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Home My WebLink About2120 VUELTA CT; ; CB040821; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-01-2004 Residential Permit Permit No: CB040821 Building Inspection Req uest Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2120 VUELTA CT CBAD RESDNTL 2164921500 Sub Type: Status: Lot#: Applied: Valuation: $74,g84.00 Construction Type: RAD 0 NEW Entered By: Occupancy Group: # Dwelling Units: Reference #: Plan Approved: 0 Structure Type: Issued: Bedrooms: 0 Bathrooms: 0 Inspect Area: Project~, / Applica~y-- KIM CASTLE 4715 60TH STREET 92115 619 994-5557 Building Permit GAY RES-728 SF ADDITION 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 $450.31 $0.00 $292.70 $0.00 $0.00 $7.50 $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 Orig PC#: Plan Check#: Owner: GAY PAUL&SUSAN 2120 VUELTA CT CARLSBAD CA 92009 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 ELECTRI CAL TOTAL MECHANICAL TOTAL Housing Impact Fee Housing lnlieu Fee Housing Credit Fee Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES ISSUED 03/1 1/2004 KMT 10/01/2004 10/01 /2004 Total Fees: $869.51 Total Payments To Date: $381.29 Balance Due: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $55.00 $20.00 $44.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $869.51 $488.22 2:365 10/01/04 0002 01 CGP Inspector: ~ FINAL APPROVAL Date: / 'J-.. 'J,. I 01J" 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 requred 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 ired. 488-22 \ \ C\C{; .,. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Business Name (at this address) Lot No. Subdivision Name/Number urrg~ 03/1i'1'0\ N~"O'l Total # of units t__; w .:.. 01 02 Proposed Use or O Owner ' 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]). ;{2. C~ . l 5 .,,..._J ~ ~t.1~, 9~0 '7 bo 5"5"°60 Name -0_ State License # _£>~_20 ___ \_Sl_o __ _ Address License Class __ )5...::. ______ _ 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: O 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 [$1001 OR LESS) Js-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 empl yer to criminal penalties and civil fines up to one hundred thousand dollars 0001. in a dition to the cost of compensation, damages as provided for in Secti 3706 of the Labor c-:'! interest and attorney's fees. y SIGNATURE._.;;;;;:,""---=--:it._-=-..:.._ _____________________ ,p-, DATE (O-(-'.:::..]_ 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from t he Contractor's License Law for the following reason: O 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. 0 YES ONO 2. I (have / 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 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 t he work indicated (include name / address / phone number / type of work):. ____________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ _ DATE __________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL 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? 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. 30970) 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 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 ol such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced lor riod of 18 s (Section 106.4.4 Uniform Building Code). DATE 8, /// /()d APPLICANT'S SIGNATURE '/ ' / l L ~~I YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 12/2 1/2005 Permit# CB040821 Title: GAY RES-728 SF ADDITION Description: Type: RESDNTL Sub Type: RAD Inspector Assignment: JM --- Job Address: 2120 VUELTA CT / fl.