HomeMy WebLinkAbout2765 WILSON ST; ; CB102428; Permit.. City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
12-20-2010 Residential Permit Permit No: CB102428
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
1561423600
Sub Type:
Lot#:
$8,000.00 Construction Type:
Reference #:
0 Structure Type:
0 Bathrooms:
THOMPSON: ROOF MOUNT PV SYS
20 PANELS
RAD
0
NEW
0
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Orig PC#:
Plan Check#
Applicant: Owner:
ETS BUILDERS OBA GECKOLOGIC
STE 163
1499 POINSETTIA AV
VISTA CA 92081
760 597-9888
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
STD #2 Fee
STD #3 Fee
Renewal Fee
Add'I Renewal Fee
Other Building Fee
HMP Fee
Pot. Water Con. Fee
Meter Size
Add'I Pot. Water Con. Fee
Reel. Water Con. Fee
Green Bldg Stands (SB1473) Fee
$99.61
$0.00
$64.75
$0.00
$0.00
$1.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$1.00
THOMPSON LYNN A&KRISTI A
2765 WILSON ST
CARLSBAD CA 92008
Meter Size
Add'I Reel. Water Con. Fee
Meter Fee
SDCWA Fee
CFO 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 TOTAL
MECHANICAL TOTAL
Housing Impact Fee
Housing lnlieu Fee
Housing Credit Fee
Master Drainage Fee
Sewer Fee
Additional Fees
Fire Sprinkler Fees
TOTAL PERMIT FEES
ISSUED
12/13/2010
JMA
12/20/2010
12/20/2010
Total Fees: $166.36 Total Payments To Date: $166.36 Balance Due:
Inspector: j
FINAL APPRQVAL
Date: J~----o2P-&;J Clearance:
$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
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$166.36
$0.00
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 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
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Fax 760-602-8558
www.cartsbadca.gov
JOB ADDRESS 2.. 7' J (J, L_ .[ C)a, --sr: SUITE#/SPACE#/UNIT#
Plan Check N
Est. Value
Plan Ck. Deposit
Date z
CT/PROJECT# LOT # PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ( 3/_s tPL-fif?.-Gt,,-~ cA-<..
0 SWPPP
.GR UP
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES0,
AIR CONDITIONING
NcCJ YES □No□
FIRE SPRINKLERS
YES□No□
ADDRESS
/~ 9-F I? ,,,1'<.; .f ~~
CITY \ 1/,:J vi::+ ZIP '?.)aP
-CoiU.
CITY( All . .L. .{ STATE
FAX ---EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE UC.#
(Sec. 7031.5 Business and Professions Code: Arry City or County which reQuires a permit to construct. alter, Improve. demolish r 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 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)).
WORKERS ' COMPENSATION
" ~ • < ~. ~ •
Workers' Compensation Declaration: / hemby affirm under penafty of perjury one of the following declarations: ·8 I have and will maintain a certificate of consent to self-insure for wor1<ers' corrpensation as provided by Section 3700 of the Labor Code, for the performance of the wor1< for which this permit is issued.
I have and will maintain workers1m~uired by Section 3700 of the Labor Code, for the performance of the -2, for which this permit is issued. My wor1<ers' corrpensation insu~ ca~ policy
number are: Insurance Co FU,.d) Policy No. l ~ I I /'7 Expiration Date t!)/ / 6 ~ /9 DI 7 Jm. section need not be corrpleted ~ the perm~ is for one hundred dollars ($100) or less. f 2 I er 7 LJ Certificate of Exemption: I certify that in the performance of the wor1< for which this permit is issued. I shall not employ any person in any manner so as to become subject to the Wor1<ers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damages as provided for in Section 3706 of bor , interest and attorney's fees.
_e$ CONTRACTOR SIGNATURE
I hemby affirm thal I am exempt from Contra<:tor's License Law for the following mason:
□
□
□
I, as owner of the property or my employees with wages as their sole corrpensation, will do the wor1< 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 wor1< 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).
I, as owner of the property. am exclusively contracting wilh 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 maja labor and materials for construction of the proposed property improvement. 0 Yes D o
2. I (have f have not) signed an application for a building permit for the proposed wor1<.
3. I have contracted with the following person (fiml} to provide the proposed construction fonclude name address I phone / contractors' license number):
4. I plan to provide portions ol the work, but I have hired the following person to coordinate, supervise and provide the maja wor1< flfldude name/ address f phone I contractors' license nomber}:
5. I will provide some of the wor1<, but I have contracted (hired) the following persons to provide the wor1< indicated (include name / address / phone f type of wor1<}:
_e$ PROPERTY OWNER SIGNATURE □AGENT DATE
COMP(ETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicanl or future boilding occupant required lo submit a bosiness~. acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardious Substance Account Act? D Yes L.JNo
Is the applicant or future boilding occupant required lo obtain a permit from the air pollution control district or a~ality management district? [Jy es O No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school sile? O Yes LJNo
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.
I certify that I have read the appllcatlon 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 represenlative of the City of Carlsbad lo enter upon the above menlioned 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 ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: AA OSHA pennit is required for excavations r:Ner 5'0' deep and demdition or oonstruction of stn.dures r:Ner 3 stories in heigil.
EXPIRATION: Every permit issued by the &ilding Official under provi • cl lhs Code shall expire by limitation and become roll and \1li<J if the building or wOl1( authorized by such permit is not oonmenced within
180 days from the date of such pennit or~ the building orwori( a • such pennit is suspended or abandoned at any time anerthe wOl1( is cxmmenced for a period cl 180 days (Section 100.4.4 Uniform Building Code).
_I$ APPLICANT'S SIGNATURE DATE ;l ' )
rtf
City of Carlsbad Bldg Inspection Request
For: 12/23/2010
Permit# CB102428
Title: THOMPSON: ROOF MOUNT PV SYS
Description: 20 PANELS
Type: RESDNTL Sub Type: RAD
Job Address:
Suite:
Location:
2765 WILSON ST
Lot: 0
APPLICANT ETS BUILDERS OBA GECKOLOGIC
Owner: THOMPSON LYNN A&KRISTI A
Remarks:
Total Time:
CD Description
39 Final Electrical
?Fp Comme~
Inspector Assignment:
Phone: 7605979888
Inspector: tz_~ ----
Requested By: VICTOR
Entered By: CHRISTINE
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Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act lnsp Comments