HomeMy WebLinkAbout2645 WILSON ST; ; CB043622; Permit~ \I\ , _ City of Carlsbad
10-28-2004fY\
, f ~~ict (635 Farada! Av C~rlsbad, CA_ 92008
Res1dent1al Permit Permit No: CB043622
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
2645 WILSON ST CBAD
RESDNTL Sub Type:
Lot#: 1561302800
$10,680.00 Construction Type:
Reference #:
0 Structure Type:
0 Bathrooms:
MORRIS RES 445 SF ATTACHED
STORAGE ROOM (NO LIVING SPACE)
RAD
0
NEW
0
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Orig PC#:
Plan Check#:
Applicant: Owner:
MORRIS ALLEN R&FRANKIE TRS MORRIS ALLEN R&FRANKIE TRS
2645 WILSON ST 2645 WILSON ST
CARLSBAD CA 92008 CARLSBAD CA 92008
Building Permit $107.39 Meter Size
Add'I Building Permit Fee $0.00 Add'I Reel. Water Con. Fee
Plan Check $69.80 Meter Fee
Add'I Plan Check Fee $0.00 SOCWA Fee
Plan Check Discount $0.00 CFO Payoff Fee
Strong Motion Fee $1.07 PFF
Park in Lieu Fee $0.00 PFF (CFO Fund)
Park Fee $0.00 License Tax
LFM Fee $0.00 License Tax (CFO Fund)
Bridge Fee $0.00 Traffic Impact Fee
Other Bridge Fee $0.00 Traffic Impact (CFO Fund)
STD #2 Fee $0.00 Sidewalk Fee
STD #3 Fee $0.00 PLUMBING TOTAL
Renewal Fee $0.00 ELECTRICAL TOTAL
Add'I Renewal Fee $0.00 MECHANICAL TOTAL
Other Building Fee $0.00 Housing Impact Fee
Pot. Water Con. Fee $0.00 Housing lnlieu Fee
Meter Size Housing Credit Fee
Add'I Pot. Water Con. Fee $0.00 Master Drainage Fee
Reel. Water Con. Fee $0.00 Sewer Fee
Additional Fees
TOTAL PERMIT FEES
ISSUED
09/20/2004
SB
10/28/2004
10/28/2004
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$20.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$198.26
T otal Fees: $198.26 Balance Due: $128.46
4231. 10/28; 04 0002 0 ...
CGP
Inspector:
FINA~~f F9V~L
Date: , ~ 0} 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 requred 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 subsequentlegal action to attack,
review. set aside, void, or annul their imposition.
Yc•u are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
chariges, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any
le s/ex ctions of whi to which the s atute f limit • ired.
02
FOR OFFICE USE ONLY
PLAN CHECK N~7:c>~'Jb2Z_
EST. VAL. {o ~ ,
CITY OF CARLSBAD BUILDING DEPARTMENT ~Oc=..> 1635 Faraday Ave., Carlsbad, CA 92008 -,,=-=----~~-----
ssessor's Parcel II Existing Use
44-S-/
Proposed Use
SO. FT. -#of Stories II of Bedrooms II of Bathrooms
,J 2. CONTACT PERSON (if different from applicant)
/' 7o.AI \I ,1,:{cr~-A k i;:... S Jfl,'3 AJA S 1-1 /...,.J ,
Name Address City State/Zip Telephone II Fax II
3. APPLICANT O Contractor O Agent for Contractor O Owner ~Agent for Owner
J 1auV M..o J2.A. L~S ,112--z N'A SH L,.J. lie ~ 'IP t.941479<22 Name Address Coty State/Zip Telephone II
4. PROPERTY OWNER
AL..L£N g _ MO/l/L12 U 1-£ tdtY-?ON 9C (Ag_,.l.$1:Af2
Name Address City State/Zip Telephone II
5. CONTRACTOR • COMPANY NAME
(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 ($500)).
Name Address City State/Zip Telephone II
State License II ----------License Class ----------City Business License II _______ _
Designer Name
State License II
Address City State/Zip Telephone
----------
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 ($100) 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
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
~ 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
-fsec. 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:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO
2. I (have/ have not) signed an application for a building permit for the proposed work.
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 number): _________________________________________________ _
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type
of work): ___________ --:---::----,--,"""------~---~---------------...,.--=-----,-.,,...--------
PROPERTY owNER s1GNATURE Q~b / ~. rm ~ DATE J 6 ~~ t· of
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
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 Act7 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 site 7 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.
8. 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(i) 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 Cit', 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 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
j,thorized by such permit is not commenced within 180 days lrom lhe dale of such permit or 1f the building or work authorized by such permit 1s suspended or abandoned
any time after the work ,s commenced f~riod of 1 0 days ect,on 106 4.4 Uniform Building Code). I I
PPLICANT'S SIGNATURE ( DATE 1 1-4? _{2 1: I
YELLOW: Applicant PINK: Finance
~ ~
City of Carlsbad Bldg Inspection Request
For: 02/17/2005
Permit# CB043622
Title: MORRIS RES 445 SF ATTACHED
Description: STORAGE ROOM (NO LIVING SPACE)
Type: RESDNTL Sub Type: RAD
Job Address:
Suite:
Location:
2645 WILSON ST
Lot 0
APPLICANT MORRIS ALLEN R&FRANKIE TRS
Owner: MORRIS ALLEN R&FRANKIE TRS
Remarks:
Total Time:
CD Description Comment
17 Interior Lath/Drywall
18 Exterior Lath/Drywall
Associated PCRs/CVs
lns1;1ection Histo!Y
Date Description Act lnsp Comments
02/03/2005 18 Exterior Lath/Drywall AP PC
02/03/2005 84 Rough Combo AP PC
12/22/2004 11 Ftg/Foundation/Piers WC PC
12/22/2004 13 Shear Panels/HD's AP PC
12/22/2004 15 Roof/Reroof AP PC
11/15/2004 11 Fig/Foundation/Piers AP PC
Inspector Assignment: PC ---
Phone:
Inspector: R:..)
Requested By: ALAN MORRIS
Entered By: CHRISTINE