(7 /J... Phone: 7609439133 Inspector: /~ µ Suite: Lot Location: APPLICANT KIM CASTLE Owner: GAY PAUL&SUSAN Remarks: Total Time: 0 ----- Requested By: SUSAN Entered By: CW CD Description Act Comment 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Comments/Notices/Hold Associated PCRs/CVs PCR04201 ISSUED PCR04228 ISSUED GAY RES REV INTERIOR FTG STEM ; WALL DETAfL GAY RES-REVISE ROOF LINE-CHANG; AREA TO TRUSS SYSTEM lns12ection Histor:y Date Description Act lnsp Comments 11/15/2005 89 Final Combo co JM LIST ON SITE 06/10/2005 24 Rough/Topout NR JM 05/26/2005 17 Interior Lath/Drywall AP JM MASTER BATH 05/24/2005 17 Interior Lath/Drywall CA JM JOE 05/20/2005 14 Frame/Steel/Bolting/Welding AP JM MSTR BATH 05/13/2005 14 Frame/Steel/Bolting/Welding AP JM MSTR BATH FLOOR -NEED INSULATION@ POP OUT 05/03/2005 16 Insulation AP JM REAR ADD ON 04/26/2005 17 Interior Lath/Drywall AP JM ABOVE GARAGE 04/26/2005 18 Exterior Lath/Drywall AP JM 04/26/2005 84 Rough Combo AP JM ADD TWO OUTLETS @ CLOSET 04/21 /2005 16 Insulation AP JM OVER GARAGE 04/20/2005 18 Exterior Lath/Drywall WC JM I City of Carlsbad Bldg Inspection Request For: 05/13/2005 Permit# CB040821 Title: GAY RES-728 SF ADDITION Description: Type: RESDNTL Sub Type: RAD Job Address: Suite: Location: 2120 VUELTACT Lot APPLICANT KIM CASTLE Owner: GAY PAUL&SUSAN Remarks: floor framing Total Time: CD 14 0 Associated PCRs/CVs Inspector Assignment: JM --- Phone: 7605005560 Inspector: ----- Requested By: JOE Entered By: CHRISTINE PCR04201 ISSUED GAY RES REV INTERIOR FTG STEM ; WALL DETAIL PCR04228 ISSUED GAY RES-REVISE ROOF LI E-CHA G; AREA TO TR USS SYSTEM lnsgection Histoty Date Description Act lnsp Comments 05/03/2005 16 Insulation AP JM REAR ADD ON 04/26/2005 17 Interior Lath/Drywall AP JM ABOVE GARAGE 04/26/2005 18 Exterior Lath/Drywall AP JM 04/26/2005 84 Rough Combo AP JM ADD TWO OUTLETS @ CLOSET 04/21/2005 16 Insulation AP JM OVER GARAGE 04/20/2005 18 Exterior Lath/Drywall WC JM 04/20/2005 84 Rough Combo AP JM OK TO INSULATE ABOVE GARAGE 04/19/2005 14 Frame/Steel/Bolting/Welding co JM SAME AS 4-15-05 04/19/2005 34 Rough Electric co JM 04/15/2005 13 Shear Panels/HD's AP JM REAR ADD ON OVER GARGAE (SEE NOTICE) 04/15/2005 14 Frame/Steel/Bolting/Welding co JM 04/06/2005 13 Shear Panels/HD's co JM COMPLETE ROUGH ELECTRIC TIGHTEN SW SOL TS, PROVIDE LEDGER DETAIL STRAP EXISTING TO NEW TOP PLATE 04/05/2005 13 Shear Panels/HD's AP JM OK TO WRAP ABOVE GARAGE 04/05/2005 15 Roof/Reroof AP JM ON 3-18-05 OVER GARAGE 04/05/2005 15 Roof/Reroof AP JM REAR YARD ADD ON OK TO COVER 03/31/2005 83 Roof Sheathing/Ext Shear co JM ADD ABS & SET HD S 03/25/2005 14 Frame/Steel/Bolting/Welding WC JM 03/25/2005 18 Exterior Lath/Drywall PA JM FRONT ADD ON ONLY 03/18/2005 15 Roof/Reroof PA JM OK TO COVER ROOF OVER GARAGE 03/16/2005 17 Interior Lath/Drywall AP JM FRONT ADD ON City of Carlsbad Bldg Inspection Request For: 04/15/2005 Permit# CB040821 Title: GAY RES-728 SF ADDITION Description: Type: RESDNTL Sub Type: RAD Job Address: 2120 VUELTA CT Lot Suite: Location: APPLICANT KIM CASTLE Owner: GAY PAUL&SUSAN Remarks: Total Time: CD 13 14 Description Shear Panels/HD's Frame/Steel/Bolting/Welding 0 Associated PCRs/CVs Inspector Assignment: JM --- Phone: 7605005560 Inspector: ----- Requested By: JOE Entered By: CHRISTINE PCR04201 ISSUED GAY RES REV LNTERIOR FrG STEM ; WALL DETAIL PCR04228 ISSUED GAY RES-REVISE ROOF LINE-CHANG; AREA TO TRUSS SYSTEM Inspection History Date Description Act lnsp Comments 04/06/2005 13 Shear Panels/HD's co JM COMPLETE ROUGH ELECTRIC TIGHTEN SW BOLTS, PROVIDE LEDGER DETAIL STRAP EXISTING TO NEW TOP PLATE 04/05/2005 13 Shear Panels/HD's AP JM OK TO WRAP ABOVE GARAGE 04/05/2005 15 Roof/Reroof AP JM ON 3-18-05 OVER GARAGE 04/05/2005 15 Roof/Reroof AP JM REAR YARD ADD ON OK TO COVER 03/31/2005 83 Roof Sheathing/Ext Shear co JM ADD ABS & SET HD S 03/25/2005 14 Frame/Steel/Bolting/Welding WC JM 03/25/2005 18 Exterior Lath/Drywall PA JM FRONT ADD ON ONLY 03/18/2005 15 Roof/Reroof PA JM OK TO COVER ROOF OVER GARAGE 03/16/2005 17 Interior Lath/Drywall AP JM FRONT ADD ON 03/16/2005 18 Exterior Lath/Drywall co JM RENAIL SOUTH WALL 03/07/2005 16 Insulation PA JM FRONT ADD ON ONLY 03/04/2005 14 Frame/Steel/Bolting/Welding PA JM OK TO INSULATE FRONT ADD ON. SUBMIT FAU PLAN CHANGE 03/01/2005 84 Rough Combo CA PD CALLED JOE -NOT WRAPPED 02/28/2005 84 Rough Combo co PY NOT LATHED/NEED SHEAR 02/25/2005 84 Rough Combo CA JM JOE 02/24/2005 84 Rough Combo CA JM 02/23/2005 84 Rough Combo CA JM 02/15/2005 15 Roof/Reroof PA JM OK TO COVER FRONT ADD ON ' City of Carlsbad Bldg Inspection Request For: 03/04/2005 Permit# CB040821 Title: GAY RES-728 SF ADDITION Description: Type: RESDNTL Sub Type: RAD Inspector Assignment: JM Phone: 7605005560 Job Address: 2120 VUELTA CT Lot Suite: Location: APPLICANT KIM CASTLE Owner: GAY PAUL&SUSAN Remarks: Total Time: 0 Inspector: Requested By: JOE Entered By: CHRISTINE CD 14 Frame/Steel/Bolting/Welding ~ u ~ -1..J, M~ ~ -~vv Description ~~ Co;ment , l~ (, I I 4{A 1 ___ ?:iwilt FAbv ~~;. Associated PCRs/CVs PCR04201 ISSUED GAY RES REV INTERIOR FfG STEM ; WALL DETAIL PCR04228 ISSUED GAY RES-REVISE ROOF LlNE-CHANG; AREA TO TRUSS SYSTEM Inspection History Date Description 03/01/2005 84 Rough Combo 02/28/2005 84 Rough Combo 02/25/2005 84 Rough Combo 02/24/2005 84 Rough Combo 02/23/2005 84 Rough Combo 02/15/2005 15 Roof/Reroof 02/04/2005 15 Roof/Reroof 02/02/2005 11 Fig/Foundation/Piers 01/11/2005 13 Shear Panels/HD's 12/10/2004 14 Frame/Steel/Bolting/Welding 12/09/2004 14 Frame/Steel/Bolting/Welding 12/02/2004 11 Fig/Foundation/Piers 11/30/2004 11 Fig/Foundation/Piers 11/18/2004 11 Fig/Foundation/Piers 11/18/2004 11 Fig/Foundation/Piers 11/18/2004 11 Fig/Foundation/Piers 11/18/2004 11 Fig/Foundation/Piers 11/16/2004 11 Fig/Foundation/Piers Act CA co CA CA CA PA co AP PA PA NR AP NR PA PA PA PA co lnsp Comments PD CALLED JOE -NOT WRAPPED PY NOT LATHED/NEED SHEAR JM JOE JM JM JM OK TO COVER FRONT ADD ON JM ROOF FRAMING NOT PER PLAN JM POST FOOTING OK JM PRELIM ANCHOR BOLTS @ GARAGE WALLS JM CRIPPLE WALL AT FRONT YARD JM FLOOR FRAMING PD PD JM ok to pour rear yard add on. JM JM JM JM NEED SOILS LETTER & CLARI FICATION OF FTG DETAIL .. ., GEOTECHNICAL EXPLORATION, INC . SOIL & FOUNDATION ENGINEERING GROUNDWATER • ENGINEERING GEOLOGY FIELD REPORT ON OBSERVATION OF FOUNDATIONS DATE: Ir-It-or t.A(l0r~11_?AM 1 /00 TIME: --+lf-~.....,~""'-f1=---"1.____ CLIENT: fwl hi Sv~ G-~ ~ JOB NO. Dt(-fl:,'f) PROJECT NAME: &y &-51~ ./Ji/th'vlJ.( PROJECT ADDRESS: 21 z..o Vu~lk. &£ ~6J,, di-· □ □ □ The footing excavations listed below were bottomed on material for which the bearing values recommended in the foundation report are applicable. The cast-in-place drilled friction pi les listed below penetrated material for which the allowable su pporting capacities recommended in the foundation report are applicable. The piles were excavated to diameters at least as large as specified and the excavations extended at least to the depths indicated on the Foundation Plans. The excavations for the cast-in-place belled piers listed below were bottomed on material for which the bearing values recommended in the foundation report are applicable. The excavations were at least as large as specified on the Foundation Plans. The driven piles listed below were observed to be driven to the specified lengths and/or driv ing resistances to obtain the supporting capacities recommended in the foundation ' report. Based upon observations, it is our opinion that r-!oundation recommendations presented in the report of the foundation investigation, Job No. tJ ~6~S:: , dated ~£-jj:._o ~ ~/(~ lllll!!t). applicable to th;/'conditions observed. Foundation Plans by ~~o// c__, , dated b-?J--D < were used as a reference for our observations. i NOTE: 1. The observations reported above do not const itute an approval of foundation location, footing size or depth, reinforcement, or foundation design. 