HomeMy WebLinkAbout1859 VALENCIA AVE; ; CB040006; PermitCity of Carlsbad
I •
01-05-2004
1635 Faraday Av Carlsbad, CA 92008
Miscellaneous Permit Permit No: CB040006
Building Inspection Request Lin e (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
1859 VALENCIA AV CBAD
MISC
2072741400
$6,463.00
Subtype: REROOF Status:
Lot#: 0 Applied:
Entered By:
Reference #: Plan Approved:
ISSUED
01/05/2004
RMA
01/05/2004
01/05/2004 Issued:
Project Title: CHAVEZ RES-2300 SF LT WT CONCR Inspect Area:
Applicant:
SCHOTT ROOFING INC
225 E CARMEL STREET #1
SAN MARCOS, CA 92069
619-7 44-6450
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees: $128.00
Inspector: ~
Owner:
CHAVEZ GILBERT&MONTE
PERMIT FEE
1859 VALENCIA AVE
CARLSBAD CA 92008
Total Payments To Date: $0.00
$128.00
$0.00
$0.00
$128.00
Balance Due: $128.00
2279 01/05/04 ooc:: ')◄
CGF"
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 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
imil r to this r
PERMIT APPLICATION
,CITY·OF CARLSBAD BUILDING DEPARTMENT
1635 Fereday Ave., Carlsbad, CA 92008
fUH Ufflt,;1: Ut)I: ~ Y ,
PLAN CHECK NO.L../2 O 'i@ l .
EST. VAL. ~ L/h_? .:
Plan Ck. Dep~slt ,f
Validated B~ h/Jt:..
Date / f5/ Ql.4
AddreH Include Bldg/Suite II Bu1lnH1 N1me 111 1h11 1ddreul
A t N '1-{)7, ·11 'f, l'ttJP
Unit No . PhHe No. Tot■I I ol unlll
I ol Bathroom■
2. CONTACT PEAION lff ilfferenl from 1ppllnntl
Nem•
3, APPLICANT
N1m1
4.
Name
s
Addreu
0 Agent for Contr■c or O Owner ,,_ -z.~z f ~ r .,(/:,, •
I. CONTRACTOR • COMPANY NAME
City si11e/Zlp Telephone I Fu I
State/Zip Telephone I
(Sec. 703t.ll lu1lneu end Proleulon1 Code: Any City or County which requlru • permit to con11ruc1, •lier, Improve, demolf1h or re,,elr eny 11ruc1ur1, prior to 111
l11u1nee, 1110 requlrH the eppllcanl for euch permit to fNI • elgnld 111t1ment 1h11 he 11 Ncen11d pu11u1nt to the provl1lon1 of the Contr■ctor'I llc1n11 llw
ICh1pler 9, commending with Section 7000 el Dlvf1lon 3 of 1h1 1!1111lne11 ind Profe11lon1 Cadet or th■t he 11 •••mpt therefrom, end the bul1 for th• 1ft191d
e,em tlon, Any vlolatlo ol Section 703 I .II by 1ny 1pplle1n1 far I permit 1ubf ell the 1ppllc1nt I clvff penelty of not more than five hundred doner1 IUOOt)II.
_), ., t' • . '0/f."' _-'[ { /;_ I 'I ~ • ~ r . '; rl. , • ., "
Name AddrHI City Stale/Zip '· Telephone I
s, ... license,-...... ~---~----llcenH Clan (. _y;; City Bu1lnHI lfcanH , 1J-I Js tJ-1)
D-■lgner Nam, Addr111 City Stele/Zip Telephone
s111■ Llcen1■ , _________ _
e. WOIIHIII' OOMPIN■ATION
Work111' Comp1n11tion D1cl1r1tlon: I hereby 1fllrm under penalty of p11fury one of th• faNawlng d1cl111tlon1:
0 I have and wllf malnteln • cerlfllc■te ol conHnl to 111f-ln1ur• for worh11' compen11ttan II provided by S■cllon 3700 of the l■bor Code, for thl p1rlorm1nc•
of th1 worlt far which tht1 permit t, lseued.
