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Home My WebLink About1176 LARKSPUR LN; ; CB163978; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-24-2016 Miscellaneous Permit Permit No: CB163978 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 1176 LARKSPUR LN CBAD MISC 2054300700 $3,458.00 Subtype: REROOF Status: Lot#: 0 Applied: Entered By: Reference #: Plan Approved: PC#: Project Title: BROWNSTEIN: 20 SQ COMP REROOF ~~~ ~~ CUSTOM BUILDERS MIKE BROWNSTEIN 1347 SUMMIT AVE CARDIFF BY THE SEA 92007 760-473-9987 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES 1176 LARKSPUR LN CARLSBAD CA 92008 760-861-6712 PERMIT/ INSPECTION Issued: Inspect Area: ISSUED 10/24/2016 SLE 10/24/2016 10/24/2016 $107.00 $0.00 $0.00 $107.00 Total Fees: $107.00 Total Payments To Date: $107.00 Balance Due: Inspector: fl'\. ~ Date: Ol 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 nght 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 THE F0k\!)WING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE , {'cityof Carlsbad JOB ADDRESS CT/PROJECT# EXIS~~ ADDRESS CITY PHONE EMAIL STATE FAX 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#/UNIT# Est. Value Plan Ck. Deposit APN # BATHROOMS TENANT BUSINESS NAME GARAGE (SF) PATIOS (SF) ZIP STATE UC.# □HEALTH 0HAZMAT/APCD ,s\7 SWPPP CONSTR. TYPE acc. GROUP FIRE SPRINKLERS vesONoO {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 per_mit to file a signed st~tement that he 1s licensed pursu~nt to the provisions oft~e Contractor·~ License Law /Chapter 9, comme_nding with Secti~n 7(!00 of Division 3 of the Business and Professions Code} or that he 1s exempt therefrom, and the basis for the alleged exemption. Any v1olat1on 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 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 this permit is issued. g have and will maintain workei:_s'r:ompensa n, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatio insura carrier and policy number are: Insurance Co. Nj -Policy No. CH\>JC700'f80 Expiration Date ,.3""'1:..L.LJ'--''-''---- llars ($100) I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ □ □ 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. 0Yes 0No 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 I contractors' license number): 4, I plan to provide portions of the work, but I have hired the following perso11 to coordinate, supervise and provide the major work (include name I address/ phone I 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 CO PLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required lo submit a business plan, acutely hazardous matenals regIstratIon form or nsk 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 pollution 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 J have read the application and state that the above information is correct and that the infonnatlon on the plans is accurate. I agree to comply with all City ordinances and State law.; relating to build Ing construction. I hereby authorize representative of the City of Carlsbad to enrer upon the above menliooed propeny for nspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARM.ESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations r:JJef 5'0' deep aid d . n of strucb.Jres (Mf 3 stories in height EXPIRATION: Every permit issued by the Buildi · nder p all expire by limitation and become null and void if the building or work authoized by such permit is not commenced wilhi'I 180 daysfrool the date of such permitociflhe I suspended or abandoned at anytime afterlheworkisc:ommenceclfor a perkxf of 180days(Section 106.4.4 Uniform Building Code). ,fl$ APPLICANT'S SIGNATURE DATE /() • 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 fonn to City of Carlsbad, Bui~ing Division 1635 Faraday Avenue, Carlsbad, Calttomia 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: o CONTACT (Listed above) □ OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) MAIL/ FAX TO OTHER: ________________ _ A!APPUCANT'S SIGNATURE o ASSOCIATED CB#------------ □ NO CHANGE IN USE/ NO CONSTRUCTION o CHANGE OF USE/ NO CONSTRUCTION DATE ZIP tf-10 REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESS: { 17 '4, L/1\~PU,K.. Lt::l.·. CA.e.u;.SAD '720& ~ 2. TYPE OF BUILDING: RESIDENTIAL )(, COMMERCIAL ...••. 3. ROOF SLOPE: RISE_:j__.,"' INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) (J) 2 3 5. TYPE OF EXISTING ROOF COVERINGL/Ol'fl~~( J1'f0i:ISHEATHfNG ~Ykf 00 {? '6. NEW ROOF MATERIALC.,,fl\ fl0~1 ~:1,idrl CLASS.Jl.._WEIGHT PEA SQ. __ ~QO 7. NUMBER OF SQUAResJ_Q _ 8. TRADE NAME t2U i-e-ttDt,l. MANUFACTURER"'"~ tlz vo/t:rJlN9 9. ROOF SYSTEM LISTING: UL NO. 7 "((1 I ~ I.C,C.E.S. Report 11 ____ _ ASTM /j AC>( Lt 10.IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? ~ NO All roof covoring~ ore required to be CLASS A. Combustible roof coverings of any lypo or classification are prohibited. I understond the following Inspections are required: 1. Tear O11/Pre-lnspoction prior to Install new roof covering 2. Final lnspoctlon I agree to provide a ladder oxtonding at least 2 rungs above the roof for inspection. Signature J1_ ... t \~ ~ L. ___ Dato / O • 11,a. tW Contractor r ... ___ Owner ____ Contractor ~ LI JJ )C Name J tf'ff ~,: J a ht J '6. Rolled Roofing, Standard/Lite Tile, AsphalVComp fiberglass, Built Up, Other Pn906ofO nav. 04!1◄ 2 Inspection List Penni!#: CB163978 Type: MISC REROOF BROWNSTEIN: 20 SQ COMP REROOF Date lnspectio_n Item Inspector Act Comments 10/26/2016 15 Roof/Reroof PD AP Wednesday, January 18, 2017 Page 1 of 1 PERMIT INSPECTION HISTORY REPORT (CB163978) Permit Type: BLDG-Migrated Application Date: 10/24/2016 Owner: MIKE BROWNSTEIN Work Class: BLDG-Migrated Issue Date: 10/24/2016 Subdivision: Status: Closed -Finaled Expiration Date: 04/25/2017 Address: 1176 Larkspur Ln Carlsbad, CA 92008 IVRNumber: 717873 Scheduled Actual Inspection Type Date Start Date Inspection No. Inspection Status Primary Inspector Reinspection Complete 01/11/2017 01/11/2017 BLOG-Final 009513-2017 Passed Michael Collins Complete Inspection Checklist Item COMMENTS Passed BLDG-Structural Final Yes January 11, 2017 Page 1 of 1