HomeMy WebLinkAbout1788 EAST POINTE AVE; ; CB160108; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
01-13-2016
Miscellaneous Permit Permit No: CB160108
Building Inspection Request Line (760) 602-2725
Job Address:
1788 EAST POINTE AV CBAD
Permit Type:
MISC Subtype: REROOF Status:
ISSUED
Parcel No:
2073821100 Lot #: 0 Applied:
01/13/2016
Valuation:
$2,420.00 Entered By:
JMA
Reference #:
Plan Approved:
01/13/2016
PC#:
Issued:
01/13/2016
Inspect Area:
Project Title:
SHALOO: 1400 SF COMP TO SAME
Applicant:
Owner:
SANTA FE ROOFING
HOOD GARY D&NANCY S
STE B
451 OLIVE ST
1788 E POINTE AVE
VISTA CA 92083
CARLSBAD CA 92008
760 630-9415
Miscelaneous Fee #1 PERMIT FEE
$91.00
Miscelaneous Fee #2
$0.00
Additional Fees
$0.00
TOTAL PERMIT FEES
Total Fees: $91.00 Total Payments To Date
$91.00
$91.00 Balance Due: $0.00
FINAL PP`R�O, V/�
Inspector: Date: Clearance:
NOTICE Please take NOTICE that app -ad of your project includes the "Impositiori' d fees, dedications reservations, or other exactions hereafter ocllectively
referred to as "fees/exactions." You have 90 days from the date this permt was issued to protest imposition of these feestexactions. If you protest them, you mist
follow the protest procedures set forth in Go� Code Section 66020(a), and file the protest and any other required infaTration with the City Menager for
prooessing in accudanoe with Carlsbad Municipal Code Section 3.32030. Failure to timely fdlmvthat procedre Wll bar any subsequent legal action to attack,
review, set aside, void, or annul their inposition.
You are hereby FURTHER NGTI RED that your right to protest the specified feesrexactions DOES NOT APPLY to water and serer oaniection fees and capacity
changes, nor planning, zoning, gracing or other sirrilar application processing or service fees in connection with this project. NOR DOES ITAPPLY to amy
fees/exacticns d wtich you have ywously been aven a NOTICE similar to this or as to which the statute of limitations has orwicuslycitherWse red.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: PLANNING ENGINEERING BUILDING FIRE HEALTH HAZMATIAPCD
Building Permit Application Plan Check No. p l
City/ Uf 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit
email: building@carisbadca.gov
www.carisbadca.gov Date I -:!>I lib 1SWPPP
JOB ADDRESS
SURE l PACE#/UNrr# 7""
- - -
CT/PROJECT #
LOT #
PHASE # # OF UNITS
#BEDROOMS
#BATHROOMS
TENANT BUSINESS NAME
CONSTR. TYPE
I OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet ofAffected Areal's)
L(Co4�.-_
EXISTING USE
PROPOSED USE
GARAGE (SF)
PATIOS (SF)
DECKS (SF)
FIREPLACE
AIR CONDITIONING
IFIRESPRINKLERS
154JJ4Le�_f_r M1L
YESNOQ
YES❑N0[::]
YES❑NOO
APPLICANT NAME
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tx �% 4 1 �
PROPERTY OWNER NAME
PC
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M rL-,
ADDRESS
C. —f
ADDRESS
CITY
STATE ZIP
//�� STATE ZIP
E-!^��ra Izi V,: cl
PHONE
FAX
FfJONE /
FAX
EMAIL
EMAIL
DESIGN PROFESSIONAL
TRACTOR BUS. NAME
ADDRESS
ADDRESS
CITY
STATE ZIP
CIT� STATE ZIP
V 'L 'S--T IN 1 )t A � vZG � —I (�
PHONE
FAX
PHONE
FAX
EMAIL
EMAIL
S - -rC: 2
STATE LIC. #
STATE LIC.#
CLASS
CITY BUS. LIC.#
(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 siggned 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 1$500)).
Workers' Compensation Declaration: ) hereby affirm under penalty of perjury one of the folowing dedarabons:
❑ 1 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 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 carrier and policy
( -� ta��V%tiT t C)� D i � � i Expiration Date ( 0 j ��ol number are: Insurance Co.. _Policy No. �� p
This section need not be completed lithe permit is for one hundred dollars ($100) or iess.
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
Caldomia. WARNING: Failure to secu workers' compensation cov a is unl fui, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
a ion to the cost of compensation, a iages as provided f S on OB of c t and attomey's fees.
.ES CONTRACTOR SIGNATURE AGENT DATE 1 113 iL C t (cam
1 hereby affirm that I am exempt from Contractors License Law for the following reason:
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 of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are rat 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 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 am exempt under Section Business and Professions Code for this reason:
1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. QYes QNo
2.1(have / have not) signed an application for a building permit for the proposed work.
3. 1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number):
4.1 plan to provide portions of the work, but I have hired the follrNirg person to coordinate, supervise and provide the major work (include name / address / phone / contractors' license number):
5. 1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work):
A!5PROPERTY OWNER SIGNATURE []AGENT 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? O Yes O No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O Yes 13 No
Is the facility to be constricted within 1,000 feet of the outer boundary of a school site? O Yes O 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 certifythat I have read the application and state that the above irdorrrration H correctand thatthe information on the plans Is aocurate. I agree to comply with alt Cilyodnances and State laws relating to building construction.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned properly for inspection 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 permit is required for excavations over 60' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void rf the building or pork authorized by such permit is not commenced within
180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work Gs commenced for a period of 180 days (Section 106 4 4 Uniform Building Code).
A5APPLICANT'S SIGNATURE DATE
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
1. JOB ADDRESS: 1 3 �3 S, -� �r� r-y F 0- -A rz-Ls t3 �v , C A
2. TYPE OF BUILDING: RESIDENTIAL COMMERCIAL
it
3. ROOF SLOPE: RISE S INCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 0 2 3
5. TYPE OF EXISTING ROOF COVERING !K-wa%AA..T 54-"(-cSHEATHING
*6. NEW ROOF MATERIAL k-- V - 5VA i 1-�4 DECLASS r WEIGHT PER SQ. --;� 4 C
7. NUMBER OF SQUARES l H
8. TRADE NAME Q�V-%Zt06S MANUFACTURER 0Ly`-ems 0 QI-►. Ifj"
9. ROOF SYSTEM LISTING:
UL NO. '(---fiz'L1 53 -z7' I.C.C.E.S. Report # C `t 3 C9
ASTM D 3 Li &-A
10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE
PROPOSED ROOF? (XEW 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 exten 'ng at least 2 rungs above the roof for inspection.
Signature O.S,:::�_ Z=j4Date t 3t
Contractor ✓ Owner Contractor
Name . -. -f�; -f
*6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other
B-10 Page 6 of 6 Rev. 04/14
Inspection List
Permit#: CB160108 Type: MISC REROOF SHALOO: 1400 SF COMP TO SAME
Date Inspection Item Inspector Act Comments
01/25/2016 19 Final Structural - RI
01/25/2016 19 Final Structural PD AP
01/14/201615 Roof/Reroof - RI
01/14/201615 Roof/Reroof PD AP
Monday, January 25, 2016 Page 1 of 1