HomeMy WebLinkAbout2621 UNICORNIO ST; ; CB004451; PermitCity of Carlsbad .
11/29/2000
1635 Faraday Av Carlsbad, CA 92008
Miscellaneous Permit Permit No:CB004451
Building Inspection Request Line (760) 602-2725
Job Address: 2621 UNICORNIO ST CBAD
Permit Type: MISC Subtype:
Parcel No: 2152806000 Lot #:
Valuation: $6,512.00
REROOF
0
Status:
Applied:
Entered By:
Reference #: Plan Approved:
ISSUED
11 /29/2000
MDP
11/29/2000
11 /29/2000 Issued:
Project Title: PITTFIELD RESIDENCE Inspect Area:
22 SQUARES OF LIGHT TILE
Applicant:
PIVA ROOFING, BOB
1192 INDUSTRIAL AV
ESCONDIDO, CA 92029
619-745-4700
Total Fees: $145.00
Miscelaneous Fee #1
Miscelaneous Fee #2
TOTAL PERMIT FEES
Owner:
PITTFIELD JOSEPH L&BREAKFIELD HEDY T
3691 MORRIE DR
SAN JOSE CA 95127
Total Payments To Date: $0.00
PERMIT
FINAL APPROVAL
Date: It-JI.I..~
5387 ll/29/00 0002 01
CGP
Balance Due:
$145.00
$0.00
$145.00
Clearance:
$145.00
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 right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy
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.
02
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
FOR OFFICE USE ONLY
PLAN CHECK NO. ~r C..t LC~\
EST. VAL. C,S{"l-Ii~ s==
Plan Ck. Deposit ___ {;..._ ____ _
Validated By __________ _
Date ______________ _
Address (include Bldg/Suite I ) Business Name tat this address)
Legal Ducnpt1on
c21s -:; s0 -£ o Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units
lo Proposed Use
Descroption of Work p SO. FT. I of Bedrooms fl of Bathrooms
Name State/Zip Telephone fl Fax fl
~~,~-"7:t~iJx;~f ..• '}J""-: 7~S ~7·0 D
Name
Name
:6--=-:-coNTRACTOR::;.COMPANY'NAMeii;£°~~~~,fk,.J,!i-;;_~~~~-'-i;z~~~~~f~:;:;?~;',7~:-:. ~:.:.•~.,_~;_:,::+,;, ;.~-
!Soc. 7031.5 Business and Professions Coda: Any City or Coumv which requires I permit to construct, alter, improve, demolish or repair any structure, pnor to ,ts
issuance, also requires tho applicant for such permit to file a 1igned 1tatement that he Is licensed pursuant to the provisions of tho 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, end the baso, for the alleged
exem11t1on. An violation of Se ion 7031.5 by any applic•n~for •.permit subje s the applicant to a civil po lty of not more;t,an love hundred ~llars ($5001).
o..P /0V &._ O · ,· /)~;?/,,,.Jd~ i-/•-1 , $C<'"r. ~A 7"7~~1 7o cJ-7Y5'~v?r u
Address Stete/Zip Tolophono II
License Class C 3 9 C S-City Businu1 License I -------~
Designer Name Addre11 City State/Zip Tolophono
State License I _________ _
e ... -woRKER~•coMP£NSAnoN-.i}t~\~-~~~r.:1,~~~-4~.:;.'::-'Z'~m:;-1~.t~~~~~~·~:~~~~~~ ... :~.z~~I ::~~t1':':N~~:4.~f\o\ .-'.:" .. ;.;.~·.:=: ::.~•-J~:,_:·~:··:·
Workers' Componaation Declaration: I hereby effirm under penalty of perjury one of tho following declaratoons:
0 I hevo end will maintain a certificate of consent to aolf•insuro for workers· compensation as provided by Section 3700 of the Labor Code, for tho performance
of tho work for which this permit Is Issued.
~ ( have and will maintain workers' compensation, as required by Section 3700 of tho Labor Code, for the performance of tho work tor which this permit is
issued. My worker's com ens~t1on insurance earner end policy number ere:
Insurance Company ,, '/IC,,, 0 o.l e:1. Policy No. 3/ Op< 'J ] g-'1 7 Expiration Date O • 0 I
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS)
0 CERTIFICATE OF EXEMPTION: I certify that in tho performance of tho work for which this permit is issued. ( shell not employ any person in any manner so as
to become subject to tho Workers' Compensation Laws of California.
WARNING: Failure to Hc:uro worllen' COfflPW\aatlon coverage la unlawful, and ahaa aubject an employer to criminal ~n111tle■ and civil flnH up to one hundred
thouaend dollara 1$ ,0 , In~ to the colt of com~naatlon, damagu u provided for In Section 3706 of the ubor coda, lntarHt and attomey·a fHa.
SIGNATURE._;.z.:a=.....:... _ _::::~=c.;::_ ___ _;:::;._ _______________ DATE //·/ 9-O'"<J
7. :~;~bWNEJI-BUllDER"DfC~RATION~;.-::.:&~~~~•~~;~;,El~!:.::;;;;;~:.;;;:.,~~.?;_·(;~~~~-~-~;-=:-.. ~~9;';;~~;:;"~f::'::?:i~~~~~;! .~=-:~:_-;4.·_:--~.~~;~f[:Jilf~-·
I hereby affirm that I am exempt from tho Contractor'■ License Law for tho following reason:
0 I, as owner of tho property or my employees with wages es their sole compensation, will do tho work and the structure is not intended or offered for s■le
tSac. 7044, Businus and Professions Coda: Tha Contractor's Liconao Law dou not apply to an owner of property who build■ or improves thereon, and who doH
such work himself or through his own employees, provided that 1uch improvements are not intended or offered for sale. If, however, the building or improvement ia
sold within one year of completion, tho owner-builder will have the burden of proving that ho did not build or improve for tho purpose of salol.
