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Home My WebLink About157 MAPLE AVE; ; CB154455; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-16-2015 Miscellaneous Permit Permit No: CB154455 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: 157 MAPLE AV CBAD MISC 2042331900 $0.00 Subtype: REROOF Lot#: 0 Project Title: GARNER: 1200 SF COMP TO SAME Applicant: Owner: Status: Applied: Entered By: Plan Approved: Issued:· Inspect Area: ISSUED 12/16/2015 JMA 12/16/2015 12/16/2015 PIVA ROOFING, BOB GARNER ROGER D&SCOTT-GARNER THEA TRUST 08-10-88 1192 INDUSTRIAL AV ESCONDIDO, CA 92029 619-745-4700 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: Inspector: PERMIT FEE P O BOX 235508 ENCINITAS CA 92023 $91.00 Total Payments To Date: $91.00 FINAL APPROVAL Date: S-·t/ zt, Balance Due: $91.00 $0.00 $0.00 $91.00 Clearance: _____ _ $0.00 l'OTICE: Aeaseta<e 1-0TlCEtta ~ dyc:u: i:rqed irdudesll"e "lrrp:isitioi' a fees, d!dcatitns, ~crs, adhereca::tials tumler ooledlvely retmed to as ''fee9'exa:iiors. • Yru haw rod¥ frcmll"e date 1lis p;mit WIS issued to prctest irrµstia, d these fee&'eafua If )OJ prctest them )OJ m..st fdlONll"e ?"(test~ sa fa1h in Q:Nerrmrt CodeSection 00120(a) • .mfilell"e prctest axlir!Ydher~red irtcmaiaw.ith theaty M:ncgerfa ~l"ltl in ax:ada'nl: IMlh Catsb:E M.ridp.l Code Sedb'l :132.cm Rill.18 to tirrely fdlONthEt ~ wll ta-ffl'/ SIJ:Jeeq.Bt legal ldion to alta:k, revie.v, sa aside, .tid er .nu lhEir irTµBtioo. Yru are hereby Fl.RTl-ffi.l'OTIREDthat yc:u: rg1 toimest ll"espedfied fee&'eaiia,s oces tor APPLYtovaern _. ccmediaifees En:!~ c:henges, rlr pla'ril"ftl, zoirg. gidl"ftl er dher sirrils-~iaiia, ptXBSsil g er SE!N<ltfees in amectio, wlh tlis ?tja:t. l'CR DCES IT APPLY IDffl'f J . . . . ·s YAi lirri . . . · THE FOLLOP-IING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH OHAZMAT/APCD Est. Value -(-City of Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Ck. Deposit JOB ADDRESS / 'i°7 l;, CT/PROJECT# LOT# # OF UNITS # BEDROOMS DESCRIPTION OF WORK: Include Square Feet of Atrected Area(s> /f-e /2.o~. AIGW h l/-, /lkf ~rf-Jf, S l j /eJ, EXISTING USE PROPOSED USE APPLICANT NAME CITY ~A,,-1 ~, O 0 STA~ PHONE 76D -7'/T-'/7()0 FAX 7btJ-7 !'.MAIL DESIGN PROFESSIONAL ADDRE'.SS CITY ZIP PHONE EMAIL STATE LIC. # SUITEI/SPACEI/UNITI # BATflROOMS /219~ f PATIOS (SF) DECKS(SF) PROPERTY OWNER EMAIL ADDRESS I) CtlY EMAIL FIREPLACE YESO. CLASS SWPPP AIR CONDITIONING YES □No □ acc. GROUP I/ FIRE SPRINKLERS YES0No□ Z!P tt::J <T -., "'l...OIJ I> STA~; j 951 L-'3 {Sec, 7031.5 Business and P!ofessions Code: Any City or C(!un_ty which requires a permit to_c~nstruct. alter, improve. (!emolish or repair any structure, prior~ its iSS\lance, also re(luires 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 Sect10n 7000 of D1visIon 3 of the Business and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of section ?031.5 by any appHcanf1or a penmit subjects the applicant to a civil penalty of not more than five hundred dollars {$5001). WORKERS' COMPENSATION Workers' Com pensatlon Ceclaratlon: I hereby affirm unr!et penalty of perjury or,e of the following ctedaralions: I have and will maintain a certificate of consent to telNnsure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this pennit is issued. have and will maintain workers' co:,:utj,en, as re~n 3700 of the Labor Code, for the performance of !he work for which this oermit is issued. My WOl"kers' compensation insuran carrier and policy number are: Insurance Co. S XE. -fE"" ~ Policy No. '232 S"Q "j / 6 3 Expiration Date -....!l!!~<-L..Yi~-- J,lli§,section need not be completed~ the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify Ulat in the performance al the work for which this permit is issued, I shall not employ any per.on in any marner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to sewre workers' compensation covarege is unlawful, and shall subjed an employer to criminal penalties and civll fines up to one hundred thousand dollars (&100,000), in addition ta the cost of compensation, damages as provided for In Section J7~f the Lab e, Interest and attamey's fees. NS CONTRACTOR SIGNATURE ~ I hereby affirm that I am exempt from Contractor's License LIIW for the follOWing reason: D □ □ I, as owne1 of the property or my employees with wages as their sole compensation, will do the work and the structure is not inlended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or i!Tl!)roves thereon. and who does such WOl'k himself or through his own employees, provided that sldl improvemenlS are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder wil have the burden of proving that he did not buid or improve lor Ille purpose of sale). I, as owne1 of the property, am exclusively contracting with icensed contractors lo construct the project (Sec. 7044, Business and Professions Code: The Contracto(s License Law liles not app~ 10 an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contraclor's License Law). I am exempt under Section _~ __ Business and Prof8$ions Code for this reason: 1. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement. OYes 0No 2. I (have/ have not) signed an aPl)lication for a building penmt for the proposed work. 3. I have conIracted w1lh the following person (firm) ID provide the proposed construction (include name address / phone I contractors' license numbei'}: 4. I plan 10 provide portions of the work, but I have hired the following person to coordinate, supervise and provide Ille major work (inck!de name/ address/ phone / contraclors· license numbeJ): 5. I will provide some of the work, but I have contracted (hired) the lrnlowing persons to provide the work indicated (incklde name/ address I phone/ type of lll0rk): Ji$ PROPERTY OWNER SIGNATURE DATE I ' . COMPLETE THIS SECTION FOR NON•RESIDENTIAL BUILDING PERMITS ONLY Is the iPPlicant or future building occupant required 10 submit a business plan, acutely handous materials r89istration form or risk management and prevention proglll'!l under Sections 25505, 25533 or 25534 0( the Presley-Tanner Hazardous Substance Account /!er? Yes No Is the applicant or future buUding occupant required to obtain a permit from the air pollution control disllict or air quality management district? Yes No Is the facility to be constr\lcted within 1,000 feet of the ouler 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 ..i the application and S1llte that the allow inroimation isconectand that the ini:Jrmallon on the plans is accurate, I agree ID C0111Jlywith all Cllyoidlnill1C8S and Sla1II laws relating 10 buldlng COl'ISlnlction. I hereby authorize representaljve of the City of Carlsbad lo enter upon the aoove mentioned property tir inspection purposes. 1 ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CllY 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 permt is required 1br excavations over 5'0' deep and demolrtiOn or o:inslnldion of stucturesover 3 stories in height EXPIRATION: Every permit issued by the Buikling Official under lhe provisions of this Code shal elqlire by lmialion and beoome null and 'l0id W lhe bui'l:Jing or 'Mllk aulhorized by sud1 permt is not oomirenced v.ithri 180days from the date of such penn~ orif the buik!i,gor\lAJl'k authorized by such permtissuspendedorabandoned at anytime aflerttey,orkis oommerm:t a periodof 1 days (Sectoo 10'i4.4 Unoorm Building Code~ AS APPLICANT'S SIGNATURE ~ ~ DATE /--Z ~. I" s STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. • ._ •, ls ~ ~ ~ ~ : i, 't, J L ' r ;r ~ C t U :~ l--'.. : J ~: 't ' 1..: s tn l 1 l_; t ( I .,i ; • cl .;; j ... / ! Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. I COi: (Office Use Cini)') CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CllY STATE ZIP Carlsbad CA PHONE I FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICKUP: CONTACT (Ll$led above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) ASSOCIATED CB# MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) NO CHANGE IN USE/ NO CONSTRUCTION MAIL/ FAX TO OTHER: CHANGE OF USE / NO CONSTRUCTION ,ff$ APPLICANT'S SIG NA TU RE DATE B-10 REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOBADDRESS: __ /_s_-_7_, __ M_&_p_i_c _______ _ 2. TYPE OF BUILDING: RESIDENTIAL-----'o<.~ .. --COMMERCIAL ___ _ 3. ROOF SLOPE: RISE s--= INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE)G) 2 3 5. TYPE OF EXISTING ROOF COVERING __ C_o--_{? __ SHEATHING __ _ *6. NEW ROOF MATERIAL c --,.,..,··e CLASS fl WEIGHT PER SQ. --z._oo 7. NUMBER OF SQUARES __ /_-z..___,_f __ 8. TRADE NAME C \~ MANUFACTURER 9. ROOF SYSTEM LISTING: UL NO. _____ I.C.C.E.S. Report# 65;,t.. I 37 L ASTM ------ 10. IS THE EXISTING STRU~ 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. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signature , Q ~ ~-Q. Date l -z.__}; l,/1 .S ----,--,.___~-- Contractor t><... Owner ____ Contractor Name ';~A-v,·'Q -Pa 1 (t_;: *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other Page 4 of 4 Rev. 02/11 Inspection List Permit#: CB154455 Date lnspe_c_t!~_n Item 05/04/2016 19 Final Structural 05/04/2016 19 Final Structural 12/22/2015 15 Roof/Reroof Thursday, May 05, 2016 Type: MISC REROOF GARNER: 1200 SF COMP TO SAME Inspector Act Comments RI PB AP PB AP Page 1 of 1