HomeMy WebLinkAbout1861 PALISADES DR; ; CB142447; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
09-22-2014 Miscellaneous Permit Permit No: CB142447
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
1861 PALISADES DR CBAD
MISC
2073822800
$0.00
Subtype:
Lot#:
REROOF
0
Status:
Applied:
Entered By: Reference #:
PC#: Plan Approved:
Project Title: DODD: 1800 SF COMP SHINGLE
REFOOF
Applicant:
T R CONSTRUCTION
9847 PASEO MONTRIL 92129
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees:
Inspector:
$91.00
PERMIT FEE
Owner;
DODD TAYLOR T
1861 PALISADES DR
CARLSBAD CA 92008
Total Payments To Date: $91.00
FINAL APPROVAL
Date: IO-t -/'f
Issued:
Inspect Area:
Balance Due:
Clearance:
ISSUED
09/22/2014
JMA
09/22/2014
09/22/2014
$91.00
$0.00
$0.00
$91.00
$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 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/exaction f which ou h v vi I been iven N TICE simil r hi or as to whi h th st t of limitations ha r vio sl otherwise ex ir
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING
(city of
Carlsbad
JOB ADDRESS
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
SUITEf/SPACEf/UNITI
□BUILDING □FIRE
Plan Check No.
Est. Value
Plan Ck. Deposit
APN
CT/PROJECT# LOT# PHASE# # OF UNITS # BATHROOMS TENANT BUSINESS NAME
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
1 lj,-f sE+ e,vMf. s vi, ~ L
1800 ~ ft oJ~ffi..., -
Cock .1
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS {SF)
APPLICANT NAME PROPERTY OWNER
ADDRESS \ \
CITY CITY
G't"i 1)
PHONE FAX
EMAIL EMAIL
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
STATE LIC. # STATE UC.#
'Cf'g
0 HAZMATIAPCO
SWPPP
CONSTR. TYPE OCC. GROUP
FIRE SPRINKLERS
vesONoO
ZIP
(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_mit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law {Chapter 9, commendin1i!w1th 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 appllcanf"for a permit subjects the apphcant to a civil penalty of not more than five hundred dollars {$500)).
WORKERS· COMPENSATION
Workers' Compensation 0eclaratlon: I hereby affirm under penalty of perjury one of the following declarations:
~ ~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.
~ 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 insur nee carrier and policy
numberare:lnsuranceCo.(:Al,1.f'.~ bf'C>\ C--0 PolicyNo. LtG-'J?'t8&"f5" ExpirationDate -
]l!,i§.section need riot be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the perfom1ance of the work for which this pem1it is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Fallure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damages as provided for n Section 3706 of the Labor code, interest and attomey's fees.
8$ 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 wijthin one year of completiofl, 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 afld 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 major labor and materials for construction of the proposed property improvement. Oves ONo
2 I (have/ have not) signed an application for a building pem1it for the proposed work,
3. I have contracted with the following person {f1m1) 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 (if'IClude name I address I 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 I address I phone/ type of work):
,8$ PROPERTY 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
Pres'8y-Tanner Hazardous Substance Account Acr? Yes No
Is the applicant or future building occupant required to obtain a permit from the air pol!utkln cootrol district or air quality management districr? 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.
1 certify that I have read the application and state that the a bow infonnation Is coll8Ctand that the infonnation on the plans Is accurate. I agiee tD comply with all City ordinances and State law.; ielatlng to bulldlng construction.
I hereby authorize reJ)"eSentative oflhe City of Cartsbad to enter u~m the atxwe mentioned property fi:ir inspection purJX)ses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST fil LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: AA OSHA pennlt is required for excavations over 5'0' deep and demolltk:m or 001struction of structures over 3 stories in height.
EXPIRATION: B'ery permit issued by the Building Offdal under the proVISOns of th IS Code shall expire by IJT\ltaoon and become null and -.,:,k:l W the building or 'Mll'k authorized by such pennit is notoommenced 'Mlhin
180 days from the date of such pennlt or if the building orVIOrk authorized by sudl pennlt is suspended Of abandoned at any time after the 'M'.ll'k is commenced for a period of 180 days (Section 106.4.4 Uniform Building c.ode).
L 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 building@carlsbadca.gov or Mail the completed fonn to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (Office use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STA.TE ZIP CITY STATE
Carlsbad CA
PHONE FAX
EMA.IL OCCUPANT'S BUS. LIC. 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: _______________ _
..65 APPLICANT'S SIGNATURE
ASSOCIATEDCB#------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
1. JOB ADDRESS: 186/ I;.. Ii swY. e,, ::-J2r
2. TYPE OF BUILDING: RESIDENTIAL >< COMMERCIAL
3. ROOF SLOPE: RISE '--1 INCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE)D) 2 3
• 5. TYPE OF EXISTING ROOF COVERINGC..vnf, Sh,''E'.l 6--sHEATHING,ze,)
*6. NEW ROOF MATERIALufl'1(, Sh;?) 1,u CLASS~WEIGHT PER SQ./2-6'
7. NUMBER OF SQUARES /f? 4
a. TRADE NAME (;)6-K, :b-, MANUFACTUREV-=--w---"-e,-'-'-A;;c_s -=Co::...::...c.r-'-'-()'-0'./-41 _
9. ROOF SYSTEM LISTING: \)
/3?-L UL NO. ______ I.C.C.E.S. Report#c.._.:._:c..__;_ __ _
ASTM _____ _
1 O. IS THE EXISTING STRU(?iU~L DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE
PROPOSED ROOF? YE 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 "t /4-z.. /H
~ ____ Owner _____ Contractor
Name/'.f;1,cba., / . ro.,,__,fi,
*6. Rolled Roofing, Standard/Lite Tile, AsphalVComp fiberglass, Built Up, Other
B-10 Page4of4 Rev. 02/11
Inspection List
Permit#: CB142447
Date Inspection Item
09/30/2014 19 Final Structural
09/30/2014 19 Final Structural
09/24/2014 15 Roof/Reroof
09/24/2014 15 Roof/Reroof
09/23/2014 15 Roof/Reroof
09/23/2014 15 Roof/Reroof
Wednesday, October 01, 2014
Type: MISC REROOF
Inspector Act
PB
PB
PB
RI
AP
RI
AP
RI
NR
DODD: 1800 SF COMP SHINGLE
REFOOF
Comments
READY BY 8;30. (INITIAL ROOFING)
READYBY3PM
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