HomeMy WebLinkAbout1712 CATALPA RD; ; CB131735; Permit07-22-2013
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Miscellaneous Permit Permit No: CB131735
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Valuation
Reference #
PC#
Project Title
1712 CATALPA RD CBAD
MISC
2155110500
$5,324 00
Subtype
Lot#
REROOF
0
ZINGERMAN. 3900 SF SHAKE TO
COMP SHINGLE
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
07/22/2013
JMA
07/22/2013
07/22/2013
Applicant
SAN DIEGO ROOF DOCTOR
1075 LINDA VISTA DR
UNITO
SAN MARCOS 92078
760-471-7131
Owner
ZINGERMAN JOEL P&KATHLEEN
1712 CATALPA RD
CARLSBAD CA 92011
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
PERMIT FEE $151 00
$0 00
$0.00
TOTAL PERMIT FEES $151 00
Total Fees $151 00 Total Payments To Date $151 00 Balance Due: $0.00
Inspector
FINAL APPR
Date _"7/2
AL
1^3 Clearance
NOTICE Please fake NOTICB^mat approval ofVour project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
refen-ed to as "fees/exactions" You have 90 days from the date this permit was issued to protest imposition of these fees/exactions If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any
tees/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previouslv otherwise expired
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE. nPLANNING nENGINEERING OBUILDING QFIRE OHEALTH nHAZMAT/APCD
CITY OF
CARLSBAD
Building Permit Appiication
1635 Faraday Ave , Carlsbad, CA 92008
Ph 760-602-2719 Fax 760-602-8558
email building@carlsbadca gov
www.carlsbadca.gov
Plan Check No. Cfo( 3 (7,3$"
Est. Value
Plan Ck. Deposit
Date 7/^2^/;-?) [swggL
JOB ADDRESS
Tori ^ PHASE # / #0F UNITS # BEOROOMS
SUITE#/SPACE#/UNIT#
CT/PROJECT # # BATHROOMS TENANT BUSINESS NAME
DESCRIPTION OFWORK: /ncfude Square Feet Of/t/fected/treats; . . ^
CONSTR TYPE OCC GROUP
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YESr~|# N0| I
AIR CONDITIONING
YES QNO I I
FIRE SPRINKLERS
YES I |NO| I
APPyCANT NAME mary Conta^) APPLICANT NAIVIE (Secondary Contact;
ADDRESS
PHONE
STATE ZIP CITY STATE ZIP
EMAIL
PROPERTY OWNER NAME » CONTRACTOR BUS. NAME) ^ , ^ ^ y
ADDRESS ADDRESS
STATE ZIP CITY STATE ZIP CITY
PHONE
1^0'Si/'90/2
FAX PHONE
y^O'^7/--?/?/
FAX
EMAIL
^^/DESIGNER I^E & ADDRESS STATE I
ivmiL. ^^-^
TATE LIC # ' X I CLASS CITY BUS LIC« CITY BUS LIC# IZ.^-Z,S-S^T
(Sec 70315 Busihess 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 applicantfor such permitto file a signed statement that he is licensed pursuantto the provisions ofthe Contractor's License Law (Chapter 9, commendingwith Section 7000 of Division 3 ofthe Business and Professions Code) or that he is 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 civil penalty of not more than five hundred dollars ($500))
Workers' Compensation Declaration / hereby affirm under penalty of perjury one of the following declarations
• 1 have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, tor the perfomiance of ttie work for which this permit is issued
3^ 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 earner and policy
number are Insurance Go Si^if'/^jE ^OA-*^ Policy No ^ OZ^ 3 i 2_- - 'j^ /Z- Expiration Date ~/~
This section need not be completed if the permit is for one hundred dollars ($100) or less
I I Certificate of Exemption-1 certify that in the performance of the work for which this pemiit is issued, I shall not employ any person in any manner so as to become subiect to the Workers' Compensation Laws of
California WARNING' Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to cnmmal penalties and civil fines up to one hundred thousand dollars (SIOO.OOO), m
addition to the cost of compensation, damages as provided for in Section 3706_stthBjgabor eade, intotest.and attomey's fees.
