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Home My WebLink About1618 JAMES DR; ; CB130508; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-28-2013 Miscellaneous Permit Permit No: CB130508 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 1618 JAMES DR CBAD MISC Subtype: REROOF 1562111100 $4,505.00 MODZELSKI: 3300 SF SHAKE TO COMP SHINGLES Lot#: 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 02/28/2013 JMA 02/28/2013 02/28/2013 WEATHERGUARD ROOFING SERVICES STEN MODZELESKI VINCENT E&JUDITH E TRUST 05-09-01 300 ENTERPRISE ST ESCONDIDO CA 92029 760-801-4842 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES 1618 JAMES DR CARLSBAD CA 92008 PERMIT FEE Total Fees: $134.00 Total Payments To Date: $134.00 Inspector: W\· ~ S FINAL APPR VAL Date: $134.00 $0.00 $0.00 $134.00 Balance Due: 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 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 i h h T i ·1 f i i i THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING BUILDING OARE □HEALTH 0 HAZMAT/APCD ~ ,< ,t#)}: Building Permit Application Plan Check No. C ~ Q So ¥ CITY OF CARLSBAD JOB ADDRESS 1635 Faraday Ave., Garlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: buldllng@carlsbadca.gov www.carlsbadca.gov SUITE#/SPACE#/UNIT# Est. Value Plan Ck. Deposit Date z,, 21rlt3 SWPP APN CT/PROJECT# # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE CCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Aft'ected Area(s) , c,{ 1/ " c, B TE-Al2.. DrF 5)<'1STING R..ooF 33 ,.C -INSTALL 7 16 O,S,o, -"30 L FE-LT PAPE-/'<. -IN STA-LL 30 yR. CLASS A S"-1-1,-JG LES EXISTING USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES □# NO □ YES □ NO □ YES □ NO □ APPLICANT NAME (Secondary Contact) ADDRESS 300 ENTER.PR.!SE -:4-ADDRESS ST CITY E-SCONDIOO STATE l'.4 ZIP CITY STATE ZIP 92.02. PHONE 760 FAX 001 -4042. 760 PHONE FAX 735-8318 EMAIL EMAIL PROPERTY OWNER NAME CONTRACTOR BUS. NAME ADDRESS ADDRESS 300 CITY CAC2. CITY escot-J STATE CA, PHONE 760 FAX PHONE 60 so FAX 760 MAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC.# CLASS CITY BUS. UC.# C..-3 (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 statement that he 1s licensed pursuant to the prov1s1ons of the Contractor'.s License Law fChapter 9, commending with Section 7000 of Div1s1on 3 of the B_usiness and Professions Code} or that he 1s exempt 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 c1v1I penalty of not more than five hundred dollars {$500)). Workers' Compensation Declaration: I hereby affiflTI under penalty of petjury one of the following declarations· □ I have and will maintain a certificate of consent to self-insure for workers' compensation as pro~ided by SecHon 3700 of the labor Code, for the performance of the work for which this permit is issued. ~ I 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 ara Insurance Co ST AT E F ON Q Policy No. I q 5 0 2 g 7 Exp;rabon Date 8 -( -( 3 This section need not be completed if the permit is for one hundred dollars ($100) or less □ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I sh WI 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 unla ul, 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 for in Secti 3706 of e Labor code, interest and attorney"s fees, 65 CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense Law for the followi □ 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 O'Mler-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 contracHng 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 pJan to provide the major labor and materials for construction of the proposed property improvement. □ Yes D No 2, I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person {finTl) to provide the proposed construction (include name address/ 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/ address/ phone I contractors' license number) 5, I will provide some of the 'M:lrk, but I have contracted (hired) the following persons to provide the work indicated (include name I address/ phone /type of work): AS PROPERTY OWNER SIGNATURE □AGENT DATE 0,n " ~ ~ \ 1 1 '1 1' ~ ; i ~ ( 1 1 ~'1 1 ~ 1 1 1 \ a i COMPLl!TI! THIS Sl!CTION FOR NON-RESIDENTIAL IIUILl11NG Plll?MITS ONLY ~ " ---" 1 ' 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-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 DISTRJCT. I certify that I have read the application and s1ale that the atxMl infmmatlon is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating 1D building construction. I hereby authorize representaHve of the City of Cartsbad to enter upon the alxlve mentioned ~perty br inspection pufJXlses. 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: AA OSHA permit is required for excavations over 5'0' deep and clemolrtDn or construction of structures over 3 stories m hel,;lht EXPIRATION: Every permit issued by the Building Offk:ial under the provisions of !hi shall expire by limitation and berome null and void if the buik:ting oroork authorized by such perrntt is not commenced within 180 days from the date of such permrt or if the building or'Mlrk authorized such rt is suspended or abandoned at any ~me after the 'Mlrk is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code}. _85 APPLICANT'S SIGNATURE DATE 2--28 -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, Email www.building@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 FAX EMAIL DELIVERY OPTIONS □ PICK UP: o CONTACT (Listed above) □ OCCUPANT (Listed above) D CONTRACTOR (On Pg. :1.J □ MAIL TO: □ CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) □MAIL/FAX TO OTHER: A$ APPLICANT'S SIGNATURE ZIP CO#: (Office Use Onty) OCCUPANT NAME BUILDING ADDRESS CITY STATE ZIP Carlsbad CA OCCUPANT'S BUS. LIC. No. o ASSOCIATED CB#------------- □ NO CHANGE IN USE/ NO CONSTRUCTION □ CHANGE OF USE/ NO CONSTRUCTION DATE 8-10 REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOBADDRESS: 161"0 JAM~.S DR 2. TYPE OF BUILDING: RESIDENTIAL / COMMERCIAL. ___ _ 3. ROOF SLOPE: RISE t../ INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) u) 2 3 5. TYPE OF EXISTING ROOF COVERING S.4+AKEc-SHEATHING SklP *6. NEW ROOF MATERIAL __ OO~M_f~_CLASS A WEIGHT PER SQ. 250 7. NUMBER OF SQUARES __ _,3"'--"'3'--_ 8. TRADE NAME TIM Bt;R..LpJ~ MANUFACTURER ___ G_A_r~--- 9. ROOF SYSTEM LISTING: UL NO. ______ I.C.C.E.S. Report# _____ _ ASTM D 7, 158 1 O. IS THE EXISTING STRUC~L DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? C.: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 extend in at least 2 rungs above the roof for inspection. Contractor ___ _ Contractor /----- Name 812.JM Kg_EFI *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other Page 4 of 4 Rev. 02/11 Inspection List Permit#: CB130508 Date Inspection Item 03/19/2013 19 Final Structural 03/19/2013 19 Final Structural 03/14/2013 15 Roof/Reroof 03/14/2013 15 Roof/Reroof Wednesday, March 20, 2013 Type: MISC REROOF Inspector Act RI MC Fl RI PD AP MODZELSKI: 3300 SF SHAKE TO COMP SHINGLES Comments AM PLS Page 1 of 1