HomeMy WebLinkAbout1670 BASSWOOD AVE; ; CB140768; Permit04-09-2014
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Miscellaneous Permit Permit No: CB140768
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
PC#:
Project Title:
1670 BASSWOOD AV CBAD
MISC
2050603100
$0.00
Subtype:
Lot#:
REROOF
0
WEIST: 2700 SF GRAVEL TO BITUM
EN ROOF SYSTEM
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
04/08/2014
JMA
04/08/2014
04/08/2014
Applicant:
MIKE JOHNSTON ROOFING
Owner:
WIEST CLAYTON C INTER VIVOS TRUST 07-01-
802 GALAXY DR 92083
760 945-6846
1670 BASSWOOD AVE
CARLSBAD CA 92008
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
PERMIT FEE $135.00
$0.00
$0.00
$135.00
Total Fees: $135.00 Total Payments To Date: $135.00 Balance Due: $0.00
Inspector:
FINAL APPROVAL
Date: V'f7^(i Clearance:
NOTICE: Please take NOTICE that approval of your project includes the Imposition" of fees, dedications, resen/ations, 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 Govemment 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 sen/ice fees in connection with this project. NOR DOES IT APPLY to any
fees/exactions of which vou have oreviouslv been given a NOTICE similar to this, or as to which the statute of limitations has previously othenwise expired.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: QPLANNING •ENGINEERING •BUILDING • FIRE nHEALTH •HAZMAT/APCD
^ CITY OF
CARLSBAD
* |Ldf#
Building Permit Appiication
1635 Faraday Ave,, Carlsbad, CA 92008
Ph: 760-602-2719 Fax:760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
2
Plan Check No. j ^ - 'J
Est. Value f &^
Pian Ck. Deposit
Date SWPPP
I CT/PROJECT # '
SUITE*/SPACE#/UNIT*
# OF UNITS # BEDROOMS * BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: fnc/ud0 Square Feet of Affscted Areafsj T~J 7 'Z, 1 ^ 7
EXISTING USE | PROPOSED USE j GARAGE (SF) j PATIOS (SF) j DECKS (SF) j FIREPLACE j AIR CONDITIONING I FIRE SPRINKLEI FIREPLACE
YES|~|#. N0| I
AIR CONDITIONINI
YES I |NO| I
FIRE SPRINKLERS
YES I |NO| I
APPLICANT NAME
Primary Co
PROPERTY/ NER
7^
EMAIL EMAIL
DESIGN PROFESSIONAL
ADDRESS
STATE ' CITY STATE ZIP
PHONE FAX
EMAIL
CITY BUS. LIC.#
Civil penalty of not more than five hundred dollars {$500)),
its issuance, also requires the with Section 7000 of Division 3 of the a permit subjects the applicant to a
WORK! I $ AT fou
i
Workers' Compensation Declaration: / ftersby affirm underpenalty of perjury one ofthe following dedarations:
I ^ I 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 perfonnance of the work for which this pemnit is issued,
tjl have and wiii maintain wuKep' complnsation, as j^uiled by Secticr 3700 of the Labor Code, for the perfomiance^ th^grlUgt, which ttjs pefpAls issued. My workers' compensatjan inafranc^amer and policy
I number are: Insurance C^^^^^'i'^ '^^Z' ^'v Policy No, / 7/ / <3 D / Expiration Date // /
This section need not be completed if the permit is for one hundred dollars ($100) or less.
I I Certificate of Exemption: I certify that in the performance of the wori<
Califomia, W/\RNING: Failure to $ecur^orkers' compansation
addition to the cost of compensatiqD^4^^es a&^roj^ed for ii^B^i
^ CONTRACTOR ^mKTIIlt^/Z^^J^^^ l/yA
fall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
iject an employer to criminal penalties and civii fines up to one hundr^ thousand^oilars (&100,000), in
iterest and attomey's fees.
