HomeMy WebLinkAbout1125 LARKSPUR LN; ; CB110624; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
03-28-2011 Miscellaneous Permit Permit No: CB110624
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
1125 LARKSPUR LN CBAD
MISC
2054301300
$4,407.00
Subtype: REROOF Status:
Lot#: 0 Applied:
Entered By:
Reference #: Plan Approved:
PC#: Issued:
Inspect Area:
Project Title: HOOK RES-REPLACE 2800 SF OF
COMPOSITION W/ NEW COMPOSITION ROOF, RE-ROOF 400
Applicant:
URBACH ROOFING, INC.
445 PRODUCTION AVE
SAN MARCOS CA 92075
760 471-5065
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees: $121.00
Inspector:
Owner:
HOOK FAMILY TRUST 02-27-02
PERMIT FEE
1125 LARKSPUR LN
CARLSBAD CA 92008
Total Payments To Date: $121.00 Balance Due:
Clearance:
ISSUED
03/28/2011
RMA
03/28/2011
03/28/2011
$121.00
$0,00
$0.00
$121.00
$0.00
NOTICE: Please take NOTI Etha approval of your project includes the "Imposition" of fees, dedications, resefValions, or other exactions hereafter collectively
referred to as "fees/exactions." Yo 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 actlon 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
I exacti n of whi h u hav revi n iv n a NOTICE imil r hi r st which h s f limi i n has r vious h
«1~)
, ~-CITY OF
CARLSBAD
JOB ADDRESS
CONTACT NAME (If Different Fom Applicant)
ADDRESS
CITY STATE
PHONE FAX
EMAIL
ARCH/DESIGNER NAME & ADDRESS
Building Permit Application
1635 Faraday Ave,, Garlsbad, CA 92008
760-602-2717 I 2718 / 2719
Fax: 760-602-8558
www.carlsbadca.gov
# BATHROOMS
ZIP
qz~
STATE UC.#
Plan Check No.
Est. Value
·CJD
OCC. GROUP
AIR CONDITIONING
NO □ YES O 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 {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
Workers' Compensation Declaration: I hereby affirm under penalty of perjUty one of the following declarations:
□ I have and will maintain a certificate of consent to setf-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.
Jsl::!•·" '"' will malot,~ wo ,,.. ,ompo atloo, as ,equl,ed by Soctio, 3700 oflh, Labo, Code,'" •• ''""""7' ol ··m ivt'l]'.' LA'"'"'· My·""'"'' "'"'""'t.'" losu7co ,,,.;., '"" policy
numbef are: Insurance Co. • ..f -Policy No. / Expiration Date~ -/ /
~on need not be completed If the permit Is for one hundred dollars ($100) or less. A J J • ~ • A Certificate of Exemption: I certify that in the performance of the WOO( for v.tiich this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
ca~fornia. WARNING: Failure to secure ers nullon coverage Is unlawful, and shall subject an employer to ctlmlnal penalties and clvll fines up to one hundred thouund doNars {&100,000), In
addition to the cost of compensaUon, mag1g.W,~1J>fided for 3706 of the Labor code, interest and attorney's tees.
_65 CONTRACTOR StGNATUR
I hereby Eifflrm that I am exempt from Contractor's Ucense Law for the following reason:
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 sate (Sec. 7044, Business and Professions Code: The Contractor's
License Law does nol apply to an owner of property who bl!ilds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered fOf
sale. If, however, the building or improvement Is sold within one year of completion, the owner-buikler v.ill have the burden of proving that he did not build or improve for the puq>ose of sale).
D l, as owner of the property, am exclusively contracting with licensed contractors to construe! 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 persooal/y plan to provide the major labor and materials for construction of the proposed property improvement. □ Yes □ No
