <I) Q) <I) <I) <{ I ~ .2 Q) >- c,i <I) Q) 0 0 ct "' co 0 ~ Q) 0 C "' C u:: C Q) Q) (5 0 0 Q) a. <I) C INSPECTION TYPE DATE INSPECTOR BUILDING I FOUNDATION i REINFORCED STEEL i MASONRY : ~~UNITE OR GROUT ! FLOOR & CEILING SUB FRAME SHEATHING : FRAME I I EXTERIOR LATH lNSULATION i INTERIOR LATH & DRYWALL ' I PLUMBING ! -- SEWER AND BL/CO ! . PLUMBING UNDERGROUND I PLUMBING TOP OUT ' I .TUB AND $HOWER PAN GAS TEST I ELECTRICAL : TEMPORARY POWER ELECTRIC UNDERGROUND I ROUGH ELECTRIC l ELECTRIC SERVICE I ' BONDING A I G. F. I. -SMOKE DETECTOR I I MECHANICAL ! DUCT & PLEM., REF. PIPING HEAT -AIR COND. -SOLAR SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN-APPROVED. JOB SITE FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING I --- "8:;2-0~{.o FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES REQ IF INSPECTOR"S -INSPECTION CHECKED APPROVAL DATE SOILS COMPLIANCE PRIOR TO -FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTAESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS -- SPECIAL MASONRY , PILES CAISSONS - .. - - -!, I.. 'l. \: to~\f]l L -I..-. ----h , ....... I ,-,: -.,- --- '996 \ -- rt , I _.,. ~\~ ,,..-, \.. ~---' ' ' -"' n , ._ ,f ' . - APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM CITY OF CARLSBAD SE BUILDING DEPT. ENGINEER ING DEPARTMENT 729-1181 EXT. 35 I ISSUED BY FOR APPLICANT TO FILL IN )/ , .. / 1 DATE ISSUED , BUILDING ADDRESS 2. '1 '(() W, I.so,.; St-VALIDATION OWNER I MAILING ADDRESS LATERAL CHARGE COMPUTATION CONTRACTOR STANDARD 4" (Max. H. 30', V. 10') I OVER 30' H. @ FT. CONTRACTOR'S OVER 10' V. @ FT. ADDRESS STANDARD 6" (Max. H. 30', V. 10') OVER 30' H. @ FT. NEW BUILDING I EXISTING BUILDING I ~ OVER 10' V. @ FT. LEGAL DESCRIPTION '--' TOTAL CONSTRUCTION COST . SERVICE CHARGE (REPAVING ETC.) TOTAL LATERAL CHARGE REMARKS: LINE COST DATA -ASSESSMENT DIST. NO. ,,,, r f _:>t°-'J~f ;_ FRONTAGE COST PER FT. TOTAL I OTHER LATERAL LOCATION CONNECTION FEE i--: VJ I I i--: VJ NO. UNITS COST PER UNIT TOTAL ,,-i--. ,..., PUMP STATION FEES '-1-1 \_.,/ NO. UNITS COST PER UNIT TOTAL I I ST. ~2~ 'f. bO TOTAL CHARGES (LATERAL ETC.) LATERAL NO. INSTALLATION DATE