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HomeMy WebLinkAbout2095 TRUESDELL LN; ; CB142345; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-15-2014 Miscellaneous Permit Permit No: CB142345 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 2095 TRUESDELL LN CBAD MISC 1671801900 $4,091.00 Subtype: REROOF Status: Lot #: 0 Applied: Entered By: Reference #: PC#: Plan Approved: Project Title: Applicant: CROTHERS RES -RE-ROOF 2500 SF COMP TO COMP ESR#1475 Issued: Inspect Area: Owner: SCHOTT ROOFING INC CROTHERS FAMILY TRUST 07-13-01 729 OLIVE AVE VISTA CA 92083-3313 760-7 44-6450 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $126.00 Inspector: 2095 TRUESDELL LN CARLSBAD CA 92008 BUILDING PERMIT Total Payments To Date: $1 26.00 Balance Due: Date: Clearance: PENDING 09/15/2014 SKS $126.00 $0.00 $0.00 $1 26.00 $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition' f 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 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 f es/exa tions f which ou have r viousl been iven a N Tl E irnilar to this or as to which the statute of lirni ation ha reviousl otherwise ex ired. ~ « .. ~. Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Plan Check N~ ( L( 2 3 l( r ¥ C I T Y OF CARLSBAD JOB ADDRESS o'\5 CT/PROJECT# CONTACT NAME (If Different Fam App/leant) ADDRESS CITY PHONE EMAIL ARCH/DESIGNER NAME & ADDRESS STATE FAA Fax: 760-602-8558 www.carlsbadca.gov ZIP STATE LIC. # Est. Value oq / Plan Ck. Deposit Date SWPP -SUITE#/SPACE#/UNIT# # BATHROOMS R. TYPE OCC. GROUP 5t -ec. AIR CONDITIONING FIRE SPRINKLERS YES D NOD YES D NOD (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construcl alter. improve, demolish or repair anl 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)). ;:WORK-ERS ' CO.MPENSATION'·:--·. ·:····t;·--<-; '' -. --• --,! --•• •• ' ~ A Y • ~-.. ,,_. ~ .L., ....... 1,j,,.._, :_,u .... _, ..... L • L ,....,,_.._,_ '·• .. ~--L •• o -~ • ~.: Workers' Compensation Declaration: I hereby aff/1171 under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for woncers' oornpensation as provided by Section 3700 of the Labor Code, for the performance of the wonc for which lhis permit is issued. Q--1 have and will maintain workers~lion, ~u~lion 3700 of the Labor Code, for the performance of lhe worl( for which this permit is Issued. My workers' oornpensation insurance carrier and policy number are: Insurance Co. s~ ~ Policy No. /,, i'i -c:;:,o I 'J. 1! -( <-{ Expiration Dale { -I -Is"° This section need not be completed tt lhe permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that In the performance or the worl( 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 addttlon to the cost of compensation, damages as provided for In Seclion 3706 of the Labor code, Interest and attorney's fees. _g CONTRACTOR SIGNATURE I hereby affirm lhat I am exempt from Cootrector's Ucense Law for the following reason: D I, as owner or lhe property or my employees with wages as lheir sole oornpensation, will do lhe 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 wonc himself or lhrough his own employees, provided lhat such improvements are not intended or offered for sale. If, however. the building or improvement is sold within one year of oornpletion, the owner-builder will have the burden of proving that he did not build or Improve for lhe purpose of sale). D I, as owner of lhe property, am exclusively contracting with licensed contractors lo 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 lhereon, and contracts for such projects with contractor(s) licensed pursuant to the Contrac1or'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 conslruction of lhe proposed property