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Home My WebLink About2800 WILSON ST; ; CB122586; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-04-2012 Miscellaneous Permit Permit No: CB122586 Building Inspection Req uest Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 2800 W ILSON ST CBAD MISC 1561522200 $2,731.00 Subtype: REROOF Status: Lot #: 0 Applied: Entered By: Reference #: Plan Approved: PC#: Project Title: BACON RES -REROOF 2000 SF COMPOSITION TILE UL#790 Applicant: Owner: OM BUILDING INC BACON CYNTHIA L TR 1825 MCCAULEY LN CARLSBAD CA 92008 760-644-0714 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES 2800 WILSON ST CARLSBAD CA 92008 BUILDING PERMIT Issued: Inspect Area: ISSUED 12/04/2012 SKS 12/04/2012 12/04/2012 $101.00 $0.00 $0.00 $101 .00 Total Fees: $101 .00 Total Payments To Date: $101 .00 Balance Due: ..aa FINAL APPROVAL Inspector: _ef' Date: 1--f -/.J' 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 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 f I x i n f w i h h v N Tl E imil r hi r wh· h h f i i i n h r vi I h rwi THE FOLLOWING APrROVALS R~QUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING ~ «..:~ ~ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: buldllng@carlsbadca.gov www.carlsbadca.gov □BUILDING □ARE Plan Check No. Est. Value 2- Plan Ck. Deposit JOBADDRESS Jta? w, I ~ClY) SUITE#/SPACE#/UNIT# CT/PROJECT# LOT# PHASE# # BEDROOMS PROPERTY OWNER NAME JL~Oh STATEC. 1 PHONE FAX M IL ARCH/DESIGNER NAME & ADDRESS # BATHROOMS ~ O"il \ ~ PATIOS (SF) DECKS (SF) FIREPLACE YES □#_ NOD APPLICANT NAME (Secondary Contact) ADDRESS CITY STATE PHONE FAX MAIL STATE UC.# CLASS 1 O HAZMAT/APCD SWPP AIR CON0ITI0NING YES D NOD ZIP OCC. GROUP FIRE SPRINKLERS YES D NOD (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 !Charter 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 703 .5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: / hereby affirm under penalty of pe,jury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for workers· compensation as provided by Seclkln 3700 of the Labor Code. for the performance of the work for which this permit is issued. I have and will maintain w~s· compensatio"if reguired by Section 3700 of the Labor Code, for the performance of the :~hfh J!115 ~,it is issued. My workers' compenslvon i,~a'F.Prrier and policy number are: Insurance Co ~tl\,,(/t~ q 0-< n '"' Policy No. we. s-~" ~ (JC) EJ<piratkln Date -<-H1--~L1--~L>-~---- This section need not be completed if the permit is for one hundred dollars (S100) or less. D Certificate of EJ<emption: 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 to the Workers' Compensation Laws of Cal~ornia. 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 / J--1 ..._ ) )_ I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: □ I, as owner of the property or my employees 1Mth wages as their sole compensation, ,.;11 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 himsett or through his own employees, provided that such improvements are nol inlended or offered for sale. If, however, the building or improvemenl is sold IMthin one year of completion, the owner-builder \'<ill 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 Contractor's License Law does not apply to an owner of property who builds or improves thereon. and contracts for such projecls with contractor(s) licensed pursuant to the Contractor"s License Law). D I am exempt under Section _ _ __ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for constructkln of the proposed property improvement. D Yes D No 2. I (have I have not) signed an applicatkln for a building permit for the proposed work. 3. I have contracled 1Mth the following person (firm) to provide the proposed constructkln (include name address I phone I contractors· license number): 4. I plan to provide portions of lhe work. but I have hired the follo1Mng person to coordinate, supervise and provide the major work (include name I address/ phone I contractors' license number): 5. 1,.;11 provide some of the work, but I have contracted (hired) the follo,.;ng persons lo provide the work indicated (include name/ address/ phone I type of work): ~ PROPERTY OWNER SIGNATURE □AGENT DATE ~-------------------------- Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registra~on form Of nsk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D Yes D No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D 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. f the work this permit is issued (Sec. 3097 (i) Civil Code). I certify that I have read the appllca1ion and state that the above information is conect and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating 1D builcjing cons1ruetion. I hereby authclme rep-esentabve of the Qty of Carlsbad D enter upon the atxwe mentioned JXOl)er1y br nspecfucl purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAJNST All UABILfTIES, JUcx;MENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN Ca-lSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA: AA OSHA permi is required for excavations ol'ef 5'0' deep and demolioon or construction of structures over 3 slories 11 hei;Jht. EXPIRATION: Every permit issued by the Building Offbal under the provisions of this Code shall expire by Imitation and become null and voo ff the building or v.ork authorized by such permit is not rommenced within 100 days from the date of such permit or if the buikJing orv.ork autholized by such permit is suspended or abanooned at any time after the v.ork is oommenced bra period of 100days (Section 100.4.4 Unoorm Building Code}. ~ APPLICANT'S SIGNATURE ----------DATE /2--< -J STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CERTIFICATE OF OCCUPANCY (Commercr;,I Pro1ects only J Fax (760) 602-8560, Email www.building@cartsbadca.gov or Mail the completed form to City of Cartsbad, Building Di\lision 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 0 PICKUP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o ASSOCIATED CB# 0 MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION O MAIL/ FAX TO OTHER: __ ----o CHANGE OF USE/ NO CONSTRUCTION --- ,f!S APPLICANT'S SIGNATURE DATE REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOBADDREss:~J~&~~~-~~~/_l ~S_o_~~------- 2. TYPE OF BUILDING: RESIDENTIAL ')(' COMMERCIAL. ___ _ 3. ROOF SLOPE: RISE___Q__ INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 1 2 3 5. TYPE OF EXISTING ROOF COVERING (_,vY"lP SHEATHING flytvaY *6. NEW ROOF MATERIAL _U_U"l_P ____ CLASS fl-wEIGHT PER sa.2.f_Cl 7. NUMBER OF sauAREs---{.,W~""----- a. TRADENAME _______ MANUFACTURER_G:;_f!--_____ _ 9. ROOF SYSTEM LISTING: UL NO. 7vtO I. C. C. E. S. Report #_....,_/5--1----1-7 _s='---- ASTM (/1 {q 1 O. IS THJ: EXISTING STRUC~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._V---------_____________ Date / )_-1-/ ]_ Contractor r---==-Owner _____ Contractor Name ·Qqin/-t'f ;1'\CfJf !JC *6. Rolled Roofing , Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other 8-10 Page 4 of 4 Rev. 02/11 Inspection List Permit#: CB122586 Type: MISC Date Inspection Item ---- 01/07/2013 19 Final Structural 01/07/2013 19 Final Structural 12/18/2012 14 Frame/Steel/Bolting/Weld in 12/18/2012 15 Roof/Reroof 12/17/2012 15 Roof/Reroof Monday, January 07, 2013 REROOF Inspector Act RI PB AP PD CA PD AP PB CA BACON RES -REROOF 2000 SF COMPOSITION TILE UL#790 Comments AM EARLY Page 1 of 1