HomeMy WebLinkAbout128 MAPLE AVE; ; CB132749; Permit.. City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
11-05-2013 Miscellaneous Permit Permit No: CB132749
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
PC#:
128 MAPLE AV CBAD
MISC
2042340906
$0.00
Subtype: REROOF
Lot#: 0
Project Title: LA POSADA HOA-REMOVE AND
REPLACE 7 SQUARES OF ASPHALT SHINGLE
Applicant:
1WM ROOFING
4445 ESTATE DR
F ALLBROOK CA
92028-9311
731-0777
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees:
Inspector:
$48.00
Owner:
PERMIT FEE
Total Payments To Date:
FINAL APPROV
Date: /i -
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
$48.00 Balance Due:
Clearance:
ISSUED
11/05/2013
LSM
11/05/2013
11/05/2013
$48.00
$0.00
$0.00
$48.00
$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
f X i n fw i T i ii r w i h f imi i h r i I Xi
,
HE FOLLOWING Al'f'ROVALS REQUIREO PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMAT/APOD
~ Bulldlng Permit Application Plan Check No. Q-8 I ~d-"7<..f~ <<•:.'» 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558
CARLSBAD email: building@cartsbadca.gov Plan Ck. Deposit
""'. -,,, www.carlsbadca.gov Date 1\1 <11~ ISWPPP ..
JOB ADDRESS 3'+'30/S'f?.8 SU .. ....,;/SPACEI/UNITf APN
·?.4-:ZI, r .. r1 <-1Uo B v,.io , ---
11.;1/rnv~-.,.., # Lu,# ,, __ . rvr UNlfo r # BA,H"vvm., ,·-·· r·-·"· ,. .. ,-···""'
DESCRlrnuN Of WORK: Include SquaN Fflt al Affected Atlla(a)
%v-->1t 6,,l'.,,-(1--ir, <..o-M~ · .Slh~ t,G!. t>o,,->,-l -Z::0 Wa;;,J> SIA~~, 1tJ<,,-Cl"r(A.. -1r4o "FEi;r' ....... ~ t,lc:J,v I
~~-r S\h.JS\Ri · \Ss~ 14'1-S-
1-CRJNXt:>
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS ,. YES[Jo N<O YES ONO □ YES□ NO□
~:• (Prfm,u Contact) ""t;, M APPLICANT NAME (S•conda,y Contact) -· .,..... V. .h....l(.....-I.,. . ·-v-
AOl4ESS ADDRESS
z_c;; 0 l 1'1-N\ C> .,.l r-, C-llLr..<..-E:;
CITY STATE ZIP CITY STATE ZIP n,--·s,1>G-CA-A --
PHONE I FAX PHONE l'AX 11,,0.I~ ,s.1~a
EMAl~VJIV-5\,J/.,6\0\1<;s' C. C., M />rl l,. • f..o,.,,.. \. EMAIL
PRO""'f"~~E _ A U-111'.. ~ACTOR BUS. NAME
ADDR~S~ ~lo c.. 8\J ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE °' 71130-'1G0-d~ I IFAX PHONE !'AX
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATELIC# :5l'i~S l°LA'lS 1°,;~~·'3 31:;).
(Sec. 7031.5 Business and Professions Code: Any City or Coun1Y which requires a permit to construct, attar, improve, demolish or repair any structure, prior to Its Issuance, also requires the applicant for such permit to file a si&ned statement ttiat he Is licensed pursuant to the provisions of the Contractor's License Law (Chapter "9, commend In& With Section 7000 of OlvlSlon 3 of the Business and Professions Code) or that he Is exemDt therefrom, and the basis for the allepd exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a clvll penalty of not more than five hundred dollars ($500)).
