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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