0 I have 1nd wlll melnllln warhrs' cornpen111ton, H required by Section 3700 of the Labor Codi, for the perform11,ce ol the work for which thl• permit 11
IHued. My worhr'• co pen, tlon In uranc• c rrler end pallcy number 111: ./·/. _, • tn■urenc• Comp1ny ._..t..l.!:;!J~_4 '-"""""-"~::...__________ Polley No.____________ Exptr11ton 011 '--•~•-rJ~.'.:i ____ _
ITHII SECTION NEED NOT IE C0"1PlETED IF THI PIRMIT II FOR 0,.. HUNDRED DOllARI 1• 1001 OA LEHI
0 CEflTIFICATI OF EXEMPTION: I certify th1t In th1 p11formenc1 of th• wor• for which thl1 pt1mlt 11 Issued, I ahell not employ 1ny person In any manner 10 H
to b1com• eubJeot to the Warhre' Compen111fon L■wa of C1Hfa1nl1,
WARNINO: Feltur.'l o a i1t■ wo hr•' compen11tfan caver■ge la unlawful, and ah•" aubJ1ct en employer to crtmfn■I penaftlH ■nd clvff lfnH up to one hundred
lhau11nd dofter1 ~• 00, 01, In ddltlon ta th1 CHI of com,,en11tlan, d1m111■1 ■1 provided far In 81ctlan 3708 of th• Labor cad,, lnterHI ind ■ttom■v•• fu,.
SIO~A TUAI: 'v DA TE /1 ~/, 0 V
7.
I hereby affirm that I em xempt from t Contr1ctor'1 ltcen11 Lew for the foffowlng rH1on:
0 I, u owner ot the property or my employHt with w1g11 11 their 1011 compenntlon, wltl do lhl wor• ind the structure 11 not Intended or offered for nit
!Sac, 7044, Bu1ln■H and Prola11lon1 Coda: The Conlrector'• lfoenH Lew doH not apply to an owner ol property who bullde.or fmprovH thereon, end who doll
such wor• hlmHff or through hl1 own emptay1■1, provided th■t 1uch Improvement■ ■re not Intended or offered for 1111. fl, however, the buttdlng or Improvement 11
eotd within one y11r ol comptelfon, thl owner-builder wlft hive the IK#den of proving lhet hi did not bulld or Improve for the purpoH of 11111.
0 I, H owner of the property, em .. c1u1lvety contrectlng wflh flc■nHd contractore ta con11ruet the profect fS1c. 7044, Bu1tn111 end Profeulon■ Code: The
Contractor'■ llc■r1H law dou not 1pptv to en owner of property who buffd1 or lmprovH thereon, end conlr1ct1 for 111ch profecll with contrecto1f1I llcanHd
pur■uant to the Contractor'■ lfcen1tl l•wt.
0 I 1m e,cempt under Section ______ l!lu1lnH1 ind Prol111ton• Code for thl1 reHon:
1. I p111on1Hy pl1n lo proytde the major labor end m1t11l1t1 for con1tructlon of the propaHd property Improvement. 0 YES ONO
2. I lh•v• I hive noll 1l11nid en appttc■tlon for • bulldtng permit for the prapo11d work.
3. I hive cantr■cted with th1 folfowtng pereon (flrml to provide th1 propoud con1tructlon Unclud1 n■m• / 1ddre11 / phone number / contractor, llcen11 numberl:
4. I plan lo provide portlon1 of the work, but I hive hired th• laHowtng pereon to coordln111, aupervlH 1nd provide th• major work !Include n1m1 / 1ddr■11 / phone
number/ cont1ecto1e Ileen•• numbert: ______________________________ _
6. I wltt provide 1ome of the worlt, but I hev1 contr■cted lhtr■dl the foftawtng pe11on1 10 provide th■ warlt lndlc1ted !Include neme / 1ddre11 I phone number / type
of war•I: ________________________________________________________ _
PROPERTY OWNER SIONA TURE --------------------------DATE ________ _
COM Pl IT■ THll l■OTION FOIi NON-lfHIDENnAl IUllDINO PIIIMITI OM. Y
la th• 1ppllc1n1 or future bulldlng occup1nt required to eubmll ■ bu1lne11 plan, ,cutely hn■rdou1 me111lal1 ra9l1tretlon form or risk management end prevention
program under Section, 2611011, 211633 or 26634 of th■ PrHley-T■nnar HH■rdou1 Subllanc■ Account Acl1 0 YES (J NO
11 the epplfcent or future bulfdlng occupant required to obtain a permit from the ■Ir pollutlon control dl1trlct or air qualftv m■n•g•m■nl dlatrlcl 1 0 YES O NO
11 the l1cfttty to be con11ructed within , ,000 IHt of the outer boundary ol I echool 111.r O YES O NO
IF ANY OF TIIE ANIWEA!I AAE''tu. A FINAL CEflTIFICATI! OF OCCUPANCY MAY NOT Ill! ISSUED UNLEH THI! APPLICANT IIAI MET DA IS MHTINO nfE
AEOUIAEMENTS OF TttE OFFICE OF EMEAOENCY IERVICH ANO TIii Alfl POLLUTION CONTAOl DISTRICT.
