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Home My WebLink About151 HEMLOCK AVE; ; CB142034; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-18-2014 Miscellaneous Permit Permit No: CB142034 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 151 HEMLOCKAVCBAD MISC 2042521800 $0.00 Subtype: REROOF Lot#: 0 SETTLEMYER RES -RE-ROOF 1900 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: SF COMPOSTION ON PITCH ROOF UL#790/ICCESR#AC438 Owner: ISSUED 08/18/2014 SKS 08/18/2014 08/18/2014 APODACA ROOF SERVICES SETTLEMYER KAREN M 2005 TRUST 06-24-05 PO BOX 2591 VISTA CA 92085 760 518-1259 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $130.00 Inspector: 2604B EL CAMINO REAL #216 CARLSBAD CA 92008 BUILDING PERMIT Total Payments To Date: $130.00 Date: $130.00 $0.00 $0.00 $130.00 Balance Due: Clearance: $0.00 NOTICE: Please take NOTl pprova\ of your project includes the "lmpo lion" of ees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." Yo ave 90 days from the date this pennit 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 I xa i n f w i h u ve r via I en iv n NOTIC similar o this r a whch the s t t of limi ati n h s revi usl at rwise x ir THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: •PLANNING •ENGINEERING •BUILDING QFIRE •HEALTH QHAZMATIAPCD Ccicyof Building Permit Application Plan Check No.en ( lf ~ '-f 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan C II. leposi1 email: building@carlsbadca.gov ~,#:, . www.carlsbadca.gov Date I )( I I'--'/ jSWPPP JOB ADDRESS/_;~; / .J /. /1 vc... SUITEf/SPACEf/UN\Tf IAPN C_,.., O(!_/:C . -- CT/PRvJECT # I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHRvOMS I TENANT BUSINESS NAME ICONSTR.' PE I occ GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) V-c-'H'L ar1.: ex 1J,->-)'' // o o 1= s 7 s re ,,.., .s -_z-.,._,s r c-r-/ I Cl_o --,,,,w C),<.' <-1+-12-r,,,c.4 ,,,,,.__, 19t1 ,f-r<>A-e.-4 J)o-....,,.._,_s7J're....-, c,,,.__,-3 j;f -'2-I'(\, 'f' . EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE rR CONDITIONING I FIRE SPRINKLERS YES[), NcQ ves•No• YES•No• APPLICANT NAME ,~ pZ Primary Contact////< C::... / C e-,c... / ..--~ ~,,.....-, PROPERTY OWNER /r-l ~ xr 1 ..,4,..;Jc.,_...-C. C"" .14--1"'-./rr1-.. ADDRESS 0 ¼-/ ADDRESS /ye.-.., /a c1 k . .3 z t;.; ,,-,./2,-y ¼r /ol ---t-v '-c1z:: STATE ZIP CITY l. STATE ZIP /1-"'-I J a,.,. o c!..,/J ? 2,.oor' c~ J-"1,f-(J C /lo 9-zoc., ,F- PHONE ! FAX 7 G.-o--rs-.z. ;--2-7 Yi-' ";::_NE ,) 310 1/ef-/0 z.o IFAX - EMAIL A, E~All c p-z, ,,... " " r C!!::--_,,,.,._,..,., , /. c..o--, - DESIGN PROFESSIONAL CO~OR BUS. NAME t1 oof= 0 <''"'-J -~ ti ~ 1,/l (. -<..J ADDRESS ADDR~" t:> ,1 0 ax 2-..>7 / CITY STATE ZIP CITY V, dTATE ZIP 1.sV-,-,1---+ 7 2.CJ~J PHONE IFAX PHONE [FAX EMAIL EMAIL I STATE UC.# STATE LIC,# u} 14 I 'Vt !°'ASS I CllY ·r r :s er L/0 c; (Sec. 7031.5 Business and Professions Code: Arrt City or County which requires a permit to c_onstruct, alter, improve, demolish or repair any structure, p_nor to I1s 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_ndmg with Section 7000 of Division 3 of the Business and Professions Code} or that he Is exemP.t 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) ). WOIIKERS' COMPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of petjury one of the following declarations: ,81 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. 0 I have ind wlll maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for whic~ this permit is iSSlled. My workers' compensation insurance carrier and policy nllmber are: Insurance Co. ( S' rr-~ c. r-'-< A,; j) Policy No. 9 0 I l/ ..,rs-: (.J Expiration Date G .... X: -/ £ T"g' ion need not be completed 'tt the permit is for one hur.dred dollars {$100) or less. rtificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shal\ not employ any person in any manner so as to become subject to the Workers' CompensaUon Laws of a. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civll fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages asp lded for in Section 3706 of the Labor code, Interest and attorney's fees. 85 C0NTRACT0RSIGNATURE I hereby affirm that I am exempt from Contractor's Ucense 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 himseif or through his own employees, provided that sl.lCh improvements are not intended or offered for sale. II, 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 e)(c\usively 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 bllilds or improves thereon, and contracts for such projects with contractor(s) licensed pllrsuant to lhe C.Onlracklr's License Law). l am e)(emp\ under Section ~~~~-Bllsiness and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for constrnction of the proposed property improvement. OYes ONo 2. \ (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to pro'.'ide the proposed construction (include name address/ phone I contractors' license nllmber)· 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the m*r work (include name/ address/ phone I contractors' license nllmber): 5. \ will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address I phone/ type of work): 85 PROPERTY OWNER SIGNATURE hGENT DATE B- I I ! --' -~ ' '* "' COMP~STl!}nns Sl!CTION FOR NON-lti1;$IDSNTIAL IIUILOJNG: PSltMITS ONlY . -- Is the applicant or future building occupant required to Sllbmit a business p\an, acutely hazardous materials registration form or risk management and prevention program Linder Sections 25505, 25533 or 25534 Of the Presley-Tanner Hazardolls Substance Account AcF/ Yes No Is !tie applicant or future building occupant required to obtain a permit from the air pollution control district or air Quality management districF/ 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. I certify that I have read the appllcatlon and state that1he above Information Is oorrectand that the infonnation on the plans is accurate. I agree to oomplywlth all City ordinances and Slate laws relating to building oonstructton. I hereby authorize rep-esentaUve of the City of Carlsbad to enter up:m the above mentioned property tir inspeclbn purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JUOOMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA perrn~ is required for excavations over 5'0' deep and demolioon or construction of structures over 3 stories n hei;Jht. EXPIRATION: Every permit issued by the Buiiding Oflk:ial under the provisions of this Code shall expire by 11T\italion and become null and void W the buiiding or w:iri<. authorized by such permit IS not commenced v,;lhin 180 days from the date of such ~rm~ or if the building orw:>r'tc. authorized by such ~rmit 6 suspended or abandoned at any time after the w:irk is commenced for a perixl of 180 days (Section 106.4.4 Uniform Building Olde) . .65 APPLICANT'S SIGNATURE DATE ,:j" -Is -/ 'f 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 bujlding@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CONTACT NAME ADDRESS CITY STATE PHONE EMAIL DELIVERY OPllONS PICKUP: MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) CONTACT (Listed above) CONTRACTOR (On pg_ 1) ZIP FAX OCCUPANT (Listed above) OCCUPANT (Listed above) MAIL/ FAX TO OTHER: ________________ ~ A! APPLICANT'S SIGNATURE CO#: (Office Use Only) OCCUPANT NAME BUILDING ADDRESS CITY STATE Carlsbad CA OCCUPANT'S BUS. LIC. No. ASSOCIATED CB#------------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Pennit#: CB142034 Date Inspection Item 08/21/2014 15 Roof/Reroof 08/21/2014 19 Final Structural 08/21/2014 19 Final Structural 08/19/2014 15 Roof/Reroof 08/19/2014 15 Roof/Reroof Friday, August 29, 2014 Type: MISC REROOF Inspector Act PY PY RI RI AP RI AP SETTLEMYER RES -RE-ROOF 1900 SF COMPOSTION ON PITCH ROOF UL#79 Comments ROOF SHOULD BE TORN OFF BY NOON Page 1 of 1 • REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESS: /5"( /..,/ c~/oa /< ,/7-f./c_ 2. TYPE OF BUILDING: RESIDENTIAL ~ COMMERCIAL __ _ 3. ROOF SLOPE: RISE Y<i ,. INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 1 2 ffi 5. TYPE OF EXISTING ROOF COVERING l[ort..c-/4 {)uu.--,,.__, SHEATHING /7-r,,' *6. NEW ROOF MATERIAL 'fo,r_.d, tJc,__,_,_._. CLASS /f WEIGHT PER SQ. // D 8-10 7. NUMBER OF SQUARES __ ---3 ____ _ 8. TRADE NAME ws .:L=rrcc. I<:_ MANUFACTURER. ________ _ 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? @v 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 ____ __,.A~-~-·_C-_______ Date 8"" -/ S -/ '-/ Contractor ~-O~ _____ Contractor Nameq/G'-0 JJ.-1 (!_.,t /'? oc/c=:. "5,-A... 1J1c:..e.J' *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other Page 4 of 4 Rev. 02/11