HomeMy WebLinkAbout2422 LA PLANCHA LN; ; CB972475; Permit09/03/~7 13:00
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B U I L D I N G
Job Address: 2422 LA PLANCHA LN
Permit Type: MISCELLANEOUS
Parcel No: 255-091-25-00
Valuation: 5,346
P E R M I T
Suite:
Lot#:
Permit No: CB972475
Proiect No: A9703135
Development No:
8733 09/03/97 0001 01
C-PRHT
Construction Type:
02
135-00
Occupancy Group: Reference#: Status:
NEW
ISSUED
09/03/97
09/03/97
RMA
Description: RE-ROOF,2200 SF,LT WT CONCRETE Applied:
Appl/Ownr : SAN DIEGO ROOFING
625 NORTH AV
VISTA CA 92083
'If. k k fees Required ***
Fees:
Adjustments:
Total Fees:
Fee description
Miscellaneous Fee #1
* MISCELLANEOUS T0T~L
'kt A
~
760
Apr/Issue:
Entered By:
758-1800
Fees Collected & Credits
1jotar Credtts:
***
Total Payments:
.00
,00
135.00 Bal'an'de Due :
Units Fee/Unit Ext fee Data
135. 00 PERMIT Fl
135.00
EX~IR D PERM ~T
PERMIT HAS EXPIRED IN ACCORDANCE WITH U.B.C.
SECTION 106.4.4 k/1
DATE ____ SIGNATURE_7l4)___,;; ... v~--Y
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
'ERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075-Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
1. PROjECT INFORMATION ri.. 11 2-Z-kc,..
Address Unclude Bldg/Suite #I Business Name (at this address)
Legal Description Lot No . .::5 Fub "vision Name/Number Unit No. Phase No.
Existing Use Proposed Use
7--2..
Description of Work SO. FT. #of Stories I of Bedrooms
2. CONTACT PERSON iii cllii....t li'om ..,;;ticonil
Total # of units
# of Bathrooms
'I. · .,,_·cbNTRACTOFi'~ COMPANY NAME~~~-~J.~,~:~;':.lf.~~"'.'{~~ :r,,,l;),~:?;,:"''~,ra,;,-, "11~araa:. ' ,· ""'·' ,a:;·;:·-:ir,~:a:-~'l>':"'+ :0 . ,·:;1''"f ':r't'.fh~~?,•'~,;:i't~~:~;_:::".'>f':'-"°:~Hi '.~1;·7.
(Sec. 7031.5 Business and Professions Code: Any City or Countv 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 Divlsion 3 of the Busineu and Professions Codel or that he Is exempt therefroffl, and the basis for the alleged
exemption. Any violation of Section 7,P.31.6 by any applicant for a rmit subjext9 the appll~an~o a civil penalty of not more than f.i.ve hundred dollars ($6QQJI. ' ~ ; ~ e. o..+-i r .5 ,.rt,., ."+'-''-· V ,_.r+.,.. '1 l O"/? J. '7, -f 2(0 <J
Name r ""/ 7 j'\? Address / City State/Zip Telephone I
State License I -1.(tl(LJQ.'1..:I.P"'-~.d.L...:..-"'. 6__ Llcenae Class L.... 5 j City Business License I / 2 Q ':/ / 3 /
Designer Name Address City State/Zip Telephone
State License I _________ _
6. WORKERS' COMPENSATION
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.
,:[_ 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 co~pensation _insurance carrier and polj.£Y number are: \ / / /r..1
lns.u,ance Company /:f,Je. {..,,~ f ::C,-,., ,-._,_Jc Polley No. WC... I 'iS"" 2J?J Y q7 Expi,atlon Data _-/ )?
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$100) OR LESS)
0 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: FaUure to secure workers' companaatton coverage II unlawful, and lhd subjact an emplo)w' to crlmlnal panatdas and clvU fines up to one hundred ~~~~=;~:uars 1$10M=ltion to ~of cornpenn;::;m■gu as provided for h1 Section 3~:sT: the!:;/ 3 , /17 attorney'• fees.
7. OWNER~B-;;:;J;ER DECLARATION· '~~ ·• . ' . -• .. _ · · .. ·•• •' :;,;;;::~,{ · " · ••· l",,
I hereby affirm that I am exempt from the Contr■ctor'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
1sec, 7044, Business and ProfessJons 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 ere 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 salel.
D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Busineu ■nd 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 contractorls) licensed
pursuant to the Contractor's License Law).
0 I am exempt under Section ______ Business and Professions Code for this reason:
1. I personally plan to providt the major labor and materials for construction of the proposed property improvement. 0 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 parson (firm) to provide the proposed construction !include name / address / phone number / contractors license number):
4. f 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): ____________________________________________ _
5. I will provide some of the work, but I have contracted fhiredl the following persons to provide the work indicated (include name/ addreu / phone number/ type of work):. ______________________________________________________ _
PROPERTY OWNER SIGNATURE_______________________ DATE _________ _
·coMPLETE THIS BEctiON ·A>R NON-RnlDiN'itAI/IOitbwd:PEftMri'j~(i .. L'fiWfff~'.!".1If,;~?:;~'f~tt_~flf:F~t)t'1f:~t.1nJ~¥~~~!!· '.:Y;~'P'.T'"f '~t.' "l".Y'!t~r· r~
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, 25633 or 26534 of the Presley-Tanner Hazardous Substance Account Act? D YES O NO
Is the applicant or future bLilding occupant required to obtain a permit from the air pollution control district or air quality management district1 0 YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school sita 1 0 YES O 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 hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is Issued ISec. 3097(1) Civil Coda).