2. 3. Loose, soft, or disturbed soils must be removed prior to placement of reinforcement or concrete. The opinions and recommendations presented in this report were based upon our observa- tions and are presented in accordance w ith general ly accepted professional engineering p,act;ce. We make no othe, waccanty, e;th:~,ex~~ 5r. {/;j4-~~JlfT 7420 Trade St. San Diego , Ca . 92121 • (858) 549-7222 • FAX: (858) 549-1604 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-31-2005 Plan Check Revision Permit No: PCR04228 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 2120 VUELTA CT CBAD PCR Lot #: 0 Construction Type: NEW Status: Applied: Entered By: Reference #: 2164921500 $0.00 CB04-821 Plan Approved: Project Title: Applicant: JOE BACHARKA GAY RES-REVISE ROOF LINE-CHANG AREA TO TRUSS SYSTEM 1817 SHARIDOd.D 92024 ~ 760 500-5560 ~ ~ Plan Check Revision Fee Additional Fees Owner: GAY PAUL&SUSAN 2120 VUELTA CT CARLSBAD CA 92009 Issued: Inspect Area: Total Fees: $60.00 Total Payments To Date: $0.00 Balance Due: ISSUED 12/20/2004 RMA 01/31/2005 01 /31/2005 $60.00 $0.00 $60.00 0697 01/31/05 0002 01 CGP FINAL APPROVAL l Inspector: Date: 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 fnn°/<>x•ctinns of which vou have nreviouslv been niven a NOTICE similar to this or as to which the statute of limitations has oreviou•lv oth<>rwise exnir<>d. 02 60-00 FOR OFFICE USE ONLY PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT PLAN CHECK NO. ~ M O t-1 ;)_ lJ EST. VAL. ____ _.[ _____ _ 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit--------~-- Validated By ~] ~ ~Cg o9 vJ,)__/ .::j._ 1 . . PROjECT INFORMATION N-"2-\7--= \fu~ltA Date / ] / µ, / (> c!_ ~ / '6"-c I _. I Address !include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use "1. Description of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms J\ NS. /:!.'t'i:>mo-J rock\;~ i:::.tt-A~ jO A -frc,,,,,,,,e_ w "~ C c..L~ to-fN~c..__ h l l -tJW Atl'i>m.:>N .-ru.1se.S . f' 2. . .CO~T ACT PERSON (If dlff,rent from applicant) ~ame Address City State/Zip Telephone# Fax# 0 Agent for Contractor O Owner I Bl 7 S Lv--,, .iol'-.J f)... t> _) 1'3. APPLICANT ~ontraotor J----~-e.. \:>A.C~ A,(L'i4l, 0 Agent for Cilwner 7 &::J -5 co -5 ~ 60 e.,v c. ~ IV ,'>;-A 5 CA 9_ '2 o "2..l( Name Address City State/Zip Telephone# '4i • P,~OPERTY OWNER Name Address City State/Zip Telephone # ·s. co~,:RACTOR • 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 ($5001). Name Address City State/Zip Telephone# State License # __________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # __________ _ 8.. WORKERS' COMPEI\ISATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O 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's fees. SIGNATURE.______________________________ DATE _________ _ i.. !)W'1!ER-BUIU>ER DECLARATION ' I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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, tha 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 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 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-RESIDENTIAL BUILDING PERMITS ONLY Is t he 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 ls the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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. ia.:_;<;pJ~~TBJ,JCTiON ~l;t,ID)NG A.G.ENCY 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._,· 'Af?Pl,.ICi\J•,l:J" C!:1'11'.llilCATION 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 ail City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit\' of Carlsbad to enter upon the above mentioned pr operty 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 Otticial 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 comm ced for period of 180 days (Section 106.4.4 Uniform Building Code). ,A APPLICANT'S SIGNATURE ~-==::::'SJ;i!:::!::::::.l~:::_.ll::::::...