HomeMy WebLinkAbout2402 LA PLANCHA LN; ; CB091092; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-01-2009 Miscellaneous Permit Permit No: CB091092
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
2402 LA PLANCHA LN CBAD
MISC
2550911700
$9,630.00
Subtype: REROOF Status:
Lot#: 0 Applied:
Entered By:
Reference #: Plan Approved:
PC#:
Project Title: STILLWELL RES-300 SF LIGHT
WEIGHT CONCRETE-WITH STRUCTURAL CALCS
Applicant: Owner:
RUDY TURNER STILLWELL ALAN G
2402 LA PLANCHA LN
P O BOX 1350 92079 CARLSBAD CA 92009
760 471-1774
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
PERMIT FEE
Issued:
Inspect Area:
ISSUED
07/01/2009
RMA
07/01/2009
07/01/2009
$197.00
$0.00
$0.00
$197.00
Total Fees: $197.00 Total Payments To Date: $197.00 Balance Due:
Inspect ·
FINAL APPROVAL
Date: 7 _, / /. -o f Clearance:
$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
f x inf hi hv r i I imilar hi r whi h limi inh vi I hrwi
<-,(~~
~ CITY OF
CARLSBAD
EXISTING USE
CONTACT NAME (If Different Fam Appllcant)
ADDRES5~
CITY
PHONE
EMAIL
CITY
C.
PHONE
EMAIL
ARCH/OESIG!\JER NAME & ADDRESS
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Fax: 760-602-8558
www.carlsbadca.gov
SUITE#/SPACE#/UNIT#
Est. Value
Plan Ck. De
Date /
APN
# BEDROOMS # BATHROOMS TENANT BUSINESS NAME
(., -
PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES □# __ NO □
APPLICANT NAME
A.DDRESS
STATE ZIP CITY STATE
FAX PHONE FAX
EMAIL
STATE UC.#
CONSTR. TYPE acc. GROUP
Tt
AIR CONDITIONING FIRE SPRINKLERS
YES O NOD YES D NOD
ZIP
/Sec. 7031.S Bu11ne1s and Profmiom Code: Any City or _County which requires a permit to comtruct, _alter/ improve .. demolish or reP.air any structure, prior to its issuance, also requires the apJllicant for such permit to file a signed statement that he i1 ficenied _1mr1uan1 to the prov1s1on1 of the Contractor's l1ctnie law {Chaplet _9, commending wuh Stcuon 000 of D1v111on 3 of the Busineu and Prormions Code} or that he i1 exempt there from, and the basis for the alleged exemption. Any violation of
Section 103 I-~ by any applicant for a permit subjem the applicant to a mil penalty of not more than five hundred dollm {$500}).
WOR'#(ERS' COMPENSATION -"
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 37{)0 of the Labor Code, for the performance of the work for which this permit is issued. 'lit, I have and will maintain workers' compensation, as required by Section 3700 ol the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
numberam:lnsuranceCo. '57:,ore Fo JV D Policy No. tt,o O 2, 75 / Expiration Date JO-I -2 C?t?C/
This section need not be completed if the permit is for one hundred dollars ($100) or less. D 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 ts 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, damage prov· ed for i~706 of the Labor code, interest and attorney's lees .
.f!5 CONTRACTOR SIGNATURE
I hereby 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 work and the structure is not intended or offered for sale (Sec. 7044, Business and Prolessions Code: The Contractor's
Uce1,se Law does not app!y 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
safe. 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 ol sale).
□ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Se~. 7044, Business and Professions Code: The Contractor's License Law does not apply lo an owner of
property who builds or improves thereon, and contracts lor 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. ' personally plan to provide the major labor and materials for construction of the proposed property improvement. □ Yes □ No
~-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 I 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/ 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 I address I phone I type of work):
.£S PROPERTY OWNER SIGNATURE DATE
Is the applIc1,nl or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Seclions 25505, 25533 or 25534 of the
Presley-Tar, ,er Hazardous Substance Account Act? D Yes D No
rs the apphcrn1 or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes D No
Is the facii'\11 to be constructed within 1,000 feet of the outer boundary of a school site? D Yes O No
IF ANY Or-: !"HE 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
EMERGEtCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I certify that I have read the appllcatlon and state that the above lnfonnatlon Is correct and that the information on the plans Is accurate. I agree to comply with all City orcHnances and State laws relating to building construction.
I hereby authorize representative 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 AL'.. LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An C-SHA pennlt is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height
E PIRATION: Every pennlt issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void tt the building or work authorized by such penn~ is nol commenced within
1 days from the date of soch penn~ or tt ilding ~rized by such pennlt is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 100.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE DATE
REROOFING
SUPPLEMENTAL BUILDING PERMIT APPLICATION
I. JOB ADDRESS: ;2 l/-D z. lA PLA hlCl--1 A LA JL;-;.
2. TYPE OF BUILDING: RESIDENTIAL X COMMERCIAL. __ _
3. ROOF SLOPE: RISE-4-INCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE)a 2 3
5. TYPE OF EXISTING ROOF COVERING J.!ii9{tf?. SHEATHING Skip
'6. NEW ROOF MATERIAL LIG/Tu\E/bT cLAssA WEIGHT PER SQ. 550
---rTLES
7. NUMBER OF SQUARES ,:?:c;>
s. TRADE NAME :EAGLEWIG MANUFACTURER f;.AGLf; ,Zoo£1t:I& +>RLliHLTS
/V\ALl~U
9. ROOF SYSTEM LISTING: ~ 4'='"°
UL NO. _____ I.C.C.E.S. Report# '2D 5/tP-ltJ~l)u.A\tc,;.\
ASTM ____ _
I 0. IS THE EXISTING STRUCTURA~N SUFFICIENT TO SUSTAIN THE WEIGHT OF
THE PROPOSED ROOF? ~ NO
All roof coverings are required to be CLASS A. Combustible roof coverings
of any type or classification are prohibited.
I understand the following inspections are required:
I. Tear Off/Pre-Inspection prior to install new roof covering
2. Final Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for inspection.
Signature (2_ ).
Contractor )(
'1:o I Date 7 -t -"'f
Owner ____ Contractor Name --:U, R 6.IRR &oo£1AIC-r:
*6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other
City of Carlsbad Bldg Inspection Request
For: 07/16/2009
Permit# CB091092 Inspector Assignment: PD ---
Title: STILLWELL RES-300 SF LIGHT
Description: WEIGHT CONCRETE-WITH STRUCTURAL CALCS
Type:MISC Sub Type: REROOF
Job Address: 2402 LA PLANCHA LN
Suite: Lot:
Location:
OWNER STILLWELL ALAN G
Owner: STILLWELL ALAN G
Remarks:
Total Time:
CD Description
0
Act Comments
Phone: 7606134136
Inspect~
Requested By: RUDY TURNER
Entered By: CHRISTINE
19 Final Structural -49----
-----. -------------·----··--------·--·--------·--
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description
07/08/2009 15 Roof/Reroof
Act lnsp Comments
AP PD SHEATHING