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HomeMy WebLinkAbout2409 LA PLUMA LN; ; VARIOUS; PermitMOD&L NO. BUILDTNG PERMIT APPLICATION City Of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only. Phone 729-1181 PermitNo. JOB ADDR ESS ASSESSORS PARCEL NUMBER . LEGAL 1OESCR. (QSEE ATTACHED SMEET| PAGE MAIL ADDRESS .2 CONTRACTON 3 MAIL ADDRESS STATE LIC. NO. CITY LIC. NO. ARCHITECT OR DESIGNER MAIL ADDRESS LICENSE NO. ENGINEER MAiL ADORESS LICENSE NO. COMPENSATION INS. CARRIER MAIL ADDRESS USE OF aulLDING NO. BDRMS. 8 Class of work: • NEW NO. BAT]il$_ OOITION • ALTERATION • REPAIR • MOVE • REMOVE 9 Describe work: ^.Q }( ^j^lX, (jDnC/eV^ S C ^/^ 10 Change of use from Change of use to 11 Valuation of work: $ PLAN CHECK FEE $ PERMIT FEE $ /A2f? SPECIAL CONDITIONS: Type of Const. Occupancy Group MICRO FILM FEE Size Of BIdg. (Total) Sq. Ft. No. of Stories Max. Occ. Load APPLICATIOIiACCEP CEP^^Y PLANS CHECKEO BY APPROVED FO Fire Zone Use Zone Fire Sprinklers Required Dyes DNO No. Of Dwelling Units OFFSTREET PARKING SPACES: Sq. Ft^ NOTiCE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB ING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT Special Approvals PLANNING DEPT. HEALTH DEPT. FIRE DEPT. SOIL REPORT OTHER (Specify) ENGINEERING DEPT. WATER DEPT. SIGNATURE OP OWNER IIF OWNER iUILDER) JOATE)_ No. Covered Required No. Open Received Not Required WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT ilo. CAS^ PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. TOTAL FEES $. INSPECTOR INSPECTION RECORD -7-7-3^69/ DATE REMARKS iNSPECTOR FOUNDATIONS: SET BACK TRENCH REINFORCING FOUNDATION WALL & WEATHER PROOFING CONCRETE SLAB FRAMING INT. LATHING OR DRYWALL EXT. LATHING MASONRY FINAL USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC. INTERDEPARTMENTAL INFORMATION SHEET BUILDING DEPARTMENT BUILDING ADDRESS: DATE RECEIVE mf 3 61977 CITY OK CARLSBAD Building Departmcr.t PLANNING DEPARTMEN ZONE P'6 bj R- j UNITS ALLOWED mf)^u LOT SIZE LOT WIDTH UNITS PROVIDED PARKING SPACES REQUIRED % COVERAGE ALLOWED BUILDING HEIGHT ALLOWED FRONT SETBACK^ _PROVIDED_ PROVIDED PROVIDED ALLOWED PROVIDED SIDE SETBACK; . INTRUSIONS 1 LANDSCAPE & IRRIGATION PLAN COMMENTS REAR SETBACK ENVIRONMENTAL PROTECTION REQ: ADDITIONAL COMMMTS: OK TO ISSUl -ATE TO PINAL DATE ENGINEERING DEPARTMENT R.O.W, INDUSTRIAL WASTE IMPROVEMENTS SEWER CONNECTION GRADING PERMIT DRIVEWAY LOCATIONS EASEMENTS A/Ofa/(Sr DRAINAGE LEGAL DESCRIPTION '? ^ or- /3 ^^A/C^O ^^Z^ y^A^J^S!e€><5^ Or73-/&.aUfr3 ADDITIONAL COMMENTS OK TO ISSUE: DATE ;?^.^g^y^pwi OK TO FINAL DATE FIRE DEPARTMENT SPRINKLING SYSTEM FIRE ALARMS FIRE HYDRANTS ADDITIONAL COMMENTS FIRE PROTECTION EQUIP EXITS LOCATION OK TO ISSUE: DATE OK TO FINAL DATE WATER DEPARTMENT REQUIREMENTS OF APPROPRIATE DISTRICTS MET_ DATE 08-06-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB121468 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: 2409 LA PLUMA LN CBAD MISC 2550910500 $12,733.00 Subtype: REROOF Lot #: 0 HAWLEY RES- 3100 SF LT WEIGHT CU\Y TILE W/ STRUCTURAL CALCULATIONS Status: Applied: Entered By: Plan Approved: ISSUED 08/06/2012 RMA 08/06/2012 Issued: 08/06/2012 Inspect Area: Applicant: JL ROOFING Owner: HAWLEY DOUGLAS R&MONKS-HAWLEY KATHLEEN E 960 MARYLAND DR VISTA CA 92083 760-941-4571 POBOX 231279 ENCINITAS CA 92023 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $268.00 $0.00 $0.00 $268.00 Total Fees: $268.00 Total Payments To Date: $268.00 Balance Due: $0.00 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 pennit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Govemment Code Section 66020(a), and file the protest and any other required infomiation with the City Manager for processing In accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will t)ar any sut)sequent 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/exactk)ns DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or seivtee fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has orevbuslv otherwise exoired. THE FOLLOWiNG APPROVALS REQUIRED PRIORTO PERMIT ISSUANCE: • PLANNING • ENGINEERING • BUILDING DFIRE • HEALTH • HAZIMAT/APCD Plan Check No. (J/j / V jn^ 4^ ^'^I^ CITY OF CARLSBAD Building Permit Appiication 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 ennall: buldling@carlsbadca.gov www.carlsbadca.gov Est. Value / ^ 7.i ? CT/PROJECT # ^ 11 DT« TouacFU l # ni: i IMITC I M DcnonnMC Plan Ck. Deposit Date SWPP SUITE#/SPACE#/UN1T# » BATHROOMS TENANT BUSINESS NAME I CONSTR. TYPE j OCCGROUP DESCRIPTION OF WORK: /nc/ude Square Feet of Affected Area(sj fi ~ ' ' f\Il 7 PROPOSED USE EXISTING USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESD # NOD AIR CONDITIONING YES • NO • FIRE SPRINKLERS YES a NO • APPLJCANT NAIVIE (Primary Contact) APPLICANT NAME (Secondary Contact) ADDRESS ADDRESS CITY STATE ZIP CITY STATE PHONE FAX PHONE FAX EMAIL EMAIL CONTRACTORjra. NAME/\ n. EMAIL rr 7 r"°^ Z. ~. Jko^i-r?^i t-/oo ^ Coy, neA EMAIL 0 K-a'?! ARCH/DESIGNER NAME & ADDRESS (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permitto construct, alter, improve, demoiish or repair any structure, priorto its issuance, aiso requires the applicantfor such permit to file a signed statement that he is iicensed pursuantto the provisions ofthe Contractor's License Law (Chapter 9, commending with Section 7000 of Division Sof the Business and Professions Code) or that he is exempt therefrom, and the basis for the aiieged exemption. Any violation of Section 7031.5 by any applicantfor a permitsubjects the appiicant to a civii penalty of not more than five hundred doiiars ($500)). PEMSATIO Workers' Compensation Declaration: / hereby affinn under penalty ofperjuiy one olthe foiiowing declarations: O I have and will maintain a certiflcate of consent to selfiiosure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the worit for which this perm it Is issued. have and will maintain w<rt|rs' compeBsation, as required by Secjwn 3700 ot Ihe Labor Code, for the performance of Ihe work for which Ibis pefmit is issued. My workers' compensation insurance carrier and poiicy / number are: insurance Co^-j'^GH^^p^ i^Ci^^y No^^ ^ ^ J i''i^^O / / Expiration Date ^(f/f) / 3^ This section need not be completed if the permit Is for one hundred dollars ($100) or less. O Certificateof Exemption: i certily that in the perfomianceof the wori( for which this pemiit is issued, i shaii not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Caiifornia. WARNING: Failure to secure workers' compensatian coveca{£ls unlawful, and shall subject an employer to criminal penajtKs and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensatioiiT^SIhages as providM for In SeAjw^rtSa^ j/^ j I CONTRACTOR SIGNATURE ^7T^?E^7//^ /^C5?^/1V// . ^ ITMGENT DATE i hereby affimi thet i am exempt from Contractor's Ucense Law for the foliowing reason: • i, as owner of the property or my employees with wages as their sole compensation, will do the work and the siructure is not intended or oflered for sale (Sec. 7044, Business and Professions Code: The Confractor'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 Ihe burden of proving that he did not build or improve for the purpose of saie). • I, as owner of the property, am exclusively contracting with licensed contractors to conslrucl Ihe project (Sec. 7044, Business and Professions Code: The Contractor's Ucense Law does not appiy to an owner of praperty who buiids 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 Prafessions Code for this reason: 1.1 personally pian lo provide the major labor and materials for construdion of the proposed property Improvement • Yes (3 No 2.1 (have / have not) signed an application for a building pemiit for the proposed work. 3. i have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 4. i plan to provide portions of the work, but i have hired the foliowing person