0 I, as owner of tho property, am exclusively contracting with licensed contractors to construct the project (Sac. 7044, Business and Profesaoons 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 contractorts) licensed
pursuant to tho Contractor's License Lawl.
0 I am exempt under Section ______ Bu1inou and Professions Code for this reason:
1. I personolly plan to provide the mejor labor and materials for construction of tho proposed property improvement. 0 YES ONO
2. I (have / have notl signed an application for e building permit for the proposed work.
3. I have contracted with tho following person lfirml to provide the proposed construction (include name / address / phone number / contractors hcenso numberl:
4. I plan to provide portions of tho work, but I have hired the following person to coordinate, supervise and provide tho major work (include name / address / phone
number / controctors license number): _________________________________________________ _
5. I will provide some of tho work, but I hove contracted (hiredl tho following persons to provide tho work indicated (include nemo / address / phone number / type
of work I:, _____________________________________________________________ _
PROPERTY OWNER SIGNATURE ________________________ _ DATE __________ _
COMl't.ETE THIS SECTION FOR NON-l(EslDEJV1iAL :BUILDING PERMCr$,Q~~~_c~:f:1E~~::~.::.':::·:;;',,:: ~-~~ .. ':.~: -_ _-;~C.::7":.'~:;_::r-;:__.
Is tho applicant or future building occ:upent required to submit e businua plan, acutely hazardous material■ registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?-0 -~ NO .
Is tho applicant or future building occupant required to obtain a permit from the ■or pollution control district or air quality m■nagomont district? 0 YES O NO
Is tho facility to be constructed within 1,000 feet of the outer boundary of a sehool site? 0 YES O NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POUUTI0N CONTROL DISTRICT.
s~:=-'CQNSTRUCTION taiDtNQ'AGEH~{f~~~~~~E.~~,Y;f;r,$~~--!J~~\i~l.:fil~:~~2::[i, :~·~:::,~:."·~-·· ,: .. , .. •.·,.,:J.~· • -... ~ ... .. ~-.~:· • ~
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Codel.
I certify that I have road tho application end state thot tho 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 Cit~ of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU LIABILITIES,
JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAIO 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 ot structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under tho provisions of this Code shall expire by limitation and become null and void 1t the building or
work authorozod by such permrt is not commenced within 365 days from tho data of such permit or if the building or work euthorozod by such permit 1s suspended
or abandoned et anv tome after tho k i commenced for• ponod of 1 80 days tSoction 106.4.4 Uniform Building Codol.
DATE
WHITE: Filo YELLOW: Applicant PINK: Finance
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDRESS: ;) 6?.. J lAN ,"c.011A1 ,' d si
2. TYPE OF BUILDING: RESIDENTIAl____._)( ___ COMMERCIAL'----~
3. ROOF SLOPE: RISE o/' inclic~ in 12 inc hes
4. NUMBER OF EXISTING ROOF COVERING (c ircle o ne) 6) 2 3
5. TYPE OF EXISTING ROOF COVERING _5r,y SHEATHING 5',).,..t~.r ~ '
*6. NEW ROOF MATERIAL A CL/\SS7 30 WEIGHT PER SQUARE
7. NUMBER OF SQUARES ;} r6,
8. TRADE NAME .LV~we.s.f MANUFA CTURER / 0rvee~
9. ROOF SYSTEM LISTING UL No. ____ lCBO No. 3 7 '-1{5
10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE
WEIGHT OF THE PROPOSED ROOI-·? @ NO
All roof coverings are required -t o be CLASS A. Combustible roof coverings
of any type or classification arc prohibited.
I understand the following inspection~; ~,re rcquirccl :
1. Tear Off/Pre-ins pection prior to install new roof covering.
2. Final Inspection
I agree to provide a ·Iadder cxtenclinfJ ;11 l()a!;l l runfJS above the roof for
inspection.
Signature £,/ ~ Date )I •~ 9-uu
Contractor .X. Owner,__ ____ Contr~ic tor Name
*6 -Rolled Roofing, ·Standar.dflite Tile, Asphalt/C omp Fiberglass, Built up,
Other.
City of Carlsbad Bldg Inspection Request
For: 12/13/2000
Permit# CB004451
Title: PITTFIELD RESIDENCE
Description: 22 SQUARES OF LIGHT TILE
Type:MISC Sub Type: REROOF
Job Address:
Suite:
Location:
2621 UNICORNIO ST
Lot
APPLICANT PIVA ROOFING, BOB
0
Owner: PITTFIELD JOSEPH L&BREAKFIELD HEDY T
Remarks:
Total Time:
CD Description Act Comments
19 Final Structural tlE_ 27..X:
Associated PCRs
Inspection History
Date Description
11/30/2000 15 Roof/Reroof
Act lnsp Comments
AP JL
Inspector Assignment: JL ---
Phone: 7607454700
lnspectorJ(
Requested By: PETER
Entered By: CHRISTINE