HomeMy WebLinkAbout1600 Jeanne Pl; ; CBR2017-1608; PermitPrint Dal,>: 07/24/2017
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
1600 Jeanne Pl
BLDG-Residential
2071304400
$4,215.84
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Residential Permit
www.carlsbadca.gov
Work Class:
Lot#;
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#;
Plan Check#:
Reroof
Description: MASSAS: RE-ROOF 24 COMP SHINGLES
BUILDING PERMIT FEE $2000+
BUILDING PLAN CHECK FEE (BLDG)
5B1473 BUILDING STANDARDS FEE
STRONG MOTION-RESIDENTIAL
Total Fees: $121.59
Owner:
COOWNER MASSAS FRANK D AND ZARET
TERESA
1600 Jeanne Pl
CARLSBAD,CA 92008
Total Payments To Date: $121.59
Status:
Applied:
Issued:
Fina led:
Inspector:
Contractor:
APODACA ROOF SERVICES
760-518-1259
Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
Permit No: CBR2017-1608
Closed -Finaled
07/18/2017
07/18/2017
' .
$0.00
$70.61
$49.43
$1.00
$0.55
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMAT/APCD
{'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.carlsbadc_a.gov
Plan Check No.(,ll ( 1 l""J(') 11 -I /.., 0 ~
Est. Value f :) \ ~ )(II ,
Plan Ck. Deposit
Date '7 /IX / I '7 lsWPPP
JOB ADDRESS; ✓ . -"' OOJ c ,.<) ,,V,A/ c.., Pl. SUITEf/SPACEf/UNITI ,
CT/PROJECT# ILOT# IPHASE# \#OF UNITS !#BEDROOMS #BATHROOMS ITENANTBUSINESSNAME ICONSTR.TYPE I DCC.GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) /, \ --~ I r ye.--,,,._ o ,--,= e.-x, .s r,~ J a=> C!..-o.--..,-:, -I ,<.(Sr,---,. /I r..LJ ..3 o-,,, 1 "-,
..-</ I I A./<-,,.,,, ,-/--,. ..r t., , 7 -S: I 1/ 0 ,Y ~ c__ "' -/"" -/~I~ Ii : V-= --e) ,= ,~
e.,,, ,:..r r,, _ t" Y"'~ ~ ~ ,,.,,~ -..Z -.__r r--,. I/ C2> ,,:,... 3-.Y .a +-.r "--s L,.,, "-rT,
ro-d J?o=~ CV ·s.,.,.o.orL. ~ l,_4-7,____ v<--0 C ~s4 ec r-
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF} I DECKS {SF) FIREPLACE
YES[J#
'IAIR CONDITIONING IFIRESPRINKLERS
N<OI YES0No0 YESONoO
APPLICANT NAME
Primary Contact
ADDRESS
-7L t;,,.r
CITY STATE C _,_ /s -a--r-o c.. _,,.,,_
EMAIL
-a~o-
PROPERTY OWNER/-
-~-'1~/<
ADDRESS
/~oc
ZIP CITY
? z_oo.P--C..-/4-a-_.,,
PHONE
7 t..o -,.;-/ "J -6 .r i!-cJ
EMAIL
STATE c~ IFAX_
t, c.-n .,,_.," r= e ___,....,. I. "' o.....,. /~__,_.,.,_ 0 ( J _s-C) <3!' 0 ........,_, • /. cf_ 0 _,,__,
DESIGN PROFESSIONAL
ADDRESS
CITY STATE ZIP
PHONE IFAX
EMAIL
CONTRACT_i)R BUS. NAME
-... c,p,+c! ~
ADDRESS 't ',le. /J -+h.-
CITY V✓..r,....,.
PHONE
7&,o-,5"/S--,I LS-9
ZIP r z_o,5--,,
I'"" -
I STATE LIC. # STATE 9# r 1/ / z._ r I~~ 7 I CITY BUS. LIC.#
(Sec. 7031.5 Business and Professions Code. Any Crty or County which requires a permit to construct, alter, improve, demolish or repair an>-: structure, pnor to its issuance, also requires the applicant for such per_mIt to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law JChapter 9, commending with Sect!On 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 031.5 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 heleby affirm under penalty of perjury one of the following declarations:
Q1 have and wlll 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 ~sued. ls:J1 have and will maintain workers' compensation, as required by Section 3700 of the labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co, ______________________ Policy No. _______________ Expiration Date _________ _
Jllii.section need not be completed if the permit is for one hur.dred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the work for which this perm~ is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damages as provided in Section 3706 of the Labor code, inlerest and attorney's fees.
