The URL can be used to link to this page

Home My WebLink About2683 WATERBURY WAY; ; CB152131; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-09-2015 Miscellaneous Permit Permit No: CB152131 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2683 WATERBURY WY CBAD MISC 1674412100 $4,909.00 Subtype: REROOF Lot#: 0 CAMPBELL RES-3000 SF COMPOSIT Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 07/09/2015 RMA 07/09/2015 07/09/2015 A PREMAN ROOFING CAMPBELL TIM FAMILY TRUST 09-28-01 1133 W MORENA BL VD SAN DIEGO CA 92110 619 276-1700 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $121 .00 lnspecto 2683 WATERBURY WAY CARLSBAD CA 92010 PERMIT FEE Total Payments To Date: $121.00 $121.00 $0.00 $0.00 $121.00 Balance Due: Clearance: $0.00 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 pemiit 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 infomiation 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 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH O HAZMAT/APCD C cityof Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITEf/SPACEf/UNI DESCRIPTION OF WORK: Include Square Feet of Afrected Area(sJ e){ ,•':,~;N6 L.,()tv<, ~-C,,fe_ +; /.e 0 w eA,, .5 L<> ~ Al 1 ""() Wot:J utt:-~ f- Plan Check No. SWPPP UP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) FIREPLACE YES[) AIR CONDITIONING YES □No□ FIRE SPRINKLERS YES0 N00 APPLICANT NAME Prima, Contact ADDRESS CITY PHONE EMAIL DESIGN PROFESSIONAL ADDRESS CITY PHONE EMAIL STATE ZIP FAX STATE ZIP FAX STATE UC.# PROPERTY OWNER ADORE PHONE FAX 7~0. EMAIL CONTRACTOR BUS. NAME CLASS CITY BUS. IC.# l.d.33S7I (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair an~ 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 !hat 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 applicant to a civil penalty or not more than five hundred dollars ($500)). --~ . WORKERS ' COMPENSATION -•-•--•~• ••---~ • ~-.. • •-•-•• ---____ ,. -•~--->, =•¥N • • --•• ·•M• • • • • • • _ _.._ -• •• Wor1<ers' Compensation Declaration: I hereby affirm urwier penalty of petjury one of the following declarations: □ I have and will maintain a certificate of consent to self-insure for WOlkers' compensation as provided by Section 3700 ot the Labor Code, for the performance of the wor1< for which this permit is issued. ~ve and will maintain w~on, as .required by Section 3700 of the Labor Code, for the performance of the wOlk for which this permit is issued. My WOlkers' compensation insurance carrier and policy number are: Insurance Co. ~ ood £111,, t uc, u q If 7 Policy No. A e IJ C. C. 0 3 'tt}Q Expiration Date o/ -() I -,il O L(, ~section need not be completed tt the permit is f0< one hundred dollars ($100) 0< less. LJ 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 lo become subject lo the WOfkers' Compensation Laws of California. WARNING: Failure to secure wor1<ers' ensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In 'd ·n Section 3706 of the Labor code, interest and attorney's fees. I hereby aff,rm that I am exempt from Contractors License Law for the fo//o.,,;ng reason: □ □ □ I, as owner of the property or my employees with wages as their sole compensation, will do the wor1< and the structure is not inlended or offered f0< sale (Sec. 7044, Business and Professions Code: The Contractors License Law does nol apply lo an owner of property who builds or improves thereon, and who does such wor1< himseW or through his own employees, provided that such Improvements are not intended or offered f0< 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 putpOSe of sale). I, as owner of the property, am exclusively contracting wilh licensed conlractoo lo construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply lo an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant lo the Contractor's License Law). I am exempt under Section _____ ,Business and Professions Code for