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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 Pc1qp 1 of 1 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