2. I (have/ have not) signed an application for a building permit for the proposed won(.
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/ conlractors' license number):
5. I will provide some of the work, bu! I have contracted (hired) the following persons to provide tha wOfk indicated (include name/ address/ phone I type of work):
,.,6$ PROPERTY OWNER SIGNATURE □AGENT DATE
COMPLETE 1'H1S SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or Mure building occupant required to submit a business plan, acutely hazardous materials registration foon or risk management and prevention pr~am under Sections 25505, 25533 or 25534 of the
Presley-Tanner Haiardous Substance Account Acf'! □ Yes □ No
Is the applicant or Mure building occupant required to obtain a permit from the air pollution conlrol district or air quality management district? D Yes □ No
Is the facility to be constructed within 1,000 feet of the OUlet boundary of a school site? □ Yes O 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
I hereby affirm that there 1s a conslruct1on lending agency for the performance of the work this penmt 1s issued (Sec 3097 (1) Civil Code)
lender's Name Lender's Address
APPLICANT CERTIFICATION
I certtrythat I have read the appllcatlon and state thattlle above Information Is conectand that the lnfonnation on the plans Is accurate. I agrM to oomplywkh all Clfy oldlnances and State laws ielatlng to building construction.
1,-.reby aulhoriiB representative of Ule City of Cal1sbad ~ 01ler l.l)Clll lhe above rrontioned property for ,speciiJn purposes. I Al.SO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE Cm' OF CARLSBAD
AGAINST ALL LIABILmES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN /WY WAY ACCRUE AGAINST SAID Cm' IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: AA OSI-ti\ permil is required b" excavatms over 5'0' deep ar'(! demordion or constn.m>o of structures over 3 sbies i1 height.
EXPIRATION: Evef)' pemlit issued by the Buildi Olli::ial under the provisioos of this Code shall expire by linitation and become nuU aOO void i the buildilg or \\Uk authorized by sud! pemil is not commenced M1w1
;/. L~~80=days~ .. ~~~L~IC~=~;'"~·~·~:~:;~T~;~nril".:. c,~· ~~~"==~~·==by'::such'.:..pennit __ · •_sus_pended __ "_•bandoned ___ "_'_"_Y .,.._. _·_"'_-_'.D~:~=-:__ced;s~:...~·=~--~2==of~$~80~days~-~/;~(-~1/~· ~106_._ •.• _lkl_il>m_Bui_._~ng_Code_'_· J
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
1,1. JOB ADDRESS:,_"-'//'-'d"""' ....,5"'--____::l:....:a..-r:-=--=/C:....::s,,.p:::...:u"'-r'--...,_~=::;_':::!,,-=------
2. TYPE OF BUILDING: RESIDENTIAL .}:-· COMMERCIAL __ _
3. ROOF SLOPE: RISE L/ INCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONO 2 3
5. TYPE OF EXISTING ROOF COVERING Co-vpo SHEATHING __ _
*6. NEW ROOF MATERIAL ~o CLAss--.A:wEIGHT PER SQ. __
7. NUMBER OF SQUARES 2 ?:fl? J LjJ cYj? ~c/ h>rch d~ n
8. TRADE NAME ______ MANUFACTURER 6A~
9. ROOF SYSTEM LISTING:
UL NO. ______ I.C.C.E.S. Report# _____ _
ASTM /J3CJ/,,f
10. IS THE EXISTING STRUCTURAL DESI N SUFFICIENT TO SUSTAIN THE WEIGHT
OF THE PROPOSED ROOF? YES 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
adder extending at least 2 rungs above the roof for inspection.
Contractor X Owner ____ Contractor
Name l_)v:6a eh 1:4,iM:>, 1 / a C .
*6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other
B-10 Page 5 of 5 Rev, 03/09
City of Carlsbad Bldg Inspection Request
For: 04/06/2011
Permit# CB110624 Inspector Assignment: PD ---
Tille: HOOK RES-REPLACE 2800 SF OF
Description: COMPOSITION W/ NEW COMPOSITION ROOF, RE-ROOF
400 SF OF LOW PITCH SECTION W/ TORCH DOWN
Type:MISC Sub Type: REROOF
Job Address: 1125 LARKSPUR LN
Suite: Lot: 0
Location:
APPLICANT URBACH ROOFING, INC.
Owner: HOOK FAMILY TRUST 02-27-02
Remarks:
Total Time:
Act Comments
Phone: 7608011641
Inspector: ----
Requested By: GEORGE
Entered By: BINSPECT
CD Description
19 Final Structural lkfl-----
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description
03/30/2011 15 Roof/Reroof
0312912011 15 Roof/Reroof
Act lnsp Comments
AP PD EXISTING 1 X
NR PY