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HomeMy WebLinkAbout1876 HIGH RIDGE AVE; ; CB153565; Permit10-21-2015 Job Address: Permit Type: Parcel No: Valuation: Reference#: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB153565 Building Inspection Request Line (760) 602-2725 1876 HIGH RIDGE AV CBAD MISC Subtype: REROOF 2073841700 Lot#: 0 $11,874.00 RAFUSE: 27 SF RE ROOF/ CONCRT TILE TO SAME Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/21/2015 JMA 10/21/2015 10/21/2015 MARK ANTHONY CONSTRUCTION RAFUSE WARREN S&CYNTHIA D REVOCABLE 2001 TRUST 1 PO BOX 1434 VISTA CA 92085 760-803-7534 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $228.00 1876 HIGH RIDGE AVE CARLSBAD CA 92008 PERMIT FEE Total Payments To Date: $228.00 Inspector: I""\. ~ s FINAL APPROVAL Date: LI JD:,[ l,S Balance Due: Clearance: $228.00 $0.00 $0.00 $228.00 $0.00 I\OTICE Aease la<e l\OTICE ttat ~ ci )OJI" inject irdl.des the "llllJ()Sitiori' d fe,e,; dedcatiors, reservoocns, or ctta-E!JCdicns rorea\er cdledi,<jy re'em,d to as 'Yees'E!JCdicrs." You rave 00 de),; from the_ !tis pemit""' issu,ci to ~est illlJ()Sitim d lhese fees'ElJCdicns. If you ~ Ihm you m..st fdlcmtte ~est procecires set lath in Go.errrent Cooe Secti0160020(a), and file the~ and anyctta-rai-Jred infarratimwlh the Qty ~for ~rg in axxrda"<ewth a.tsboo Mridpej Cooe Sectim 3.32.COO. Falcretotirrayfdlcmttat µ=,cire wll IH any Slb;eq..e-11,gj a:Jion toattad<. review, set asida, vcid, er aTIJ their irfl'.XStioo. You a-e laeby FlRTl-ER I\OTIFIED Ital )OJ riifl to ~est the specified fees'E!JCdicns OCES !'Or PPPl. Y tov.aer and S1iMef oonnedion fees and c,µdty cha1ges, nor ptmrg, zo-irg gacirg or ctta-snrila-application ~rg or 50'.ioe fees in oonnedim wlh Ins inject. r,m OCES IT PPPL Y to any f ~mm .... have.......,.•CJ..611,i....,........:,-ar..nnCEc:irrila-tntfic: cr:::ir::towirh li ........ ...,j.i~i...-..-.-•rusr ("city of Plan Check No. CB / S--3S"°0') Building Permit Application Est. Value${/ f 81<./. 1635 Faraday Ave., Garlsbad, CA 92008 Carlsbad Ph: 780-6024719 Fax: 760-602-8558 email: bulldlng@carlsbadca.gov Plan Ck. Deposit www.Qgrl~QgQQ2.gQv Date tO. '2-1. 1 _) lswPP JOB ADDRESS SUITE#/SPACE#/UNIT# IAP~ 01}-e q 1976 µ;.,J, ~:.J.L Jk_ -17 -(70 CT/PROJECT# ~ ILOT-l PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Atea(s) R~,.._~ve-11<A . .t:. t,,,i c,c. -k-~ .-[,. ""',( ·-·-' vl ... ,-t,,.~ • r~.JA" ,.. .. ,,,,.,/4r /,.~ ,...,,,L ,, •• J . • -I-; I<. lt.1-_s~( c .. l", .... },, .. ~o "',s1<, EXISTING USE l PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I 'FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YES □#_ NOD YES D NOD YES □ NO □ APPLICANT NAME A-lw-A...-Htui,., ••0•21; ~!"j." ~~.re Prlmarv Contact ADDRESS I ADDRESS \ J~ /.I. Pu,f.·c S .\--S v\ ~<-G 1816 6J,..,4 R.-,I., /1..c. CITY c'TPI ZIP CITY ., cir ZIP s .. ~ /tw-Cos ., "-061 c~1,b11d q,{loo6 PHONE TFAX c.~6•J <-tSe-4:iLJl FAX (i&V go3-7S 3'1 EMAIL EMAIL "'"'Jr~,l; ""-~.,of•"~.&J ~,._..,I. c= DESIGN PROFESSIONAL NAME CONTR~~~U~'i--1 ..... ., C ,,,.,,t >-R•-r,.". t-_,_ ADDRESS ADDRESS I us )J_ "f,..,,;. . ._ .r .. t 5't.i .\-c C. CITY STATE ZIP CITY S~AA-ZIP ~ l~iltt..S II :i..oo q PHONE l'AX PHONE FAX <.:J~ ';io1'7.f 3f EMAIL EMAIL r I STATE UC.# STATE UC.# 'i-l.,.Jt l"TYi~'1s1q 3 '3$lf a21 (Sec, 7031.5 Business and Professions Code: Any City or County which requires a permit to_ construct, alter, improve, demolish or repair any structure, pnor 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 JChapter 9, commending with Section 7000 of Division 3 of the B_usmess and Professions Code) or that he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicanffor a permit subjects 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 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 w. orken;' s;omijensatlon, as l)lquired by Section 3700 of the Labor Code, for the performance of the w~or which this permit is issued. My workers' compensation insurance carrie,and policy number are: Insurance Co Sta.