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Home My WebLink About2765 WILSON ST; ; CB053019; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit Permit No: CB053019 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2765 WILSON ST CBAD RESDNTL Sub Type: Lot #: 1561423600 $21,568.00 Construction Type: Reference #: O Structure Type: 0 Bathrooms: THOMPSON RES-ADD 128 SF MSTR CLOSET, ADD 31 2 SF TO GARAGE RAD 0 VN 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Orig PC#: Plan Check#: Applicant: Owner: WORTHING INC, 8. A. SUITE #201 690 CARLSBAD VILLAGE DR CARLSBAD, CA 92008 619-729-3965 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 $192.09 $0.00 $124.86 $0.00 $0.00 $2.16 $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 THOMPSON LYNN A&KRISTI A 2765 WILSON ST CARLSBAD CA 92008 Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWA Fee CFD Payoff Fee PFF (3105540) PFF (4305540) License Tax (3104193) License Tax (4304193) Traffic Impact Fee (3105541) Traffic Impact Fee (4305541) Sidewalk Fee PLUMBING TOTAL ELECTRICAL TOT AL MECHANICAL TOT AL Housing Impact Fee Housing lnlieu Fee Housing Credit Fee Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES ISSUED 08/22/2005 LSM 10/11 /2005 10/11 /2005 Total Fees: $363.11 Total Payments To Date: $363.11 Balance Due: $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 $24.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $363.11 $0.00 £211 t £ RI t )If Inspector: 15. u t.>-<-0 FINAL APPROVAL Date: H-U ~CJ(;» 6 a _] ii ii 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 required information with the City Manager for processing in accordance with Car1sbad 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 ' . . . . . . . FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. {!f3o:;-80v7 Bl ~(O ~ 00 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. Cl. Plan Ck. Deposit f /d)..,<f, <t~ v,r;dated By ~ Date i/ =i.-=:.__ 1. PROJECT INFORMATION Address (include ~l~~/~uite #) Z7(e5 Wt'I~ Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Assessor's Parcel # Existing Use Proposed Use L GP 1.::4-36 D:~iol~kfP # of Bedrooms # of Bathrooms !.~NTACT PERSON (if different from applicant)/ t.. Name 3. APPLICANT 4 . Name 5. Address City A ent for Owner State/Zip Telephone # Fax# State/Zip c/ 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 hundred dollars ($5001). A-. Ne~ Po 104 2-01 2. -q 5 Name State License # '.=, q '.2 e, 9 1i 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Telephone# 0 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. ~ 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 STA-TE F:lAN D Policy No. coo S'J15 -2.Qos Expiration Date I -o 1-0 (Q (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 ($100,0 , in addition to the cost of compensation, damages as provided for in Section 3706 of the bor co , interest and attorney·s fees. SIGNATURE. __ ____:_--''f,£."-'-1,..:,,,,.~::-------------------::::::=-DATE ....:07 ._..='-J-.,c.....c._-==---~--~~ 7. ontractor's License Law for the following reason: 0 I, as owner of the property r my e loyees with wages as their sole compensation, will do the work and t he structure is not intended or offered for sale (Sec. 7044, Business and Professi s Cod . 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 e oyees, 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 contractsd 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-RESIDENTTAL 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? 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 authorized by such permit is not commenced within 180 days from 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 commence r perio 1 s ( ection 106.4.4 Uniform Building Code). DATE ~8_,_(_-:z___.~.--P2..-:c-__ _ YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 04/26/2006 Permit# CB053019 Title: THOMPSON RES-ADD 128 SF MSTR Description: CLOSET, ADD 312 SF TO GARAGE Type: RESDNTL Sub Type: RAD Job Address: 2765 WILSON ST // 116 /.J Suite: Lot 0 Location: OWNER THOMPSON LYNN A&KRISTI A Owner: THOMPSON LYNN A&KRISTI A Remarks: Total Time: CD Description Act Comment 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Comments/Notices/Hold Associated PCRs/CVs Original PC# lns12ection Histo[Y Date Description Act lnsp Comments 01/26/2006 17 Interior Lath/Drywall AP PD 01/26/2006 18 Exterior Lath/Drywall AP PD 01/19/2006 16 Insulation CA PD WAIVED 01/19/2006 84 Rough Combo AP PD 12/28/2005 13 Shear Panels/HD's AP PD 12/13/2005 15 Roof/Reroof AP PD 11/29/2005 16 Insulation PA PD FLR 11/15/2005 11 Fig/Foundation/Piers AP PD Inspector Assignment: PD Phone: 7607293965 Inspector: /$ rJ -"""-=--- Requested By: SHELLEY Entered By: CHRISTINE ( Joo/ 0 ~ 7D u 1'1/ (-E-5 c,-, L W / pu,tS"S c..a..LC!.-S •jq'05~~ fJ -f (1_' '-3/~J ~C,,l'7 ?(Jt lo_r V,1/J r/4-# a /4 FJ'l/L r /fl; 1_/'7-c:/T-Cf J£ (d 'f (!_ ( to(ii(,u. ~ fJ pk 0 p c__, \o\,\o~ ~~uef'y CB053019 2765 WILSON ST CBAO THOMPSON RES-ADO 128 SF MSTR CLOSET, ADO 312 SF TO GARAGE RESDNTL RAD Lot# WORTHING INC, B A BUILDING Pl.ANNNQ E~!GINEERING flP~ APPR/FORM -----HE \LTH DEPT HAZMAT I AIR 0UAl. -----OTHER SEWER DISTR FROM