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Home My WebLink About1 GREENVIEW DR; ; CB120811; Permit' City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-01-201 2 Miscellaneous Permit Permit No: CB120811 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: 1 GREENVIEW DR CBAD MISC 2152312300 $6,007.00 Subtype: REROOF Lot#: 0 Project Title: WEISSMANN RES-4400 SF COMPOSI Applicant: Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 05/01/2012 RMA 05/01/2012 05/01/2012 ARS ROOFING INC GEMMILL KATHARINE A <AKA WEISSMANN KATHARINE A> 8411 KREINER WY 1 GREENVIEW DR SANTEE CA 92071 CARLSBAD CA 92009 619 596-4870 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $168.00 PERMIT FEE Total Payments To Date: $168.00 $168.00 $0.00 $0.00 $168.00 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 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/exaction of whi h ou hav revi u been iv n a NOTICE similar his or st which the tatute of limitation has rev· x ired. «~~ ~ C I TY OF CARLSBAD JOB ADDRESS v ,·evJ Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 . 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www.carlsbadca.gov Dr :v e Plan Check No. Est. Value Plan Ck. Deposit / )...__ SWPP CT/PROJECT PHASE # # OF UNITS # BEOROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP rvto ,1 e ce~t:1.r <;l,e,._k:e-r ouf Lt1 s&U C>l'\e ,~ er -W-30 lb . :,: 4 // r1e~ :In~LI G I=' GNl IA o,t., L.fe hnte- C-oM ve,rl, -14-fo n '14 s . EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES •#_ NO• YES • NO • YES • NO• APPLICANT NAME (Secondary Contact) &'ti/ ADDRESS CITY ~ ../~')f ee STATE A ZIP q Cvt z_o7 , CITY STATE ZIP PHONE bt'1-Jtfl -J s 78' PHONE FAX @ CcX , Yle PROPERTY OWNER NAME ei'ssmet CONTRACTOR BUS, NAME ADDRESS I {j r eeYl v iev-1 ADDRESS 'i{y/1 STAT ~ zi '1LOD1 CITY ZI ~-Zo7 / PHONE 7(6o -71 7 -74'1 FAX PHONE ~,1 -~?b-L/'il7D ~Cox-. vie ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE UC.# Q 7 ,<; CLAC -3 q CITY BUS. UC.# (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 !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' Compensation Declaration: I hereby affirm under penalty of perjury one of /he following declarations: D i_,ve 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 this permit is issued. tJYi" have and will maintain workers' compensation, as ~uired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. Sto..+:e t: ........ .;.,, Policy No. C/oolln 3 -I I Expiration Date 8 ~ I -I z_ This section need not be completed if the permit is for one hundred dollars ($100) or less. D 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 subjecl lo lhe Workers' Ccmpensation 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, damag provide Section 3706 of the Labor code, interest and attorney's fees. ~ CONTRACTOR SIGNATURE •AGENT DATE 5, I -1 z_ I hereby affirm that I am exempt from Contractor's License Law or the following reason: D I, as owner of the property or my employees with wages as !heir 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 inlended 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 Cede: 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 Ccntractor's License Law). D I am exempt under Section _____ Business and Professions Cede for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. D Yes D 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 work, but I have hired the following person to coordinate, supervise and provide the major work (include name/ address/ phone/ 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/ type of work): ~ PROPERTY OWNER SIGNATURE •AGENT DATE Is the applicant or future building occupant required lo 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 permit from the air pcllulion 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. Lender's Address I certify that I have read the application and state that the above infonnation is correct and that the lnfonnation on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to build Ing construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARM.ESS THE GrTY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA penn~ is required for excavations (J,/ef S'O' deep and demolition or construction of structures (J,/ef 3 stones in height EXPIRATION: Every pennit issued by the Building Official under the provisions of this Code shall expire by fimitation and become nun and void W the building or wor1( authorized by such permit is not commenced withri 180 days from the date of such permit or ff e buidilg orwol1( authorized by such perm~ is suspended or abandoned at any time after the wor1( is commenced for a period of 180 days (Section 106.4.4 Unfform Buildilg Code). ,25 APPLICANT'S SIGNATURE L DATE ~.... -/ L- • 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 (Commercial Proj e cts 0 n ly J Fax (760) 602-a560, Email www.building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. 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. DELIVERY OPTIONS D PICKUP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) • MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o ASSOCIATED CB# o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION • MAIL/ FAX TO OTHER: o CHANGE OF USE/ NO CONSTRUCTION A! APPLICANT'S SIGNATURE DATE B-10 REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOBADDREss:_~---G=r~e~e~n~v~;_e=~--~D~r_;_~-~------ 2. TYPE OF BUILDING: RESIDENTIAL COMMERCIAL ,/ .. ---- 3. ROOF SLOPE: RISE cs-INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) {D 2 3 5. TYPE OF EXISTING ROOF COVERING C.eJ~r 5~"-W SHEATHING P'1 wao4 *6. NEW ROOF MATERIAL C.ornp 5J-i .-,}e5CLAss.d._wEIGHT PER SQ. __ 7. NUMBER OF SQUARES_~'-f_Lj __ _ 8. TRADE NAMEGf'dl.-J ~-,µo,·q MANUFACTURER_G_A_F ____ _ 9. ROOF SYSTEM LISTING: UL NO. ______ I.C.C.E.S. Report# _____ _ ASTM ------ 10.IS THE EXISTING STR~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 dL ~ Date 5' -I -I 2- Contractor Owner Contractor --------- Name ----------- *6. Rolled Roofing , Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other Page 4 of4 Rev. 02/11 Inspection List Permit#: CB120811 Date Inspection Item 08/28/2012 19 Final Structural 08/28/2012 19 Final Structural 05/04/2012 15 Roof/Reroof 05/03/2012 15 Roof/Reroof 05/03/2012 15 Roof/Reroof Wednesday,August29, 2012 Type: MISC REROOF WEISSMANN RES-4400 SF COMPOSI Inspector Act Comments RI CANU FINAL? MC Fl NO CARD MC PA WEST SIDE 2X TANG G MC PA 2ND STOP, WEST SIDE ONLY MC co 1ST STOP Page 1 of 1