HomeMy WebLinkAbout2665 WILSON ST; ; CB153346; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-06-2015 Miscellaneous Permit Permit No: CB153346
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
PC#:
Project Title:
Applicant:
2665 WILSON ST CBAD
MISC
1561301700
$3,101.00
Subtype: REROOF
Lot#: 0
WILEY RES-RE-ROOF 500 SF-ONLY
ON GARAGE ROOF-METAL STANDING SEAM-UL APPR #
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
10/06/2015
RMA
10/06/2015
10/06/2015
WILEY STUART P&JUDY L WILEY STUART P&JUDY L
2237 S 48TH ST
LINCOLN NE 68506
402 362-4132
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees: $106.00
2237 S 48TH ST
LINCOLN NE 68506
PERMIT FEE
Total Payments To Date: $106.00
$106.00
$0.00
$0.00
$106.00
Balance Due:
Clearance: _____ _
$0.00
~ ci }0-r ~ect irduoos the "I 'tiai' a f dedcaicr5, resavoocr5, ex cti-a-e>ca:iicns t-seata-roledivay
hcMl 00 days fran the date Ins p:mit W:15 iSS1..8:I to iroest irrp:)Sitio, ci these fees'e,a:ticns. If~ i:xctest ti-an ~ rrust
fdlON the Jmesl p-rorl.res set in C:oJarrrai Qrl3 Sedicri ffil2CXa), ax! file the Jmest ax! en; dh:r ra:µroo irtamiicri v.ith the Qty~ fex
~rg in a:x:oda re v.ith Calsba:l M.rici~ Qrl3 Sedioo 3.32.cro. Fail.re to tirray fdloo thi µi:.arl.re v.ill ta-en;~ lega a::iio, to atta::k.
re-.,iew, set aside, vcid, ex an.I their irrp:)Sition.
YCl.l ere hereof F\..RTH:R NJTIFIED tt-at ~ rigi to iroest the specifia::t fees'e>ca:iicns OCES N'.JT PPP!.. Y to waa-m:l 'i'liN-S cxrrectia1 fees ax!~
~. ra plarirg, zx:rirg, gairg ex dh:r sinilir ~ic:aicri ~rg ex Sffilioa fees in cxrredio, v.ith ths ~ed. t-rn OCES IT .APA.. Y to en;
f • ciwidi • been ·ven CEsinilatottis ex towidithe ecilinitaia"lst-ffi • ·se •
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE
C cicyof
Carlsbad
JOB ADDRESS
CT/PR JECT #
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
# BEDROOMS # BATHROO
Plan Check No.
Est. Value
j/a/1/4~~ 1/oo,,C CA) ;It
6~
~J ~ /7/e/4,( /'~o ~
-._)~/)J/1
EXISTING USE
APPLICANT NAME
Primary Con
ADORES
ADDRESS
CITY
PHONE
EMAIL
STATE
FAX
GARAGE (SF) PATIOS (SF) DECKS (SF)
ADDRESS
ZIP
PHO
CONTRACTOR BUS. NAME
ADDRESS
ZIP CITY STATE
PHONE FAX
EMAIL
STATE LIC. # STATE LIC.# CLASS
ZIP
SWPPP
CONSTR. TYPE OCC. GROUP
FIRE SPRINKLERS
YES□No□
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 1s exempt therefrom, and the basis for the alleged exemption. Arly violation of SectJon 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)).
ave and will maintain a certific1te of consent to seif•ins~re lor workers' compensation as provided by Section 3700 of lhe Labor Code, for lhe pertormance of lhe work for v.nich lhis pennlt is issued.
I have ind will malntlln workers' compensation, as required by Section 3700 of lhe Labor Code, for lhe perlormance of lhe work for which lhis permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. _____________________ Poley No. ______________ Expiration Date _________ _
~section need not be completed ff the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in lhe pertonnance of the work for v.nich this pennit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
Calttomia. 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, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees.
~ CONTRACTOR SIGNATURE □AGENT DATE
-.. -T -_ _,,_ -~ ... -... -,~ ---.,. T • ---: 0 -T -.-,C
OWNER -BUILDER DECLARATION
" ~ r "" ~ ,.
I h by affirm Iha/ I am exempl from Conlraclor's License Law for the following reason:
□
□
I, as owner of the property or my employees wilh wages as !heir sole compensation, will do the work and lhe 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 v.no builds or improves !hereon, and v.no does such work himsett or lhrough his own employees, provided lhat such improvements are not intended or offered for
safe. If, however, the building or improvement is sold within one year of completion, lhe owner-builder wiU have lhe burden of proving lhat he did not build or improve for lhe purpose of sale).
I, as owner of lhe property, am exdusively contracting with licensed contractors to construct lhe project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of
property vmo builds or improves !hereon, and contracts for such projects with contractor(s) licensed pursuant to lhe Contractor's License Law).
