HomeMy WebLinkAbout2736 WILSON ST; ; CB081186; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-24-2008 Residential Permit Permit No: CB0811 86
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
2736 WILSON ST CBAD
RESDNTL Sub Type: RAD Status:
Lot#: 0 Applied:
Valuation:
1561521600
$41,882.00 Construction Type: VN Entered By:
Reference #: Plan Approved: Occupancy Group:
# Dwelling Units: 0 Structure Type: Issued:
Bedrooms: 0 Bathrooms: 0 Inspect Area:
Project Title: SOUTHERLAND RES-ADD 300 SF Orig PC#:
BEDROOM & BATH TO REAR OF HOME/REMODEL 100SF Plan Check#:
Applicant:
SOUTHERLAND SCOTT A
2736 W ILSON ST
CARLSBAD CA 92008
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
$337.77
$0.00
$219.55
$0.00
$0.00
$4.19
$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
Owner:
SOUTHERLAND SCOTT A
2736 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 Fe
Sewer Fee
Additional Fees
TOTAL PERMIT FEES
ISSUED
06/24/2008
RMA
10/24/2008
10/24/2008
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$41.00 $ $20.00
$28.50
X, $0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$651 .01
Total Fees: $651 .01 Total Payments To Date: $651.01 Balance Due: $0.00
Inspector:
FINAL AP.P
Date: /2. 3 1 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 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
1635. Faraday.Ave., Carlsbad, CA 92008
760-6O2-271V I 2718/ 2719
Fax: 760-602-8558
www.carlsbadca.gov
Building Permit Application
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
di t10VJ of
5~1¥'{
GARAGE (SF)
CONT
oft )ovtfr,v-lo.,1 J
ADORE
W ; lJ 0 1'\ Si. '2-7:SlP
CITYC STATE ZIP
{Ar I fb"ld 'h .. o o K"
PHONE FAX
71,0 72.1 07'-I $ ffSS 53 '1 1'14 5
EMAIL Jdol~~J @vc. ~cl -ed v
PROPERTY OWNER NAME .5 (,I. W'{ t).j u.. bove
ADDRESS
CITY STATE ZIP
PHONE 71,os 71 itt "s-FAX
Lill pl1o>'{
EMAIL
'ARCH/DESIGNER NAME & ADDRESS s+.,.te s+. c ,..(Jb,,
STATE UC.#
5v..~ /).)~ + 'fl(
Est. Value
Date
SUITE#/SPACE#/UNIT#
TENANT BU INE UP
PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES □#_ NOD YES D NOD YES O NO 0
APPLICANT NAME
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
CONTRACTOR BUS. NAME
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
STATE UC.# CLASS CITY BUS. UC.#
/SK 703 I.S Bu1int11 and Proftllions Code: Any Cir, or Counri which requim a permit to comuvct, altt~ impron, dtmoliih or rtP._air any suvcrure1 prior to ia i11uana, ahG requirts the aooliant for sud! permit to ilt a iiptd stittmtnt that ht is rKemtd _1!t!rmn1 10 the provisions of the Con1r.1ctor's lictmt law {Chapter 9, commending with Section ,ODO of OOYilion 3 of tht 8vsint1s and Promsions Code} or thal ht ii utmpt thmnm, and tht basn for tht altgtd utmptioo. Any violation of !t<tion 703 I.S by any applkant for a ptrmil 1ubjtca the applican1 to a mi penalty of nol mort than fiYf hundrtd dol~ {$500}).
WORKERS ' COMPENSATION
Wor11en' Compensation Declarltlon: I hereby affirm under penalty~ per/cry one~ the following d«J¥ations:
0 I have and will maintain a certifltlte of consent to 1eff-ln1ure for w0f1cers' compensation as provided by Section 3700 of the Labor Code, for the pertorrnance of the wor1< for which this pennil is issued.
D I have and will m1lntaln wor11ers' compen11tlon, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. My w0f1cers' compensation insurance tarrier and policy
number are: Insurance Co. ____________________ Policy No. ______________ Expiration Date _________ _
This section need not be completed~ the permit is for one hundred dollars ($100) or less.
