HomeMy WebLinkAbout1824 PALISADES DR; ; CB160245; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
01-21-2016 Miscellaneous Permit Permit No: CB160245
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
1824 PALISADES DR CBAD
MISC
2073811600
$0.00
Subtype: REROOF Status:
Lot#: 0 Applied:
Entered By:
Reference #: Plan Approved:
PC#: Issued:
Inspect Area:
Project Title: RENNERT: 23000 SF COMP TO SAME
Applicant:
URBACH ROOFING INC
445 PRODUCTION ST
SAN MARCOS CA 92078
760 471-5065
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees: $106.00
Inspector: ·
Owner:
RENNERT RUDl&ILONA
permit fee
1824 PALISADES DR
CARLSBAD CA 92008
Total Payments To Date: $106.00
FINAL APPROVAL
Date: 2<3 -lk
Balance Due:
Clearance:
ISSUED
01/21/2016
jma
01/21/2016
01/21/2016
$106.00
$0.00
$0.00
$106.00
$0.00
I\OTICE Rease ta<e l\OTICE tra ~ ci ya.,: ptject ird.-tre "lrrµ,;ition' ci fees, dedcaticro, reservaticro, er ctt-er exl'dicns raeeitEr ooledi1.ey
refooed toas '1ees'exl'dic=" You rave 00da),ifrantre-1tis pemil'A0S issued to i,ctest irrµ,;ition citresefees'exl'diC11S If )l'.JU i,ctest trem )l'.lU m..st
fdlCM1tre i,ctest prco,rues sa fath in GcNEmrent Cooe Sedion60020(a), a-d filetre i,ctest a-d a,yctt-er reqjred infonraion wth tre aty,,,...._,fcr
~ng in ~\Mth QrlstaJ M.ridpa Cooe Section 3.32.03J. R:ilL.retotimayfdlo.vtt-a p-ocmrewll bEr a,ysu!EeqJent leg,j edion toattoo<,
rEMew, set aside, vcid, er clTU their irrp:l,iticn
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMATIAPCD
«~ Building Permit Application Plan Check No. rf?Jf (,,,. 0?).t,S
1635 Faraday Ave, Carlsbad, CA 92008 Est. Value I '.¥1-Jt., ~ CITY OF Ph: 760-602-2719 Fax 760-602-8558 Plan Ck. eposlt CARLSBAD email: building@carlsbadca.gov
www.carlsbadca.gov Date I -i,1 / tk-. [SWPPP
JOB ADDRESS I ~24~ I al i s.q,::,ks 7°::')y-;y"".,
s.,., ,.f/SPACEf/UNfff
IAPZo7 -~J -I&> -oo
CT/PRO.IECT # 1'0" e,e I PHASE# l#OFUNITS l#BEOROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Squan, Ffff of Alfectff *
~-.. ove-e ¥-.i s-\i ~ ro i ~ \ l'"l<;.-\-A..\ \ -;2'?.i::s SQ G,.P-sr=-TT'ml=,rl i vi~
-\-\-1 {J \r\ !)efi"Y\ i -\-i OYl ?~+ . V1f} [-U.
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (Sf) I DECKS (SF) FIREPLACE 1 IA!R CONDITIONING I FIRE SPRINKLERS 1--r::> .~+i~ YESO Nc(J YES □No □ YES□No□
APPLICANT NAME (Primary Contact} APPLICANT NAME (Secondary Contact)
ADDRESS ADDRESS / ~-e., "'-'::, Con4-r ... ~
CITY STATE ZIP CITY /ATE ZIP
PHONE IFAX PHONE / I FAX
EMAIL EMAIL I'
!!lf'.:5ERTY OWNER N..,. --0 _ •• _:_( • J -flt_ \on,,. --...-.1-CONTRACTOR BUS. NAME Urbach Roofina. Inc.
ADDRESS .;::;1~ ADDRESS
\"-'1----::P,::d i ":>ru::I.L<:.. ~l\/" J 445 Production Street
CITY STATE ZIP CITY STATE ZIP r~. y-I "'I.? A~ r1A ""l?-OOP. San Marcos CA 92078
PHONE PHONE
~ -. "71::=.-:Z. ' q q D,;,., IFAX 760-471-5065 IFAX 760-471-9610
EMAIL EMAIL urbach@urbachroofing.com
ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE LIC.# IClASSC39 I CITY BUS. LIC1200289 ... ,a.. 602378
(Sec. 7031.5 Business and Professions Code. Any City or County which reQuIres a permit to construct, alter, improve, demollsh or repair any structure, pnor 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, comme_ndIngwIth Section 7000 of D1v1s1on 3 of the Business and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 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 perjury one of the following declarations· 0 I havt and will maintain a certlficata of consenl to stlf-lnsurt for 'M:lrl(ers' compensation as provided by Section 3700 of the Labor Code, for the performance of the worll for whdl this permit is issued
[Z] I have and will maintain workers' compensation, as reauired bv Sec~on 3700 of the Labor Code, for the performance of the worl( for which this permit is issued. My worl(ers' compe11Sation insurance carrier and policy
number are: Insurance Co. Zurich American Insurance ~-~mpany __ Policy No. WC 47-58-635,et Expiration Date 06I011ao4a 20/~
~section need not be completed if the permit Is for one hundred dollars ($100) or less. LJ Ctrtlficlte of Exemption: I certify that in the performance of the work for which this permit Is issued, I shall not employ any person in any manner so as to become sub1ec1 to the Worl(ers' Compensation Laws of
California WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penaltles and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, vided for in Section 3706 of the labor code, interest and attomey's fees.