~:::,,,._~--------------=-~ DATE \L.--c0 -:'j: WHITE: File YELLOW: Applicant PINK: Finance \ CB040821 2120 VUELTA CT CBAO GAY RES-728 SF ADDITION RESDNTL RAO Lot# KIM CASTLE r ·. ····--·-·· ·--------· -· -· -----~~~ f BUILDING vJJ~t TO APPLICANT PL.ANNING ~ ENGINEERING !./ FIRE APPA/FOAM HEA !._:H DEPT HAZ ·:I\T I AIR QUAL OTHU , SEWER DISTR BLOC-GR"-DING LET:ER F'\v'..1 AP~UCA~1T City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plan Check Revision Perm it No:PCR04201 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 2120 VUELTA CT CBAD PCR Lot#: Construction Type: 0 NEW Status: Applied: Entered By: Reference #: 2164921500 $0.00 CB040821 Plan Approved: Project Title: Applicant: GAY PAUL&SUSAN GAY RES REV INTERIOR FTG STEM WALL DETAIL 2120 VUELTA CT CARLSBAD CA 92009 Plan Check Revision Fee Additional Fees Owner: GAY PAUL&SUSAN 2120 VUELTA CT CARLSBAD CA 92009 Issued: Inspect Area: Total Fees: $60.00 Total Payments To Date: $0.00 Balance Due: ISSUED 11/09/2004 SB 11/23/2004 11/23/2004 $60.00 $0.00 $60.00 6177 11/23/04 0002 01 CGP Inspector: FINAL APPROVAL Date: 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 fees/exactions of which vou have nreviouslv been niven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exnired. 02 60-00 60-00 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Y c.B t>t1082 I FOR OFFICE USE ONLY PLAN CHECK NO.~t-j ~ I EST. VAL. __________ _ Business Name (at this address) L::z'. Description Lot No. Subdivision Name/Number lb -'iC1 '2 --,s::-oo Assessor's Parcel # Existing Use #of Stories tv eMJ , ~ ~ r~ ~~ w""'tl ,se-e bvb~le.J ~ Description of ¥,'ork • r.. L SQ. FT• V 2. CONTACT PERSON (if different fr m applicant) /\ 'Joe. f2AC\-::tAR..¥---A H?)t7 5 tt-:4 i'oAtV Y'.2-0 Name Address City 0 Agent for Owner 3. APPLICANT O Contractor O Agent for Contractor O Owner ~ Name Address City 4 . PROPERTY OWNER SuSAN ~()ALlL 41\V 'Z.l-Z.O :Y,cLrn er. Ca./ l5f,p..{) Name Address City 5. CONTRACTOR • COMPANY NAME Unit No. Phase No. Total # of units Proposed Use State/Zip Telephone # Fax # State/Zip Telephone# State/Zip 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 [$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: O 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. O 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 [$1001 OR LESS) O 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's fees. SIGNATURE. _______________________________ _ 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O 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). O 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. D YES ONO 2. I (have / 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 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-RESIDENT/AL 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 D 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 D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 D YES D 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\r 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 / uthonzed by such permit 1s not commenced within 180 days from the date of such permit or 1f the building or work authonzed by such permit is suspended or abandoned al any time after lhe work 1s commenced for a penod of 180 days (Section 106.4.4 Uniform Building Code) APPLICANT'S SIGNATURE ' ~..-C~ ~------DATE __ • __________ _ WHITE: File YELLOW: Applicant PINK: Finance