II. CONITRUCTION LENDINO AOENCY
I hereby 1fllrm th1t there Is• construction tending agency for the p11form1nce ol the wo1k for which this permit 11 Issued (Sec. 3097flt Civil Code!.
LENDER'S NAME _____________ _ LENDER'S ADDAESS _______________________ _
9. APPLICANT CIRTIFICA TION
I certify lhet i hive reed the eppllc1tlon end 1ia1e that lhl ebave lnfo1m1tlon la correct end thU th■ lnform1llon on th• ,,,.,,, Is accurete. I agree to comply with •II
City ordln1nc■1 ■nd 811111 tew1 ·ret1tlng to bultrflng con,tructlon. I h111by 1uthorlze rep1H1nlttlv11 of the Cttt of C11tshad to enter upon th• ebov■ mentioned
property for t111pectlon purpo1■1. I AUO AOIIH TO IAVI!, INDEMNIFY AND KEEP HARMLl!IS Tiff CITY OF Cl\111.SIIAD AOAINlf All llAllllllEI,
JUDOMENTS, COITI AND EXPENSl!I WIIICII MAY IN ANY WAY ACCflUI AOAINIT SAID CITY IN CONHOUENCf OF HIE OAANTINO OF TIIII PEAMIT.
OSHA: An OSIIA permit 11 required for .. c1v1tlont over 11•0• dHp end demolition or conltructfon al llructurH aver 3 11orlee In height. .
l!XPIRATION: Every permit luued by the bulldlng Olllcl1t under lhe provfllonl of lhls Code 1h1fl eKplre by lfmtlellon 1nd become nun end void ti lhe buttdlng or work
euthorlHd by 111Ch pennll ts no} co" enc wtlhln~ d•y• from the d1te of euch permit or If the butldlng or work authorized by 1uch permll 11 suspended or abandoned
al any time alter the work ts c • ed pert[~ 180 d1y1 (Section ,oe.4.4 Uniform Bulldfng Codel. _j ,.
APPLICANT'S SIONATUAE -f , OATI! ~-·-{_J..,:,..1/· _______ _
IT£: Ffft YELLOW: llppllcsnl PINI<: Fln1nct
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDRESS: / i ,~ lf //4,(t7~C,,11i At1
2. TYPE OF BUILDING: RESIDENTIAL X COMMERCIAL __ ~
3. ROOF SLOPE: RISE½? 't 1/ inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one} 2 3
5. TYPE OF EXISTING ROOF COVERING J/4-1 ,ky SHEATHING J/<.,/J
l.pllV.fC[~ '
*6. NEW ROOF MATERIAL 7",,f L-CLASS-4-WEIGHT PER SQUARE
7. -NUMBER OF SQUARES /).. J
8. TRADE NAME pZ-4t:,/, ,t_ M~NUFACTURER ~~/4 f /4 ~. I
9. ROOF SYSTEM LISTING UL No. ____ lCBO No. l/£6 Q
1 O. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE
WEIGHT OF THE PROPOSED ROOF? YE 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 /0 L C
Contractor-'-X_....____Owner ____ C on tractor Naf!le_J_c-"--/~..;..;...u'--'---=-.:.-P--..::.....J'---
*6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built
Other.
City of Carlsbad Bldg Inspection Request
For: 01/16/2004
Permit# CB040006
Title: CHAVEZ RES-2300 SF LT WT CONCA
Description:
Type: MISC Sub Type: REROOF
Job Address:
Suite:
Location:
1859 VALENCIA AV
Lot 0
APPLICANT SCHOTT ROOFING INC
Owner: CHAVEZ GILBERT&MONTE
Remarks:
Total Time:
Inspector Assignment: JM ---
Phone: 7607446450
Inspector: ----
Requested By: PAM SCHOTT
Entered By: CHRISTINE
CD Description
19 Final Structural
Act Comment J -u_ ///4 ( ~M
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments
0 1/08/2004 15 Roof/Reroof AP JM OK TO COVER