HomeMy WebLinkAbout1820 BASSWOOD AVE; ; CBR2017-1390; PermitY......1 /11111111111.1111111111111
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Print Date: 06/27/2017 Residential Permit Permit No: CBR2017-1390
www.carlsbadca.gov
Job Address:1820 Basswood Ave
Permit Type:BLDG-Residential Work Class:Reroof Status:Closed -Finaled
Parcel No:2050804200 Lot #:Applied:06/21/2017
Valuation:$3,383.82 Reference #:Issued:06/21/2017
Occupancy Group:Construction Type:Finaled:
#Dwelling Units:Bathrooms:Inspector:MColI
Bedrooms:Orig. Plan Check it:
Plan Check #:
Project Title:
Description:KREPPS:18 SQUARES OF NEW TPO
Owner:Co-Applicant:
GARY L KREPPS THE HOME DEPOT AT HOME SERVICES
1820 Basswood Ave
CARLSBAD, CA 92008 13250 Gregg St
POWAY, CA 92064-7164
858-859-4143
BUILDING PERMIT FEE $2000+$61.74
BUILDING PLAN CHECK FEE (BLDG)$43.22
SB1473 BUILDING STANDARDS FEE $1.00
STRONG MOTION-RESIDENTIAL $0.50
Total Fees:$106.46 Total Payments To Date:$106.46 Balance Due:$0.00
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.
----06•111•11101=1.111 liiiiii....
FIE PtLIOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:DPLANNING EDENGINEERING ElBUILDING AFIRE EDHEALTH DHAZMAT/APCD
.t Building Permit Application Plan Check Nociia20ri-
14543/o
(.__City of 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value 3/ 38 3.3/a-
Ph: 760-602-2719 Fax: 760-602-8558Carlsbademail: building@carlsbadca.gov Plan Ck. Deposit
www.carlsbadca.gov Date & /A iii 7
JOB ADDRESS -SUITE#/SPACE#/UNIT#APN
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--
2.-'0 4_5 kAi 0-0D A`v L --
CT/PROJECT #LOT#PHASE##OF UNITS #BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK:include Squ-are Feet of Affected Area(s)
14-
(2-K2 e .nip L-4 Cen-C.
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S-1-1-kies—IP 0 -P rep 4 .e_Gv cev.I ;,5 i 0 ml/(vhitc50vA-CS :I
'6 .
EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)' FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES Dt.NOEI YES ONO El YESEl NOD
APPLICANT NAME PROPERTY OWNER NAME
6_11 r.
Primary Contact
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ADDRESS ADDRESS
ADDRESS /67-0 6X1 SSG/0 D AVE
CITY STATE ZIP CITY STATE GI ZIPe4itt-S 6413 qi---'. 0 OS
PHONE FAX PHONE FAX
6 (61.-ct 7 -z-LI 76o -637 -LPL -2_
EMAIL i EMAIL,'-1
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DESIGN PROFESSIONAL CONTRACTOR BUS. NAME kbit/IL-OLD v5A (SD)
ADDRESS ADDRESS
CITY STATE ZIP CITY
13 -
2—5°6--r -
S.7.4742
5 -S 141t -42--
ZIPIt47xtr
---61 'Lo 6 1-'
PHONE FAX PHONE FAX
ES —(1--g6 -5700
EMAIL EMAIL
STATE LIC.#STATE
LICeo_t___
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1
CLASS
CITYIS1U/..12S.
LIC.Iftv.1 .2.....7 I 1
(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 theapplicant 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 theBusiness 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 fora permit subjects the applicant to acivil penalty of not more than five hundred dollars ($500)).
1.0.125ORKERS'COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
HI
ave 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 i9suranye carrier and policy
number are: Insurance Co.At6s-/1-0.44)54-cot Policy No.CO 23/0 2-`71---Z V---
Expiration Date °7C.19//X
This section need not be completed if the permit is for one hundred dollars ($100) or less.
ElCertificate of Exemption:I certify thatin 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
California.WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (8400,000), in
addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
..e5 CONTRACTOR SIGNATURE i__________AGENT DATE 6-7-/---/7-------------
OWNER -BUILDER DECA.R..etT..,..!0441._.,_
I hereby affirm that I am exempt from Contractor's License Law for the following reason:DI,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 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).
ElI,as owner of the property, am exclusively contracting with licensed contractors to 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 projects with contractor(s) licensed pursuant to the Contractor's License Law).
ElI 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.ElYes ONo
2.I (have / 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, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone / contractors' license number):
5.I will provide some of the work, butI have contracted (hired) the following persons to provide the work indicated (include name Iaddress I phone / type of work):
AKPROPERTY OWNER SIGNATURE DAGENT DATE
tt._."OMPLETE THrS'''SECTION FOR NON -RESIDENTIAL BUILDING PERMITS ONLY
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 from 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
IFANY 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.
CONSTRUCT/ON LENDING AGENCY
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
APPLICANT CERTIFICATION
Icertify thatIhave read the application and state that the above information is correct and that the information on the plans is accurate.Iagree 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 inspection purposes.IALSO 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 5'0' 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 if the building or work authorized by such permit is not commenced within
180 days from the date of such permit or if the bu"r work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
..AKAPPLICANT'S SIGNATURE DATE 6 -z
itTOP
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 buildinge.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
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP:CONTACT (Listed above)OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
ASSOCIATED CB#MAIL TO:CONTACT (Listed above)OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)NO CHANGE IN USE /NO CONSTRUCTION
MAIL /FAX TO OTHER:
CHANGE OF USE/NO CONSTRUCTION
AKAPPLICANT'S SIGNATURE DATE
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
1.JOB ADDRESS:1%-1.':7A`-75'^r-63'A
2.TYPE OF BUILDING:RESIDENTIAL \/COMMERCIAL
3.ROOF SLOPE: RISE 2.-INCHES IN 12 INCHES
4.NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE)2 3
5.TYPE OF EXISTING ROOF COVERING CPC)SHEATHING 61-""67/
ctr-liste_ (0 „in
*6. NEW ROOF MATERIAL Ma whi-fe-CLASS A WEIGHT PER SQ.C'2-0.
7.NUMBER OF SQUARES
8.TRADE NAME S vrtiF wCt-t7 MANUFACTURER CO-LE
9.ROOF SYSTEM LISTING:
UL NO.2-2-1A I.C.C.E.S. Report #E-Se---1±63
ASTM D G
10. IS THE EXISTING STRUCT RAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE
PROPOSED ROOF?)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 Date 6 -z i -
--
-'1tra*r Owner Contractor
Name k)-4.7 -
*6.Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other
B-10 Page 6 of 6 Rev. 04/14
_.,.....,,..._....,•
N
•..PERMIT INSPECTION HISTORY REPORT (CBR2.017-1390)
Permit Type:BLDG-Residential Application Date:06/21/2017 Owner:GARY KREPPS
Work Class:Reroof Issue Date:06/21/2017 Subdivision:PARADISE ESTS UNIT #2
Status:Closed -Finaled Expiration Date:12/20/2017 Address:1820 Basswood Ave
Carlsbad, CA 92008-1107
IVR Number:4555
Scheduled Actual
Date Start Date Inspection Type inspection No.Inspection Status Primary Inspector Reinspection Complete
06/23/2017 06/23/2017 BLDG-15 027000-2017 Passed Michael Collins Complete
Roof/ReRoof (Patio)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Made two stops, existing 1x12 sheathing Yes
ok.
06/27/2017 06/27/2017 BLDG-Final 027191-2017 Passed Michael Collins Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency TPO Yes
June 27, 2017 Page 1 of 1