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Home My WebLink About1120 CAMINO DEL SOL CIR; ; CB060971; Permit04-07-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No CB060971 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 1120 CAMINO DEL SOL CR CBAD MISC Subtype 2062611100 Lot# $000 REPAIR 0 Status ISSUED Applied 04/07/2006 LSM 04/07/2006 04/07/2006 VERKLEEREN RES-FIRE DAMAGE REPAIR TRUSSES FLOOR LIKE FOR LIKE Entered By Plan Approved Issued Inspect Area Applicant VERKLEEREN JOHN L&BARBARA A 1120 CAMINO DEL SOL CIR CARLSBAD CA 92008 Owner VERKLEEREN JOHN L&BARBARA A 1120 CAMINO DEL SOL CIR CARLSBAD CA 92008 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $240 00 $000 $000 $240 00 Total Fees $240 00 Total Payments To Date $240 00 Balance Due $000 Inspector 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 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 for 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 their imposition You are hereby FURTHER NOTIFIED that your nght 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 PROJECT INFORMATION 7W FOR OFFICE USE ONLY PLAN CHECK NO &&O(0 OS"? EST VAL Plan Ck Deposit Validated By Date *-/-/1 \OJb Address Tmclude Bldg/Suite #)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 Description of Work .f^B (2- S^ ' * QONTACT PERSON (if different from applicant) SQ FT #of Stories # of Bedrooms # of Bathrooms Name Address City 3 'APPLICANT^ Q Contractor Q Agent foi^ontracfoF D Owner JjjJ^gentJfor Owner State/Zip Telephone # Fax # Address CltvName 5 CONTRACTOR COMPANY NAME (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 than five hundred dollars [$500]) Name State License Address License Class City State/Zip City Business License # Telephone # Designer Name Address City State/Zip Telephone State License # 6 WORKERS COMPENSATION ^ 1 * .jr4 "~"™" *M ^AiT ~ .,,t """'" Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations [~1 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 n 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 Policy No Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) f~l 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 Failure to secure workers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100 000) in addition to the cost of compensation damages as provided for in Section 3706 of the Labor code interest and attorney s fees SIGNATURE DATE I? OWNER BUILDER DECLARATION jf '""- I hereby affirm that I am exempt from the Contractor s License Law for the following reason n 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 Professions 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) IC/1 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(s) licensed pursuant to the Contractor s License Law) f~1 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 O YES l""lNO 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 plan 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) I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work) PROPERTY OWNER SIGNATURE DATE FOR NONRESIDENTIAL BUILDING PERMITS ONLY,^ ^iP 5_1""" 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? (~l YES l~| 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 O NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site7 D 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 ¥i f CONSTRUCTIONtENDING AGENCY~ */" „„ "' .„..«».,-1 "~ ^«i*r»"_ *" ^-^ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code) LENDER S NAME LENDER S ADDRESS 9 APPLICANT CERTIFICATION „ jfasm- """" •.""" - ~~™J ~""~ ~, „. " m a I certify that I have read the application and state 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 City 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 ALL LIABILITIES JUDGMENTS COSTS AND 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 5 0" deep and demolition or construction of structures over 3 stones 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 180 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 cqpnrrerree<^for a period of 180 days (Section 106 4 4 Uniform Building Code) APPLICANT S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 01/04/2008 Permit* CB060971 Title VERKLEEREN RES-FIRE DAMAGE Description REPAIRJRUSSES.FLOOR LIKE FOR LIKE Inspector Assignment PY 1120 CAMINO DEL SOL CR Lot 0 Type MISC Sub Type REPAIR Job Address Suite Location OWNER VERKLEEREN JOHN L&BARBARA A Owner VERKLEEREN JOHN L&BARBARA A Remarks Phone 8588479886 Inspector Total Time Requested By PAUL HART Entered By CHRISTINE CD Description 19 Final Structural Act Comments Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 03/19/2007 17 Interior Lath/Drywall AP PY 03/19/2007 18 Exterior Lath/Drywall AP PY 03/06/2007 18 Exterior Lath/Drywall WC PY 03/06/2007 84 Rough Combo AP PY 02/26/2007 19 Final Structural NR PY 01/16/2007 19 Final Structural NR PY 01/12/2007 19 Final Structural NS PY 08/24/2006 15 Roof/Reroof AP PY 08/22/2006 15 Roof/Reroof AP PY WORK NOT COMPLETE Oio -si Ozm CO O>o%• O Om Dm SB O CD O Ol O) O^-^ CD CD CD C/5 •Oo O W STONE TRUSS COMPANY www stonetruss com W N NIA STONE TRUSS CO. _E CERTIFIED INSPECTION I A S AA-583 IN STRICT ACCORDANCE WITH UBC.IBC. ANSI NATIONAL STANDARDS LATEST REVISION PREFABRICATED WARNING * WARNING * WARNING BE SURE ERECTION CONTRACTOR UNDERSTANDS BCSI B1 SUMMARY SHEET ENCLOSED 507 JONES ROAD • OCEANSIDE, CALIFORNIA 92054 • (760) 967 6171 • FAX (760) 967-6178 ST001 *- o o°o <m TJ S£° 5 O D O m tt C cq g O co 2 T oi- O q rn O c O O 5 7° ^J DO - £ Hi5|5 z > ° z lilo S CO 2 TI ^m| Om il w w o _ ocr CDoo wo 9LCD Z w D CD c_c M 00 to 8O) a CD</> ID CD D W ROOF TRUSS LAYOUT VERKLEEREN BURNOUT 1120 CAMINO DEL SOL CIR CARLSBAD, CA E^ STONE TRUSS COMPANY www stonetruss com 760-967-6171 m 55 oz M —I CD CD —1 —I O <_n O o OO GO GO GO /r O o O< tD /r CO o o -J XXX r- CO CO d CD O O- n- rr c~> m z^ cren o Oo<-> f^*«*i-*0c -S «—iO'^l>-O-^*3^*'*—' »•»-. £*»«(-* *> = tr.-n • • »-< > o a; J^ o r» o — •^•wato 3 ooz^«*» m •«^S*nco«>ac-n~4>'SSo'^2'^ Maco-^-^ora.- ct „t^«-r> ^5"S?? = 3 slsSs- OX *• -n SS|S»2 "s; =Hszp r _ o »«rss- sg o 5 cro t = - I 5" I —I CD C3 —I —I o o o c~> o —(r~ O o r— O en en o o o o o> £7)e VD 00 oo 4\ ~ en -ao -a rao t- oo *- o j *•* *~ x /i-, 2-. ^^ J r - ^ ra <—o 5r-fn ou c -£ -J H FT S 7J < O 2- 77, mm go o 73 m^c m m2»z--n — (T> -n -^ mm 73mz c_ O e°CD > 73 7) OU*O m z 7Jo°I- > O = ^ mmi;: 73 O ffi s o