HomeMy WebLinkAbout1761 ANDREA AVE; ; CB163646; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
09-26-2016 Miscellaneous Permit Permit No: CB163646
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
PC#:
Project Title:
1761 ANDREA AV CBAD
MISC
2071201500
$6,912.00
JONES: PARTIAL REROOF
Subtype: REROOF Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
DEMOLISH HARD PLYWOOD & INSTALL NEW, INSTALL SOME
Applicant:
JOROOFING
STE 118
2455 OTAY CENTER DR
SAN DIEGO CA 92154-7629
209-321-4592
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Owner:
LINLEY JASON G&JENNIFER L
1761 ANDREA AVE
CARLSBAD CA 92008
ISSUED
09/26/2016
SF
09/26/2016
09/26/2016
$153.00
$0.00
$0.00
$153.00
Total Fees: $153.00 Total Payments To Date: $153.00 Balance Due:
Inspector:
FINAL APPROVAL
Date: 9 ,jfJ-/b Clearance:
$0.00
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rderred to as "fees'ea:tials. • Yru h:tJa 00 days frantre date Uis pemit W3S issued to prctest iiT'jDitial d these fees'ea:tials. If~ prctest ttun ~ rrust
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J THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BUILDING OFIRE OHEALTH OHAZMAT/APCD
Ccityof
Carlstiad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
Plan Check No. C'a ( k:, "3(; lf~
EXISTING USE
'f.c~
APPLICANT NAME
Primary Contactll""-
ADDRESS
lj
ADDRESS
CITY
PHONE
EMAIL
STATE
FAX
SUITEf/SPACEf/UNITf
#BATHROOMS TENANT BUSINESS NAME
GARAGE (SF) PATIOS (SF)
ZIP
ZIP
STATE UC. #
s
SWPPP
OCC. GROUP
FIRE SPRINKLERS
YESONo~
(Sec. 703:1..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 issuanc , so 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 exemJ}t 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
Workers' Compensation Declaration: I hereby affirm under penalty of peljwy one of the following declarations:
I have and will maintain a certificate of consent to self·lnsure for IM>rkers' compensation as provided by Section 3700 of the Labor Code, for the performance of the IM>rk for which this permit is issued.
I have and will maintain workers' com~ensati~ required l>Y Section 3700 of the Labor Code, for the performance of the work for ~h th~ permH is issued. My workers' compel,~tion ins~rance carrier and policy
are: Insurance Co. ~ ( .. ~ ..:::+:".A ., Policy No. ., \ ~ S '31 -z..o 1'7 Expiration Date _'U::>---=._\_1,__ __ _
need not be completed n the permit is for one hundred dollars ($1 00) or less.
of Exemption: I certify that in the performance of the IM>rk for which this permil is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil lines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damages as for In of the interest and attorney's fees.
85 CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's Ucense 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 structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contracto~s
Ucense Law does not apply to an owner of property who builds or improves thereon, and who does such work himse~ 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, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contracto~s Ucense 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 lhe Contracto~s Ucense 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. DYes 0No
2. I (have I have nol) 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, but 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) lhe following persons to provide the work indicated (include name I address I phone I type of IM>rk):
85 PROPERTY OWNER SIGNATURE 0AGENT DATE
COMPLETE THIS SECTION FOR NON-flESIOENTIAL BUILDING PERMITS ONLY
Is the applicant or future bliklng occupant required to submH 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 feet of the outer boundary of a school sHe? 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 oertlfylhatl hawellllld the application and slate 1hattheabolle Information is conectand 1hatthe lnbmallon on the plans is aa:urall!.l agl8e1D comply with all Cit¥ ordinances and S1ate laws relating til building construction.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property tlr inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST All UABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permK is requied for excavations over SCi deep and demolition or construdion of struclllres over 3 sillies i1 height. ·
EXPIRATION: Every permK issued by the Building Oflk:ial under the provisK:Jns of this Code shall expire by Imitation and become nun and vokl W the building or v.ork authorized by such permit is not rommenred within
100 days from the date of such permK or if the buildilg orv.ork authorized by such permK is suspended or abandoned at any time after the v.ork is commenred filr a period of 100 days (SecOOn 100.4.4 Uniform Building Code).
,65 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 bui!ding@cadsbadca.gov or Mail the completed fonm to City of Car1sbad, Building Division 1635 Faraday Avenue, Car1sbad, California 92008.
(Office Use Only)
CA
DELIVERY OPTIONS
PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
o ASSOCIATEDCB#·------------MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION
MAIL/ FAX TO OTHER:----------------o CHANGE OF USE/ NO CONSTRUCTION
A5 APPLICANT'S SIGNATURE DATE
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
1. JOBADDRESS: l'Lbl ~ ~
2. TYPE OF BUILDING: RESIDENTIAL v COMMERCIAL __ _
3. ROOF SLOPE: RISE_!j_ INCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) <[) 2 3
5. TYPE OF EXISTING ROOF COVERING y'M.r SHEATHING -f\\{\\2~
*6. NEW ROOF MATERIAL <:.emf $h.i~~LASS 41; WEIGHT PER SQ. l~
7. NUMBER OF SQUARES '{(}
a. TRADE NAMEA""'t~ 1'\.m\e'f MANUFACTURER OweYtS ~'~'"\"'~
9. ROOF SYSTEM LISTING:
·' UL NO.;f~Z ~53-o \ I.C.C.E.S. Report# ftC l./3£>
~ ASTM ,E" i 0 e
1 O.IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE
PROPOSED ROOF? W NO
All roof coverings are required to be CLASS A. Combustible roof coverings of any type or
. classification are prohibited.
8-10
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 ~A -
Contractor ~ Owner ____ Contractor
Date <t-2 C. -l b
Name d s.~~-.g, O,J.;u ~Y'OS
*6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other
Page 6 of6 Rev. 04/14
.. IRIT 1. TRf? . .
Inspection List
Permit#: CB163646 Type: MISC
Date Inspection Item ____ _
09/30/2016 19 Final Structural
09/30/2016 19 Final Structural
09/27/2016 15 Roof/Reroof
09/26/2016 15 Roof/Reroof
Monday, October 03, 2016
717WR7 I
REROOF
Inspector Act
PB
PB
Rl
AP
Rl
AP
JONES: PARTIAL REROOF
DEMOLISH HARD PLYWOOD & INSTALL
Comments
LATE AM PLEASE
EARLY AM PLEASE
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