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