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HomeMy WebLinkAbout2697 WILSON ST; ; CB023689; PermitC0 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 • 07--02-.2004 Residential Permit Permit No: CB023689 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: • Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2697 WILSON ST CBAD RESDNTL Sub Type: Lot #: 1561302000 $2,500.00 Construction Type: Reference #: 0 Structure Type: 0 Bathrooms: CHARTIER RES REROOF AND RAISE ROOF LINE AND ADD WINDOWS RAD 0 NEW 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Orig PC#: Plan Check#: Applicant: Owner: CHARTIER DOUGLAS S&NANCI S 2697 WILSON ST CARLSBAD CA 92008 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Plan Check Discount Strong Motion Fee Park in Lieu Fee Park Fee LFM Fee Bridge Fee Other Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add'I Renewal Fee Other Building Fee Pot. Water Con. Fee Meter Size Add'I Pot. Water Con. Fee Reel. Water Con. Fee $45.79 $0.00 $29.76 $0.00 $0.00 $1'.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $22.90 $0.00 $0.00 $0.00 $0.00 $0.00 CHARTIER DOUGLAS S&NANCI S 2697 WILSON ST CARLSBAD CA 92008 Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWA Fee CFO Payoff Fee PFF PFF (CFO Fund) License Tax License Tax (CFO Fund) Traffic Impact Fee Traffic Impact (CFO Fund) Sidewalk Fee PLUMBING TOTAL ELECTRICAL TOTAL MECHAN ICAL TOTAL Housing Impact Fee Housing lnlieu Fee Housing Credit Fee Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES ISSUED 12/06/2002 SB 01/09/2003 01/09/2003 PD $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $99.45 Total Fees: $99.45 Total Payments To Date: $76.55 Balance Due: $22.90 5829 07/02/04 0002 01 Clearance: NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fe TICE similar to this r as to whi . 02 22 .. 90 FOR OFFICE USE ONLY lq~J- PERMIT APPLICATION GITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 PLAN CH~K NO. ci?.,z3b8 "/ EST. VAL. ~ 2-,S C"l:l) Plan Ck. Deposit '2-~ • I h Validated By---'S°'--="S _______ _ Date /Z.-G--c c::_ CGP 29-76 Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Existing Use Proposed Use 1ssessor' s Parcel # Description of Work ~ /<l--PL.A-e~ (!).ctJ f?(Jvr #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON (If di nt frolm applir Name Address :i APPLICANT O Contractor O Agent for Contractor 7:" !),vG I-A .J' "', ctf:A 12...TI 0L Name Address 4. ~ERTY OWNER ~~UAd' ::S:::: Name Address 6. CONTRACTOR • COMPANY NAME City 0 Owner O Agent for Owner ofr?f? W(hfq,J S7' .. City City CA- CA State/Zip Telephone# Fax# State/Zip Telephone# State/Zip Telephone # i{ij) L/Jt./ -17 {( (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, 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 Contractor's License Law [Chapter 9, commending 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 ($5001). Name Address City State/Zip Telephone# State License # _________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. 0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company ______________________ Policy No. Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that In the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. /SIGNATURE. _____________________________ _ / 7. OWNER-BUILDER DECLARATION DATE --:===========-- I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 I, as owner of the property or my employees with wages as their sole compensation, 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 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). 0 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). 0 I am exempt under Section ______ Business and Professions Code for this reason: • ) I personally plan to provide the major labor and materials for construction of the proposed property improvementJXl YES ONO I (have / have not) signed an application for a building permit for the proposed work. 1. 2. 3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license numberl=------------::,-------::..--"7'------------------------------- 5. I will provide some of the work, but ons to provide the work indicated (include name / address / phone number / type of work):. ________ ~:--7'"--+-,j~-7'-"---,r--::::;~~::;;jii!~;:,.---------------,;-::;,----:---=----------- "'.:::><PROPERTY OWNER SIGNATURE --==-~,.,.."-----=-----""----+----DATE __ 1-< __ -_~_._2-__ _ COMPLETE THIS SECTION FOR NON•RESID Is the applicant or future building occupant required to 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? 0 YES 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? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 6 . CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS. __________________________ _ 9. APPLICANT CERTIFICATION I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS 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 issu • • • authorized by such pe • • at any lime after the w s o is Code shall expire by limitalion and become null and void if the building or work permit or if the building or work authorized by such permit is suspended or abandoned b..c;;.;'"-wC... .4 Uniform Building Code). I-<. -6-2...... DATE ____________ _ WHITE: File YELLOW: Applicant PINK: Finance Inspection List Permit#: CB023689 Type: RESDNTL RAD CHARTIER RES REROOF AND RAISE ROOF LINE AND ADD WINDOWS Date Ins ection Item Ins ector Act Comments 08/09/2004 89 Final Combo RI PLEASE CALL PRIOR TO ARRIVAL(10- 15 MIN) 08/09/2004 89 Final Combo PD AP 08/05/2004 19 Final Structural PD NA NEED SMOKE DETECTORS CALLED DOUG 10/10/2003 14 F rame/Steel/Bolti ng/W eldin PD AP 10/10/2003 24 Rough/Topout PD WC 10/10/2003 34 Rough Electric PD AP 10/10/2003 44 Rough/Ducts/Dampers PD WC 10/09/2003 84 Rough Combo PD NS DID NOT SET UP APPT. 10/07/2003 13 Shear Panels/HD's PD co 09/29/2003 19 Final Structural PD CA NOT WRAPPED 09/29/2003 39 Final Electrical PD CA 09/17/2003 19 Final Structural PD NA NOT WRAPPED -HANGING DRYWALL W/O FRAME, ELEC, CALLED DOUG -HE WILL REMOVE DRYWALL 03/1 0/2003 13 Shear Panels/HD's PD AP 03/10/2003 14 F rame/Steel/Bolti ng/W el din PO NA 03/1 0/2003 15 Roof/Reroof PD AP Tuesday,August10,2004 Page 1 of 1 City of Carlsbad Bldg Inspection Request For: 08/09/2004 Permit# CB023689 Title: CHARTIER RES REROOF AND RAISE Description: ROOF LINE AND ADD WINDOWS Type: RESDNTL Sub Type: RAD Job Address: Suite: Location: 2697 WILSON ST Lot 0 APPLICANT CHARTIER DOUGLAS S&NANCI S Owner: CHARTIER DOUGLAS S&NANCI S Remarks: PLEASE CALL PRIOR TO ARRIVAL(10-15 MIN) Total Time: CD Description Comment 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Associated PCRs/CVs CV020801 CLOSED CONST W/O PERMITS; CV040416 OPEN H-EXP BLDG PERM IT CB023689; Inspection History Date Description Act lnsp Comments Inspector Assignment: PD --- Phone: 7604341711 lnspecu Requested By: DOUG Entered By: ROBIN 08/05/2004 19 Final Structural NR PD NEED SMOKE DETECTORS CALLED DOUG 10/10/2003 14 Frame/Steel/Bolting/Welding 10/10/2003 24 Rough/Topout 10/10/2003 34 Rough Electric 10/10/2003 44 Rough/Ducts/Dampers 10/09/2003 84 Rough Combo 10/07/2003 13 Shear Panels/HD's 09/29/2003 19 Final Structural 09/29/2003 39 Final Electrical 09/17/2003 19 Final Structural 03/10/2003 13 Shear Panels/HD's 03/10/2003 14 Frame/Steel/Bolting/Welding 03/10/2003 15 Root/Reroof AP WC AP WC NS co CA CA NR AP NR AP PD PD PD PD PD PD PD PD PD PD PD PD DID NOT SET UP APPT. 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