HomeMy WebLinkAbout2510 UNICORNIO ST.; ; CB110115; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
01-18-2011 Miscellaneous Permit Permit No: CB 110115
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
2510 UNICORNIO ST CBAD
MISC
2152700200
$5,208.20
Subtype: REROOF Status:
Lot#: 0 Applied:
Entered By:
Reference#: Plan Approved:
PC#:
Project Title: ANVAR: 1500 SF TILE RE ROOF
Applicant:
ANVAR FEREYDOUN&MEHRANGIZ
2510 UNICORNIO ST
CARLSBAD CA 92009
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOT AL PERMIT FEES
PERMIT FEE
Issued:
Inspect Area:
Owner:
ANVAR FEREYDOUN&MEHRANGIZ
2510 UNICORNIO ST
CARLSBAD CA 92009
Total Fees: $63.00 Total Payments To Date: $63.00 Balance Due:
ISSUED
01/18/2011
JMA
01/18/2011
01/18/2011
$63.00
$0.00
$0.00
$63.00
Inspector: Clearance: ______ _
$0.00
NOTICE: Please take NOTICE that pproval 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 !orth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carl3bad 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 NOTIFl':D 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 ,svious been iven NOTICE similar to this or a to which the statute of limitations has reviou otherwise ex ired.
«1~ ~ CITY OF
CARLSBAD
l~/.JID S
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718/ 2719
Fax: 760-602-8558
www.carlsbadca.gov
SUITE#/SPACE#/UNIT#
Plan Check No.
Est. Value
Plan Ck. Deposit
APN
LOT# # BATHROOMS TENANT BUSINESS NAME
PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLA~
YES fil"# ..1_ NO D
CONTACT NAME (ff Different Fom App/leant)
ADDRESS
CITY STATE ZIP STATE
CA-.
PHONE FAX FAX
EMAIL
CONTRACTOR BUS. NAME
ADDRESS
ZIP CITY STATE
BAA
PHONE FAX
EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE UC.# STATE LIC.# CLASS
0 II S'"°
SWPP
. CONSTR. lYPE OCC. GROUP
AIR CONDITIONING
YES D NOD
ZIP
FIRE SPRINKLERS
YES D NOD
-z:.o-i)'7
ZIP
CITY BUS. LIC.#
(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 exem11t 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 [$5001).
Workers' Compensation Declaration: I hereby sfftm1 undsr penalty of perjury one of the following declarations:
0 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 perionnance of the work for which this pennit is issued.
0 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 penntt is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. _____________________ Policy No. ______________ Expiration Date _________ _
This section need not be completed if the pennit Is for one hundred dollars ($100) or less. □ Certificate of Exemption: I certify that in the performance of the work for which this pemiit is issued, I shall not employ any person in any manner so as to become subject to the Wooers' 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
addHlon to the cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest and attorney's fees.
_A!5 CONTRACTOR SIGNATURE □AGENT DATI:
OWNER•BUILDER DECLARATION . ' .
I hereby affirm that I am exempt from Contractor's Ucense LBw for the following reason:
□ 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 sate (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).
,,,,, 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 fa such projects with contractor(s) licensed pursuant to the Contractor's License Law).
□ I am exempt under Section ----~-usiness and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. □ Yes □ No
2. I (have I have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (finn) to provide the proposed construction (include name address/ phone/ 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/ contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone/ type of work):
_A!5 PROPERTY OWNER SIGNA TIJRE □AGENT DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or Mure building oocupant required to submit a business plan, acutely hazardous materials registration form or risk management and p,evention p,ogram under Sections 25505, 25533 or 25534 of the
'Presley-Tanner Hazardous Substance Account Act? □ Yes □ No
Is the applicant or future building occupant required to obtain a penmit from the air pollution control district or air qualily management district? □ Yes □ No
Is the facility to be constructed ,.;thin 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 ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT.
I OO!tifythat I haYe read the application and state that the ab<M! infonnation Is correct and that the infonnation on the plans is accurate. I agree to comply with all City ordinanoes and State laws retatingto building construction.
I hef8b't autlorize representawe of the City of Carlsbad kl enter upon the above menooned property Jo,, i1specoon 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: AA OSHA pennij is required i:lr excavations (1,lflf 5'0' deep and demolition or oonstrucoon of structures (1,lflf 3 sbies i1 height.
EXPIRATION: Every pennit issued by the Buikling Official under the ~ of this Code shall expi'e by linMtion and become null and void 'the buidng or WOO( authorized by such penrit is not comnenced v.ilhi1
180days from the date of such penritor ~ lhe buidng or b pennij is suspended or abandoned at any tine a!Erlhe wOl1I is commenced Jo,, a period of 180days (Sectm 106.4.4 lkibm Buiklilg Code).
~ APPLICANT'S SIGNATURE DATE
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
2. TYPE OF BUILDING: RESIDENTIAL.____,1''--'---COMMERCIAL. ___ _
3. ROOF SLOPE: RISE 4 1/2. INCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE)(i) 2 3
5. TYPE OF EXISTING ROOF COVERING ~ fie.€ SHEATHING fl½~
u-v!.c e,(1$7,"'~
*6. NEW ROOF MATERIAL A,+>c.. -r(l ... G CLASS I+ WEIGHT PER SQ. j ~s;
B-10
7. NUMBER OF SQUARES / ~ ------
8. TRADE NAME R.c-o-fi NG., MANUFACTURER (Vla,.11£'R...
9. ROOF SYSTEM LISTING:
UL NO. _____ I.C.C.E.S. Report# 2Cz~{p
ASTM ------
10. IS THE EXISTING STRUCTURAL ~GN 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
I agree to provide a ladder extending at least 2 rungs above the roof for inspection.
Signature__..__. _7_~~--------------_..,,,.... _____ Date CJ/1/J 8 pt
Contractor Cowneu Contractor
Name fe({£y l:>oeµ Af\J V/tli!..
*6. Rolled Roofin Standard/Lite Tile, sphalUComp fiberglass, Built Up, Other
Page 5 of 5 Rev. 03/09
(i)
.
City of Carlsbad Bldg Inspection Request
. .
Permit# CB110115
For: 01/25/2011
Title: ANVAR: 1500 SF TILE RE ROOF
Description:
Type: MISC Sub Type: REROOF
Job Address:
Suite:
Location:
2510 UNICORNIO ST
Lot: 0
APP LICANT ANVAR FEREYDOUN&MEHRANGIZ
Owner: ANVAR ARIA
Remarks:
Total Time:
Inspector Assignment: PY ---
Phone: 6198432819
Inspector: ----
Requested By: STEVEN
Entered By: CHRISTINE
CD Description
19 Final Structural Af-C-o_m_m_e_n_ts ________________ _
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description
01/20/2011 15 Roof/Reroof
Act lnsp Comments
AP PY