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HomeMy WebLinkAbout1857 Palisades Dr; ; CBR2018-0163; Permit(city of Carlsbad Residential Permit Print Date: 06/28/2018 Permit No: CBR2018-0163 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 1857 Palisades Dr BLDG-Residential 2073822700 $3,337,54 Work Class: Reroof Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Status: Applied: Issued: Permit Finaled: Inspector: Closed -Finaled 01/22/2018 01/22/2018 Plan Check#: Final Inspection: 6/28/2018 2:39:40PM Project Title: Description: BLAKE: 19 SQ COMP REROOF BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG) S81473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-RESIDENTIAL Total Fees: $106,46 Owner: TRUST BLAKE FAMILY TRUST 12-20-05 1857 Palisades Dr CARLSBAD, CA 92008 Total Payments To Date: $106.46 Contractor: TR CONSTRUCTION 9335 Mira Mesa Blvd SAN DIEGO, CA 92126-4816 858-537-6490 Balance Due: 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, zoring, 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. $0.00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 1 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov $61.74 $43.22 $1.00 $0.50 ·., ( Cicyof Carlsbad Building Permit Application 1635 Faraday Ave .• Carlsbad, CA 92008 Ph: 780-802471.9 Fax: 760-602-8558 email: bulldlng@carlsbadca.gov www.carlsbadca.gov Plan Check No. ClbR 20 I~ -01(0 ~ JOB ADDRESS SUITE#/SPACE#/UNIT# / ,/) APPLICANTN ADDRESS ADDRESS I \ CITY CITY PHONE EMAIL DESIGN PROFESSIONAL NAME CONTRACTOR BUS. NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL STATE UC.# Est. Value 3 3 Plan Ck. Deposit Date I -2.2 APN ) STATE FAX ZIP FIRE SPRINKLERS YES D NOD (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 per,rnit to file a signed statement tliat 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 exemP.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 Declaralion: / hereby affirm under penally of perjury 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. I have and will maintain workers' c~m!ensation, ~'lquired by SecUon 3700 of the Labor Code, for the petformanc.x of ~ork fo~hich thispermit is issued. My workers' compensation)nsurance carrier and policy number are: Insurance Co. J.2c.;, czf..td IQ 12--::_ ;:::;_, {c 17 C..,.., <, ... Policy No. /1•:}2;. 0 CJ/ '-/f.3~ Expiration Date I/ I / J '): ' This section need not be completed if the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of lhe Labor code, interest and attorney's fees. ,/1$ CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's 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 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 Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with conlractor(s) licensed pursuant lo the Contractor's License Law) □ I am exempt under Section _____ ,Business and Professions Code for this reason: 1. l personally plan to provide the major labor and materials for construction of the proposed property improvement. □ Yes □ No 2. I (have I 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/ 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/ phone I 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 I address/ phone/ type of work): ~ PROPERTY OWNER SIGNATURE □AGENT DATE ',jCOWIPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required lo 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 polluUon 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 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 certify that I haw read the application and strte that the above infomiation is correct and that the infomiatlon on the plans ls accurate. I agree to comply with all City ordinances and State laws relating to buildlngconstruct:lon. I hereby au~olize representative of the Cly of Carlsbad \D enlar upon~•-mentioned properly for i1speclion purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARM.ESS THE CrrY OF CARLSBAD AGAINST ALL LIABILrTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CrrY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pennlt is required for excavatioos <:Nef 5'0' deep and demolition or constructkln of structures over 3 stories in height. EXPIRATION: Every permit issued by Ute Building Official under the provisions of this Code shall expire by Imitation and become null and void if the building or work aulhorized by such pemit is not commenced ~in 180 days from the date of such pennit or if Ute building or work authorized by such pennlt is suspended or abandoned at any time after the work is commenced for a period of 180 days (Sectioo 106.4.4 Unifam Building Code). ,E APPLICANT'S SIGNATURE '2:___ DATE REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION / ◊Cl p,,.._ /,'c 11 I,,(. Ur 1. JOB ADDRESS:_.:........:::O_J_-...c_J ___ L/"-__ ->_u---___,(A'---_...,> ___ -____ _ COMMERCIAL 2. TYPE OF BUILDING: RESIDENTIAL y ---- •• Please contact HCD for a permit if you will be doing work on a manufactured/mobile home. •• 3. ROOF SLOPE: RISE--#-INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE)0 2 3 p It . SHEATHING __ 6. NEW ROOF MATERIAL =llfi'c.::...._-+p_' ____ CLASSt±:_ 5. TYPE OF EXISTING ROOF COVERING I 7. NUMBER OF SQUARES ( 9 WEIGHT PER SQ. ) q V nX' / I.. G 'h' ~ .,.J---~ 0 ,.,,-~ r-, B-10 8. TRADE NAME,lb';J(-A (!<.;fl/11 17'\MANUFACTURER WU\,~ IJ2).}7 9. ROOF SYSTEM LISTING: . -"f!.-?,.. t-/ 6~-0) UL NO.t: 1.C.C.E.S. Report # ______ ASTM _____ _ 10. IS THE EXISTING STRUC~ 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. Name /J1,' c.-l,v..u \ Slo..,Jv\ 't,~--h' Signature ___ ___.,-::::=:::::;;:--?=--·'s _________ Date---,-;/_·1.,_-z-__,,/!~1"'€ ____ _ (CIRCLE ONE) Contractor Owner *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other Page 6 of6 Rev. 04114 • ~ ~Yr; '"" • ,;.,1 :r, , ,Ji,' PERMIT INSPECTION HIST0R'6REPORT {CBR2018-0163) , ~' , ' •, ' , "G 1i" -,,, Permit Type: Work Class: Status: Scheduled Date BLOG-Residential Reroof Closed -Fina led Actual Start Date Inspection Type Application Datn: 01/2212018 Owner: Issue Date: 01122/2018 Suhdivision: Expiration Date: 1212612018 Address: IVR Number: 9017 Inspection No. Inspection Status Primary Inspector 06/28/2018 06/28/2018 BLDG-16 Roof/ReRoof (Patio) 062616-2018 Partial Pass Andy Krogh June 28, 2018 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 062517-2018 Checklist Item BLDG-Structural Final COMMENTS Roof done with no sheeting inspection Passed Andy Krogh COMMENTS Roof done with no sheeting inspection TRUST BLAKE FAMILY TRUST 12-20-05 CARLSBAD TCT#76-15 UNIT#02 1857 Palisades Dr Carlsbad, CA 92008-3757 Reinspection Complete ReinspecUon Incomplete Passed No Complete Passed Yes Page 1 of1