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Home My WebLink About2665 WILSON ST; ; CBR2017-0448; PermitPrint Date: 03/10/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: II Dwelling Units: Bedrooms: Project Title: 2665 WIison St BLDG-Residential 1561301700 $4,215.84 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit www.carlsbadca.gov Work Class: Reroof Lot II: Reference II: Construction Type: Bathrooms: Orig. Plan Check II: Plan Check II: Description: ASHWORTH: 24 SQ COMP REROOF BUILDING PERMIT FEE $2000+ BUILDING PLAN CHECK FEE (BLDG) SB1473 BUILDING STANDARDS FEE STRONG MOTION-RESIDENTIAL Total Fees: $121.59 Owner: COOWNER SCOTT & SHELLEY ASHWORTH 2665 Wilson St CARLSBAD, CA 92008 Total Payments To Date: $121.59 Status: Applied: Issued: Finaled: Inspector: Co-Applicant: TNT ROOFING 316 Flgtree ENCINITAS, CA 92024-4126 760-497-3888 Balance Due: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. Permit No: CBR2017-0448 Closed -Finaled 03/06/2017 03/06/2017 $0.00 $70.61 $49.43 $1.00 $0.55 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING C cityof Carlsbad kJJLSo. 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/UNITI □BUILDING □FIRE Plan Check No. Est. Value -4 2 Plan Ck. Deposit Date LOT# # BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ... SWPPP CONSTR. lYPE C. GR UP PROPOSED USE GARAGE (SF) PATIOS (SF) AIR CONDITIONING YES □No □ FIRE SPRINKLERS YESO NO□ Primary Contact PHONE EMAIL ADDRESS CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL STATE LIC. # STATELICY2 72 / b CLASS C-3'1 CllY BUS. LIC.# (Sec. 7D31.5 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 !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 of not more than five hundred dollars [$500)). Workers' Com ensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: I h and will maintain a certificate of consent to self-insure for wort<ers' compensation as provided by Section 3700 of the Labor Code, for the pertormance of the wort< !or which this permit is issued. have and will maintain workers' compensation, as re<iuired by Section 3700 of the Labor Code, !or the pertormance of the wort< for which this permit is issued. My worl<ers' compensation ins~~ carrier and policy numberare:lnsuranceCo. ~Tf!l--1€ /-t(,.,(J?) PolicyNo. ____________ ExpirationDate 'B'fLf I ~section need not be completed~ the permit is for one hundred dollars ($100) or less. LJ 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 to become subject to the Wort<ers' Compensation Laws of California. 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 pro • d for· Section h Labor code, interest and attorney's fees. JiS CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: □ □ □ I, as owner ol the property or my employees with wages as their sole compensation, will do the wort< 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 wort< himse~ or through his own employees, provided that such improvements are not intended or offered for 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 purpose of sale). 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). 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. O ves O No 2. I (have / have not) signed an application for a building permit for the proposed wort<. 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 wort<, but I have hired the following person to coordinate, supervise and provide the major wort< (include name I address I phone/ contractors' license number): 5. I will provide some of the wort<, but I have contracted (hired) the following persons to provide the wort< indicated (include name I address I phone I type of wort<): JiS PROPERTY OWNER SIGNATURE □AGENT 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 Act? 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 AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). I certify that I have read the application and state that the above infonmation is conectand that the infonmation on the plans is accurate. I agree to comply with all Cifyordinanoes and State laws relating to building construction. I hereby aultlo!ize representative of lhe City of Carlsbad to enter upon lhe above mentioned property for inspection purp:>ses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBA.O AGAINST ALL LIABILITIES, JUcx;MENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOOENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA permtt is requi'ed for excavations over 5'0' deep and demolition or construction of structures over 3 stories 11 height. EXPIRATION: Every permit issued by lhe Building Offcial under provisi:ln this Code shall expire by Imitation and become null and voo ~ the building or \',00( authorized by such permit is not commenced v.ithin 180 days from lhe date of such permrt or if the buildi,g or 1thorizsa~W\permit is suspended or abandoned at any time after the \',00( is commenced for a peliod of 180 days (Section 100.4.4 Uniform Building Code). ~ APPLICANT'S SIGNATURE 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 l I/ T I f I , 1\ T E or OCCUl'ANCY / C o 111 ,n t' r c 1 .1 ! f1 I O J l' C t ' o "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. LIC. No. DELNERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) ASSOCIATED CB# MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) NO CHANGE IN USE/ NO CONSTRUCTION MAIL/ FAX TO OTHER: CHANGE OF USE/ NO CONSTRUCTION A$ APPLICANT'S SIGNATURE DATE B-10 REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESS: ~~Ce S-- 2. TYPE OF BUILDING: RESIDENTIAL. __ ~--COMMERCIAL. ___ _ 3. ROOF SLOPE: RISE • 3 INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 1 6) 3 5. TYPE OF EXISTING ROOF COVERING {}t>M/a:5/77,?l( SHEATHING __ _ *6. NEW ROOF MATERIAL 6m~e7'S,;-htP'1. CLASS /I: WEIGHT PER SQ. ~ J 0 7 7. NUMBER OF SQUARES __ ~__.,f'----- 8. TRADE NAME~b.t, '7/ftrtfEi__ MANUFACTURER ()J,):iMS <1.,MlJl/1,<.(J 9. ROOF SYSTEM LISTING: -ol UL NO. £e_ J '--/-)-j I.C.C.E .S. Report# ASTM 1:) 5 l ~ I 1 O. IS THE EXISTING STRU~L 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 ~ Date 5/(;/; 'c Contractor ____ Owner _____ Contractor 7 7 *6 . Rolled Roofing, Standard/Lite Tile Asphalt/Comp fiberglass Built Up, Other Page 6 of 6 Rev. 04/14 Permit Typo: BLDG-Residential Application Date: 03/06/2017 Work Class: Reroof Issue Date: 03/06/2017 Status: Closed -Finaled Expiration Date: 09/05/2017 Scheduled Date Actual Start Date 03/07/2017 03/07/2017 03/10/2017 03/10/2017 March 10, 201 7 IVR Number: 2295 Inspection Type Inspection No. BLDG-15 Roof/ReRoof (Patio) 015719-2017 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 016151-2017 Checklist Item BLDG-Structural Final Inspection Status Passed COMMENTS Passed COMMENTS Owner: COOWNER SCOTT & SHELLEY ASHWORTH Subdivision: Address: 2665 Wilson St Carlsbad, CA 92008-1528 Primary Inspector Re inspection Complete Paul York Complete Passed No Peter Dreibelbis Complete Passed No Page 1 of 1