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Home My WebLink About1375 CYNTHIA LN; ; PCR05017; Permit02-10-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plan Check Revision Permit No:PCR050l7 Building Inspection Request Line (760) 602-2725 Job Address: 1375 CYNTHIA LN CBAD Permit Type: PCR Parcel No: 0000000000 Lot #: 0 Valuation: $0.00 Construction Type: NEW Reference #: CB 04 0815 Project Title: SMITH RES- TRUSS CALC REV Owner: Status: ISSUED Applied: 01/28/2005 Entered By: LSM Plan Approved: 02/10/2005 Issued: 02/10/2005 Inspect Area: 760271-4720 Plan Check Revision Fee Additional Fees $120.00 $0.00 Total Fees:$120.00 Total Payments To Date:.00 Balance Due:$120.00 1*36 02,^5 CGR i20.00 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 oJ which voiLbaue previously been given a NOTICE simiiarJo this, or as to which the statute of limitations has previously otherwise expired. 0+ PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK 05*1)1 "7 EST. VAL. Plan Ck. Deposit Validated By Date Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total it of units Assessor's Parcel #Existing Use Proposed Use Description of Work 'ERSOWH^jdJtit^^fr^m^pHcBrrtJ: SQ. FT.#of Stories tt of Bedrooms # of Bathrooms Name*g Name \r Address 1'OiG^iWri^O^''''''S^*^n''-;*0^:Gbntr,a;ctbr City owner Q Agent for Owner Slate/Zip OA Telephone #Fax* Address Citv State/Zip Telephone # Name Address City State/Zip Telephone # iSS^f^^^lj^^j^OR^'BCWIj^^^IiJiBWE^115 '•''*"' ''• •• ' '-•'•- ": ' " " ' •• . ...'•-'•"'-' •;'... ''••-' ] - '...-••" :' ''., v • "," .• ' .... • -••: ': '•: (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 State License # Address License Class City State/Zip Citv Business License # Telephone # Designer Name State License # Address City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q 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. Q 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) Q 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 ••cure workers' compensation coverage Is unlawful, and ahaH 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 hereby affirm that I am exempt from the Contractor's License Law for the following reason: Q 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). Q 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). Q 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. Q YES QNO 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. t 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): PROPERTV OWNER SIGNATURE DATE ^itiiifeiM^ . •.-;.. , la 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 26505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Q YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q 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. ' $W-:;;:;i$i^ ; , • -.•'.• ] .'•..,: .. .•- .• . .... - 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 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. ! hereby authorize representatives of the City 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 noUommenced 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 colpmenped for a period oOibvdaysX3ectJon 106.4.4 Uniform Building Code). i-11-orAPPLICANT'S SIGNATURE WHITE: File YELLOW: Applicant PINK: Finance EsGil Corporation In Partners Kip witfi government for <BuittKng Safety DATE: 2/8/05 QSPPUCANT JURISDICTION: City of Carlsbad a PLAN REVIEWER a FILE PLAN CHECK NO.: O4-815 rev2(PCR05017) SET: I PROJECT ADDRESS: 1375 Cynthia Lane PROJECT NAME: Smith Residence Truss Details and Calculation XI The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff. The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. The check list transmitted herewith is for your information. The plans are being held at EsgH Corporation until corrected plans are submitted for recheck. The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. The applicant's copy of the check list has been sent to: Esgil Corporation staff did not advise the applicant that the plan check has been completed. Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Telephone #: Date contacted: (by: ) Fax #: Mail Telephone Fax In Person REMARKS: By: David Yao Enclosures: original approved plan Esgil Corporation D GA D MB D EJ D PC 2/1 tmsmtWot 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 * (858)560-1468 + Fax (858) 560-1576 City of Carlsbad 04-815 rev2(PCR05017) 1 2/8/O5 VALUATION AND PLAN CHECK FEE JURISDICTION: City of Carlsbad rev2(PCRO5017) PLAN CHECK NO.: 04-815 DATE: 2/8/05PREPARED BY: David Yao BUILDING ADDRESS: 1375 Cynthia Lane BUILDING OCCUPANCY: TYPE OF CONSTRUCTION: BUILDING PORTION truss calcualtion ' & details Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code AREA ( Sq. Ft.) cb Valuation Multiplier By Ordinance Reg. Mod. VALUE ($) Bldg. Permit Fee by Ordinance 1997 UBC Plan Check Fee $120.00 Type of Review: Repetitive FeeRepeats D Complete Review D Other m Hourly Structural Only Hour* Esgll Plan Review Fee $96.00 • Based on hourly rate Comments: Sheet 1 of 1 macvalue.doc Sis O en O O O O ~a -o ~ooo t-o co Hk- o m—| -G- 1X1 >• •o o m > o-<f~> GO O A~ ;o :*> o ft3 C3 Orn n t^IX) 3* • i-) m —I— -o~n >• CD o —i -oz m LX1 —I (~)• O -H JT- fl * O Q '- —if -3SS; i— o m 55 30 73m mi— -oo o > OJ •-! ("I STONE TRUSS COMPANY www. stonetruss. com w— NIA —E STONE TRUSS CO. CERTIFIED INSPECTION I.A.S. AA-5835 IN STRICT ACCORDANCE WITH UBC.IBC.ANSI NATIONAL STANDARDS LATEST REVISION PREFABRICATED SMITH RESIDENCE CARLSBAD WARNING * WARNING * WARNING BE SURE ERECTION CONTRACTOR UNDERSTANDS BCSI B1 SUMMARY SHEET ENCLOSED 96 507 JONES ROAD • OCEANSIDE, CALIFORNIA 92054 • (760) 967-6171 • FAX (7601967-6178 *> •30' 171 UJ i 9' CLG oNVENTIOVERSJJ A* EG fl3 X \ 8' CLG \K f: \- V tl DG BG . 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