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Home My WebLink About1015 LAGUNA DR; ; CB161043; Permit,,. City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-17-2016 Miscellaneous Permit Permit No: CB161043 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 1015 LAGUNA DR CBAD MISC 2031300200 $2,075.00 Subtype: REROOF Status: Lot#: 0 Applied: Entered By: Reference #: Plan Approved: PC#: Issued: Inspect Area: Project Title: MA TYN RES-RE-ROOF 1200 SF Applicant: MATYN THOMAS A&KELLY K 3795 TRIESTE DR CARLSBAD CA 92010 760 458-0439 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: Inspector: $91.00 Owner: MA TYN THOMAS A&KELL Y K PERMIT FEE 3795 TRIESTE DR CARLSBAD CA 92010 Total Payments To Date: $91.00 Balance Due: Clearance: ISSUED 03/17/2016 RMA 03/17/2016 03/17/2016 $91.00 $0.00 $0.00 $91.00 $0.00 f'OTICE Flease ta<e CE woo cJ )OJ" ptject ird.-the "lrrµllitiori' cJ faas, declcaicrs, raserv.mors, ex ctrer El100icrs -cdlectivay referred loas '1eas/El100iors." Yoo have 00 daysfrtmthe-1lis pemil v.as iSSUld to p,ctest irrµma, att-esefeas'El100icrs. If yru p,ctest Item yru rrust fcllONthe JRiesl ]X'003Cl.res set lath in GMmreri Qxle Section OOJ20(a), en:I file the p,ctest en:I my ctrer req.ired infcnr<liai wth the Qty Mnger fer )>'OCESSrg in ocmda"cewth Catsbal r,,\rid~ Qxle Sectia, 3.32.mo. Faluatotirrelyfcllc,,vthat Jr(X:ed.rewll ta-mysut:se:µrt l"J" adiaito~ reMe..v, set aside, vtid, er clTU their ifllXStion. Yoo ere hereby A.RTI-ER f'OTl FIED that )OJ" rig-I lo JRiesl the specified feasfe,a;tia,s iXE, NOT AFlPI.. Y to wae, en:I ,,,,_ a:mectiCl1 faas en:I capa:ity c:lmges, ra ?aTirg, mrg, ga:lrg ex drer srrila-wicaion )>'OCESSrg ex ser.ia, fees in cx:rrecliai wth 11is ptjed. I'm IXE, IT AFlPI.. Y to my I W"irn been . 'rril I 1li the sta rrri i tes , THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH OHAZMAT/APC0 Ccityof Building Permit Application Plan Check No. '.'Alt, IO 4 ~ 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value J/'J" (__ s Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 JJ Plan Ck. Di,poslt email: building@carlsbadca.gov www.carlsbadca.gov Date ,J//7/if SWPPP JOB ADC,RESS t/it1vvp. 7)fl,, SUITEf/SPACEf/UNlff IAPN JOI~ --- CT/PROJECT# I LOT# l PHASE# # OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Ar7 l?E: ~c,~ i;,..O() -.,. • ,/J/J _,(, ,1-; ~, I • EXISTING USE I PROPOSED USE I GARAGE {SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS YES[),_ No[] ves □No □ YES□No□ APPLICANT NAME ·•21nRTY OWNER V[;(,,6 / MA ,,n ,\ Primary Contact , t,tA/\r:. 't - ADDRESS A~,~<; -(e,1 e:;-rc; /)IL CITY STATE ZIP Cl"' /-']ATE Z!Pq 'A1l f....:; F',f..'i, f. :J..biD PHONE IFAX PH'o/to . , ~ , Of :SC-\ IFAX EMAIL EMAIL :,,.,,"' , M p.-r,, I,) ~ s €(, 6 <-o e, A 1.,. tJG' , DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE IFAX PHONE I FAX EMAIL EMAIL STATE LIC. # STATE LIC.# I CL.ASS 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, p_nor 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, comme_nding with Section 7000 of Division 3 of the Business and Professions Code} orfhat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have 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 tflis permit is issued. D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfonnance of the work for which this permit is issued. My workers' compensation insurance carrier arid policy number are: Insurance Co. ______________________ Policy No. ______________ Expiration Date _________ _ J!)