HomeMy WebLinkAbout1630 JAMES DR; ; CB013412; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-31-2001 Miscellaneous Permit Permit No:CB013412
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
1630 JAMES DR CBAD
MISC
1562111300
$7,587.00
Subtype: REROOF
Lot#: 0
Status:
Applied:
Entered By:
Plan Approved:
Issued:
ISSUED
10/31/2001
JM
10/31/2001
10/31/2001
Project Title: EKDAHL -REROOF 2700 SF
STANDARD WEIGHT TILE ICBO#3748
Inspect Area:
Applicant:
PIVA ROOFING, BOB
1192 INDUSTRIAL AV
ESCONDIDO, CA 92029
619-745-4700
Total Fees: $140.00
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Inspector: ~tis«·
Owner:
EKDAHL HARRY E JR&MARIA P
1630 JAMES DR
CARLSBAD CA 92008
Total Payments To Date: $0.00
PERMIT
3433 1.0/31/01 0002 01
CGF"
Balance Due: $140.00
$140.00
$0.00
$0.00
$140.00
FINAL APPROVAL
Date: 1//21/4/ Clearance: _____ _
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. lf 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 irrposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy
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 vou have oreviouslv been oiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise ov"ired.
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
Address !includo Bldg/Suite I) Business Name lat this address)
Lot No,
5,1·.v
Unit No. Phase No. Total # of units
Assessor's J:arcel;'
f{e. ,tt:,J f SM )<e r,·/e Proposed Use
Description of Work sa. FT. lot Stories II of Bedrooms. II of Bathrooms
Name Address City State/Zip Telephone I Fax II
:t;·:~:AJSP.uCAN:f\:i~U·tiimtaiitOT-:...;_:~il.A'ii~tof"~p~~UQ~Nlt~~ ~ ... -· ~\1tt~ .. :~-:~-::1:.:::~:·.:: --.r-<~'.··~-..:. ;-.....
ii:!:' ,,t; """,._,., ;tf~ /N ; ~ Es,..,,., ,1 d,'.J. 9,U,l 76<!-7"1S-lf7tHJ
Namo City S.tato/Zip T alophone I
:_5~~:CONTRACTOR:~·cOMPAN\','NAMe:fl:~~leSti:t:i,~~~iliS·ttt.':½;:~"11:™~~:;J '.:".,;,.~;;-~ ... ~.:,.~~;-.T-:~~::·;.:E:~,;'.';":'.•>:;,.:;~L:;~~(-;:-.:, ..
!Soc. 7031.5 Business and Professions Coda: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, pnor to its
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, commanding with Section 7000 of Division 3 of the Business and Professions Coda) or that he Is exempt therefrom, and the basis tor the alleged
axemptiqn. y violation of Section 7031.5 by any applicant or a_permit subjects the applicant to a ciyil penalty of not more than five hundred dollars 1$5001).
ob , '11t:.. ea {,"tJ /I t.i /.;.1 ;,. v. . E,c,,,,,d/#o ~/4 ~~;I(? 71"r7'74 cJ
Stote U,en,e I ....e:.;)_/,___,'Dc...:.f_3:_..=~--
Address
License Class _C~J~?~<=_S-___ _ City State/Zip T alephona II
Citv Businua Ucanse I I~ D 3 I? 8"
Desrgnar Name Addrosa City State/Zip Telephone State License I _________ _
·e:·•.: -W0RKERS":C0MPENSATI0N,;;r~~~;;;y:;;t.r,~~~~J~!JI~'.:aia::'?~;~~'r;Z";/~f!':~.'"r.',1~~~~[;~_,-::-!~!!::~;~;;•:~::-:•.:~)· :c:~•~:'.-.:';'. ··:~. :·:·,:~·:·::·:'t''
Workers' Compeneation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
D I have and will maintain a certificate of consent to &elf-insure tor workers' compensation as provided by Section 3700 of the Labor Coda, tor the performance
of tho work for which this permit is issued .
.,iJ. I have and will maintain wo,kers' compensation, as required by Section 3700 of the labor Code, for the performance of the work tor which this permit is
issued. My worker's compensation insurance carrier and policy number are:
ln,u,en,e Company !f:?'Ai £ r (). /v,:? Pol,oy No. ";/ 6 7 7 $"'~ Expiration Date ,{ -4,2
ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS]
0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as
to become subject to the Workers' Compensation Laws of California.
WARNING: Fallunr to aecun wont-.• compaf\latk,n coverage la unlawful, and ahaU subject ai •mpk>yer to crimin•I panaltlaa and civil tlnH Up to one hundred
thouaand doU1r1 0 000), ~!\ addltkm to the cost of companution, damage& .. provided fo, In Section 3706 of ttM Labor coda, lntarast ■nd attorney·• fH1.
s1GNATuRe,-Jc;,:;;ct,,......,~~~-"""""'===---------------DATE #".l'a -'2 p_,, I
7. ·,::}QWNEJI-BUILDEltDe'CLARATioN:.:-~,:~:f~',.ift~:~~~;2~;~&~~~~~;~~~--~;.'.:'H::~~:{?;~":']]~~:~c--.;f;~~~-;:~£j ;f~?.-.~:;:;:::::.'··M-:;:;::::~:~. '.!:•_~f{li~?w..-
1 hereby affirm that I am exempt tram the Contractor's Ucensa Law tor the following reason:
D I, as owner of the property or my employees with wages as their sole compensation, will do the work ■nd the structure is not intended or offered tor sale
(Sac. 7044, Business and Professions Coda: Th• Contractor's Ucense 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 tor sale. It, however, the building or improvement ia
sold within ona yaar of completion, the owner-builder will have the burden ct proving that he did not build or improve for the purpose of salal.