CONTRACTOR SIGNATURE • AGENT DATE
I hereby affirm that I am exempt from Contractor's License Law for the following reason
I I 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 cf 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 owner-builder will have the burden of proving that he did nol build or improve for the purpose of sale)
I I I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec 7044, Business and Professions Code The Contractors 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 am exempt under Section Business and Professions Code for this reason
1 I personally plan to provide the major labor and matenals for construction of the proposed pnjperty improvement •Yes I INO
2 I (have / have not) signed an application for a building permit for the proposed work
3 I have contracted with the following person (fimi) to provide the proposed constmction (include name address / phone / contractors' license number)
4 I plan to provide portions ot the work, but I have hired the following person to coordinate, supen/ise and provide the major work (include name / address / phone / contractors' license number)
5 I will provide some of the work, but I have contracted (hired) the following persons to provide the worti indicated (include name / address / phone / type of wort()
jglTpROPERTY OVKNER SIGNATURE •AGENT DATE
Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account AcP Yes No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management distncf Yes No
Is the facility to be constmcted 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 hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code)
Lender's Name ,' Lender's Address
1 certily that 1 have read the applicabon and statethatthe above infbmiaton is conectand thatthe Inforniabon on bie plans is accurate 1 agree to comply witti all City ordinances and State laws relabng to building consbucbon.
I hereby authonze representative of the City of Carlsbad to enter upon the above mentioned property for inspecton purposes 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 An OSHA pennrt is required for excavations over 5'0' deep and demolition or constmction of stmctures over 3 stones in height
EXPIRATION Every pemiit issued by the Building Official under the provisions ofthis Code shall expire by limitation and become null and void if the buiWing or work authoreed by such pemiit is not commenced within
days from the date of such pemnrt or if the building or witk authonzed by sudiDeuHitis'Stlspended or abandoned at any time after the work is commenced for a penod of 180 days (Section 106 4 4 Unifonn Building C^de)
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.
Comme r o J e r 11
Fax (760) 602-8560, Email buildinOlQcarlsbadca QOV or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008
C0#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILOING ADDRESS
CITY ZIP
Carlsbad CA
PHONE
EMAIL OCCUPANT'S BUS LIC No
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg 1)
MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above)
A CONTRACTOR (On Pg 1)
IVIAIL / FAX TO OTHER:
ASSOCIATED CB#-
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
APPLICANT'S SIGNATURE DATE
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
1. JOBADDRESS:
2. TYPE OF BUILDING: RESIDENTIAL COMMERCIAL
3. ROOF SLOPE: RISE V INCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE)^/T) 2 3
5. TYPE OF EXISTING ROOF COVERING S/^/£^^ SHEATHING S/Cf^
*6. NEW ROOF MATERIAL ^///r^^ef CLASS WEIGHT PER SQ. 72£>
7. NUMBER OF SQUARES 3>^
8. TRADE NAME (^^p //./) MANUFACTURER^
9. ROOF SYSTEM LISTING:
ULNO. I.C.C.E.S. Report*
ASTM
10. IS THE EXISTING STRUpSttRAUDESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE
PROPOSED ROOF? -^YES^ 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.
Signature ^^^.^^2^- ' ' Date 7/^^- // I
Contractor ^."^ Owner Contractor
Name ^n^z/fu"^ .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*: CB131735
Date Inspection Item
07/23/2013 15 Roof/Reroof
07/23/2013 15 Roof/Reroof
07/23/2013 19 Final Structural
Type: MISC REROOF
Inspector Act
Rl
PY AP
PY AP
ZINGERMAN: 3900 SF SHAKE TO
COMP SHINGLE
Comments
PM PLS
Wednesday, July 24, 2013 Page 1 of 1