HomeMy WebLinkAbout1872 PALISADES DR; ; CB142446; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
09-22-2014 Miscellaneous Permit Permit No: CB142446
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
1872 PALISADES DR CBAD
MISC
2073810400
$0.00
Subtype: REROOF Status:
Lot#: 0 Applied:
Entered By:
Reference #: Plan Approved:
PC#:
Project Title: YUNK: 1600 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:
YUNK DENNIS J
1872 PALISADES DR
CARLSBAD CA 92008
Total Payments To Date: $91.00
FINAL APPROVAL
Date: /(}·J-1'/
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. \f 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
x ction f which h v viousl b n iv n Tl E simil r to his r s to whi h the ut of limi ions h herwise x ired.
.,: THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING QENGINEERING □BUILDING
Ccityof
Carlsbad
JOB ADDRESS
CT/PROJECT#
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/UNITf
Date
# BATHROOMS TENANT BUSINESS NAME
□FIRE
DESCRIPTION OF WORK: Include Square Feet of Aff'ected Area(s) } . 1 eJt--l Jr oMf. £,~;Ile., ~ ~Ji'j ;115/..-I l rww CdY'f. <.hirJJJv.
EXISTING USE PROPDSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YESQ
APPLICANT NAME PROPERTY OWNER
Primary Contact
ADDRESS ADDRESS LL-q II
CITY 2(-z.. I l.,
CITY STATE
~
PHO~(,,(S FAA PHONE FAA
EMAIL EMAIL
DESIGN PROFESSIONAL
ADDRESS
CITY STATE ZH'
PHONE FAX
EMAIL
STATE LIC. # STATE LIC.#
6 87..,. 7~
□HEALTH
SWPPP
FIRE SPRINKLERS
YES□ND□
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 is ance, also requires the applicant for such per_m1t to file a signed statement that he 1s 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 [hat he Is exemP.t therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subiects the applicant to a
civil penalty of not more than five hundred dollars {$500)).
WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of peljury one of the following declarations: Q; 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 pertormance of the work for which this permit is Issued.
~have and will maintain workers' comp~satlon, as reciuired ~ Section 3'.00 of the Labor Code, for the performance of the work~ for which this permll.J§sued. My workers' compensation insma ce carrier and policy
numbe,a~:lnsuranceCo. C<>. L f. To">• C.O • Pol;cyNo. 'f{;,-'i('(Jgq S &a,at;onDale---1...LJl~.,;_;;2-__ _
p!i§.seciion need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: \ certify that in the performance of the work for which this permit is isst1ed, 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 clvll fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damages as provided for In Sectl 3706 of the Labor code, interest and attorney's fees.
,.65 CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's Ucense Law for the following raason:
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 throt1gh his own employees, provided that such improvements are oot 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 ex.elusively 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 major labor and materials for construcUon of the proposed property improvement. OYes ONo
2. I (have/ 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 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 I 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 I phone I type of work)·
,8$ PROPERTY OWNER SIGNATURE □AGENT DATE
~ ~ ", 1 ,~ 1 ~ 1 " ~" --~ \ "1-~q[~' J -, e, " ~ ,-" 1 ~ ~ -, '
COMPLETE ''l'l'IH SECTION Fllff NON•iU!Sl!Dl!illrf:t.1111ii<BilUi!DINJl PERMITS ONLY
1 w ~ ---'' _ 1 -
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
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 have read the application and state that the above lnfonnation Is correct and that the information on the plans Is accurate. I agiee 1D comply\\ith all City olttlnances and State • ielatlng 1D building construction.
I hereby authorize representative of the City of Car1sbad to enter uixm the above mentklned property br inspectk>n purposes. I ALSO AGREE TO SAVE, INDEMNIFY .AND KEEP HARMLESS THE CITY OF CARLSBAD
AGI\INST ALL Ll"81LJTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AG.AJNST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA NI OSHA permit is required for excavations over 5'0' deep and demolioon Of coostruction of structures over 3 stories in hei;Jht.
EXPIRATION: Every pemilt issued by lhe Building Offcial under the provisk>ns of this Code shall expire by limltalion and become null and void if the building or'Mlrk authorized by sudl permit is r.ot oommenced Wthin
180 days from the date of such pemilt or if the buiklhg or'Mlrk authorized by sudl pennij is suspended or abandoned at any time after the 'Mlrk is oommenced for a peood of 180 days (Section 106.4.4 Unifonn Building 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 building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY
Carlsbad
STATE
CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
OELIVERY 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
ASSOCIATED CB#•-------------
NO CHANGE IN USE/ NO CONSTIIUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
1. JOBADDRESS: 18fl. & /,·$~
2. TYPE OF BUILDING: RESIDENTIAL_.>< __ _ COMMERCIAL ___ _
3. ROOF SLOPE: RISE '-f INCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) (Y 2 3
5. TYPE OF EXISTING ROOF COVERING{'..d\1 {2. c;h;;/&; SHEATHING /12&
*6. NEW ROOF MATERIALODMf'· '911 if /_y CLASS ,4-WEIGHT PER SQ. I~
7. NUMBER OF SQUARES-/b~----
8. TRADE NAMEC)J-c,,cAY::'. 7
MANUFACTURER~ -s C,.(Ji t:}
9. ROOF SYSTEM LISTING:
UL NO. _____ I.C.C.E.S. Report# /3 3:: 7-
ASTM _____ _
10. IS THE EXISTING STRU~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.
Signature ~ ~ 7'
&,ontrac@t:>'--___ Owner _____ Contractor
Name&,,c)1,,-vl ~>o-{
*6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other
8-10 Page 4 of 4 Rev. 02/11
Inspection List
Permit#: CB142446
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
YUNK: 1600 SF COMP SHINGLE
REFOOF
Comments
READY BY 8:30 (INITIAL ROOFING)
READY BY NOON
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