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Home My WebLink About1749 Forest Ave; ; CBR2017-2363; PermitPrint Date: 10/13/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 1749 Forest Ave BLDG-Residential 1561302500 $3,864.52 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit www.carlsbadca.gov Work Class: Re roof Lot#: Reference #: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Description: FREDIN: REROOF, 22 SF COMP FOR COMP BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG) SB1473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-RESIDENTIAL Total Fees: $106.46 Owner: CO-OWNER FREDIN ROBERT W II AND SUSAN K 1749 Forest Ave CARLSBAD, CA 92008 760-522-7223 Total Payments To Date: $106.46 Status: Applied: Issued: Fina led: Inspector: Contractor: APODACA ROOF SERVICES 3265 Valley St Carlsbad, CA 92008-1158 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: CBR2017-2363 Closed -Finaled 10/05/2017 10/05/2017 PB urn $0.00 $61.74 $43.22 $1.00 $0.50 tHE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING D ENGINEERING 0BUILDING OFIRE 0HEALTH D HAZMATIAPCD I · {"__cityof Building Permit Application Plan Check No. c;_{){lolOt 1 -:2.3 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov www.carlsbadca.gov Date /n .... 5-\7 JOB ADDRESS / r </ 7 SUfTE#/SPACU/UNIT# IAPN ---F O,;-t...t::s r A I/ CT/PROJECT# 'LOT# r HASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) y C .-.f-./1-c,rr-Q..., c:!.c, --/° -_z-,,,_._5 ,--,.. // 30/x_ Co-,/7 (..A// Cl.)-3 0 ff" /-c / r-:;) ;;)_ :5,,,/ 0 / n -0 $ EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YES[]tl NoD YES O NoD vESO NoO APPLICANT NAME g PROPERTY OWNER Ir ;::. R. ,µ Primary Contact ~//.Cc_ -vh e __ , -( l'"'""O~ oac..~r t?n, ADDRESS ~/Icy c.S'T-/ ADDRESS ~ A... <=.s r.r .,,,,,. I/ ~ 2 c...s-I ?Lr '7 STATE ZIP CITY STATE ZIP CITY c! -t'41-l-.1 a.,..,.,~ C-'1 9zaor c~t.~--,, C!-'1 9zooy PHONE I FAX 7(oo-l,Z/r-2.,2q,r - PHONE IFAX-7,o-S-22..-7 2. 2.J EMAIL 1-, EMAIL c~ ,.._c.,c;{< c:..-,.--,--,./ /, {!_O.-., DESIGN PROFESSIONAL C~OR BUS. NAME .l'?oal': s~J k:J o CJ_.,,. f"7 ..-1 ADDRESS ADDRESS 9 7"C .A -l--1urA / • I - CITY STATE ZIP CITY STATE ZIP 0..sf'..-<t <:!_-, . PHONE I FAX PHONE 71-o-S-/3--/ ZS" 7' 'FAX- EMAIL EMAIL ,,,.-.., X oor-sc..-c.. L.//<!.. e-r €.. 9 --?-r,1-ca-I STATE UC.# STATE UC.# 'CLASS ,~1:t~#'14Dcf 9?<//'lr-C!..-37 (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 permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$5001). Wori<ers' Compensation Declaration: I hereby affirm under penafty of perjury one of the following declarations: D 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 performance of the work for which this permit is issued. I have and will maintain wori<ers' 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. L ::s: L --1': cz::s E4".-0 Policy No. 9 0 I 'I Jr O Expiration Date b-S -I;-- This section need not be completed ff the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the performance of the work for which lhis permit is issued, I shall not employ any person in any manner so as to become subject lo the Workers' Compensation Laws of California. WARNING: Failure to secure wori<ers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as prov· d for in Section 3706 of the Labor code, Interest and attorney's fees. ,2$ CONTRACTOR SIGNATURE ~GENT I hereby affirm that I am exempt from Conlractor's License Law for the following reason: D D D I, as owner of the property or my employees with wages as their sole compensation, will do the work and the struclure 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 himsen 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 lhat he did not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors lo 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 projecls wilh 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. 0 Yes D o 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number): 4. I plan to provide portions of the work, bul 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 lo provide the work indicated (include name I address I phone / lype of work): ~ PROPERTY OWNER SIGNATURE 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? D Yes D No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes D No Is the facility to be constructed within 1,000 feel of the outer boundary of a school site? D Yes D 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 I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for i1spedion 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 pem,~ is required f()( excavations over 5'0' deep and demolition °' construction of strucb.Jres over 3 stones in height. EXPIRATION: Every pem,it issued by the Building Official under the provisions of this Code shall expte by lim~ and become nun and void rr the building °' mrk authonzed by such ~ is not conmenced within 180 days from the date of such ~°'rrthe building or authorized by such pem,~issuspended or abandoned at anytime afterthemrk iscoomencedfora period of 180 days(Section 106.4.4 Uniform Building Code). ~ APPLICANT'S SIGNATURE DATE /O-S--/ (" • 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 ADDRESS BUILDING ADDRESS CllY STATE ZIP CllY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. UC. No. DELNERY OPTIONS D PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o ASSOCIATED CB#------------ D MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE / NO CONSTRUCTION D MAIL/ FAX TO OTHER:-----------------o CHANGE OF USE / NO CONSTRUCTION .Jt5 APPLICANT'S SIGNATURE DATE B-10 REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESS: I =r-V 9 ~,..-"{__ c-0 V ,/'f V 2. TYPE OF BUILDING: RESIDENTIAL e-----COMMERCIAL ---- 3. ROOF SLOPE: RISE L/ INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 1 ~3 5. TYPE OF EXISTING ROOF COVERING (!_ 6 ,,,.___,,/.:7 SHEATHING ~/yL-<.__J , *6. NEW ROOF MATERIAL c_ 0 ---r» CLASS ,/./ WEIGHT PER SQ. -3 Y-u , 7. NUMBER OF SQUARES ------- RAD C ~ I< o 8. T E NAME · --1-..-'-? a'L., v c; c. MANUFACTURER / --------- 9. ROOF SYSTEM LISTING: 0 Cc /y 7.5-UL N . ______ I. . .E.S. Report# _____ _ ASTM ------ 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? @_0 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 50 ,(:: Contractor Owner Contractor Date / 0 -r-I ? ----- *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other Page 6 of6 Rev. 04/14 '_,.,..~ ,1-. '-!'1~;,,. ', •• . '' ' . . :." . . PERMIT INSPECTION HISTORY REPORT (CBR2017-2363) Permit Type: BLDG-Residential Application Date: 10/05/2017 Owner: Work Class: Re roof Issue Date: 10/05/2017 Subdivision: Status· Closed -Finaled Expiration Date: 04/09/2018 Address: IVR Number: 6787 Scheduled Date Actual Start Date Inspection Type Inspection No. Inspection Status Primary Inspector 10/10/2017 10/10/2017 10/13/2017 10/13/2017 October 13, 2017 BLDG-15 Roof/ReRoof (Patio) 037061-2017 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 037541-2017 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final Passed Paul Burnette COMMENTS Passed Paul Burnette COMMENTS CO-OWNER FREDIN ROBERT W II AND SUSANK PARCEL MAP NO 00341 1749 Forest Ave Carlsbad, CA 92008-1014 Reinspection Passed Yes Passed No No No Yes No Complete Complete Complete Page 1 of 1