D I, as owner at the property, am exclusively contracting with licensed contractors to construct the project (Sac. 7044, Business and Professions Code: Tho
Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracu for such proJects with contractorlsl licensed pursuant to the Contractor's License L1w).
D l am exempt under Section ______ Business and Professions Coda for this reason:
1. I personally plan to provide the major J.abor and materials tor construction of the proposed property improvement. 0 YES ONO
2. l (have / have natl signed an application to, a building permit for the proposed work.
3. I have contracted with the following person ltinnl to provide the proposed construction {include name / address / phone number / contractors license number)
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide tho major work (include name/ address/ phon1
number/ contractors license number).,_-------------------------------------------------
5. I will provide some of the work, but I have contracted lhiredJ the followin!il persons to provide the work indicated !include name/ address/ phone number/ typ,
of work).,_------------------------------------------------------------
PROPERTY OWNER SIGNATURE_______________________ DATE _________ _
COMPLETE nus SECTION.FDR, Neiil--ltESIDmn.ttl5UJUllNQ' ~RMtr~:tl~~~~~~!::f!.,:-~~.e?:.!.::":!:::~1~:-~~ ~-~·: ;:~~-:--::·:;-~;2;;;:.:;~:-~~r2::
Is the applicant or future building occupant required to submit • business plan, acutely ha.tardous material• registration form or risk management and prevention
program undar Sections 26505, 25533 or 25534 of the Presley-Tanner H1urdous Substance Account Act?-0--¥E&----Q-NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air qualitv management district? O YES O NO
Is the facility to ba constructed within 1,000 feat of the outer boundary of e school aite7 0 YES O NO
IF ANY OF THE ANSWERS ARE YES, A ANAL CERTIACATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POUUTION CONTROL DISTRICT.
8.~r::cQNSTRiJCTION_ LEN01NG'AGENfi!;/f~";1~.~~~!l,~:i'f~:?-.._~t;'.f,;·:;~mzif'.'fj.;~<;J21fl!'~~°tT.""1f;,f~-'.i:·~.~;;7:~·~.··; ·,:'.-.-·:.,:/; , -··,~
l hereby affirm that there is a construction landing agency for the performance of the work for which this permit is issued (Sec. 3097(il Civil Code).
.. ~ -;·
LENDER'S NAME :;:;;;;;;;;;;:;;;;;;;-;;:-:::;;;:;;;::;;;:;;:;;;;;;.,;:;;:;:;;;::;,,.~LE:N::OER'S AODRESS========------------------
9~~.;~:..;APPl.lCAHT-."CERTIRCATION~~.rf_,;'.~~~;:;,:;_~~~,_•~~¢_;,,~·-,.;y·,;-~~~pr~..,.f'...:;.,,-,.;n~~c'..f}T:!f.f}~/f.:~'. . ..:..:•.'...:.:::.~·-.. ,_,::_:.:_'-•~·-·~:.:.=-::;.'::-:•·
I certify that l have read the application and state that the abova infonnation is correct and that the information on the plans is accurate. J agree to comply with all
City ordinances and State laws relatmg to building construction. l hereby authorize representatives of the Citt of Carlsbad to enter upon tho above mentioned
property for mspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU 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 permit is reQuired for excavations over 5'0"' deep and demolition or construction ot structures over 3 stories in height.
EXPIRATION: Every permit issu.ed by the Building O!'fiC::i•I under the provisions of this Code shall expire by limitation and become null and void it tho building or
work authorized by such permit 1s not co_mmenced wrthm 365 days from the date ct such permit or it the building or work authorized by such permit is suspended
or abandoned at any time after th wor IS c mmenced for a penod of 180 days (Section 106.4.4 Uniform Building Coda).
APPLICANT'S SIGNATURE
WHITE: Fila YELLOW: Applicont PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 11/26/2001
Permit# CB013412
Title: EKDAHL • REROOF 2700 SF
Description: STANDARD WEIGHT TILE ICBO#3748
Type:MISC Sub Type: REROOF
Job Address: 1630 JAMES DR
Suite: Lot 0
Location:
APPLICANT PIVA ROOFING, BOB
Owner: EKDAHL HARRY E JR&MARIA P
Remarks:
Total Time:
CD Description Act Comments
Inspector Assignment: GG ---
Phone: 7607454700
Inspector: ----
Requested By: DAVID
Entered By: KAREN
19 Final Structural .Jll/!_ ______ _
Associated PCRs
Inspection History
Date Description
11/02/2001 15 Roof/Reroof
Act lnsp Comments
AP GG
... ,
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFINO
1. JOB ADDRESS; . lb 3 0 To m es £)/2,
2. TYPE OF BUILDING: RESIDENTIAL X COMMERCIAL.,__ _ _.
3. ROOF SLOPE: RISE "'f inches In 12 Inches
4, NUMBER OF EXISTING ROOF COVERING (circle one) o) 2 3
5. TYPE OF EXISTING ROOF COVERING Sh..k'":> SHEATHING 5 },yt) .
*6. NEW ROOF MATERIAL77~ CLASSf.rO WEIGHT PER SQ~E ·
7, NUMBER OF SQUARES ,2 7 . ,
8. TRADE NAM _______ MANUFACTURER /(,:,,.,JSc,';(j,
9. ROOF SYSTEM LISTING UL No. ____ .lCBO No. s i '~ ?¥fr
10.1S THE EXISTING STRUCTURAL 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 classlflcation are prohibited.
I understand the following inspections are required:
1, Tear Off/Pre,lmipection 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?/-~. Oafe /d·,,?'1~ 01
Contractor X Owner · Contractor Name Od h f1vu.. K a<.1 4 j
*6 • Rolled Roofing, Standard/Lite Tile, AsphallfComp Fiberglass, Built upf""'
Other.