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