HomeMy WebLinkAbout2430 GARY CIR; ; CB101888; PermitCity of Carlsbad
' . 1635 Faraday Av Carlsbad, CA 92008
10-13-2010 Miscellaneous Permit Permit No: CB101888
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
PC#:
2430 GARY CR CBAD
MISC
1671550900
$3,906.00
Subtype: REROOF Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Project Title: HENLEY:·3100 SF COMP TO COMP
Applicant:
PACIFIC HOME WORKS
STE 150
20725 S WESTERN AVE
TORRANCE CA 90501
310 781-3012
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees: $106.00
Inspector:
Owner:
HENLEY FAMILY TRUST 09-14-00
2430 GARY CIR
CARLSBAD CA 92010
Total Payments To Date: $106.00
FINAL APPROVAL
Date: 2-· z, '{ · ( (
Balance Due:
Clearance:
ISSUED
10/13/2010
JMA
10113/2010
10/13/2010
$106.00
$0.00
$0.00
$106.00
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reseivations, 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 lor
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 thAir 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
fees/exactions of which ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired.
«,'» Building Permit Application
1635 Faraday Ave., Garlsbad, CA 92008
760-602-2717 / 2718 / 2719
Plan Check No. C5( 01 l ~
~ CITY OF
CARLSBAD
JOB ADDRESS
Fax: 760-602-8558
www.carlsbadca.gov
SUITE#/SPACE#/UNIT#
Est. Value
Plan Ck. Deposit
Date 70 ( 3 10 SWPP
APN
T/PROJEC # E# # OF UNITS # BEDROOMS #BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE O ROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(•)
\ ~°'-(':'I\. 0 ~ ,, ' sh,/1
J,o re. 1-ed t/,' h
°3,,\llu
EXISTING USE GARAGE (SF) PATIOS jSF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES •#_ NOD YES • NOD YES • NO •
CONTACT NAME (If Different Fom Appllcant) .,, 6,('w,I i .. "'~~ (" AP PU CANT NAME ? h ---------
ADDRESS ADDRESS
4 (\ (:l..,.-. So c,.!t-s Ira Ii '2. L-\ 'l, Li r
STATE ZIP ZIP o:Q..c 0 CV:\-9 'L \\\ ZCJO
FAX
1<.-01~~ ,Lt-o,Jo 71q -Z.oo IV~
rvt~ /VA-
PROPERTY OWNER NAME e._" « It, me.,w orl( .s
ADDRESS ADDRESS '2_l.: L-t s+e i-1
CITY
r\ '>\:ic-.~
STATE ZIP
CA-'l. 010
PHONE 7 'l ~ -'Loo~ FAX 7<..o 0
EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE UC.# STATE UC.# trc> -------7.
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to consvuct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a sip;ned statement that he is licensed pursuant to the provisions of the Contractor's License Law fChapter 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 than five hundred dollars ($500}).
WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of peljury one oftha following declarations:
D. I havund wllJ maintain a certlflcate_of coo sent.to seff'.'"lnsure for workers' compensation as provided by Section 3700 of Iha Labor Code, for the perfonnence of the work for which lhis permit is issued.
-l!f I have and will mailtaln work_ers' c~pansatlon, as required by Section 3700 of the Labor Code, for Iha pertormance of the work for which this permit is issued. My workers' compensation insurer, carrier and policy
numbefare: Insurance Co. ';)?°',\ k ll',svroi.n<a.. Y,r,.~"~' Policy No. 0Ql,.v,JK., oo~'t 100 Expiration Date 3 / '0 _J /
This section need not be completed If Iha permit is for one hundred dollars ($100) or less. • Certificate of Exemption: I certify that in the performance of the work for which lhis 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 wo ensatl n coverage Is unlawful, and shajl subject an employar to criminal penalties and clvll fines up to one hundrad thousand dollars (&100,000), In
addition to the cost of compensation, damages for I ectlon 3 f the Labor code, interest and attomey's fen.
AS 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, \'All do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Coda: The Contractor's
license Law does not apply to an owner of property who buMds or improves thereon, and who does such work himself or through his own employees, provided lhat such improvements are not Intended CN" offered for
sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have lhe burden of proving Iha! he did not build or improve for the purpose of sale).
• 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 th8leon, and contracts for such projects with contractcr(s) licensed pursuant to the Contractor's Liceflse Law).