to coordinate, supervise and provide the major work (inciude name / address / phone / contractors' license number): 5.1 wlil provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (inciude name / address / phone / type ol work): PROPERTY OWNER SIGNATURE •AGENT DATE COMPtETE THIS SECTION r OR N O N - R E S i O E N T I A t B (J I L D I N G PERMITS ONL Is the applicant or future buiiding occupant required to submit a business plan, acutely hazardous matenais registration form or risk management and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? O Yes • No is the appiicant or future buiiding occupant required to obtain a permit from the air pollution controi district or air quality management district? • Yes • No is the facility to be constructed within 1,000 feet of the outer boundary of a xhooi 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. CONSTRUCTION LENOING A G E N C I hereby affinn that there is a construction lending agency for the performance of the work this pemit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address APP L I C A 1*1 T CERTIFICATION I certily that I have read the application and state thatthe above Infbmiation is conectand thatthe Infomnation on the plans is accuiate. I agree to connply wtth all Ctty ordinances and State lavs relating to building constniction. I hereby authorize repfesentative ofthe City of Cailsbad 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 UABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pennit is required for excavations over 5'0' deep and demolition or constniction of stmctures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisbns of this Code shall expire by limitatton and become null and void if the building or wortc authorized by such pemiit is not commenced within 180 days from the date of such permit or if the building or wort< aulhorized by such pemiit is suspended or abandoned at any time after the woric is commenced for a period of 180 days (Sectbn 106.4.4 Unifomi Building Code). ^eTAPPLICANT'S SIGNATURE DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy wiii be requested at final Inspection. Fax (760) 602-8560, Email www.buildina(5)carlsbadca.aov or IMail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Caiisbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAIVIE OCCUPANT NAIVIE ADDRESS BUILDING ADDRESS CITY STATE CITY STATE ZIP Carlsbad CA PHONE EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS O PICK UP: • CONTACT (Listed above) • OCCUPANT (Listed above) • CONTRACTOR (On Pg. 1) • MAILTO: • CONTACT (Listed above) • OCCUPANT (Listed above) • CONTRACTOR (On Pg. 1) • MAIL / FAX TO OTHER: • ASSOCIATED CB#- • NO CHANGE IN USE / NO CONSTRUCTION • CHANGE OF USE / NO CONSTRUCTION APPLICANT'S SIGNATURE DATE REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRES^^^ ^ f ^^^^^ 6^4^ 9^^? 2. TYPEOFBUILDING: RESIDENTIAL COMMERCIAL 1 3. ROOF SLOPE: RISE 7 INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIR^E ONE)(^ 1J2 3 5. TYPE OF EXISTING ROOF COVERING ^^^/jj^ SHEATHING *6. NEW ROOF MATERIAL^'^^^^^^//e CLASS^ WEIGHT PER SQ^<^ 7. NUMBER OF SQUARES 3\ M(yf\ 8. TRADE NAME IVK O n MANUFACTURER 9. ROOF SYSTEM LISTING: UL NO. I.C.C.E.S. Report #_ ASTM 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? /^S ) 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: 1. Tear Off/Pre-lnspection 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 '^--z^rjfAyufAC^ ^^^^^HV^^^-Lxi,^^ Date Contractor Name^jjteL^_0 *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Connp fiberglass, Built Up, Other B-10 Page 4 of 4 Rev. 02/11 Inspection List Permit*: CB121468 Date Inspection Item 08/22/2012 19 Final Structural 08/22/2012 19 Final Structural 08/15/2012 15 Roof/Reroof 08/15/2012 15 Roof/Reroof Type: MISC REROOF Inspector PB PB Act Rl AP Rl AP HAWLEY RES- 3100 SF LT WEIGHT CLAY TILE W/ STRUCTURAL CALCULATI Comments first am pis Thursday, August 23, 2012 Page 1 of 1