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.
NOT WRAPPED
NOT W RAPPED· HANGING DRYWALL W/O FRAME, ELEC, CALLED
DOUG· HE WILL REMOVE DRYWALL
I'-9-a3 -:t=-ss V\ i,:::---;)
CB023689 2697 WILSON ST CBAO
CHARTIER RES REROOF AND RAISE
ROOF LINE AND ADD WINDOWS
RESDNTL RAD
Lot# CHARTIER DOUGLAS S&NANCI S
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