HomeMy WebLinkAbout1878 High Ridge Ave; ; CBR2016-0394; PermitPrint Date; 12/29/2016
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
1878 High Ridge Ave
BLDG-Residential
2073854700
$11,171.50
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Residential Permit
www .carlsbadca.gov
Work Class: Reroof
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Description: ONDLER: 25 SQ CONC TILE REROOF
BUILDING PERMIT FEE $2000+
BUILDING PLAN CHECK FEE (BLDG)
581473 BUILDING STANDARDS FEE
STRONG MOTION-RESIDENTIAL
Total Fees: $228.04
Owner:
JIM ONDLER
1878 High Ridge Ave
Carlsbad, CA 92008-3759
Total Payments To Date: $228.04
Status:
Applied:
Issued:
Finaled:
Inspector:
Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." 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/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired,
Permit No: CBR2016-0394
Closed -Finaled
12/19/2016
12/19/2016
PBurn
$0_00
$132.70
$92.89
$1.00
$1.45
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING D ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD
{'cicyof Building Permit Application Plan Check No. 0~ ?t"'\\\4 -Q-:ll:::I~
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value \\. I-"\ I -
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov
Date 12..-IC\-\1 n lswPPP www.carlsbadca.gov
JOB ADDRESS
\S1~ \.\-l t; \-t r, oGi~ /Jr-..J,(, SUITE#/SPACE#/UNIT# IAPN ---
CT/PROJECT# I LOT# I PHASE# I# OF_ UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME rONSTR. TYPE-, OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
i e \Z-¢f ""' ti~ s ,..,.,.. (,,, "'I" '1 p6 --r; l£ -12G,,,,.vve. (V\,o,-Jl6(l. ~,..,.,(>,kV-0 IJl'"'I"• Cot>'· -r-, wE,
I cJ-'1<",.. u--e-t! 6i l-6 Co,-, C..f-e-( E ii '--6 5"t""r;, • vv-r. O'Vf;,\<, '2 L."4~ ~3o(-,,-{',-,..
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS
~~ YES0, No[] vesONoO vesONoO
APPLICANT NAME PROPERTY OWNER -:r
Primary Contact (OM M~~"'--IM DNP\.,,~
ADDRESS ADDRESS
\ i"1 3 \-\-\.( \.I-'2-, i,6,6, c,vc
CITY STATE ZIP CITY STATE ZIP f' .. ~ ~ ,,,, c.,.. "~ PHONE IFAX PHONE IFAX '71'1-~'3 -4117-
EMAIL EMAIL
DESIGN PROFESSIONA CONTRACTOR BUS. NA.MET, \J-'M 12oof1t .. U: l~C.
ADDRESS ADDRESS
c;'2ln<;; C.,..,V.. 1 ~ 0 -:t"° /<"'SM \ ~6
CITY STATE ZIP CITY 6,,, STATE zq p!,~ c+--u:,oz.
PHONE IFAX PHONE !FAX -"JI...IJ (p2'C, S"I S"t::>
EMAIL EMAIL -r'VJMS,~c.6 \ 4 .. "l 'is "-C; M-A-Cl-. ...,.._
!STATE LIC. # STATE LIC# l'Z\,., ICl\;:~;3 ·~ '!5" IC, <;;lf,._--
(Sec, 7031.5 Business and Professions Code: Any City or County which requires a permit to. construct, alter, improve, demolish or re air any structure, priof to its issuance, also requires the applicant for such per_m1t to file a signed statement that he is licensed pursuant to the provisions of the Contractor's license Law /C~apter 9, comme_nding with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a perm1tsubJects 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: 01 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. J2f"i have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, ior the performance of the work for which this permit is issued. My workers' compensation ijsur e carrier and policy
number are: lnsuranceCo. _ __2_..,.~ fi,t,-JO Policy No. '\ lO \ "'ZS :'l-:., \ ',, Expiration Date---.:~,_._l+-L+.---
J!!,i§.section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate 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 to the cost of compensation, damages as rovided for ln Section 370 of the Labor code, interest and attorney's fees.