WORl(ERS' COMPENSATION
Workn' Compensation Dtclll'ltlon: I hereby afflnn undlN penalty of petfury one of the fellowing declarations:
OJ have tnd will maintain I certlbtl of con1■nt to tllf-lnaur. for M>rkers' compensation as provided by Section 3700 of the Labor Coda, for Iha performance of the wor1c. for 'Mlich this permit Is Issued.
8;11 havo and will malnllin •-• ,..,..,sa11..,, • ,..,111!d bv Section 3700 of the '--Code, for the,_-...,. of the work /or which !Ns oenntt • .. lled. My-~· compensation~-and polk:y
number11.:1ns,ranc:eCo 'Z\,liytl:\ • ~c.A-.J Polk:yNo. WC,, 4'.7-'59-J;i..4:-0 'it;ra11onoa1e CJ, ".}(JJ'f
T-bli.section need not be completed H the permit iS for one hundred dolln ($100) or less. LJ Ctttlflca of Exemption: I certify that in the parfomlance of the 'Mlrk fa which this permit ts issued, I sh~ not employ any person In any manner so as to become suti;act to the Workers' Compansatk>n Laws of
Gallfomla. WARNING: Ftllur. to aecur. workers' comp1r1Atlon coverag1 l1 unlawful, tnd ,hall tubJ■ct an employ. to crtmlnll panaltlN and clvll flnN up to 0111 hundlwd thounnd dollars (&100,000), In
addition tothl COit of companntlon, dlmagN n pNMdld for In 3 of the Labor code, lnltntlt and attomay't re...
,1$ CONTRACTOR SIGNATURE
I h«8by afflnn that I «n exempt from Contractlr's Ucensa Law for the folk.Ming f'NSOtl: D I, as ov.ner oftha property or my employees 'Mlh wages as their sole compensation, will do the 'M'.>rk a'ld the structure Is not Intended or offered fof' sale (Sec. 7044, Business and Professions Code: The Contractor's
License Law does not apply to an owner of property who buik:Js or Improves thereon, iWICI who does such work himself or through his own employees, provided that such Improvements are not intended or offered far
sale. If, however, the building or improY8ff'lllnl Is sold within one year of completion, the owner-txlildar wm have the burden of proving that he did not build or Improve for the purpose of sale). D I, as owner of the property, am exclusively contracting with licensed contractors ii construct the project (Sac. 7044, BuSNss and Professions Code: The Contractor's License Law does not awly 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 plai 10 provide the major labor and materials for construction of the proposed property improvement 0Yes Do
2. I (have I have not) signed an appllcatlon for a building pennlt for the proposed work.
3. I have contracted with the following person (firm) to provide Iha proposed construction (include nane address I phone I contractors' license number):
4. I plll'l to provide portions of the 'Mlrk. but I have hired the follovfflg person to coordinate, supervise and provide the ma,Jr work (include name I addA!SS / phone I contractors' license number):
5. I wHI provide some of the "M>rk, but I have contracted (hired) Iha folowing persons to provide the work indicated (locluda name I address I phone I type of work):
,1$ PROPERTY OWNER SIGNATURE DATE
I
(
cOMPL!JrT£_THIS SECTION FOR NON~RESIDENTIAL BUILDING PERMITS ONLY
ts the applicant or future budding occupant required to submit a business plan, acutely hazardous matertals registration form or risk mimgement rid prevention prt)!J'lffl under Secllona 25505, 25533 or 25534 of !he
Presley-Tanner Hazardous Substance Account Act? Yes No
Is the applicant or Mure building oa;upant required to obtain a permit from the air pollution control district or air Quality ma~nt disb1cl? Yes No
Is the facility to be conslructed within 1,00) 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 TliE APPI.ICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POUUTION CONTRot. DISTRICT.
i CONSTRUCTION LENDING AGENCY
I hereby affinn that thel9 is a cooslruction lending agency for the perfonnance of the"°" th~ permit• issued (Sec. 3097 (Q Civi Coda).
