HomeMy WebLinkAbout2649 VISTOSA PL; ; CB013592; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
11-19-2001 Miscellaneous Permit Permit No:CB013592
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
2649 VISTOSA PL CBAD
MISC
2162506100
$8,658.00
HOWARD RESIDENCE
Subtype: REROOF
Lot#: 0
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
11 /19/2001
MOP
11 /19/2001
11 /19/2001
26 SQUARES OF CLAYLITE
Applicant:
PATRIOT ROOFING
1042 EL CAMINO REAL
ENCINITAS, CA 92064
760-577-2935
Total Fees: $154.00
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Inspector: //~
Owner:
HOWARD MONTE
2649 VISTOSA PL
CARLSBAD CA 92009
Total Payments To Date: $0.00
PERMIT
4925 11/1.9/01 0002 01
CGF"
Balance Due:
$154.00
$0.00
$0.00
$154.00
$1 54.00
FINAL APPROVAL
Date: /z. /'1,/2& I 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 Ca~sbad 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 vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise exoired.
02
154-00
FOR OFFICE USE ONLY
' PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
PLAN CHECK NO. D ~ -~ s-'1'2-.
EST. VAL. e ,G <;:e; I I H
Plan Ck. Deposit ____ , _____ _
Validated By ___________ _
Date ______________ _
1. PROjECT \NFORMATION
2lP 't°I 1//S-,-OSA p;._,
Address (include Bldg/Suite #) Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use Proposed Use
Description of Wor~ / _L
L.-(.o s;,,._ . ~I'~ Cl.. 7
# of Bedrooms # of Bathrooms
2. CONTACT PERSON (if difl;;;'nt from applicanO
Address Name
3. 0 Agent for Contractor
Name
4. PROPERTY OWNER Moµ·~ lf01).Jkgp
Name
5. CONTRACTOR -COMPANY NAME
0 Owner µ,
City
0 Agent for Owner
€t-
City
State/Zip Telephone#
State/Zip
City State/Zip Telep7o
Fax#
(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 exempt therefrom, and the basis for the alleged
exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the apP.licant to a civil penalty of not more than • d=.,,,..,....., ($ 001). ~ . o µ, 6.. C O -09 "318 7"1-7bb3
Name
State License # _J....c..c./-~_q~q"-+f __ _
Address City State/Zip Telephone #
(-? a /2oh /'Z-r-License Class ____ .:2~-1~----City Business License # ----~--::, __
Designer Name Address City State/Zip Telephone
State License # _________ _
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
O 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 performance
of the work for which t his permit is issued.
O 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 permit is
issued. My worker's compensation insurance carrier and policy number are:
Insurance Company ______________________ Policy No._____________ Expiration Date _______ _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
'l::i CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as ,?;;-become subject to the Workers' Compensation Laws of California.
WARNING: Failure to secur workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($100,00 , ad<jllion the s of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
SIGNATURE ____ ~~~~;[_-~~~~~~=::::::==--------DATE // -/'f -~ /
7. OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 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 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 work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, t he 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).
0 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 for such projects with contractor(s) licensed
pursuant to the Contractor's license law).
O I am exempt under Section ______ Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES O NO
2. I (have/ 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 / phone number / 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 I phone
number/ 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 number I type
of work): ____________________________________________________________ _
PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 1 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 POLLUTION CONTROL DISTRICT.
8. CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME ______________ _ LENDER'S ADDRESS _________________________ _
9. APPLICANT CERTIFICATION
I certify that I have read the application and state that the 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 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: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work
authorized by such permit is not com enced within 180 da from the date of such permit or if the building or work authorized by such permit is suspended or abandoned
at any time after the work is comm n d for~ p d of 1 ys (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE DATE
WHITE: File YELLOW: Applicant PINK: Finance
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDRESS: 2<otf '1 V/STT>SA. PL · c.AeL-~~tt b CA-. '12ocrj
2. TYPE OF BUILDING: RESIDENTIAL )( COMMERCIAL -----"-
3. ROOF SLOPE: RISE tf inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) (P 2 3
5. TYPE OF EXISTING ROOF COVERING I SHEATHING ✓
*6. NEW ROOF MATERIAL Ct.Aj 17~ CLASS ':JfO WE.IGHT PER SQUARE
7. -NUMBER OF SQUARES 1.~ .
8. TRADE NAME Ll.6 1) kc::'-' MY~NUFACTURER us -nLc;=
9. ROOF SYSTEM LISTING UL No. ____ lCBO No. ____ ~
10. IS THE EXISTING STRUCTURAL DESIGN 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----'~i'l---+-----~--------Date_/_/_-_( C/,_---_6-'-/ __
Contractor '/-Owner ____ Contractor Naf!le ______ _
*6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up,
Other.
City of Carlsbad Bldg Inspection Request
For: 12/03/2001
Permit# CB013592
Title: HOWARD RESIDENCE
Description: 26 SQUARES OF CLAYLITE
Type: MISC Sub Type: REROOF
Job Address:
Suite:
Location:
2649 VISTOSA PL
Lot
APPLICANT PATRIOT ROOFING
0
Owner: GIVIN JUANITA S TRUST 04-21-01
Remarks:
Total Time:
CD Description Act Comments
Inspector Assignment: GG ---
Phone: 8583521253
Inspector: -----
Requested By: DAVE
Entered By: KAREN
19 Final Structural Jjj_ _________ _
Associated PCRs
lnsgection Histor)'.
Date Description Act lnsp Comments
11/27/2001 15 Roof/Reroof AP GG
11/26/2001 15 Roof/Reroof AP GG
11/21/2001 15 Roof/Reroof NR GG SEE NOTICE ATTACHED
11/20/2001 15 Roof/Reroof co GG
11/19/2001 15 Roof/Reroof co GG UNLOAN AND CALL FOR REINSP