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Home My WebLink About2628 WILSON ST; ; CB120071; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-13-2012 Residential Permit Permit No: CB120071 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2628 WILSON ST CBAD RESDNTL Sub Type: RAD Lot#: 0 Constuction Type: 5B Reference #: Status: ISSUED Applied: 01/17/2012 Entered By: JMA Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 1561523800 $13,795.20 0 0 GILLINGHAM RES. Structure Type: Bathrooms: 0 Orig PC#: Plan Approved: 02/13/2012 Issued: 02/13/2012 Inspect Area: Plan Check#: 480 SF STORAGE@ BACK YARD Applicant: Owner: GILLINGHAM ROBERT S&BERTHA A TRUST 06-01-93 GILLINGHAM ROBERT S&BERTHA A TRUST 06-01-93 2628 WILSON ST 2628 WILSON ST CARLSBAD CA 92008 CARLSBAD CA 92008 Building Permit $166.07 Meter Size Add'I Building Permit Fee $0.00 Add'I Reel. Water Con. Fee $0.00 Plan Check $1 16.25 Meter Fee $0.00 Add'I Plan Check Fee $0.00 SDCWA Fee $0.00 Plan Check Discount $0.00 CFD Payoff Fee $0.00 Strong Motion Fee $1.38 PFF (3105540) $0.00 Park in Lieu Fee $0.00 PFF (4305540) $0.00 Park Fee $0.00 License Tax (3104193) $0.00 LFM Fee $0.00 License Tax (4304193) $0.00 Bridge Fee $0.00 Traffic Impact Fee (3105541) $0.00 Other Bridge Fee $0.00 Traffic Impact Fee (4305541) $0.00 BTD #2 Fee $0.00 Sidewalk Fee $0.00 BTD #3 Fee $0.00 PLUMBING TOTAL $0.00 Renewal Fee $0.00 ELECTRICAL TOTAL $40.00 Add'I Renewal Fee $0.00 MECHANICAL TOTAL $0.00 Other Building Fee $0.00 Housing Impact Fee $0.00 HMP Fee $0.00 Housing lnlieu Fee $0.00 Pot. Water Con. Fee $0.00 Housing Credit Fee $0.00 Meter Size Master Drainage Fee $0.00 Add'I Pot. Water Con. Fee $0.00 Sewer Fee $0.00 Reel. Water Con. Fee $0.00 Additional Fees $0.00 Green Bldg Stands (SB1473) Fee $1.00 Fire Sprinkler Fees $0.00 Green Bldg Stands Plan Chk Fee $0.00 TOTAL PERMIT FEES $324.70 Total Fees: $324.70 Total Payments to Date: $324.70 Balance Due: $0.00 FINAL L Inspector: Date: __.,.c...+-=+-~ /l---Clearance: NOTICE: Please take 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 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-1 3-2012 Storm Water Pollution Prevention Plan (SWPPP) Permit Permit No:SW120014 Job Address: Permit Type: 2628 WILSON ST CBAD SWPPP Status: ISSUED Parcel No: 1561523800 Lot#: 0 Applied: 01/17/2012 Reference #: CB#: CB120071 Project Title: GILLINGHAM RESIDENCE: 480 SF STORAGE@ BACK YARD Applicant: GILLINGHAM ROBERT S&BERTHA A TRUST 06-01-93 2628 WILSON ST CARLSBAD CA 92008 Emergency Contact: BILL GILLINGHAM 760-434-1962 SWPPP Plan Check SWPPP Inspections Additional Fees TOTAL PERM IT FEES Entered By: jma Issued: 02/13/2012 Inspect Area: Tier: Owner: GILLINGHAM ROBERT S&BERTHA A TRUST 06-01-93 2628 WILSON ST CARLSBAD CA 92008 $50.00 $210.00 $0.00 $260.00 Priority: Total Fees: $260.00 Total Payments To Date: $260.00 Balance Due: $0.00 M FINAL APPROVAL DATE 5~17<J6~E-___,__ __ SIGNATUR --Af,N..;.,,,__ __ _ «,~ ~ C I TY OF Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Plan Check No. -, ( Est. Value Plan Ck. Deposit CARLSBAD Fax: 760-602-8558 www.carlsbadca.gov Date \ 11 t "Z-SWPP \ z.-l JOB ADDRESS 2C:, 2 ~ \#' /L $ON $. LOT# PHASE# EXISTING USE PROPOSED USE PHONE I- ATE C,,(. FAX M # BEDROOMS €}Q S r GARAGE (SF) ZIP &/'2 ZI q2t:J(J SUITE#/SPACE#/UNIT# APN 1 src # BATHROOMS TENANT BUSINESS NAME PATIOS (SF) DECKS (SF) FIREPLACE YES □# __ NOD APPLICANT NAME (Secondary Contact) CITY STAT A CONTRACTOR BUS. NAME PHONE FAX AL -/SZ -3 8' CONSTR. TYPE OCC. GROUP AIR CONDITIONING YES O NOD ZIP FIRE SPRINKLERS YES O NOD (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 (Cha'f.ter 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 703 .5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration:/ hereby affirm under penalty of perjury one of /he following declarations: