HomeMy WebLinkAbout2510 WILSON ST; ; CB022473; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-04-2002 Residential Permit Permit No: CB022473
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
2510 WILSON ST CBAD
RESDNTL Sub Type:
Lot #: 1561520100
$43,054.00 Construction Type:
Reference #:
0 Structure Type:
0 Bathrooms:
CHAVEZ RES-418 SF FMLY ROOM &
REMODEL 1 KITCHEN WALL
RAD
0
NEW
0
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Orig PC#:
Plan Check#:
CHAVEZ FAMILY TRUST 09-30-95 CHAVEZ FAMILY TRUST 09-30-95
ISSUED
08/26/2002
AMA
10/04/2002
10/04/2002
2510 WILSON ST
CARLSBAD CA 92008
8040 10/04/02 0002 01 2510 WILSON ST
CARLSBAD CA 92008
Total Fees: $625.68
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
Inspector:
Total Payments To Date: $208.54 Balance Due:
$320.83
$0.00
$208.54
$0.00
$0.00
$4.31
$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 TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Housing Impact Fee
Housing lnLieu Fee
Master Drainage Fee
Sewer Fee
Additional Fees
TOT AL PERMIT FEES
CGP
$417.14
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$48.00
$20.00
$24.00
$0.00
$0.00
$0.00
$0.00
$0.00
$625.68
FINAL APPROVAL
Date: QY'"'/2..-~ Clearance: ______ _
NOTICE: Please take N pproval 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
• ' n iv n N Tl whi i h I h i 'r
02
417-14
4~~-
PERMIT .APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
1. PROJECT INFORMATION
'Z-5°10 Lu ll.-Sot,.)
FOR OFFICE USE 0
EST. VAL. --l--+--LL-=----1--.,,....-----..
-~~,S'f
Address (include Bldg/Suite #) Business Name (at this address) .,
Legal Description Lot No. Subdivision Name/Number Phasi! N • -Total # of units , _
# of Bathrooms
2.
Name Address City State/Zip Telephone# Fax# S lttl,,(,(._
3. APPLICANT
V1<-d:oc
0 Contractor O Agent for Contractor t:D,-e-wner O Agent for Owner CL. gve-z.., ~,o WtLSod s-f . C,,t,r-/.s b"-d CA 4:2.oot3 1<oo 72-Cf 132--\
Name Address City State/Zip Telephone #
4. PRO:irr::NE~ \/l~ I.... ~o..-.H-7=: 01 '1ko:B 1<oo 7Vl •s2-_s
Name 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 ($500)).
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 ($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·• fees.
SIGNATURE. _______________________________ _
7. OWNER-BUILDER DECLARATION DATE --========-------
I hereby affirm that I am exempt from t he 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
(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. l])"YES ONO
2. I ~ 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 t,ave hired the following erson to coordinate supervise anp provide the major work (include name / address / phone
number / contractors license number): VV I ~ !: (.,(.__ bS .
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 ___ U=-..:..'-==-..u..~=---=~=c....-b-..-------
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acut y 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 Codel.
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 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 from the date of such permit or 1f the bu1ld1ng or work authorized by such permit is suspended or abandoned
at any time after the work IS commv ced fuT"a period of 1 days (Se;!1on 106.4.4 Uniform Building Code). B/
A PPLICANT'S SIGNATURE /~ DATE -Z..('., / 0 "2.,... ~ l
PINK: Finance
...
~ ~
//0b -P3
City of Carlsbad Bldg Inspection Request
For: 05/09/2003
Permit# CB022473
Title: CHAVEZ RES-418 SF FMLY ROOM &
Description: REMODEL 1 KITCHEN WALL
Type: RESDNTL Sub Type: RAD
Job Address:
Suite:
Location:
2510 WILSON ST
Lot 0
APPLICANT CHAVEZ FAMILY TRUST 09-30-95
Owner: CHAVEZ FAMILY TRUST 09-30-95
Remarks:
Total Time:
CD Description Act Comment
19 Final Structural t 29 Final Plumbing
39 Final Electrical
49 Final Mechanical
Associated PCRs/CVs
lns12ection Histo[Y
Date Description Act lnsp Comments
01/14/2003 17 Interior Lath/Drywall AP JE
01/08/2003 16 Insulation AP JE
Inspector Assignment: JE ---
Phone: 7607291325
Inspector: j1V
Requested By: VICTOR
Entered By: ROBIN
01/08/2003 17 Interior Lath/Drywall AP JE KITCHEN ONLY
01/03/2003 18 Exterior Lath/Drywall AP PY
12/31/2002 84 Rough Combo AP PY
12/04/2002 15 Roof/Reroof AP RF
12/02/2002 13 Shear Panels/HD's NA RF
12/02/2002 15 Roof/Reroof NA RF
11/27/2002 13 Shear Panels/HD's AP RF
11/26/2002 13 Shear Panels/HD's PA RF INSTALL H.D. AND ALL THREADS
11/26/2002 15 Roof/Reroof NA RF
10/25/2002 11 Fig/Foundation/Piers AP RF
10/25/2002 12 Steel/Bond Beam AP RF
10/23/2002 11 Fig/Foundation/Piers co RF ADD REBAR 18 IN
10/23/2002 12 Steel/Bond Beam co RF
10/15/2002 24 Rough/Topout AP RF
~-
~
City of Carlsbad Bldg Inspection Request
For: 05/09/2003
Permit# CB022473 Inspector Assignment: JE --
10/15/2002 31 Underground/Conduit-Wiring AP RF