• AGENT DATE
/ hereby affimi that / am exempf ftom Contractor's Ucense Law for the folhwing reason:
I I I, as owner of the property or my employees with wages as their sole compensation, will do the work and the stmcture is not intended or offered for sale (Sec. 7044, Business and Prafessions Code: The Contractor's
License Law does not apply to an owner of praperty 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 owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
I I I, as owner of the property, am exclusively contracting with licensed contractors to constmct 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 I I am exempt under Section Business and Prafessions Code for this reason:
1,1 personally plan to provide the major labor and materials for construction of the praposed property improvement QYes I iNo
2,1 (have / have not) signed an application for a building pennit for the proposed work.
3,1 have contracted with the following person (firni) to pravide the proposed constniction (include name address / phone / contractors' license number):
4.1 plan to pravide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone / contractors' license number):
5,1 will pravide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work):
^fifpROPERTY OWNER SIGNATURE QAGENT DATE
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 fram 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
CONSTRUCTION LENDING A¥|NCT
I hereby affirm that there is a constmction lending agency for the perfomiance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
in TlFI
I certi^ttiat I have read the applkatkin and state that the above infoimation is conectand thatthe infonnation on the pians is accuiate. I agree to comply with all City ontinaiKes and State laws relating to building constnicdon.
I hereby authorize representative of the City of Cailsbad to enter upon the above menttoned property for inspecbon purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CfTY 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 pemiit is required fbr excavations over 5'0' deep and demolitbn or constmctfon of stmctures over 3 stories in height,
EXPIRATION: Every permit issued by the Building Offciai under the provisfons of this Code shall expire by limitatfon and become null and void if the building or «ori< aulhorized by such pemiit is not commenced within
180 days ftom the dale of such pemiit or if the building or vwrt( authorized by such pemiit is suspended or abandoned at any time after the »iori< is commenced for a period of 180 days (Sectfon 106,4.4 Unifonn Building Code),
>eS'APPLiCANT'S SIGNATURE DATE
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 buildinq(S)carlsbadca,qov or Mail the completed fonn to City of Carlsbad, Building Division 1635 Faraday Avenue, Carisbad, Califomia 92008.
C0#: (Office Use Oniy)
CONTACT NAME OCCUPANT NAIVIE
ADDRESS BUILDiNG ADDRESS
CITY STATE ZIP CITY STATE
Carlsbad CA
FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAILTO: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL / FAX TO OTHER:
ASSOCIATED CB#-
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
>ef APPLICANTS SIGNATURE DATE
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
1. JOBADDRESS:
2. TYPE OF BUILDING: RESIDENTIALJl COMMERCIAL
3. ROOF SLOPE: RISE j, $ INCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 1 §) 3
5. TYPE OF EXISTING ROOF COVERING^^. ^ ^SHEATHING 2X ^ i 4- &•
*6. NEW ROOF MATERIAL!) Ij^H^iA CLASS /4 WEIGHT PER SQ.^^^
7. NUMBER OF SQUARES "7
8. TRADENAME ^dv^trc^S MANUFACTURER P>^^^'-i-^>^
9. ROOF SYSTEM LISTING:
UL NO. ^ 3oi!o I.C.C.E.S. Report # 3
ASTMIC^^
10. IS THE EXISTING STRUQJJI^^ DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE
PROPOSED ROOF? Q^^^ 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-lnspection 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.
Signaturi
Contractor
Name
Date /A//
*6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other
B-10 Page 4 of 4 Rev. 02/11
Inspection List
Permit#: CB140768
Date Inspection Item
04/15/2014 19 Final Structural
04/15/2014 19 Final Structural
04/10/2014 15 Roof/Reroof
04/10/2014 15 Roof/Reroof
Type: MISC REROOF
Inspector Act
Rl
PB AP
Rl
PB AP
WEIST: 2700 SF GRAVEL TO BITUM
EN ROOF SYSTEM
Comments
AM PLS PRE ROOF
Wednesday, April 16, 2014 Page 1 of 1