D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the LabOf Code, for the perfOfmance of the work for which this permit is issued. D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfOfmance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co .. ______________________ 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' COfnpensation 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. ,g CONTRACTOR SIGNATURE □AGENT DATE , I hereby affirm /hat I am exempt from Contractor's Ucense Law for the following reason: P( 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 thal 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). • J!(, I, as owner of the property, am exdusively 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). • □ 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. if Yes □ No 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 (indude name address / phone/ 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 (indude name I address / phone I contractors' license number): 5. I will provide SOfne of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address/ phone/ type of work): ' ,gPROPERTYOWNERSIGNATURE ~ ~~ □AGENT DATE I-I 7 -Ii._, Is the applicant or Mure 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? □ Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D 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. of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Address I certify that I have read the application and state that the above infonna1ion is correct and that the infonna1ion on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspectioo purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA AA OSHA penntt is required for excavations over 5'0' deep and demolition oc construction of sbuctures over 3 stories in height. EXPIRATION: Every penntt issued by the Building Official under the provisions of this Code shall expre by frnttation and become nuU and void IT the building oc work authorized by such permit is not corrvnenced within 180 days from the date of such permt oc IT the buicling oc work authorized by such permit is suspended or abandoned at any tine after the work is corrvnenced for a period of 180 days (Section 106.4.4 Uniform Building Code). _,KS APPLICANT'S SIGNATURE ~ ' ~ DATE /-17-1 L... City of Carlsbad Bldg Inspection Request For: 05/22/2012 Permit# CB120071 Inspector Assignment: PY --- Title: GILLINGHAM RES. Description: 480 SF STORAGE @ BACK YARD Sub Type: RAD Type: RESDNTL Phone: 0000000000 Job Address: Suite: 2628 WILSON ST Lot: 0 Location: Inspector: OWNER GILLINGHAM ROBERT S&BERTHA A TRUST 06-01-93 Owner: GILLINGHAM ROBERT S&BERTHA A TRUST 06-01-93 Remarks: did not say what type of inspection ---- Total Time: Requested By: ROBERT GILLINGHAM Entered By: CHRISTINE CD Description 14 Frame/Steel/Bolting/Welding p,-.,_J Act Comments ~------ -~ Comments/Notices/Holds Associated PC Rs/CVs/SWPPPs Original PC# SW120014 ISSUED GILLINGHAM RESIDENCE:; 480 SF STORAGE @ BACK YARD Inspection History Date Description 05/16/2012 13 Shear Panels/HD's 05/1 6/2012 15 Roof/Reroof 03/08/2012 11 Ftg/Foundation/Piers Act lnsp Comments AP MC SEE CARD AP MC AP PY Carlsb·ad 12-71 01/27/12 [DO NOT PAY -THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PREPARED BY: Ray Fuller PLAN CHECK NO.: 12-71 DATE: 01/27 / 12 BU ILDING ADDRESS: 2628 Wilson Street BUILDING OCCUPANCY: U TYPE OF CONSTRUCTION: VB BUILDING PORTION Storage Bid Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code cb Bldg. Permit Fee by Ordinance P1an Check Fee by Ordinance Type of Review: □Repetitive Fee ,.. Repeats Comments: AREA Valuation ( Sq. Ft.) Multiplier 480 28.74 By Ordinance ... Complete Review D Other 0 Hourly EsGil Fee Reg. VALUE Mod . D Structural Only 1--------11 Hr. @ * ($) 13,795 13,795 $166.071 $107.951 $93.001 Sheet 1 of 1 macvalue.doc +