I am exempt under Section _____ Business and Professions Code for lhis reason: >.-/
1. l~lly plan to provide the major labor and materials for construction of lhe proposed property improvement. ~s O No
2. ~ave not) signed an application for a building pennit for lhe proposed work.
3. I have contracted wilh lhe following person (finn) to provide the proposed construction (include name address / phone I contractors' license number):
4. I plan to provide portions of lhe work, but I have hired the lollowing person to coordinate, supervise and provide lhe major work (include name/ address / phone I contractors' license number):
5. I will provide some of the work, but I have contracted (hired) lhe following persons to provide lhe work indicated Onclude name/ address I phone I type of work):
~ PROPERTY OWNER SIGNA TU DATE
r_.,~r..,,.._-.v,.~·.,.._.~ff»tS7'1!"',..~ ~,w,~~-J""""~,~P'~~,~~~,,.,,.,_. "t'-.-,,.,.. .. ~ .. ':'l'\'. .. ~,,...._;s..,..,._.,•~r~~ft~.,.~.-.,. •• ,-,, ..,.,._~..,.,~....,
COMPLETE THIS SECTION FOR NON -RESIDENTIAL BUILDING PERMITS ONLY
_.,._, __ ,.~'" -,i:; or.t-""+& ;u,~,-.., )';;o<t. ,1:, •&~ ~'J:/4-:II ~ill;:--"--"' , t , _., >t ~~ ,:~ ~ i. ~--~,r .{k.{.;Jr.;..., Aili.,,;, -Jli< -• ~"'' '> ='-"'?,~ :lr&w-i~....<:"'-'l'h\-,,;:;;1h.,, ~ ,~ _ _,.,. ~ "-.VJ,t{,•11!i.J ~ " '>. • ~ ., .. ,.. ,..,.-.JIJ,t •-~¥,',. • .,. .. ,..
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and p,evention p,ograrn under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Ac(I Yes No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air Quality management distric(I Yes No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes No
IF AHY OF THE AHSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPAHCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AHO THE AJR POLLUTION CONTROL DISTRICT.
I hereby affirm that the
L
" I certify that I haYe read the application and state that the above infonnation isoorrectand that the infonnation on the plans is accurate. I agree to oomptywilh all City ordinances and State laws relating to building construction.
I herel>'/ aulhorize representative of the City of Catlsbad to enler upon the above mentioned property br inspeciion 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 perml is requred br excavations (1VfJf 5'0' deep and demolition ()( coostruction of slructures o-M 3 sl:lries ri heght.
EXPIRATION: Eve!)' permit issued by the E\Jikling Olfr:ial under the prov.si::lns of this Code shall expie by Imitation and become nul and \tt1 i the buikling ()( v.ork au1horized by such pe,mt is not oommenaid v.ithil
100days from the daE of stdl permij()( ~the buikting()(v.ork authorized by sud1 ~ is suspended()( abandoned at any line after thev.ork is oommenaid i:lr a peood of 100days (Section 100.4.4 Unii:lrm E\JHng Code).
~ APPUCAHT'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.
C f 'I r I F I C A T E 0 F OCCUPANCY j C o rn 1n c r c 1 ,. I PrOJC(t\ 0 n I y I
Fax (760) 602-8560, Email building@cartsbadca.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. LIC. No.
DELIVERY OPTIONS
PICKUP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above)
ASSOCIATED CB#
CONTRACTOR (On Pg. 1) NO CHANGE IN USE / NO CONSTRUCTION
MAIL/ FAX TO OTHER:
CHANGE OF USE / NO CONSTRUCTION
,IS APPLICANT'S SIGNATURE DATE
B-10
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
1. JOB ADDRESS: cJ&u,~ w,f6p-1 -st c~l~/41) C£9~t
2. TYPE OF BUILDING: RESIDENTIAL )<_ COMMERCIAL __ _
3. ROOF SLOPE: RISE £ INCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 1 (i) 3
s. TYPE OF EXISTING ROOF COVERING &mt) SHEATHING~
•5_ NEW ROOF MATERIA~,~ S,,.,.,,~LA:S __ WEIGHT PER SQ. __
r' 7. NUMBEROFSQUARES __ ~~~---
8. TRADE NAME ~c_<
9. ROOF SYSTEM LISTING:
UL NO. ;}-r;J!f 7'c)
I I.C.C.E.S. Report# ______ _
ASTM _____ _
1 O. IS THE EXISTING STRU~~ 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.
Signatu~~
Contractor ____ Owner X Contractor
*6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other
Page 6 of 6 Rev. 04/14
Inspection List
Permit#: CB153346 Type: MISC
Date Inspection Item ___ _
04/14/2016 19 Final Structural
04/14/2016 19 Final Structural
04/13/2016 19 Final Structural
04/13/2016 19 Final Structural
10/28/2015 15 Roof/Reroof
Monday, April 18, 2016
REROOF
Inspector Act
PY
PY
PY
RI
AP
RI
NR
AP
WILEY RES-RE-ROOF 500 SF-ONLY
ON GARAGE ROOF-METAL STANDINGS
Comments
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