HomeMy WebLinkAbout2765 VISTA DEL ORO; ; CB110178; Permit( City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
01 -25-2011 Miscellaneous Permit Permit No: CB110178
Building Inspection Request Line (760) 602-2725
Job Address: 2765 VISTA DEL ORO CBAD
Permit Type: MISC _ Subtype: REROOF Status:
Parcel No: 2153506203 Lot #: 0 Applied:
Valuation: $2,191.50 Entered By:
Reference #: Plan Approved:
PC#:
Project Title: HOWSER: 1500 SF ROCK TO TORCH
DOWN
Applicant:
PIVA ROOFING, BOB
1192 INDUSTRIAL AV
ESCONDIDO, CA 92029
619-745-4700
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees:
Inspector:
$91.00
PERMIT FEE
Owner:
HOWSER YOSHIE
2765 VISTA DEL ORO
CARLSBAD CA 92009
Total Payments To Date: $91.00
FINAL AP' RO~AL
Date: 2. z. 1../ Z,,o I l i
Issued:
Inspect Area:
Balance Due:
Clearance:
ISSUED
01/25/2011
JMA
01/25/201 1
01/25/201 1
$91.00
$0.00
$0.00
$91.00
$0.00
NOTICE: Please take NOTICE t ! 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
fees/exactions of which ou have revi us been iven a NOTICE similar t thi or as to which the statute f limitations has reviousl otherwise ex ired.
Building Permit Application Plan Check No. CB ( ( C> l l ~
o/ CITY OF
CARLSBAD
JOB ADDRESS
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 271812719
Fax 760-602-8558
www.carlsbadca.gov
CXUJ SUITE#/SPACE#/UNll #
Est. Value
Plan Ck. Deposit
Date l 'Z--S-} I ( SWPPP
APN
ITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
f2.ooF:
EXISTING USE PROPOSED USE
CONTACT NAME (If Different Fom Applicant)
ADDRESS
CITY STATE ZIP
ARCH/DESIGNER NAME & ADDRESS STATE UC.#
1t:> TO~
GARAGE (SF) PATIOS (SF)
ADDRESS
CITY
STATE UC.#
DECKS (SF) FIREPLACE
YESD
AIR CONDITIONING
No[] YES □No □
FIRE SPRINKLERS
YESO N0O
(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 SllCh 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 D1vIsIon 3 or 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 fo1 a permit subJects the applicant to a cIvII penalty of not more than five hundred dollars ($500)).
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
!:Jj;<ave 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 /or which this permit Is issued
L§d'i have and will maintain workers: ~n, as re.qui~ Sectk>n 3700 of the Labor Code, for the perfor~~;,.!!:.~rJ< '· '· • •• • ~rt,s issued. My workers· compensation 1'fu:anf carrir and policy
number are.Insurance Co~~"'""'--------PolicyNo.~Z'Z,. I-~ 10 Expirat10nDate _t., µ j_L___
This section need not be completed if the permit is for one hundred dollars (S100) or less. D Certificate of Exemption: I certify that in the pertormance of the work for which this permit is issued, I shall not employ any person in any manner so as lo become subject to the Workers' Compensation Laws of
Callfom1a. 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
addition to the cost of compensation, dama9e~ided for · ectio~06 of the_:abor code, interest and attorney's fees.
£S CONTRACTOR SIGNATURE ~ \L □AGENT DATE
I hereby affirm Iha/ I am exempt from Contractor's License Law for the following reason. D 1, 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 (Sec 7044, Business and Professions Code. The Contractors
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
sate. 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)
□
D
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of
property who builds or improves thereon, and contracts for such projects with contractor(s} licensed pursuant to the Contractor's License Law).
I am exempt under Section _Business and Professions Code for this reason:
1 I personally plan to provide the ma)Or labor and materials for construction of the proposed property improvement. 0Yes O No
2. I (have f have not) signed an application for a building permit for the proposed work.
3 I have contracted with the following person (firm} to provide the proposed construction (include name address I phone / contractors' license number}.
4. I plan to provide portk>ns of the work. but I have hired the following person to coordinate. supervise and provide the major work (include name I address I phone I 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/ address/ phone/ type of work}:
£S PROPERTY OWNER SlGNATURE DATE
Is the applicant or future building occupant required lo submit a business~. acutely hazardous materials regislrauon loon or nsk management and prevent10n program under Sect10ns 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act7 D Yes LJNo
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or a~al,ly management d1stnct? 0 Yes O No
Is lhe fac1l,ty to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes LJNo
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 lhal there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code)
Lender's Name Lender's Address
I certify that I have read the application and state that the above Information Is correct and that the infonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby aulhonze rep<esentabve of the City of Clllsbad to enter upon lhe aOO'l8 mentlOned property for inspedlon purposes I ALSO AGREE TO SAVE, INDEMNIFY ANO 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 An OSHA permit IS required for excavalions over s·o· deep and demolition or coostruction of structures over 3 stor~s in height.
EXPIRATION Evert pennIt ISSUed by the Building Offioal under the provisions of this Code shall expire by lm,tat10n and become null and void d the building or work authorized by such pennIt IS not oommenced within
180 days from the date of such permit or if the building or work authonzed by such permt IS suspended or abandoned at any time after the work Is commenced for a penod of 180days ( IOfl 106 4 4 lkldorm Butl,ng Code)
_€S APPLICANT'S SIGNATURE ----9--s Q_. DATE
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
1. JoBADDREss:~'-7-~_~V~i-~_~ __ b_G_l_~~~o _____ _
2. TYPE OF BUILDING: RESIDENTIAL V-COMMERCIAL. __ _
3. ROOF SLOPE: RISE Y'-/ INCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 0 2 3
5. TYPE OF EXISTING ROOF COVERING R..i,c.l SHEATHING j 1:;---:J
*6. NEW ROOF MATERIAL iv'oi}, h E(J CLASS A WEIGHT PER SQ. / S-0
7. NUMBER OF SQUARES / S::
8. TRADE NAME tvu,o,P.+l MANUFACTURER l:::> :b :b
9. ROOF SYSTEM LISTING:
UL NO. 'f</) i!' q I.C.C.E.S. Report# ____ _
ASTM ------
10. IS THE EXISTING STRUCTURA~UFFICIENT 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_r~SJ-------=~· ,---:,,._, _Q___.oi!::_Q-=-.c=..R..:,t.__ ____ Date_--', J'----""2.-~_,_/_,_l'-+-I __
I I
.Contractor~ Owner Contractor
Name t_Y ~ ~___,,Q~-_
*6. Rolled Roofing, Standard/Lite Tile, AsphalUComp fiberglass, Built Up, Other
B-10 Page 5 of 5 Rev. 03/09
City of Carlsbad Bldg Inspection Request
For: 02/24/2011
Permit# CB110178
Title: HOWSER: 1500 SF ROCK TO TORCH
Description: DOWN
Type: MISC Sub Type: REROOF
Job Address:
Suite:
Location :
2765 VISTA DEL ORO
Lot:
APPLICANT PIVA ROOFING, BOB
Owner: HOWSER YOSHIE
Remarks:
Total Time:
0
Inspector Assignment: PY ---
Phone: 7607454700
Inspector: ----
Requested By: SARA
Entered By: CHRISTINE
CD Description
19 Final Structural
4-Com-me-nts ______ _
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act lnsp Comments