§.seclion need not be completed if the permit is for one hundred dollars ($100) or 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 to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and clvll 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. N5 CONTRACTOR SIGNATURE □AGENT DATE OWNER~BUILDER DECLARATION I hereby afflnn that I am exempt from Contractor's License Law for the following reason: □ 1B □ I, as owner of the property or my employees with wages as their 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 ttiereon, and who does such work himself 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 arid Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. □Yes ,K1No 2. ~ have not) signed an application for a building pennit for the proposed work. _ • 3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone I contractors' license number): f,J\ \ <;.~ \ 0 ~ V~,A,(c -( ~~ ·,.,)4: 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 I address/ phone/ contractors' license number)· 5. I will provide some of the work, but I have tracted {hired) the following persons to provide the work indicated (include name I address I phone/ type of work): NS PROPERTY OWNER SIGNATURE □AGENT DATE 3 1·1 1b COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the appjicant 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 appjicant or future building occupant required to obtain a permit from the air pollu~on 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. CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION I certify that I have read the appllcatlon and state that the alxwe infonnation is oonectand that the infonnation oo the plans is accurate. I agree to romply'Mth all Cllyordtnances and State lav.s relating tD building oonstruction. I hereby authorize rel)'8S€fltative of the City of Cartsbad to enter U/Xln the alx>ve mentioned 1XOperty br inspedbn purposes. I ALSO AGREE TO SAVE, INDEMNIFY .AND KEEP HARMLESS THE CITY OF CAALSB<\D AG-\INST ALL Ul'lllLmES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AG-\INST SAID CITY IN CONSEQUENCE Of THE GRANTING OF THIS PERMIT. OSHA: M OSHA permit is required for excavations over 5'0' deep and demdltkln or ronstruction of structures O\Jer 3 stories JI height. EXPIR/fflON: Every pennlt issued by the Buildin Oflk:ial under the provisbns of this Code shall expire by limitation and berome null and vod ~ the building orw:>rk authorized by such ~rmit is not commenced v.ilhin 180 days fi"om the date of such ~rmlt or if the b · or WJrk au~ by suet, rmil is suspended or abandoned at any time after the WJrk is oommenced k>r a perbd of 180 days (Section 100.4.4 Unik>rm Building Code). AS APPLICANT'S SIGNATURE W'f','A ().,. DATE ·3 1, l 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. 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. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: □ CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) MAIL TO: c CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) MAIL/ FAX TO OTHER: _______________ _ A$ APPLICANT'S SIGNATURE o ASSOCIATED CB#------------ 0 NO CHANGE IN USE/ NO CONSTRUCTION o CHANGE OF USE/ NO CONSTRUCTION DATE ZIP B-10 REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESS: / 0 l S l,At,, L)V/.\ /)'(L 2. TYPE OF BUILDING: RESIDENTIAL X:. COMMERCIAL -~------ 3. ROOF SLOPE: RISE 4 INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 1 0 3 5. TYPE OF EXISTING ROOF COVERING t-6/A.P, ~l-11w&I£ SHEATHING __ _ *6. NEW ROOF MATERIALi?oMf ':,\-1\u\>t.t~ CLASS __ WEIGHT PER SQ. __ 7. NUMBER OF SQUARES~~---- 8. TRADE NAME lE(,1Al.j MANUFACTURER f_;j A L/l.lJ<.·€'--/ 9. ROOF SYSTEM LISTING: UL NO. ______ I.C.C.E.S. Report# ______ _ ASTM _____ _ 10. IS THE EXISTING STRUCTURAL 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_~jl,,_,__'Y"-'1. __ viJf_· -+----------Date ~ / '1 /] b Contractor ____ Owner_'f--.-____ Contractor *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other Page 4 of4 Rev. 02/11 Inspection List Permit#: CB161043 Type: MISC Date Inspection Item ____ _ 05125/2016 19 Final Structural 0512512016 19 Final Structural 0512312016 19 Final Structural 05/2312016 19 Final Structural 05/13/2016 15 Roof/Reroof Thursday, June 02, 2016 REROOF MA TYN RES-RE-ROOF 1200 SF Inspector Act Comments ----- RI PY AP RI PY NS PY AP Page 1 of 1