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HomeMy WebLinkAbout2771 WILSON ST; ; CB910448; PermitB U I L D I N G P E R M I T 04/02/91 16:37 Page 1 of 1 Permit Project Development No: CB91044tl No: A910054 2 No: Job Address: 2771 WILSON ST Str: Fl: Ste: Permit Type: RESIDENTAL ADD/ALT (OVER $10K) Parcel No: 156-142-37-00 Valuation: .~,824 Construction Type: V~ Occupancy Group: R3 Class Code: Description: FAMILY ROOM 192 SF Appl/Ownr ARMSTRONG, BEVERLY 2771 WILSON ST CARLSBAD CA 92008 Fees Required Fees: Adjustments: Total Fees: Fee description Building Permit Plan Check s~rong Motion Fee * BUILDING TOTAL CITY OF CARLSBAD 7548207 1 93 0 9 1 I 0:-' eA<.r-r7o !:>tdtus: .... SSJED Applied: 03/13/91 Apr/Issue: 04/02/91 Validated By: CD it .00 99.00 154.00 Ext fee Data 153.00 99.00 1.00 253.00 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carl sbad Bui lding Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 1. PERMIT A • 8 COMMERCIAL TENANT IMPROVEMENT 0 INDUSTRIAL □TENANT IMPROVEMENT C □RESIDENTIAL □APARTMENT □CONDO □SINGLE FAMILY DIIELLING ig!ADDITIOH/ALTERATIOH □DUPLEX ODEMOLITIOH □RELOCATION OH08ILE HOME □ELECTRICAL □PLUMBING □MECHANICAL □POOL OSPA □RETAINING IIALL OSOL 2. PROJECT INFORMATION PLAN CHECK No . F Address °2771 1,Vll-!:.ON s_·,~ Nearest Cross Streets 1//¾'~e'-/ LEGAL DESCRIPTION Lot No. SubdIvIsIon Name/Nunber ./I ?ftlU.ez.. j S 8 , If) r'h-unit No. Phase No. 2 Structural Cales 1 Addressed Envel EXISTING USE p. es' t)/;I\I T PROPOSED USE E ;<},.,,, I '--"I )2, H?. Ft<rrv>. It.... "'I "e..t'>'°'. ,rc;ld-.. ..,... ;,,'\} I BLDG. so. FTG. I 'j' 2.... c:l # OF STO!llES 3. CONTACT PERSON 4. 5. 6. NAME 6 e. ii e..ie...,l 1 4 !U'n S '1-d..t> ,v' ADDRESS ,e!. 3 2..0 L,f />J'j Z,. CITY l)C, e:-trNS. I l) f1I STATE {.,FJ ZIP CODE q2.oof" DAY TELEPHONE 7~-'f'6~~7 SIGNATURE APPLICANT NAMES, $ t ~S PROPERTY OWNER 0 CONTRACTO!l (2' AGENT FOil COIITRACTOR ADDRESS ZIP CODE 0 OIINER O AGENT FOil OIINER :Z.. 77!-<.. /lJ/19-J-cY\/ 4Vt: o/ Z C> 0 jj DAY TELEPHONE 7 .:Z. Y □LESSEE □TENANT NAME ~ e_ v e.a,.I ', ~"'-< °"' ',~""9 ~ ADDRESS 2 3 2, O ~4 ,o,,.,. ~ CITY O(.,.e;-r9->--.5. (J~ STATE C4 ZIP CODE .,'2,c,vy DAY TELEPHONE 7 ,s-i-(-~ ';2.. CJ'? CONTRACTOR NAME ADDRESS CITY o l,v tv~/ o"--·• ( ci. ,t,../i!:.. STATE ZIP CODE DAY TELEPHONE STATE LIC. # ____ _ LICENSE CLASS CITY BUSINESS LIC. # SIGNATURE TITLE DATE DESIGNER NAME po IV T t'fCvwf ADDRESS ~/2. y,_ ~r?Sr VI 5 Tr'! l,,Vf't-9 Cl TY l.J I 4,:> "r,q STATE C,~ ZIP CODE DAY TELEPHONE / ;;l.'-/ -~3'12. STATE LIC. # 7. WORKERS' COMPENSATION 8. \.lorkers• COl11)ensat1on Declaration: I hereby affirm that I have a certificate of consent to self·1nsure issued by the Ofrector of lndustrul Relations, or a certificate of Workers' Co,rpensation Insurance by an adnitted insurer, or an exact copy or duplicate thereof certified by the Dfrector of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. CJ. INSURANCE COMPANY POLICY NO. EXPIRATION DATE Certificate of Exenl)tion: I certify that in the performance of the work. for which this permit is issued, J shall not efll)loy any person in any manner so as to become sl.bject to the Workers' Co,rpensation Laws of California. DATE 3 1 1 '1 1 I hereby aff1rm that I am exeq,t from the Contractor's License Law for the follow1ng reason: l9 I as owner of t he property or my efTllloyees with wages as their sole COlll)Cnsation, will do the work: and the structure is 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 builds or iq:,roves thereon,, and who does such work himself or through his own """loyees, provided that such i,rprovements are not intended or offered for sale. If, however, the building or irrprovement is sold within one year of COf11)letion, the owner·builder will have the burden of proving that he did not build or iff1)rove for the purpose of sale.). 