HomeMy WebLinkAbout1864 PALISADES DR; ; CB161731; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
05-04-2016 Miscellaneous Permit Permit No: CB161731
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
1864 PALISADES DR CBAD
MISC
2073810600
$3,457.60
Subtype: REROOF Status:
Lot#: 0 Applied:
Entered By:
Reference #: Plan Approved:
PC#: Issued:
Inspect Area:
Project Title: GUTIERREZ: 20 SQ COMP REROOF
Applicant: Owner:
TR CONSTRUCTION GUTIERREZ 2003 TRUST 04-29-03
9847 PASEO MONTRIL
SAN DIEGO CA 92129
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
1864 PALISADES DR
CARLSBAD CA 92008
PERMIT/ INSPECTION
ISSUED
05/04/2016
SLE
05/04/2016
05/04/2016
$107.00
$0.00
$0.00
$107.00
Total Fees: $107.00 Total Payments To Date: $107.00 Balance Due:
Inspector: Clearance:
$0.00
I\IJTICE: Rease ta.> I\IJTICE:lhat 8Rl'O/a cJ yo.If ?'lect irdudes the "lrrposition" dfees, dedc:aicns, -ans orctte-eJOOions hereaterrolectively
rderre, to as 'fees'eJOOions" Yoo rave 00 days fromthe-tlis pemit was issued to prctest in-position cJ trese fees'eJOOions If )OJ iroest ti-em )OJ rrust
fdloothe iroest procaci,es set fa1h in <?o.<m-reit Code Section 60020(a), !rd file the prctest !rd ,n; cite" req.ired infonraion wth the aty ~for
rroressil"9 in axoo:la-cewth ca1s1Bl M.ridpa Code Section 3.32.COO. Falu-etotirreyfdlootta JJOC8Cl.rewll ta-,n;Sl.lboo:µrt 1,gj action to atta:l<.
revleN, set a5ide, 'vdd, a c:ITU their irrµ:sition.
Yoo a-e t-ereby FLRTl-ER I\IJTIFIED that yo.If rig-I to prctest the spoofioo lees'eJOOions DCES r-Df /IPPL Y to>Mtr,: !rd,-,,; connection_ !rd~
ctmges, mr piaTi1"9, mirg ga:i1"9ordte"sirrila-~icaion rroressil"9 orseruloefees in oonnectonwth tlis ?'lect. I\CRDCE:S IT AFRYto,n;
f rJ \Ml · sirrila-a · tre e lirri ·
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMATIAPCD
(city of
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
SUITE#/SPACEI/UNIT#
Plan Check No
Est. Value
Plan Ck. Deposit
Date 5
APN
PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME
C) ~-S"
DESCRIPTION OF WORK: Include Square Feet of Affected Atea(s)
~-03c.R1t«"'O~ €J(,$'1-\~ fr:ct OJd ~{I~ (\~ C0M~-'t:,1'~c)e_,
'JD~b\._ &(:(D ~{~
SWPPP
-'ol()
CONSTR, TYPE OCC. GeQUP i
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) AIR CONDITIONING
No[] YES □NO □
FIRE SPRINKLERS
vEsONoO
EMAIL
\f-c.o Y\';:,\,c v..G\, o"'""' . A·CO<"'
EMAIi
DESIGN PROFESSIONAL
ADDRESS
CllY STATE ZIP
PHONE FAX
EMAIL
STATE LIC. #
(Sec. 7031.5 Business and Professions Code: Arrt 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 si~ed 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 ex.empt 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 Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q 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~o/1'~:nsatlon, as reQUired by Section 3700 of the Labor Code, for the performar.ce of the work for I this permit is issued. My workers' compensation insurance carrier and policy
numberare:lnsuranceCo. ca i~\(\\o:,.. Ao~ CO· Policy No. -CS--0\--<:1.:>'Ex.pirationDate \ fl /13-: -. /1 This section need not be completed 1f the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the performance of the work for which this perm11 is issued, I shall l'\OI employ any person in any manner so as to become subject lo the Workers· Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage ls 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, damag provided for in Section 3706 of the labor code, Interest and attorney's fees.
Jl'S CONTRACTOR SIGNATURE ~
•-;~~.
/ hereby affinn that I am exempt from Contractor's License Law for the foJ/owfng reason:
□
□
□
\, 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, ar.d 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 \he purpose of sale).
!, 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 _____ B,usiness and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes Oo
2. I {have I have not) signed an application for a building pennit 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 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/ address/ phone I type of work):
,N$ PROPERTY OWNER SIGNATURE □AGENT DATE
------····· --·-·-· -----···
B-10
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
1. JOB ADDRESS: 18cPL\ {?1,1.lX::io-de1, D,.
2. TYPE OF BUILDING: RESIDENTIAL._X~--COMMERCIAL ·----
3. ROOF SLOPE: RISE ~ INCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) d) 2 3
5. TYPE OF EXISTING ROOF COVERING CoMp.~i~SHEATHING Q\y~
*6. NEW ROOF MATERIAL~ 7:)'r\i~e_ CLASS A WEIGHT PER SQ. \qO ~ ~.
7. NUMBER OF sauAREs_G_o ___ _
8. TRADE NAME0J)thr:'d~ MANUFACTURER Qt~ . (<:,{'(\i'3
9. ROOF SYSTEM LISTING:
UL NO. £~4S]:i-0) I.C.C.E.S. Report# _____ _
ASTM _____ _
10.IS THE EXISTING STRUC~L 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.
:::t::~::-r:: ..... f!~~.,,.V1=---·-0_w_~_e_r==·='=~~~~-c-,-.,-,l-f_a, __ Date S/
4
/l C:,
*6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other
Page 6 of6 Rev. 04/14
, . .
Inspection List
Permit#: CB161731
Date lnspection_ltem
06/08/2016 19 Final Structural
06/08/2016 19 Final Structural
06/01/2016 15 Roof/Reroof
06/01/2016 15 Roof/Reroof
Wednesday, June 08, 2016
Type: MISC REROOF GUTIERREZ: 20 SQ COMP REROOF
Inspector Act Comments
RI PM PLEASE
PD AP
RI PM PLEASE
PD AP
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