improvement. D Yes D No 2. I (have/ have not) signed an application for a building permit for lhe proposed work. 3. t have contracted wilh the following person (firm) to provide lhe proposed construction Qnclude name address/ phone/ contractors' license number): 4. I plan to provide portions or the worl(, bul I have hired the following person to coordinate, supervise and provide the major work (include name/ address/ phone/ contractors' license number): 5. I will provide some ol lhe work, bat I have contracted (hired) the following persons to provide the work indicated (include name / address/ phone/ type of work): _g PROPERTY OWNER SIGNATURE □AGENT DATE COMPL~TE ,THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant Of Mure building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and pravention program under Sections 25505, 25533 Of 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes □ No Is the apl)llcant Of future building occupant required lo obtain a permtt from the air pollution control disbict or air quality management district? □ Yes □ No Is the facility to be constructed 'hithln 1,000 feet of the outer boundary of a school site? □ 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 ANO THE AIR POLLIITION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance lilf the worl< this permit is issued (Sec. 3097 (i) Civil Code). I certify that I haYe mad the application and state that the abo'le infonnation Is axrec:tand that the lnfurmation on the plans is ac:wrate. I agieeto a,mplywlth all City ordinances and State laws ~to build~ construction. I hereby auf1orize representawe of Ile City of Cansbad t>enterUIQl Ile above menlilned popelty for nspectJn p.irposes. I ALSO AGREE TO SAVE, l~EMNIFY ANO KEEP HARMLESS lHE CITY Of CARLSBAD AGAINST ALL LIABIUTIES, JUDGMENTS, COSTS /WJ EXPENSES WHICH MAY IN 1'N'f WAY AernUE AGAINST SAJO CITY IN COOSEQUENCE OF lHE GRANTING OF THIS PERMIT. OSHA: AA OSHA pe,mit is ~ t>r excavatioos INfl: 5'0' deep and dennlooi1 ex CXJ1Sb\ldi)n of struchJres INfl: 3 stllles i1 heqlt. EXPIRATION: Evety pemit issued by the Buildilg Official under the pw;ism; of this Code shall expi'8 by Imitation and beoorre rul and voij W fle tudilg ex work auflorized by such perml is nol lXX1Yl1enald v.ittil 180 days tool the ~ of such pemit a if tie ilg Cl' work au1haiz.ed by such pellllit is suspended or almdoned at w:ry tine afilr tie work is CXlfl'lll1800ld for a pelild ol 180 days {Sedi:ln 106.4.4 U'libm a.tilg Code) . ...@! APPLICANT'S SIGNATURE h ~y DATE tj> ... ( J.. --(i/ REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESS: cJo ff 5" Tru.e <;de,( I Lat\ e 2. TYPE OF BUILDING: RESIDENTIAL ✓ COMMERCIAL __ _ 3. ROOF SLOPE: RISE l( INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) Q 2 3 5. TYPE OF EXISTING ROOF COVERING {c ~v SHEATHING /J lywooP *6. NEW ROOF MATERIAL u !'.'bfO CLASS A, WEIGHT PER SQ. ~s;D 7 . NUMBER OF SQUARES __ ~_S" ___ _ s. TRADE NAME L 0::6~ I," e MANUFACTURER_.:o::;Q.:..,;i9...&,.f ____ _ 9. ROOF SYSTEM LISTING: UL NO. _____ I.C.C.E.S. Report # E 5 t2 # I lf 1 ~ ASTM _____ _ 10. IS THE EXISTING STRUCTURAL DESIGN SUF~T 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 in$pection, Signature /drr ~ Date Ci-rd -I'·/ Contractor V"' Owner ____ Contractor Name ':x.A.o ,j./. ;2x,{;?J I 11.C *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other lnspecti•on List Permit#: CB142345 Type: MISC Date Inspection Item 09/29/2014 15 Roof/Reroof 09/29/2014 15 Roof/Reroof 09/29/2014 19 Final Structural 09/16/201 4 83 Roof Sheathing/Ext Shear Tuesday, September 30, 2014 REROOF Inspector Act RI SP AP SP Fl SP AP CROTHERS RES -RE-ROOF 2500 SF COMP TO COMP ESR#1475 Comments AM PLS Page 1 of 1