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Home My WebLink About2765 WILSON ST; ; CB951150; PermitB U I L D I N G 09/18/95 14:18 Page 1 of 1 Job Address: 2765 WILSON ST Permit Type: RESIDENTAL ADD/ALT Parcel No : 156-142-36-00 Valuation: 37,600 P E R M I T Suite: Lot#: Permit No : CB951150 Project No : A95016 66 Developmen t No : 3720 09/18/95 0001 01 ::; "• T Construction Type: 02 VN 33 .. Occupancy Group: Reference#: Status: ISSUED 08/22/95 09/18/95 RMA Description: 400 SF ROOM ADDITION Appl/Ownr : B.A . WORTHING INC P.O. BOX 1041 CARLSBAD, CA 92018 *** Fees Required Fees: Adjustments: Total Fees: *** 652 .00 .0 0 652.00 *** Applied: Apr/Issue: Entered By: 619-729-3965 Fees Collected & Credits Total Credits: Total Payments: Balance Due : .00 219.00 433.00 *** Fee description Units Fee/Unit Ext fee Data Building Permit Plan Check Strong Motion Fee * BUILDING TOTAL Enter "Y" for Plumbing Issue Fee > Each Plumbing Fixture or Trap > Each Install/Repair Water Line > Each Water Heater and/or Vent > Gas Piping System > * PLUMBING TOTAL Enter "Y" for Electric Issue Fee > Enter "Y" for Remodel > * ELECTRICAL TOTAL Enter 'Y' for Mechanical Issue Fee> Install Furn/Ducts/Heat Pumps > * MECHANICAL TOTAL CITY OF CARLSBAD 1 7 .00 7 .00 7.00 7 .00 9.00 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 337.00 219 .00 4.00 560.00 20.00 Y 7.00 7.00 7.00 7.00 48.00 10 .00 Y 10.00 Y 20.00 15.00 Y 9.00 24.00 ' PERMIT APPLICATION PLAN CHECK NO. q s l / 5/J City of Cilrlsbad Building DepartEnt 20~ las Pal.as Dr., carlsbad, CA 92009 (619) 438-1161 1. PmtMIT 1YPE EST. VAL._..=3:.....7:..+-!hl::;J..,£...=------~ PLAN CK D ~/'J/-,,4-------"~-"'..v D VAIID.BY _ __J~~---1.:::;:.,l---~1-- From List l (see back) give code of Permit-Type: ___ 1?....,...:.A....:...;'D::.... _____ _ DATE For Residential Projects Only: From List 2 (see back) give Code of Strucrure-Type: _____ ?-"-_-F'---"'D __________ _ 3283 08/22/95 0001 01 C-PRHT Net Loss/Gain of Dwelling Units----~~------------- 2. PRQJECf INFORMATION FOR OFFICE USE ONLY Address 2705 w•,\~,-.J & Building or Su11e No. Nearest Cross Street LEGAL DESCRIPTION Lot No. Subd1V1s1on Name/Number Unit No. Phase No. CHEC;t~~so&fft IED: .0;1 Energy Cales □ 2 Structural Cales □ 2 Soils Report D l Addressed Envelope ASSESSOR'S PARCEL DESCRIPTION OF WORK A'AJ. 4a) g> EXISTING USE PROPQSEP USE I NAME (last name first) ADDRESS I # OF BEDROOMS CITY ~ STATE ZIP CODE DAY TELEPHONE 4. APPllCAN I G{CON I AACIUR LI AGEN I FOR CON I AACIOR LI OWNER LI AGEN I FOR OWNER NAME (last name first) WORTHING , B . A . ADDRESS p . O. BOX 1 041 CITY CARLSBAD STATE CA ZIP CODE 9 2 0 1 8 DAY TELEPHONE 7 2 9 -3 9 6 5 # OF BATHROOMS s. ~~im:;~~t~:'!e9frst) ~~~ I (Y\t'"-t rw-:, ADDRESS ~7~ w,)~ 6J- CITY (kv lbW STATE O} ZIP CODE '1-Zt:06 DAY TELEPHONE o/0 7-zt:;f ,3:?t,5 6. OON'mA:CIOR NAME (lase name first) WORTHING , INC . B . A. ADDRESS p . 0 . BOX 1041 729-3965 CITY CARLSBAD STATE CA ZIP CODE 9 2 0 1 8 DAY TELEPHONE STATE UC.# 3 9 8 7 6 4 LICENSE CLASS B-1 CITY BUSINESS UC. # 5 4 9 2 0 0 DESIGNER NAME (last name first) ADDRESS P.O. BOX 1 041 02 219-00 WORTHING , B .A . CITY ~~ STATE CA ZIP CODE 92QJS DAY TELEPHONE 7? g 3 g 6 5STATE UC.# B-1 392894 1. WOIO® Workers' Compensauon beclarauon: I hereby all1rm ihat I have a cerulicate of consent 10 sell-insure issued by the Director ol lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admitled insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCECOMPANY STATE FUND POLICYNO. 229-6537EXPIRATIONDATE 1 /96 Cemlicate ol Exempuon: I ceruly ihat in ihe performance of the work lor which this permit 1s issued, I shall nor employ any person m any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. oWREJt-BOfiDER DECLARA'110N Owner-Builder Declaration: I hereby atiirm that I am exempt from the Contractor's License Law !or the following reason: D I, as owner of the property or my employees with wages as their sole compensation, will do the work and the strucrure 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 improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale.). D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). D I am exempt under Section _______ Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any strucrure, 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 Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). SIGNATIJRE DATE COMPLE'IE THIS sEG'liON FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required 10 submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ YES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ YES D NO Is the facility co be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF 11-IE ANSWERS ARE YES, A FINAL CERTIFICATE OF QCX;lJPANCY MAY NOT BE e:,suE0 AFfER JULY 1, 1989 UNLESS TIIE APPUCANT HAS MET OR IS MEETING nm REQUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND 11-IE AIR POUUTION CDN"IROL DlS11UCT. 9. wRS'IitoCnuR U!.NDING AGENCY I hereby allirm ihat ihere 1s a construcuon lending agency tor ihe performance of ihe work tor which ih1s permit 1s issued (Sec 3097(1) CiVJI Code). LENDER'S NAME LENDER'S ADDRESS to. Al'PUCANI C£Rl1FICAIION I ceruly ihat I have read ihe apphcauon and state ihat the above mlormauon 1s correct. I agree lo comply w1ih all City ordinances and Staie laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE 10 SAVE INDEMNIFY AND KEEP HARMI.ES.5 nm CTIY OF CARLSBAD AGAINST AU UABII.ITIES, JUDGMENTS, a:>srS AND EXPENSFS WHI□·I MAY IN ANY WAY ACX:RUE AGAINST SAID CTIY IN CDNSF.QUENCE OF nm GRANTING OF nus PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. 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 pe.rmit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at time fter the wok is commenced for a period of 180 days (Section 303(d) Uniform Buildin~Code). APPLICAN1"S SIGNATURE DATE: 8~1/q_:5 W: Applicant PINK: Fmance PERMIT# CB951150 DESCRIPTION: 400 SF TYPE: RAD CITY OF CARLSBAD INSPECTION REQUEST FOR 12/08/95 ROOM ADDITION STE: INSPECTOR AREA PD PLANCK# CB951150 OCC GRP CONSTR. TYPE VN LOT: JOB ADDRESS: 2765 WILSON ST APPLICANT: B.A. WORTHING INC CONTRACTOR: PHONE: 619-729-3965 PHONE: OWNER: REMARKS: MW/KATHY/729-3965 SPECIAL INSTRUCT: TOTAL TIME: PHONE: INSPECTOR-?+---+✓-------- CD LVL DESCRIPTION ACT COMMENTS 19 ST Final Structural 29 PL Final Plumbing It --- 39 EL Final Electrical 49 ME Final Mechanical -------------------- ------------------ ------------------ ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 120595 Final Combo CA PD BY CONTRACTOR 102795 Interior Lath/Drywall AP PY 102495 Insulation CA PD BY CONTRACTOR 101795 Rough/Topout co PD 101795 Rough Electric co PD 101195 Shear Panels/HD's AP PD 101095 Frame/Steel/Bolting/Welding co PD 101095 Roof/Reroof AP PD 092295 Ftg/Foundation/Piers AP PD