Lender's Name Lender's Address
APPLICANT CERTIFICATION
IC11111ft1hltl-l80Cllhellllll_and_1hatlheabo,etnroomatlanlloona:tand1hatlhelnbmdononlheplansll-181180"0ll'W_,,,111Cftr-andSlllollM_., __
I hereby illllorize repiasenlalil'Oof lhe City of cai'olbad ti _upon lhe abole menlioned i,ope,tylJr "'flOdkJ!l llJIJX)SBS. I Al.SO AGREE TO SAVE. INDEWllFY ANO KEEP IMt.tESS 1HE CITY Cl' CAAl.S8m
AGAINST AIL LlllllUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN N/f WAY ACCRUE AGAINST SAil CITY IN CONSECilENCE Cl'lHE GRANTING Cl' lHIS PERMIT.
OSHA />ii OSHA perm!• n,quiad 1Jr8XCaValionsave15'0' deep and IXJlSln.dionof slndJres..,, 3 suos n ~
EXPIRATION: Bery perml OSI.Od by Iha a,;~klg Olli:ial under lhe shall e,cpie by linHalkln and bealllle nul and 1'lkl llhebuiklilgorvm ""'1orlmd by ,uct, ponil is nc,"""""""8 v.illil
100 days from Ile dale of such permit . or au I ls suspanded orabandored al any line all!rlhe vm • """""""81Jr a peoodof 111ldays (_, 106.4.4 lklbm a.1<1ng Code).
,IS APPU£ANT'S SIGNATURE DATE I I
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, Emili building@carlsbadca.gov or Mall the completed form lo City of Carlsbad, Bui~ing DNision 1635 Faraday Awnue, Carlsbad, California 92008.
COt: (Offlco Uae Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY
carlsbad
STATE
CA
PHONE FAX
EMAIL OCCUPANT'S BUS. UC. No.
DELIVERY OPllONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1.)
MAIL TO: CONTACT (Listed abcwe)
CONTRACTOR (Oo •~ 11
OCCUPANT (Listed above)
MAIL/ FAXTOOTIIER: ______________ _
AS APPLICANT'S SIGNATURE
ASSOCIATEDCB"------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
-·-
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
1. JOB ADDRESS: 343le ~p,p..i::, :-,L-vb., p '31..1-?D/3Cf.aB
I ;;.f5 "7F'al'le,
2. TYPE OF BUILDING: RESIDENTIAL V COMMERCIAL. ___ _
3. ROOF SLOPE: RISE 4 INCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 1 eJ 3
.,5. TYPE OF EXISTING ROOF COVERING tis~-1' S\ll:-,¾ t,,8iSHEATHING Wooo
*6. NEW ROOF MATERIAL ~;:( S:l:br¥:il,.,E;;CLASS fr WEIGHT PER SQ. 3cro
7. NUMBER OF SQUARES d=]-~ ~ Lo{
B-10
8. TRADE NAME -r; Ml36£:Hrl6 MANUFACTURER.__,.Ga.,...,.Af.,__ ____ _
9. ROOF SYSTEM LISTING:
UL NO. fJ&{M-{U",() I.C.C.E.S. Report# E?5{2--14::"1:5
ASTM f's: C.53 /A fto3M
10.IS THE EXISTING STRUCT~ DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE
PROPOSED ROOF? (Y~ 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~
Contractor )< Owner ____ Contractor
Date I \ } .,--} 13
Name \oM, MA-F-s%L< )
*6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other
Page 4 of4 Rev. 02111
Inspection List
Permit#: CB132749
Date Inspection Item
11/19/2013 19 Final Structural
11/19/2013 19 Final Structural
11/13/2013 15 Roof/Reroof
11/13/2013 15 Roof/Reroof
Wednesday, November 20, 2013
Type: MISC REROOF
Inspector Act
RI
PD AP
RI
PD AP
LA POSADA HOA-REMOVE AND
REPLACE 7 SQUARES OF ASPHALT SHIN
Comments
EARLY AM PLS
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