HomeMy WebLinkAbout2414 LA PLANCHA LN; ; CB982047; Permits t1 r r. D 1 N G P i:.: R M T r
06/ 2~/':lH (CJ: l6
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Job Anlre s: 2414 ~A PLANCHA ~N Suite :
Perm::. t '!'yr,'-': MI~l"EL!:.ANE(,llS
ParcPl No: 25S-O~l-l3-UO Lot#:
Valu,,t it,n: 6, !6(
tJC"'"'Upanc-y c;roup: R('fe.rcnce#:
~>P ;t·r i pt ton: RE-RvOF, 24 C•O SF-L"' WT CONCRETE
: ll'B(1 # 4660
PPlf'llt "\I): (.'891-2041
Pn.,10,t No: A~80.?"/1,
Development N >:
~onst r on Typ · '"1'."'f,J
8495 06/29198 00'01. 0~ J)2 [,
~ppl C-~MT {45~00 Apr/Issue: (16/2.Y/ ,tj
EnterP,l By: LMA
Ar pl /,..)wr,r : CAHEY ROOFING ?60 59l-i123
3048 VIA MARIPOSA
CARLSBAD -....·A
Pel?::; Required
f'pp:::;:
Ad;u::--tmrnts:
Total Fe<>~:
Fee descr1pt1un
Miscellaneous f'ee #
" MISCELLANE•)IJ<: TOT
***
92009
r •
CLEARANCE
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-ll61
. 'J ('
.00
145.00
Ext fpe Data
14S. 00 PERM-rT f E:E
14S.0n
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NO. f k :;Jo 4 7
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
EST. VAL. __________ _
Plan Ck. Deposit----~----
ValidatecfBYYl-,,.....-.--,.-J!::!:'.::/------
Date,_.J!(o',<;.{,-fJ'-~1-f-_:;7,,.P..-----
1, PRo.iECT INFORMATION
2.'-)/(A./Ch
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
2 J Uo Re L\)'i {: w I l ' ... , w 1'' ( ~ .._) /,
Description of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms
Name Address City
'3. APPLICANT ,6Contra,nor '' '(j,Agenttor:contra,rtor O PwneL''□ 119ent for Owner
State/Zip Telephone# Fax#
·1)"w Lid:i<-'I 301.J\\ y,,,._ 'rl\<n poJ1c L4-CoJn.. .s::~ !, 3 1 2.3
Name Address City
'4. PROPERTY OWNER \1,.,.,, pr.I.I.
Name Address
'6, "'•"tONTRACTOlf'• COMPANY:'~" ;, ' ,,,,,,, ··
City
Telephone#
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 then five hundred dollars ($5001).
Cn1-JG',1 P..~~? J.o½<p "'"' ""lw-•oyJc,. Le.. CvJ:h-,.. '<ivo5 .fc,1,)>1:J.
Name Address City State/Z~ LJ T.,elephone #
State License II J \;, l J \\, 1.-License Class (,.. .) S City Business License # U O =+ 5 ~ )-
Designer Name Address City State/Zip Telephone
State License # _________ _
6; WORKERS' COMPISNSATION.
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
D 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.
g 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 S'S"( L::S \,. f::J 0 \) Policy No. l-j ½ t_ ~ ~ '2:. Expiration Date _______ _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 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: Fallure to ucure worken' compenaetton coverage la unlawful, end lhall aubject en employer to criminal penaltlea end clvll fines up to one hundred
thouaend dollars ($100,000), In addhion to the cost of compenutlon, damageii •• provkfed for In Section 3706 of the Labor code, Interest and attorney's fau.
SIGNATURE c.....,,.._, DATE \g~ L'; -<j '6
7. OWNER-BUltOERDECttu!A110N '
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
D 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 Profession• 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(sl licensed
pursuant to the Contractor's License Law).
D 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 plen 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 t 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'NOA4r6StDEN11At:1'UltDING'·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? D 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? D YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D NO
IF ANY OF THE ANSWERS ARE YES, A F1NAL 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, , .. ,'CQHSTIIUCTION (ENDINCi:A.GENCY::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. ________________________ _
'9~ :APPL1cANT:'CERJ1RCATION:?17r""'' "''t»:---
I certify that I have read the application and stete 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 AU LIABILITIES,
JUDGMENTS, COSTS ANO 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 6'0" 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 365 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 commenced for a period of 180 days {Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE '"7S~ '"1. l '-"-DATE \,,' 2_,<j 'j !?
WHITE: File YELLOW: Applicant PINK: Finance
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDRESS: ) '-1 I "I l tA-Ji' I LAC\ c. 1,-, (A_ l r-l
2. TYPE OF BUILDING: RESIDENTIAL / COMMERCIAL. __ .....,
3. ROOF SLOPE: RISE ~ inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) U) 2 3
5. TYPE OF EXISTING ROOF COVERING Sh1,,Xf SHEATHING S Y--1 D
*6. NEW ROOF MATERIAL T, '-€-CLASS ~WEIGHT PER SQUARE ,Sb O
7. NUMBER OF SQUARES_:l.._'-'_I __ .....,
8. TRADE NAME £1,iaie \_, l:C MANUFACTURER £\y~ le
9. ROOF SYSTEM LISTING UL No .. ____ lCBO No. LJ ~ b 0
IO. IS THE EXISTING STRUCTURAL DESIGN~~IENT 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:
1. 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 I)_,..., ':::} l ~ Date to,2-<-i-18
Contractor / Owner Contractor Name (CJ H c-, R o'J f-, J...\ '1 ·
*6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up,
Other.
PERMIT# CB982047
DESCRIPTION: RE-ROOF,2400
ICBO # 4660
TYPE: MISC
I )'-17
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 07/13/98
SF-LT WT CONCRETE
JOB ADDRESS: 2414 LA PLANCHA LN
APPLICANT: CAHEY ROOFING
CONTRACTOR:
PHONE:
PHONE:
OWNER: PHONE:
INSPECTOR AREA DH
PLANCK# CB982047
OCC GRP
CONSTR. TYPE NEW
STE: LOT:
760 591-3123
REMARKS: R/591-3123
SPECIAL INSTRUCT:
INSPECTOR {)fl. -~----------
TOTAL TIME:
ACT COMMENTS CD
15
LVL DESCRIPTION
ST Roof/Reroof Al' /11v ,e, L
------------------------------------------------------
***** INSPECTION HISTORY*****
DATE DESCRIPTION
063098 Roof/Reroof
ACT INSP
AP DH
COMMENTS
SHEATHING