~ fc.,,...,n Policy No. foq ~ .s· 81,,.1.J Expiration Date 6'(1 If/ ;1 cl This section need not be completed ii the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the performar.ce 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 the Labor code, interest and attorney's fees. ~ CONTRACTOR SIGNATURE iiiiiiil DATE JI OcJ 2_oj.1 I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: □ I, as owner of tt1e 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 Professkms Code: The Controctor'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 contractor(s) licensed pursuant to the Contractor's License Law). □ I am e~empt 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 (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/ 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 phorie I contractors' license number): 5. I will provide some of the w:irk, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone/ type of work): ~ PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL 8UILDING PERMITS ONLY 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 SecUons 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 pem,it from the air pollution control district or air quality management district? □ Yes □ No ls the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ No 1F 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there 1s a construction lending agency for the performance of the work this permit 1s issued (Sec 3097 (1) C1v1I Code) Lender's Name Lender's Address APPLICANT C ER TI FICA Tl)). N t certify that I have read the appllcatlon and state that the above Information Is correct and that the information on the plans is accurate. I agree to comply with all Ctfy ordinances and State la\W relating tD bulldlng cons1J1.lction. I hereby authorize representative of the City of Carlsboo to enter up:in the atxive mentioned property br ins~n purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL Lcl\BILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQJENCE OF THE GRANTING OF THIS PERMIT. OSHA: M OSHA permij is required br excavations over 5'0' deep and demolltk:ln Of oonstruction of structures over 3 stories in height. EXPIRATION: Every permit ISSued by the Building Official under the provisions of this Code shall expire by imitatk:ln and become null and vod W the OOilding or oork authorized by such permit is oot oommenced 'Mthin 180 days mJm the date ofsudl permit Of if the building or oork authorized by such permit is suspended or abandoned at any time after the v.ork is oommenced bra perbd of 180 days (Secoon 100.4.4 Uniform Building Code). _N$ APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB153565 Type: MISC Date Inspection Item ------ 11/09/2015 19 Final Structural 11/09/2015 19 Final Structural 10/27/2015 15 Roof/Reroof 10/27/2015 15 Roof/Reroof 10/27/2015 15 Roof/Re roof Monday, November 09, 2015 REROOF Inspector Act RI MC Fl RI MC AP MC NR RAFUSE: 27 SF REROOF/ CONCRT TILE TO SAME Comments AM PLEASE 2ND STOP, SHEATHING OK 1ST STOP Page 1 of 1 . ' , REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESS: \ S 1 b 1-\;p" Q:J,'-A.,t_ 2. TYPE OF BUILDING: RESIDENTIAL y COMMERCIAL __ _ 3. ROOF SLOPE: RISE f; INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) C) 2 3 5. TYPE OF EXISTING ROOF COVERING [ •• c.rJc._ ti' le SHEATHING '/(5 __; __ *6. NEW ROOF MATERIAL Lo1u<J, ... f i k. CLAss_f[_WEIGHT PER SQ. lfo.; 7. NUMBER OF SQUARES._'f.__1 ___ _ s. TRADENAME Ca.ri•~ 9. ROOF SYSTEM LISTING: MANUFACTURER_4._~~,_f< _____ _ UL NO. 0:l~& ASTM 4 f?l,c::t-o "'7 I.C.C.E.S. Report# f 5 R ~ /{12 .> 10. IS THE EXISTING STRUC~~f-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 /-z_ ~ Date 11 a). ')oJs Contractor Owner ~actor A.,.:.11.+-? Name A 1!., AJ.-~ u,,,' *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other B-10 Page 4 of 4 Rev. 02/11