this reason: 1. I personally plan lo provide lhe major labor and materials for construction of lhe proposed property improvement O Yes 0 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 / contractors' license number): 4. I plan to provide portions of the wor1<, bul I have hired the following person to coordinate, supervise and provide the major wor1< (include name I address/ phone / contractors' license number): 5. I will provide some of the worl<, but I have contracted (hired) the following persons lo provide the wor1< indicated (include name I address / phone / type of wor1<): ~ PROPERTY OWNER SIGNATURE DATE 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 Acri Yes No Is the applicant or future building occupant required to obtain a penmit from the air pollution control district or air Quality management district? Yes No Is the facility to be constructed within 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 cel1ify that I have mad the application and stile that the allow Information Is conect and that the Information on the plans Is accurate. I agree to comply v,;u, all City ordinances and Sta1e laws relating to building cons1ruction. I hereby authorize repeseotative of the City of Cal1sbad b enter u~ the atx>ve mentioned prope1y br nspedion purposes. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CAALSBAD AGAINST ALL LIABILITIES, JUOOMENTS, COSTS AND EXPENSES WHICH MAY IN /WY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: lvl OSHA ~l is requi'ed br excavations (Ne( 5'0' deep and demoioon or coostrucfun of strudlJres (Ne( 3 sillies il height. EXPIRA TK>N: ~ permit • b-( the EAAl:ling • the provisoos of this Code shall expie b-( li:nitaoon and beame nul and voo ~ 1he txJiklilg or IIOO< aulhorized b-( such ~ is not oomrnenred 1\400 100days from the da~ of sl.Ch • the txJidilg ~ij is suspended or abanooned at any trne after the IIOO< isrom~ bra peood of 100days (Sedkln 100.4.41.Jrfum l,Jidilg Code). _KS APPLICANT'S SIGNATURE DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CEflTIFICAIE 0 F 0 CCU,, ANCY ! C o m rn 1 • r c , ,-t I P r o J t· c t \ 0,, I y I Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. , I CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE I FAX EMAIL OCCUPANT'S BUS. UC. No. DELNERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. l.) MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) ASSOCIATED CB# CONTRACTOR (On Pg. l.) NO CHANGE IN USE/ NO CONSTRUCTION MAIL/ FAX TO OTHER: CHANGE OF USE / NO CONSTRUCTION ,IS APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB152131 Date 11/04/2015 19 Final Structural 08/13/2015 19 Final Structural 07/13/2015 15 Roof/Reroof Wednesday, November 04, 2015 Type: MISC REROOF CAMPBELL RES-3000 SF COMPOSIT Inspector Act Comments PD AP MC CA PER CONTRACTOR MC AP Page 1 of 1 REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION • 1. JOB ADDRESS:._____:;2_::........::..(o~8:....::..3 ___ ....:...V:_1v_t _-e,,,_"'-_6_v_'IL_1-1----"-~-c::,.-+1---- B-10 2. TYPE OF BUILDING: RESIDENTIAL '/° COMMERCIAL. __ _ 3. ROOF SLOPE: RISE 'f INCHESIN12INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) d) 2 3 s. TYPE OF EXISTING ROOF covERl~GctJA.Jc~eJ-/.~('t sHEATHING fl 7 woo/ *6. NEW ROOF MATERIAL s/i,~11~.5 CLASS 4-WEIGHT PER SQ. 3.S-o II 7. NUMBER OF SQUARES 30 8. TRADE NAME WPt>) C,,/l,~f)+ MANUFACTURER 0NeN.5 9. ROOF SYSTEM LISTING: ULNO. 790 I.C.C.E.S. Report# ASTM _____ _ 1 O. IS THE EXISTING STRU@ DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? ES 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 nding at least 2 rungs above the roof for inspection. Signature ___ __. _ ___. __________ Date. __ /_-_~....____-__;__;/ Ss.......L... __ Contractor Y. Owner _____ Contractor Name 'SO;> IL{. ""-" rJ 12..oo i;'.'\ ,._., b *6. Rolled Roofing, Standard/Lite Tile, AsphalUComp fiberglass, Built Up, Other Page 4 of 4 Rev. 02/11