0 I, as owner of the property, am exclusively contracting with licensed cont ractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor•s License Law does not apply to an owner of property who b:Ji lds or i~roves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). O I am exefl1)t t.nder Sect ion ___________ Business and Professions Code for th1s reason: (Sec. 7031.5 Business and Professions Code: Any City or County which req..iires a permit to construct, alter, irrprove, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contrac tor's Ucense Law (Chapter 9, comnencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exeff1:)t therefrom, and the basis for the alleged exeq:>tion. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant t o a civil penalty of not more than five hundred lars [S5D0J>. SIGNATURE DATE COMPLETE THIS SECT! Is the applicant or future building occupant required to subnit 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 S<bstance Accou,t Act? OYES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES O NO Is the facHity to be constructed within 1,000 feet of the outer boundary of a school site? O YES IF ANY OF THE AIIS\IERS ARE TES, A FINAL CERTIFICATE OF OCQJPANCY MY NOT BE I SSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS IET OR IS NEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POI.LUTION CONTROL DISTRICT. 9. CONSTRUCTION LENDING AGENCY hereby affirm that there is a construct ion lending agency for the performance of the work for which this permit is issued (Sec 3097Ci) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE 1 certify that I have read the appl1cat ion and state that the above information is correct. I agree to c~ly w1th all Clty ordinances end State laws relating to building construction. I hereby authorize representatives of the Ci ty of Carlsbad to enter upon the above mentioned property for inspection purposes. ALSO AGREE TO SAVE INDEMNIFY AND l(EEP HARMLESS THE CI TY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES llltlCH MY IN ANY IIAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THI S PERMIT. Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not comnenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is coomenced for a period of 180 days (Sect ion 303CdJ Uni form Sui lding Code). D OIINER D CONT RAC TOil OsY PHONE APPROVED BY: _______ _ DATE: _________ _ WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB910448 FOR 05/24/91 DESCRIPTION: FAMILY ROOM 192 SF TYPE: RADMAJ JOB ADDRESS: STR: APPLICANT: CONTRACTOR: 2771 WILSON ST ARMSTRONG, BEVERLY PHONE: 7548207 PHONE: OWNER: REMARKS: RS/JERRY/729-6315 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION 19 ST Final Structural 29 PL Final Plumbing 39 EL Final Electrical 49 ME Final Mechanical ------------------- PHONE: ACT COMMENTS ***** INSPECTION HISTORY***** COMMENTS INSPECTOR AREA PY PLANCK# CB910448 OCC GRP R3 CONSTR. TYPE VN FL: STE: DATE 051691 051491 051491 050791 050791 050691 050391 041791 DESCRIPTION Frame/Steel/Bolting/Welding Interior Lath/Drywall Exterior Lath/Drywall Insulation ACT AP AP AP AP AP AP AP AP INSP PY NORTH WALL WINDOW Exterior Lath/Drywall Frame/Steel/Bolting/Welding Roof/Reroof Ftg/Foundation/Piers PY PY PY PY PY PY PY