_85 CONTRACTOR SIGNATURE ~
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, wrn 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 r.ot intended or offered for
sale. If, however, the building or improvement is sold Wittlin 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. OYes ONo
2. I (have/ have not) signed an application for a building pennit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name address I 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 I address I 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 I address I phone/ type of work):
~ PROPERTY OWNER SIGNATURE □AGENT DATE
" '"I ~ -~~ "" 1~ ~ ¥
COMPLETE THIS SECTION FOi! NON•f!l!SIDENTIAL BUILDING Pl!ttMITS ONLY ~ -" ~
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tiimner 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.
I certify that I have read the application and state that the above lnfonnatlon Is correct and that the information on the plans is accurate. I agree to complyMth all City ordinances and State laws relating to building construction.
I hereby authorize representative of the City of Carlsbad to enterup:m the alxlve mentbned J:XUperly for inspection purp:ises. I ALSO AGREE TO SAVE, INDEMNIFY .AND KEEP HARMLESS THE CITY 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 .M OSHA permit is required for excavations over 5'0' deep and demolitWJn or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Buil:!ing Offi:ial under the provisk>ns of this Code shall expire by liTittalion and become null and void if the buikiing orv.ork authorized by suet, permit is notCXJmmenced 'Mlhin
180 days from the date of such permit or iflhe building or v.ork authorized by suet, permit is suspended or abandoned at anytime after the w:Jrk is CXJmmenced for a perioo of 180 days (Section 106.4.4 Unifom, Building Code).
~ APPLICANT'S SIGNATURE DATE 7 -/ ,!I' -/ 7
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 form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
AODRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. UC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL TO: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
OCCUPANT (Listed above)
MAIL/ FAX TO OTHER: _______________ ~
..#5 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: / t,. 00 7e ~ ,,.,,,.,.,, ~ ;:1/ ;;-
2. TYPE OF BUILDING: RESIDENTIAL ,.__..---COMMERCIAL ___ _
3. ROOF SLOPE: RISE '-/ INCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 1 a) 3
5. TYPE OF EXISTING ROOF COVERING C 0 ~p SHEATHING /?~7 7
*6. NEW ROOF MATERIAL C o----, p CLASS /-f WEIGHT PER SQ. cJI-. S(r
'
7. NUMBER OF SQUARES __ d-__ '--/ __ _
8. TRADE NAME½-'7,::re,.__/,~<:...--MANUFACTURER <;id /;::
9. ROOF SYSTEM LISTING:
/'-/?J-UL NO. ______ I.C.C.E.S. Report# ______ _
ASTM _____ _
10. IS THE EXISTING STRUS!:~~~ESIGN 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 ~ · C
Contractor ~ Q:; _____ Contractor
Date 7 -/.5'--1 ?
Name~, 1<~ tje5TJ. t:,A_/ ~; r 0 -
*6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other
8-10 Page 6 of6 Rev. 04/14
PERMIT INSPECTION HISTORY REPORT (CBR2017-1608)
Permit Type: BLDG-Residential Application Date: 07/18/2017
Work Class: Reroof Issue Date: 07/18/2017
Status: Closed -Finaled Expiration Date: 01/15/2018
Scheduled
Date
Actual
Start Date
07/19/2017 07/19/2017
07/24/2017 07/24/2017
July 24, 2017
IVR Number: 5068
Inspection Type Inspection No.
BLDG-15
Roof/ReRoof (Patio)
029142-2017
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
029494-2017
Checklist Item
BLDG-Building Deficiency
Inspection Status
Passed
COMMENTS
Passed
COMMENTS
Owner: COOWNER MASSA$ FRANK D
AND ZARET TERESA
Subdivision: HOLIDAY MANOR
Address: 1600 Jeanne Pl
Carlsbad, CA 92008-2606
Primary Inspector Re inspection Complete
Chris Renfro Complete
Passed
Yes
Michael Collins Complete
Passed
Yes
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