JE5 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. 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 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 exempt under Section __ ~~Business and Proiessions Code for this reason-
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes 0No
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 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 oi work)
JE$ PROPERTY OWNER SIGNATURE □AGENT DATE
I
I
I
' COMPLETE THIS SECTION FOR NON·RESIDENTIAL BUILDING 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 Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? □ Yes O No
Is Ille applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes □ No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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.
CONSTRUCTION LENDING AGENCY
APPtlCANT CERTIFICATION
1 certify that 1 have read the application and state that the above information Is correct and that the infonnation on the plans is accurate. I agree to comply with all City ordinances and Stlte law.; relating to building construction.
thereby authorize representative of the Ctty of Carlsbad to enter upon the aOOve mentioned property for ins~n purposes, I ALSO AGREE TO SAVE, INDEMNIFY ANO 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 pennlt is required for excavations over 5'0' deep and demolition orconstrudion of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building OffK:ial under the provisions of this Code shall expire by limitation and OOC:Ome null and vod ~ the building orv-.ork authorized by sudl permit is not commenced -.vithin
180days from the date of sucil permit or if uik:hng oroork authorized uct, it is suspended or abandoned al any time after tre WJrk i.5 commenced for a peood of 180 days (Section 106.4.4 Uniform Building Ccx:le) .
..@S'APPLICANT'SSIGNATURE "'" , 2,.J , rl~'~r,~~~
• 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 buildiog@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 TATE ZIP CITY STAT ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OP110NS
D PICK UP: o CONTACT {Listed above) o OCCUPANT (Listed above)
□ CONTRACTOR (On Pg. 1)
□ ASSOCIATED CB#•-------------D MAIL TO: o CONTACT (Listed above) □ OCCUPANT (Listed above)
□ CONTRACTOR (On Pg. 1) □ NO CHANGE IN USE/ NO CONSTRUCTION
□ MAIL/ FAXTOOTHER: ________________ _
□ CHANGE OF USE/ NO CONSTRUCTION
,.IS APPLICANT'S SIGNATURE DATE
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
1. JOBADDRESS: l~1~ \-\\t:;'(..\-R,c,~€-~'-1€:-
2. TYPE OF BUILDING: RESIDENTIAL V COMMERCIAL --------
3. ROOF SLOPE: RISE lf INCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) U) 2 3
5. TYPE OF EXISTING ROOF COVERING Cot-1C., -f1 u,-SHEATHING P'-'f,
*6. NEW ROOF MATERIAL C.O~, -ii" \..,E, CLASS Pr WEIGHT PER SQ. "too
7. NUMBER OF SQUARES ~5 ----'=------r ~g:> $1.-A:i"f;;
8. TRADE NAME x'c,.pszGc •Sir MANUFACTURER \;1'<"6i\.-6 -~~~-----
9. ROOF SYSTEM LISTING:
UL NO. \ 103,
ASTM C\L\:'I_~
I.C.C.E.S. Report #~\~'\~O_D ___ _
10. IS THE EXISTING STRU~ DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE
PROPOSED ROOF? ( ~ NO
All roof coverings are required to be CLASS A. Combustible roof coverings of any type or
classification are prohibited.
I understand the following inspections are required:
1. Tear Off/Pre-Inspection prior to install new roof covering
2. Final Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for inspection.
Signature ~ ~ Date I 1--{ \ q ( ( ~
· Contractor 'K Owner Contractor -----
Name -r:;;"" fv\ IW-:$ \1-P.w
*6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other
B-10 Page 6 of6 Rev. 04/14
PERMIT INSPECTION HISTORY REPORT (CBR2016-0394)
Permit Type: BLDG-Residential Application Date: 12/19/2016 Owner:
Work Class: Reroof Issue Date: 12/19/2016 Subdivision:
Status: Closed -Finaled Expiration Date: 06/19/2017 Address:
IVR Number: 883
Scheduled
Date
Actual
Start Date Inspection Type Inspection No. Inspection Status Primary Inspector
12(20/2016 12/20/2016
12/29/2016 12/29/2016
December 29, 2016
BLDG-15
Roof/ReRoof (Patio)
006250-2016
BLOG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
Passed Paul Burnette
COMMENTS
Passed Paul Burnette
COMMENTS
JIM ONDLER
1878 High Ridge Ave
Carlsbad, CA 92008-3759
Reinspection
Passed
Yes
Passed
Yes
No
No
Yes
No
Complete
Complete
Complete
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