,,., >'",·'' ,~ .. ,' J .:
LENDER'S NAME_____________ LENDER"SADDRESS. _______________________ _
:9~ ". APPLICANT CEIUJFldA tibl'fi.;t:f,'t·::s~:~:l'~lji-./~~:r-:.it::rc,~i~t:;~~-7:;'~j'f"1[~:z!?'~r'~t:·: ·""Z[~].:\.;;.,:({:>,i'c"I'.1~i,Tc)"t:"&~~if:..'"i~T:?':'.;WJ:.'f~~~:"--;:;; "',~ ;r -;:;':'--I'7 : . :'"~ ,: '.' :·' ::· ' ~ \"
I certify that I have read the application and state thet the above Information Is correct and that the Information on the plant Is accurate. I agree to comp,ly with all
City ordinances and State lawa relating to building comtrucflon. I hereby authorize raprenntativas of the Cltt of Carlsbad to enter upon the above mentioned
property for lnsSMctlon 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 AQAINST SAID CITY IN CONSEOUENCE 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 stories in height.
EXPIRATION: Every permit Issued by the BuHding Official under the provisions of this Code shall e,cplra by limitation and become null end void if the building or
work authorized by such permit is not commenced within 385 days from the date of such permit or If the building or work authori11d by such permit is suspended
or abandoned at any time after the work is com"!enced for a period of 180 days (Section 106.4.4 Uniform Building Code). Cf 13 /1 J
APPUCANT'S SIGNATURE au~ ,,,,-::!:!::;2:,.--:::. ,,.,.. ,;n•n•• DATE ---..L..='--.I--L...-.1..---
1.
2.
3.
4.
5.
*6.
7.
8.
9.
10.
I!\ • CITY OF CARLSBAD
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
JOB ADDRESS 2 L-/ J_ 2 L ,:;,.. p I °' I"\ C. \,-, °' L CA .-, f(_
TYPE OF BUILDING: RESIDENTIAL K C0""1ERCIAL __
ROOF SLOPE: RISE L-{ inches in 12 inches
TYPE OF EXISTING ROOF COVERING 5h o.. 1,<...e._ SHEATHING ·--------
NUMBER OF EXISTING ROqF COVERINGS (circle o~A-('.I) 2 3
NEW ROOF MATERIAL ·r, / <-· . CLASS WEIGHT PER SQUARE .5" S-0
NUMBER OF SQUARES .2. 2-I -L, ;~
TRADE NAME ~b,t_ /1"J.,,. 1: b ._j 6<, '-MANUFACTURER t:.<=<,-;/.L t Si
ROOF SYSTEM APPROVAL UL No.____ Other 4 (e (,, ()
IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF
THE PROPOSED ROOF YES __ )<-.._ NO __ _
If the answer is no, a roof plan n,st be provided with this application.
11. Fire rating of roof: Class A$ Class B. __
I understand the following inspections are required:
1. Tear Off/Pre-inspection prior to installing new roof covering.
2. Final Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for inspection.
SIGN DATE
Contractor X Owner __ _ Contractor Name .£;;;;. ,..... D; e..p (( 0 ..+'i ?
*6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up.
City of Carlsbad
■ =-I'll t!I 111· 1•14·81 I;, ,14,11
REROOFING PERMITS
A reroofing permit is required for all occupancies when:
1. Removal of the existing roof covering is required by
· Appendix, Chapter 15, 199-4 .Uniform Building Code,
OR
2. A lighter weight roof covering is being replaced with tile.
(Engineering calculations may be required for the supporting structure.)
The attached Supplemental Building Permit Application must be completed in
addition to our standard application.
Our adoptive ordinance requires that all replaced roof coverings be CLASS B
or higher.
REQUIRED INSPECTIONS:
1. TEAR OFF-Inspection required for existing or new sheathing,
prior to underlayment or covering.
2. FINAL INSPECTION
2075 Las Palmas Drive • Carlsbad, California 92009-1576 • (619) 438-1161
PERMIT# CB972475
DESCRIPTION: RE-ROOF,2200
TYPE: MISC
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 09/23/97
SF,LT WT CONCRETE
STE:
INSPECTOR AREA
PLANCK# CB972475
OCC GRP
CONSTR. TYPE NEW
LOT: JOB ADDRESS: 2422
APPLICANT: SAN DIEGO
CONTRACTOR:
LA PLANCHA LN
ROOFING PHONE: 760 758-1800
OWNER: I IL) I
REMARKS: C/LEE/758-1800
SPECIAL INSTRUCT:
TOTAL TIME:
--RELATED PERMITS--
CD
15
LVL DESCRIPTION
ST Roof/Reroof
PERMIT# TYPE
CB950358 PLUM
------------------
------------------------------------
PHONE:
PHONE:
INSPECTOR
STATUS
EXPIRED
ACT COMMENTS
------------
/l-P _______ _
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS