HomeMy WebLinkAbout1869 PALISADES DR; ; CB091049; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
06-24-2009 Miscellaneous Permit Permit No: CB091049
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
1869 PALISADES DR CBAD
MISC
2073833900
$2,079.00
Subtype: REROOF Status:
Lot#: 0 Applied:
Entered By:
Reference #: Plan Approved:
PC#:
Project Title:
Applicant:
CORNTHWAITE: 1650SF COMP TO
COMP RE-ROOF
Issued:
Inspect Area:
Owner:
CORNTHWAITE TRUST 04-03-01 CORNTHWAITE TRUST 04-03-01
1869 PALISADES DR
CARLSBAD CA 92008
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
PERMIT FEE
1869 PALISADES DR
CARLSBAD CA 92008
Total Fees: $91.00 Total Payments To Date: $91.00
Inspector: 1'11 ~-
FINAL APP://,VAL
Date: 01/o 9
Balance Due:
Clearance:
ISSUED
06/24/2009
JMA
06/24/2009
06/24/2009
$91.00
$0.00
$0.00
$91.00
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition' of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions.' You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. lf you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition
' City of Carlsbad
1635 Faraday Ave., Carlsbad, CA 92008
760-602-27:).7 / 2718/ 2719
Fax: 760-60i8558
www.cartsbadca.gov
Building Permit Application -. JOB ADD~ESS PALlS A t0:S. 't>R-\\.IE ' 01tl.S.6tl ~ _____I ?, (, q
Plan Check No.
Est. Value
Plan Ck. Deposit
Date
SUITE#/SPACE#/UNIT# IAPN ,I---
CT/PROJ\:.:'.-1 # I LOT# I PHASE# I# OF UNITS I# B£DROOMS # BATHROOMS I TENANT BUSINESS NAME I coNSTR. TYPI: I acc. GROUP
--· DESCRIIOY 10N OF WORK: Include Square Feet of Affected Area(s)
re.r o o .(::' t bl s: ~0~c) Ccanr0 to <:om.~ SF ,-'
EXISTIN-J: \JSE I PROPOSED USE l GARAGE (SF) PATIOS (SF) l DECKS (SF} I FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS
YES □# __ NO □ YES □ NOD YES O NO □
CONTACT NAME (ff Different Fom Applicant) APPLICANT NAME
ADDREP:$ ADDRESS
~-
CITY STATE ZIP CITY STATE ZIP
PHONE lFAX PHONE IFAX
EMA,'L EMAIL
C PROPERlY OWNER NAME ~ ti De-lo G, ~ '* , e e, .., ,c.... '"fl wa_... t'..-CONTRACTOR BUS. NAME
ADDRESS I g b q
~-Pa.. t.:$4._.:ks l)r~ ADDRESS
CITY Ca_ cl sloo..d STATE CA ZIP '1"2.CCJ?: CITY STATE ZIP
1-........-.... ____
PHONE"
~l,o '-( ~ '-/-:,2.. 7 -z__ lFAX PHONE IFAX
EMAILdl -¼ EMAIL c..o r rt L..uai-t._e j fY¼_;l. c_,:, "" ARCH/DES1t:NER NAME & ADDRESS ! STATE UC.# STATE UC.# I CL.ASS I CITY BUS. UC.#
~
(~ec. 70~ 1.5 8111111211 and Prolemons (ode: Any City or County which reqmm a penmt to con1truct, _alter/ improve, demol11h or reP.air any 11ructure1 pnor to its 11suance, also requim 1he apylicant For 1ucb permit to file a signed natement that ht is r1censed.9.·ir":~l"I tJ the provisions of the Contractor'1 License Law {Chapter 9, commending with ~Cllon 000 of D1vi1ion 3 of the Busine11 and Prormion1 Code} or thal ht is exempt tltere from, and the basis for the allegtd ertmprion. Any •iolation nf $ewon 70! I .i by any applicant for a permit subJects the apphcant to a civil penalty of not more than fivt hundred dollars {$500}).
wd1 ERS' COMPENSATION '
Workers· Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
D I havf. and will maintaln 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 haVt. and will maintain workers' compensation, as required by SecUon 3700 ol the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
num,"1~• are: Insurance Co. ______________________ Policy No. _______________ EKpiration Date __________ _
This sechY' need not be completed W the permit is for one hundred dollars ($100) or less.
D Cerut;cate 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 I< '.'le cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees.
£5 CCirlTRACTOR SIGNATURE DATE
I hereby Jfhrm 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
licim5e 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
salr:', 11, 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 ol sale).
□
1, ai CiWner of the property, am exclusively contracting with ficensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's license Law does not apply to an owner of
prop~i!y who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's license Law). V< ~ ~r
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. □ Yes □ No
2. I (tiave / 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/ 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/ address/ phone/ contractors' license number):
5. I wili ;>rovide some of the work, but I have contracted (hired) the following persons to provide !he work indicated (include name/ address/ phooe / type of work):
Is the applicant or luture 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-Tannt?r Hazardous Substance Account Act? □ Yes □ No
Is the applica•1t or future building occupant required to obtain a permit from the air pollution control district or air qualrty management district? □ Yes □ No
Js the facili'.y lo 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
EMERGEr~c·1 SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I certlfytil"'· I I .ave read the appllcatlon and state that the abo\le Information is COffl!Ct and that the lnfonnation on the plans ts accurate. I agree to comply with all City ontinances and State laws relating to building coostructlon.
I hereby autholize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST All_ LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or constnx:tion of structures over 3 stories in height.
EXPIAATlOt-.J: Every permit issue Building Official under the provisions of this Code shall expire by limitation and become null and void W the building or work authorized by such permit is not commenced within
180 days fro-TI the date of su rmlt or· building or work authorized by h It is s nded or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
2S APPi.'CANrS SIGN ~ DATE
----~•--··
.J
REROOFING
SUPPLEMENTAL BUILDING PERMIT APPLICATION
1. JOB ADDREss:,~l=8'_eo-'-q--'-p0i~I t_.s~-'---'-J_-e_"?._0_<' ____ _
2. TYPE OF BUILDING: RESIDENTIAL._f.,__ __ COMMERCIAL. ___ _
3. ROOF SLOPE: RISE ___ INCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE/ I 2 3
5. TYPE OF EXISTING ROOF COVERING (00\p SHEATHING __ _
CLASS __ WEIGHT PER so. __ *6. NEW ROOF MATERIAL C®f G NUMBER OF SQUARES I G:. I {-z.
a. TRADE NAME M.!;oc..rln ( MANUFACTURER M,ALfrYl...K.JSI./
9. ROOF SYSTEM LISTING:
UL NO. ?-'2-L 8"
I I
I.C.C.E.S. Report # -0:vt · 53::>-{) X ?
10. IS THE EXISTING STRUCTURAL~GN 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.
SignatuG.L_c/ Qa_;6 Date_6_.__µ_,9_<1-(;..._c:q....L.-_
Ur ba,d.. Roc,ft_vt'.j ·. ~ I . 1 Contractor ____ Owner {4p,;,.flt~ontractor Name C)r t:>~
*6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other
.J
City of Carlsbad Bldg Inspection Request
For: 07/07/2009
Permit# CB091049
Title: CORNTHWAITE: 1650SF COMP TO
Description: COMP RE-ROOF
Type:MISC Sub Type: REROOF
Job Address:
Suite:
Location:
1869 PALISADES DR
Lot 0
OWNER CORNTHWAITE TRUST 04-03-01
Owner: CORNTHWAITE TRUST 04-03-01
Remarks:
Total Time:
CD Description Act Comments
Inspector Assignment: MC ---
Phone: 7604715065
Inspector: _ _,t,'l_~b __
Requested By: AMBER
Entered By: JANEAN
19 Final Structural fl_ _________ _
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments
07/01/2009 15 Roof/Reroof PA MC EXISTING SHEATHING OK, MINOR FASCIA & 1 X REPAIR