6$ CONTRACTOR SIGNATU-+i-'-._ ,
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason:
□
□
□
I, as owner of the property or my employees with wages as their sole compensation, will do the 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 s such worl( 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 orie year of completion, the o r-builder will have the burden of proving that he did not build or improve for the purJX)se of sale)
I, as owner of the property, am e~clusively contracting with licensed contractors to con ct 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 conlr r(s) licensed pursuant to the Contractor's license Law)
I am exempt under Section _____ Business and Professions Code for s reason
1. I personally plan to provide the major labor and materials for construe of the proposed property improvement. 0Yes 0No
2. I (have/ have not) signed an application for a building permit for I proposed wort
3. I have contracted with the following person (firm) to provide! roposed construction (include name address I phone/ con1ractors' license number)
4 I plan to provide JX)rtions ol the worll. but I have hired the owing person to coordinate, supervise and provide the majorworll (include name I address/ phone/ contractors· license number)
5 I will provide some of the worl(, but I have contracted ed) the !allowing ~on to provide the worll indicated (include name I address I phone I type of work)·
_15 PROPERTY OWNER SIGNATURE □AGENT DATE
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registratio
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 1r quality management district? □ Yes □ No
Is the facility to be constructed within 1,000 feet of the outer boulidary of a school site? es □ No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY N ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT.
1 cerofythat I !me read the application and state that the above information is conect and that the infonnation on the plans Is accurate. I agree to comply Mth all City ordinances and State laws relating to building construction.
! hereby authorize representative of the City of Calisbad to enter upon the aoove mentioned property br ins~ purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AG'IINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUEAG'INST SAID CITY IN COOSEQUENCE Of THE GRANTING OF THIS PERM~.
OSHA: AA OSHA permit is required for excavabons over 5'0' deep and demolijion or construction of structures over 3 stories in height
EXPIRA.TION: Every perm rt issued by the Building Official under the provisions of this Code shall expire by imitation and berome nuH and void if the building or oork authorized by such permit ts not oommenced 'Mthin
180 days from lhe date of such permrt or ij building or'o\00: authorized by such permrt is suspended or abandoned at any time after the 'o\00: ts commericed for a period of 180days (Section 106.4.4 Uniform Building Code)
DATE 0/. ?-, 2-DJ
0
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
I. 1. JOB ADDRESS: I e,2.4:P"".J I saok $M;iY',eJ
2. TYPE OF BUILDING: RESIDENTIAL__,_X.-"----COMMERCIAL ___ _
3. ROOF SLOPE: RISE l::;, INCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE)e) 2 3
s. TYPE oF EXISTING ROOF covERING Comp:>-o.,:btltsHEATHINGq:>1(11,1\QW
•6. NEW ROOF MATERIAL Co01t¥>-~! CLASS-A,_WEIGHT PER S0.21;¾,
7. NUMBER OF SQUARES 2?:>.0
8. TRADE NAME bA:F:::UwiwbYluMANUFACTURER_~l,4+.JAf'.LL-. ____ _
9. ROOF SYSTEM LISTING:
ULNO. "]vJD
ASTM "12?.>D\ 'o
I.C.C.E.S. Report#--"--\ 1...._.7_,0....._ __ _
10. IS THE EXISTING STRUCTURAL DESIGN 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-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 I(~ Date t>I-Y· 2-eJL(.e
Contractor Xo.F Owner ____ Contractor
Name Ucbi21ch 14o-f ~, Jiy:,, .
*6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other
Page 5 of 5 Rev. 03/09
,,,
Inspection List
Penni!#: CB160245 Type: MISC REROOF RENNERT: 23000 SF COMP TO SAME
Date Inspection lt<am Inspector Act ---··---Comments
02/03/2016 19 Final Structural RI
02/03/2016 19 Final Structural PB AP
01/25/2016 15 Roof/Reroof RI EARLY PM PLEASE
01/25/2016 15 Roof/Reroof PD AP
Thursday, February 04, 2016 Page 1 of 1