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Home My WebLink About1845 PALISADES DR; ; CB121558; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-17-2012 Miscellaneous Permit Permit No: CB121558 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 1845 PALISADES DR CBAD MISC 2073822400 $2,730.00 Subtype: REROOF Status: Lot#: 0 Applied: Entered By: Reference #: Plan Approved: PC#: Issued: Inspect Area: Project Title: ;ESCH RES-2020 SF COMPOSITION INSTALL 2 NEW SKYLIGHTS -FITS BETWEEN FRAMING- Applicant: Owner: LESCH MARK E&DOROTHY LESCH MARK E&DOROTHY 1845 PALISADES DR CARLSBAD CA 92008 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $101.00 Inspector: PERMIT FEE 1845 PALISADES DR CARLSBAD CA 92008 Total Payments To Date: $101.00 FINAL APPROVAL Date: .@ ·st? -/Z Balance Due: Clearance: ISSUED 08/17/2012 RMA 08/17/2012 08/17/2012 $101.00 $0.00 $0.00 $101.00 $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 00 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 feeslexactions 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 lT APPLY to any fe I x i n f whi h h ve r vi I iv n NOTI h. r whi h h at f i i ti n h s r vi I h rwi TJ-tE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING ~ «, ... #f) ~ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov □BUILDING JOB ADDRESS SUITEf/SPACl!"{UNITf 4 •"-<\<-l--o c,-\,<,. CT/PROJECT# LOT# PHASE# # OF UNITS # BEDROO~ # BATHROOMS 3 2 DESCRIPTION OF WORK: Include Sq11are Feet of .Affected Area(•) Rc.WloVL 0,....,) APPLICANT NAME tprJmary Contact) APPLICANT NAME (Secondary Contact) ADDRESS ADDRESS CITY ZIP '12.00 CITY STATE PHONE PHONE EMAIL EMAIL • t..o"""' CONTRACTOR BUS, NAME c.,H ADDRESS ADDRESS CITY STATE ZIP CITY STATE PHONE FAX PHONE FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC.# STATE UC.# CLASS SWPPP CONSTR. lYPE ..\-...,. ZIP ZIP 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 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 exemm 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: / hereby affl,m under penalty of petjury 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. D 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 pennit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. ____________________ Policy No. ______________ Expiration Date ________ _ Jllj§.sectlon need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is untawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damages as provided fOJ in Section 3706 of the Labor code, Interest and attorney's fees . .8$ CONTRACTOR SIGNATURE □AGENT DATE OWNER~BUILDER DECLARATION .!.!!:JbY affirm that I am exempt from Contractor's License Law for the following reason: Lt:I I, as owner of the property or my employees with wages as their sole compensation, will do the wort 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 wort himself or through his own employees, provided that such improvements are not intended or offered for sate. 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 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). I am exempt under Section ____ ,Business and Professions Code for this reason: 1. I personally plan to provide the ma;or labor and materials for construction of the proposed property improvement OYes Do 2. I (have / have not) signed an application for a blilding pennit for the proposed wort. 3. I have contracted with the following person (flnn) to provide the proposed construction (include name address I phone/ contractors' license number): 4. 1 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, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone/ type of wort): .@S°PROPERTYOWNERSIGNATURE ~ k ~ $.;.... []AGENT DATE ' COMPLETE THIS 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 ts the facility to be COllSlructed within 1,000 feet of the outer boundary of a school site? Yes 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the performance of the work this permit Is issued (Sec. 3097 (1) Civil Code). Lender's Name lender's Address APPLICANT CERTIFICATION I certify that I haYe read the applcation and state that the above Information is correct and that the info1Tl'18tion on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building coostructlon. I i'erebyaulhorize represenlalive ol lhe City of Car1sbad lo enlerupon lhe-., mentiooed propef1y for i1spectioo purposes. I ALSO AG~6E TO SAVE, INDEMNIFY AND KEEP HARMLESS THE Cf!Y OF CARLSBAD AGAINST ALL LL'IBIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID Cf!Y N,C~QUENCE OF THE GRANTNG OF THIS PERMIT. OSHA: All OSHA permit is reqlired b excavaoons <1./eJ 5'0' deep and demolioon or construcoon of strucb.Jres over 3 silries ri ~ht. EXPlRA TION: Every permit issued by the Buikling Official ul"IOOf tie provisK:lns of ltis Code shal expire by inilatioo and berome nul and vok1 W the buikling or work authorized by sudl pennit is not carmenced within 180 days from the date ofsudl pennit or Wthe buik:lirg or work authorized by such perm~ is suspeooed or abandoned at any line• the work is commenced for a peood of 180 days (Section 100.4.4 Unifonn Buildi'lg Code). AS 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 www.building@carlsbadca.gov or Mail the completed form to City of Garlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. UC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) MAIL/ FAX TO OTHER: _______________ _ A$ APPLICANT'S StGNATURE ASSOCIATEDCB#------------ NO CHANGE IN USE/ NO CONSfflUCTION CHANGE OF USE/ NO CONSTRUCTION DATE 1635 Faraday Ave., Carlsbad, CA 92008 ZIP •' ' B-10 REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOBADDREss: t~Li5 'Palisades Dr-, C-ot\sbad 2. TYPE OF BUILDING: RESIDENTIAL X COMMERCIAL ' ---- 3. ROOF SLOPE: RISE 5 1/~ 1 1NCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) u) 2 3 5. TYPE OF EXISTING ROOF COVERING A)~\..,._\\ SHEATHING (>\.,,wo•) *6. NEW ROOF MATERIAL \...... c1 t:tAss __ WEIGHT PER SQ. 2. '80 7. NUMBER OF SQUARES__. ____ _ 8. TRADE NAME 7t.,,.. bw I,'"'-'-' MANUFACTURER --,-;,,.. ~e.r J,~-t..... / 6tA F I 9. ROOF SYSTEM LISTING: ,,,_ UL No.1?·2/-toJ 0'17 I.C.C.E.S. Report# e::s.R...-L'f? .S-- ASTM l->3.t/i,L-- 10. IS THE EXISTING STRUCTURAL 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 __ -s,,.d.-----=""'~k_~~6-o~s~k~c_ ____ Date_~A~u)--~'~Ce-,i-L ___ =z~o~(Z, Contractor (ewner x Name M1-R.k . LE.'IC..l-\ , Contractor :::> *6. Rolled Roofing, Standard/Lite Tile, AsphalVComp fiberglass, Built Up, Other s ~~ \ ~~ i.l-~ )J\_.,_V\V C.,_J. <.)..tl'., \f ~l u )t' ) \ (.(._ ~ Page 4 of 4 Rev. 02/11 ---------~----··> Inspection List Permit#: CB121558 Date lnspectio_r,__ltem 10/26/2012 15 Roof/Reroof 10/26/2012 15 Roof/Reroof 10/26/2012 19 Final Structural 10/24/2012 19 Final Structural 10/24/2012 19 Final Structural 09/21/2012 15 Roof/Reroof Type: MISC 09/12/2012 14 Frame/Steel/Bolting/Weldin Tuesday, October 30, 2012 REROOF Inspector Act PB PB PB PB PB RI WC AP RI CA AP AP LESCH RES-2020 SF COMPOSITION INSTALL 5 NEW SKYLIGHTS -FITS BETW Comments AM EARLY PLS, CALL TO CONFIRM TIME 1STAMPLS Page 1 of 1 -----~~----.