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HomeMy WebLinkAbout2520 WILSON ST; ; CB012851; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-16-2001 Residential Permit Permit No:CB012851 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Applicant: WARREN SCOTT Building Inspection Request Line (760) 602-2725 2520 WILSON ST CBAD RESDNTL 1561520200 Sub Type: RAD Lot#: 0 $135,572.00 Construction Type: VN Reference #: O Structure Type: 0 Ba~rooms: 0 DAVILA RES-778 SF ADD+REMODEL EXIST 2068 SF+276 SF GAR ADD Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Orig PC#: Plan Check#: DAVILA DAVID&VERA RM ISSUED 08/30/2001 RMA 10/25/2001 11 /16/2001 4856 11/16/01 0002 01 02 4405 MANCHESTER AV 92024 760 943-8180 Total Fees: $1,344.84 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 2520 WILSON ST CARLSBAD CA 92008 CGP t.!. 7-50 Total Payments To Date: $427.34 Balance Due: $917.50 $657.44 $0.00 $427.34 $0.00 $0.00 $13.56 $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 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 TOT AL ELECTRICAL TOT AL MECHANICAL TOT AL Housing Impact Fee Housing lnlieu Fee Master Drainage Fee Sewer Fee Additional Fees TOT AL PERMIT FEES ~c./;-L ' $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $147.00 $45.00 $54.50 $0.00 $0.00 $0.00 $0.00 $0.00 $1,344.84 FOR OFFICE USE ONLY ·vZio93 PERMIT ,APPLICATION PLAN cHEcK No. <:t,o I d-fs; EST. VAL. / 3 ~ 5°',7;2 CITf' OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit ------~,=....__,, 3 t./ Validated By,-::r--;h,,..--:::--r--:----:i~-41-- Date __ __,t:£_.J...-.!....!4 L-L.t:::.-1,---- 1. PROJECT INFORMATION ~<Sd\O J-v1\ ~oa Address (include Bldg/Suite #) Legal Description Lot No. Business Name (at this addr~O l:ItS( 08/30/01 0002 01 02 Subdivision Name/Number Unit No. Phase NCGpotal # of u<14f7 .34 Assessor's Parcel # Existing Use Proposed Use #of Stories ..._Jl >v<.$ ~f Bedrooms /Lt?··~ <2ot,g t/1 # of Bathroo V( f:) 76 .,?IJiJIT/~ ddress 3--7· 77 Fax# 3. APPLICANT Pov-,d 0 Contractor ..:' Vc~N 0 Agent for Contractor Davi Jct @owner 0 Agent for Owner Name Address City State/Zip Telephone# 4. PROPERTY OWNER '[hv 'l d t V l!.f'O.. Name D:Avt\a Address' City State/Zip Telephone# 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 ($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 perm· • ·ssued. 0 00 of the Labor Code, for the performance of the work for which this permit is issued. My worker's co Insurance Company _....,.c-+.,,.... .... =.,,..--....... "-"'-"''+--------Policy No._____________ Expiration Date. _______ _ (THIS SECTION NEED NO 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.______________________________ DATE 7. OWNER-BUILDER DECLARATION --==::=-=-:=====-- 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: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES O 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 (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 SIGNATURE _______________________ _ DATE ------------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 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? O 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 authorized by such permit is not commenced within 180 days lrom the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenc d for a period of 180 d~ys (Section 106.4.4 Uniform B1;ilding Code). APPLICANT'S SIGNATURE DATE (f-3cf'C)/ PINK: Finance FOR OFFICE USE ONLY PERMIT ,APPLICATION PLAN CHECK NO. ____ _ CIT'f' OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit _________ _ Validated By. ___________ _ Date. ________________ _ 1. PROJECT INFORMATION Address (include Bldg/Suite #I Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Description of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON (if different from applicant) Name Address 3. APPLICANT 0 Contractor 0 Agent for Contractor O Owner Name Address 4 . PROPERTY OWNER Name Address 5. CONTRACTOR -COMPANY NAME City 0 Agent.for Owner City City State/Zip State/Zip State/Zip Telephone# Fax# Telephone# Telephone# (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 hundr d do rs ($5001). Z --'en , o. 8. 2.6 e. C 20 '3. Address City State/ p T lephone # License Class ___ ....:,8=------State License # _..::5::.....S=-LZ-LZ_.l'-'9'---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. 'Isa" 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 ~ed. My'worker's compensation insurance carrier and policy number ar8j / Insurance Company S'Ja& C6Mj)8t1Si1/t>n .X,s,&'114 Policy No. ~Z.9-0/6 33£ Expiration Date / / / /~2, (THIS SECTION NEED NOT BE COMPLEfED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS) ', / O 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 Labo')_'ode_;).'terest and attorney's fees. SIGNATURE ~ DATE ~~ 7. OWNER-BUILDER I hereby affirm that I am exempt rom the Contractor's License Law for the following reason: O 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: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I lhave / have not) signed an application for a building permit for the proposed work. 3. 1 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 SIGNATURE ______________________ _ DATE __________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUll,PING 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 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 7 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 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. 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(il Civil Code). LENDER'S NAME _______________ _ LENDER'S ADDRESS __________________________ _ 9. APP!,.JCA.NT 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 limllation and become null and void if the building or work authorized by such permit is nol commenced within 180 days from the dale of such permit or if lhe building or work authorized by such permil is suspended or abandoned at any time alter the work is commenced for a period of 180 days (Seclion 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ---~~~L--J~=,.=,._ __ -4-....Ll...-:Z=....:L~fet:,:'.!nN'.LI..!' , __ YELLOW: Applicant PINK: Finance DATE -L.~r..,,<-/2....q,¢'-""0=+--/ __ .r ·' City of Carlsbad Bldg Inspection Request For: 05/23/2002 Permit# CB012851 Title: DAVILA RES-778 SF ADD+REMODEL Description: EXIST 2068 SF+276 SF GAR ADD Type: RESDNTL Sub Type: RAD Job Address: Suite: Location: 2520 WILSON ST Lot 0 Inspector Assignment: RCB Phone: 7605193600 Inspector: /f c· /3 APPLICANT WARREN SCOTT Owner: DAVILA DAVID&VERA RM Remarks: PM PLEASE l--. 0 D Total Time: Requested By: TERRY Entered By: CHRISTINE CD Description Act Comments 19 Final Structural BP C-ml? 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Associated PCRs lnsgection Histo[Y Date Description Act lnsp Comments 03/14/2002 17 Interior Lath/Drywall AP RC OK TO TAPE 03/14/2002 18 Exterior Lath/Drywall AP RC OKTO STUCCO 03/05/2002 14 Frame/Steel/Bolting/Welding AP RC 03/05/2002 18 Exterior Lath/Drywall WC RC 03/05/2002 24 Rough/Topout AP RC 03/05/2002 34 Rough Electric AP RC 03/05/2002 34 Rough Electric AP RC 03/05/2002 44 Rough/Ducts/Dampers AP RC 02/27/2002 13 Shear Panels/HD's AP RC OK TO LATH 02/05/2002 15 Roof/Reroof AP RC OK TO COVER TRUSS BRACING -OK 12/19/2001 11 Ftg/Foundation/Piers AP RC O.K. TO POUR 12/17/2001 21 Underground/Under Floor AP RC OK TO COVER 12/13/2001 34 Rough Electric PA RB TSPB METER RELEASED I