• I am ex.empt under Section ----~•usiness and Professions Code for this reason:
1. I personally plan to provide the major lalxlr and materials for construction of the proposed property improvement. • Yes • No
2. I (have/ have not) signed an application for a building permit for the proposed work.
3. I have conlracted with the following person (firm) to provide Iha proposed construction (Include name address/ phone I contractors' Hcense 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 I address/ phone/ contractors' license number):
5. I wiU provide some of the work, but I have contracted (hired) Iha following persons to provide the work indicated {include name I address/ phone I type of 'Mll"k):
AS PROPERTY OWNER SIGNATURE •AGENT DATE
r
COMPI..ETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is lhe applicant or future building occupant required to submit a business plan, acutely hazardous materials registration foon or risk management end prevention program unda' Sdons 25505, 25533 or 25534 of1h1
Presley-Tanner Hazardous Substance Account lv:J.? • Yes D No
Is lhe applicant or future buikling occupant required to obtain a permit from lhe air pollution control dlsbict or alrqua~ty management district? • Yes • No
Is lhe facility to be constructed within 1,000 feet of the outer boundary of a school site? • Yes • No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE tSSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTlON CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there 1s a construction lending agency for the performance of the work this penmt IS ISSued (Sec 3097 (i) Civil Code)
Lender's Name Lende(s Address
APPLICANT CERTIFICATION
I certify that I have read the application and state that the aboYe Information Is colf8Ctand that the Information on the plans Is accura18. I agieeto complyMth all air oldlnaooes and Stale llws 181ating10 building consncdoa.
I h...i)y auroize ,eprasenlalM! of 1l'e City of Car'obad I> enler upon 1l'e above mentioned property ilr i,spedl,n p,rposes. I ALSO AGREE TO SAVE, NDEMNIFY AND KEEP HARM..ESS Tl£ CITY OF CAALSIIAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHCH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: AA OSHA permit is requied for excawmons cm15'0' deep Md demolb:ln a-construction of structures '1'M 3 sbies ii heghl
EXARATKJN: Everypennlt issued by 1l'e Biting Ollbal i.merlle provisi,ns oflr<s Code shaH eXjlie by hiation aoo bec<xro nul aoo wJil lll'e buttg orwool< ..-by such pemilio rdcommenced-
180 days from 1l'e da~ of suet, permilorff bl.idi1g wool< aulhorized by such is sospended or -at any liro all!r ll'ewool< is commenced ilf a period of 180 days (Sedion 106A,4 lkibm BuH,g Code).
_iS' APPLICANT'S SIGNATURE DAlE /i) {}, /0
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
1. JOB ADDRESS:____:7-::::.......:L-\c.,2,.,_,o"'--_.,_,(rn,.u.,:,'1.,f-.::i'-1___,c..,:=::..l..!, \_LI (p._""""-1_,_\ ~~ \,,c::..:"':..:..~=----~.:......:....zc,-'f'-o_
2. TYPE OF BUILDING: RESIDENTIAL._✓_,,_•__ COMMERCIAL __ _
3. ROOF SLOPE: RISE J t.j INCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 1 u) 3
5. TYPE OF EXISTING ROOF COVERING(<>n,,eo,,,'\c ~h".':)la.SHEATHING __ _
*6. NEW ROOF MATERIAL O-.iQ.v1> Corv1,t:, CLASS A WEIGHT PER SQ. 2~
7. NUMBER OF SQUARES_3:=;__;_I ___ _
8. TRADE NAME \)\.l'fo-.~'o" MANUFACTURER ()vVQ.,/\~ (o{'n~
9. ROOF SYSTEM LISTING:
UL NO. ______ I.C.C.E.S. Report# _____ _
ASTM _____ _
10. IS THE EXISTING STRUCTURAL D~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:
1. Tear Off/Pre-Inspection prior to install new roof covering
2. Final Inspection
1,gco, to p~>deOOlag at"""'"'''' abow ~• "°''" '"''""'"
Signature ~ ~ Date / D / ( 3/ / D
Contractor L Owner ____ Contractor
Na me A v'\C f 11,.,v) D, !1cV) '> o'
*6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other
B-10 Page 5 of 5 Rev. 03109
. m City of Carlsbad Bldg Inspection Request
. . For 02/22/2011
Permit# CB101888 Inspector Assignment: PD
Title: HENLEY: 3100 SF COMP TO COMP
Description:
Type:MISC Sub Type: REROOF
Job Address: 2430 GARY CR
Suite: Lot: 0
Location:
APPLICANT PACIFIC HOME WORKS
Owner: HENLEY FAMILY TRUST 09-14-00
Remarks: final?
Total Time:
CD Description Act Comments
---
Phone:
Inspector:~
Requested By: CHRISTINE
Entered By: CHRISTINE
19 Final Structural f-----
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description
10/14/201 O 15 Roof/Reroof
Act lnsp Comments
AP PD EXISTING PLY