HomeMy WebLinkAbout1025 CARLSBAD VILLAGE DR; ; CB153159; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
09-24-2015 Miscellaneous Permit Permit No: CB153159
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
PC#:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
1025 CARLSBAD VILLAGE DR CBAD
MISC Subtype: REROOF Status:
2033203000 Lot#: 0 Applied:
$4,625.00 Entered By:
Plan Approved:
Issued:
Inspect Area:
MIKKO: REROOF 25 SO MOD BIT
Owner:
ISSUED
09/24/2015
SLE
09/24/2015
09/24/2015
NOBLE ROOFING & EXTERIORS INC
STE A10
CARROLL GLENN S&E GLORIA TRUST A O(i-29-81 ET AL
C/0 E W DAWSON CORP, LTD
120 N PACIFIC ST
SAN MARCOS CA 92069-1259
760-364-5600
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees: $122.00
Inspector:
P 0 BOX 555
INGLEWOOD CA 90307
PERMIT/INSPECTION
Total Payments To Date: $122.00
FINAL A~PRO~?;
Date: ;::2.. A.f
Balance Due:
Clearance:
$122.00
$0.00
$0.00
$122.00
$0.00
NOTICE Rease take I\OTlCE that approval of your prcject ircludes the "lrrfXJSition" of fees, dedications, reservations, or other exacticns hereafter cdlectively
referred to as ''fees/exacticns." You have 00 days from the date tns perrrit W'lS issued to protest i rrpositim of these fees/exactions. If you protest them, you rrust
fdlow the protest prOCfflures set forth in C?overnrrent Ca:le Sed:im 60020( a), and file the protest and any other required inforrratim wth the Oty rvBnager for
proressing in aa:ordanrewth C'a1sbai MJnidpa Ca:le Sed:im 3.32.030. Failure to tirrelyfdlowthat prOCfflure wlll:xlr any subsequent legal action to attack,
review, set aside, void, or annLi their irrfXJSition.
You are hereby R.JRTJ-ER NOTl RED that your right to protest tre specified fees/exacticns DOES NOT .APPLY to water ard &Mer romection fees ard capacity
changes, ra planning, zoning, grading or other sirrilar application pru:essing or servire fees in cmnection wth tns prcject. f\.CR DOES IT APPLY to any
fees/exacticns of \J'Jlich have "ousl been ·vena NOTICE sirrilar to this or as to Wlich the statute of !irritations has "ousl otherWse e "red.
Cicyof
Carlsbad
JOB ADDRESS
CT/PROJECT #
EXISTING USE
APPLICANT NAME
ADDRESS
CITY
PHONE
EMAIL
0PLANIIIIIIIG 0ENGINEERING
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
SUITE#/SPACE#/UNITII
0BUILDING
#BEDROOMS· #BATHROOMS TE]\1\, BV~NES~ NAME
. \Lke.~
GARAGE (SF) PATIOS (SF)
ADDRESS
CITY
PHONE
EMAIL
STATE LIC. #
OFIRE
STATE
FAX
DHEALTH DHAZMAT/APCD
SWPPP
ZIP
DCC. GROUP
FIRE SPRINKLERS
YEsONoD
(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 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 peljury 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 this permit is issued. 1¥1' I have and will maintain work~ c mp nsation, as required by Section 3700 of the Labor Code, for the performance of the ~ark for whi:h this permit is issued. My workers' compensati~~inzr'f'ce carrier and policy
number are: Insurance Co. ---, Policy No. q 0 ') 3 (.. L CJ Expiration Date 11 . b /I r
This section need not be completed if the permit is for one hundred dollars ($1 00) or less. 0 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 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 code, interest and attorney's fees.
~CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
D
D
D
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 thereon, 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 and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. DYes 0No
2. I (have I 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 I phone I 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 I address I phone I cont1·actors' 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 I address I phone I type of work):
~PROPERTY OWNER SIGNATURE DATE
I certify that I have read the application and state that the above infonnation is conect and that the infonnation on the plans is accurate. I agree trJ comply with all City ordinances and State laws relating to building 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 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: An OSHA penn~ is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every penni! issued by the Building Official under the provisions of this Code shall expire by limitation and beoome null and void if the building or work authorized by such perrnitis not oommenoed within
180 days from the date of such penni! or if the building or 'Mlrk authorized by such penni! is suspended or abandoned at any time after the work is commenoed for a period of 180 days (Section 106.4.4 Uniform Building Code).
_a5 APPLICANT'S SIGNATURE DATE 1
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 OCCIJPAi\!CY !Commercial Project$ Only)
Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenu,e, Carlsbad, California 92008.
I CO#: (Office U.se 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: CO NT ACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL TO: CONTACT (Listed above) ASSOCIATED CB# OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1) NO CHANGE IN USE/ NO CONSTRUCTION
MAIL/ FAX TO OTHER:
CHANGE OF USE/ NO CONSTRUCTION
~APPLICANT'S SIGNATURE DATE
B-10
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
1. JoBADDREss: Joc_c Cwk~ V<l1~~ Qr. >
2. TYPE OF BUILDING: RESIDENTIAL, ___ _ COMMERCIAL___):~--
3. ROOF SLOPE: RISE,_--JJ~ INCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 1 (1} 3
5. TYPE OF EXISTING ROOF COVERI~G rt{)IJJ...._ 8; ~ SHEATHING_£~ttuood('
*6. NEW ROOF MATERIAL (VltJ.._ B; + cLAss _A wEIGHT PER SQ. 200
7. NUMBER OF SQUARES "(__ '('
8. TRADE NAME ~a~(fV, _s MANUFACTURER ?uty]~~
9. ROOF SYSTEM LISTING:
LO)f; UL NO. ______ I.C.C.E.S. Report# _____ _
ASTM _____ _
10.1S THE 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. Finallnspection
I agree to provide a ladder extending at least 2 rungs above the roof for inspection.
Signature ~
Contractor f Owner ____ Contractor
Date q /2 LJ //L ~~,~~,~i,~----
Name :Jf2 M4FvenA.~{
*6. Rolled Roofing, Standard/Lite Tile, Asphalt/Camp fiberglass, Built Up, Other
Page 4 of4 R:ev. 02/11
Inspection List
Permit#: CB153159 Type: MISC REROOF
Date __ lnspec~ion Item__________ Inspector Act
02/25/2016 19 Final Structural Rl
02/25/2016 19 Final Structural
09/25/2015 15 Roof/Reroof
Friday, February 26, 2016
PD
PD
AP
PA
MIKKO: REROOF 25 SQ MOD BIT
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