D Certlflcate of Exemption: I certify that in the performance of the w0f1c for which this permit is issued, I shall not employ any person in any manner so as to become subject to the W0f1cers' Compensation Laws of
catifornla WARNING: Failure to secure wor11en' compensatlon coverage 11 unlawful, and 1hall 1ubject an employer to criminal penaltln and tlvll fines up to one hundred thousand dollars (&100,000), in
addition to the cost of tompen1atlon, damages II provided for In Section 3706 of the Llbor code, Interest and attorney's fee,.
~ CONTRACTOR SIGNATURE DATE
OWNER-BUILDER DECLARATION
/ her, by affirm that I am exempt from 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 w0f1c and the structure is not intended or o"ered 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).
□ I, as owner of the property, am exclusively contracting with licensed contractors to construct the projecl (Sec. 7044, Business and Professions Code: The Contractor's Lic:ense 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 major labor and materials for construction of the proposed property i"l)rovement. )irY es
2. I (have / have not) signed an application for a building permit for the proposed w0f1c.
□No
3. I have contracted with the following person (firm) to provide the proposed construction (Include name address I phone I contractors' license number):
4. I plan to provide portions of the w0f1c, but I have hired the following person to coordinate, supervise and provide the major w0f1c (include name/ address I phone/ contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the w0f1c indicated (include name I address / phone I type of work):
. Vk:' .-1·0 v C r h•tt l , -'<n,p 6 £ 111., co .-dre d--".r)
~ PROPERTY OWNER SIGNATU.RE
Is Ille applicant or future building occupant required to submil a business plan, acutely hazaroous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? □ Yes □ No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No
Is the facility to be constructed within 1,000 feet of the outer bounda,y of a school site? □ Yes □ 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.
I certffythatl have read the application and stltethatthe abcNe lnfollnatlon lsoorrectand that the lnfoonation on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby authorize representative a the City a Ccr!sbad kl enter upon the .tme mentioned property b i1spection purposes, I ALSO AGREE TO SA VE, INDEM'-llFY AND KEEP HARtvU:SS THE CITY OF CARLSBAD
AGAINST ALL UABILfTIES, JUDGMENTS, COSTS AND EXPENSES WHICH W..Y IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA pem,lt is requia1 b excavations <Her 5'0' deep and demolition ex constructioo a slrucilres <Ner 3 stones 11 height
EXPIRATION: Eve!)' permit issued by the &Jilding Official under the proyisioos of lhis Code shall expre by fmitatioo and become nul and void l the butling or work au1haized by such permit is not conmenced v.i1hil
180 days from the date of such permit or ff the building ex work authorized by such permit is suspended or abandoned at any tine alter the work is corrmenced b a period a 180 days {Section 106.4.4 Uniform Building Code).
_g APPLICANT'S SIGNATURE DATE It,-z L/-ot
. m City of Carlsbad Bldg Inspection Request
For: 12/31/2009 .
Permit# CB081186 Inspector Assignment: PC ---
Title: SOUTHERLAND RES-ADD 300 SF
Description: BEDROOM & BATH TO REAR OF HOME/REMODEL 100SF
Type: RESDNTL Sub Type: RAD
Job Address:
Suite:
Location:
OWNER
2736 WILSON ST
Lot:
SOUTHERLAND SCOTT A
0
Owner: SOUTHERLAND SCOTT A&DOLKAS JENNIFER
Remarks:
Total Time:
CD Description
19 Final Structural
29 Final Plumbing
39 Final Electrical
49 Final Mechanical
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
lnsQection Histo[Y
Date Description Act lnsp Comments
01/16/2009 14 Frame/Steel/Bolting/Welding AP PC
01/16/2009 16 Insulation AP PC
Phone: 7607290745
Inspector: ~
Requested By: JENNY
Entered By: CHRISTINE
01/1612009 17 Interior Lath/Drywall AP PC RETURN IN PM
01/15/2009 16 Insulation CA PC
01/13/2009 14 Frame/Steel/Bolting/Welding co PC CONTIN SHEAR UP TO ROOF OK TO INSUL.
01/13/2009 24 Rough/Topout AP PC
01/13/2009 34 Rough Electric AP PC
01/13/2009 44 Rough/Ducts/Dampers AP PC
01/12/2009 34 Rough Electric CA PC
01/12/2009 39 Final Electrical CA PC
12/10/2008 83 Roof Sheathing/Ext Shear AP PC
11/10/2008 11 Fig/Foundation/Piers AP PC