HomeMy WebLinkAbout19 GREENVIEW DR; ; CB132097; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
08-29-2013 Miscellaneous Permit Permit No: CB132097
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
PC#:
Project Title:
Applicant:
ARS ROOFING INC
19 GREENVIEW DR CBAD
MISC
2152314000
$4,505.00
Subtype: REROOF
Lot#: 0
WELP RES-3300 SF COMPOSITION
Owner:
JODY WELP
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
841 1 KREINER WY
SANTEE CA 92071
619 596-4870
19 GREENVIEW DR
CARLSBAD CA 92009
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees: $134.00
Inspector:
PERMIT FEE
Total Payments To Date: $134.00
FINAL APPROVAL
Date: I ' J J, l'f
Balance Due:
Clearance:
ISSUED
08/29/2013
RMA
08/29/2013
08/29/2013
$134.00
$0.00
$0.00
$134.00
$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. 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.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: •PLANNING •ENGINEERING
«1~,
~ 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
JOB ADDRESS
e..e...~ v,· ew Dr• SUITEI/SPACEt/U
•BUILDING •FIRE
T/PROJECT # PHASE# # OF UNITS # BEDROOMS # BATHROOMS CONSTR. TYPE OCC. GR UP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
A II -rel+
EXISTING USE PROPOSED USE GARAGE (SF)
APPLICANT NAME (Primary Contact) A/af\.
ADDRESS '3411
EMAIL
PROPERTY OWN ER NAME
ADDRESS
CITY ZIP
PHONE FM
EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE UC.#
PATIOS (SF) DECKS (SF) FIREPLACE
YES[}t
AIR CONDITIONING
No[] YES •NO•
APPLICANT NAME (Secondary Contact)
ADDRESS
CITY STATE ZIP
PHONE FM
EMAIL
."i?:S.
ADDRESS
CITY s e..,,,,..,+e.A:.. STATE C.,J\.
@Cox.. V\,e±_--
CLASS
C-)Gf
FIRE SPRINKLERS
YES 0 NO•
(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 issuance, also re uires the applicant for such permit to file a signed 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 exempt therefrom, and the basis for the alleged e~emption, 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 declarat,ons:
~ve 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' compensation, asAQuired bj Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Insurance earner and policy
numberare:lnsuranceCo. Sfa..te.. t-"""'°' PolicyNo. "'too{ll::/J ExpirationDate 'i?~J-/'f
~section need not be completed if the permit is for one hundred dollars {$1()0) 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, dam s as provided f i action 3706 of the Labor code, Interest and attorney's fees.
?-Z-1-13 RS CONTRACTOR SIGNATURE O AGENT DATE
I hereby affirm that I am exempt from Contractor's Ucense La •
• •
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 Contracto(s
License Law does not apply to an owner of property who builds or improves thereon, and who does SI.Ch work himsett 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 Contracto(s License Law does nol apply to an owner of
property who builds or Improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contracto(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 construction of the proposed property improvement. Q Yes 0 No
2. I (have/ have not) signed an application for a building permit for the proposed work.
3. I have contracted with the foliowing person (firm) to provide the proposed construction (include name address / phone / contractors' lioense 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 I phone / 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 I address/ phone/ type of work):
RS PROPERTY OWNER SIGNATURE •AGENT DATE
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 bounda,y 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
Lender's Address
I certify that I have read the appllcatlon and state that the above lnfonnation is correct and that the Information on the plans Is accurate. I agree to comply with all City ordinances and State la-..s relating to bulldingconstructlon.
I hereby aulho<ize representative of the City of Carlsbad to enter upon the above menooned property br inspection puCIX)SeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAIDCITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA An OSHA penm~ is requi'ed br excavations over SO' deep and demolioon Of construction of slructures over 3 sklries n height.
EXPIRATION: Every penmlt issued by the BuikJing Otfcial u · ions of this Code shall expire by limitation and be<xlme nul and voo ff the buikJing Of 'M)(1( aulho<ized by such permit is not commenced 'Mthin
180days from the date of such permit or· buikJilg or rl< autho · ed by such perm~ is suspended or abandooed at anytime afterthev.orl< is commenced bra period of 180days (Section 100.4.4 Unik>rm B.Jilding Code).
,/i5 APPLICANT'S SIGNATURE DATE ~ • z_ £ -/3
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
CERTIFICATE OF OCCUPANCY fCommcrcial Projects Only I
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.
I CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Ca rlsbad CA
PHONE I FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
ASSOCIATED CB#
MAIL TO: CONTACT (Listed abOve) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1) NO CHANGE IN USE/ NO CONSTRUCTION
MAIL/ FAX TO OTHER:
CHANGE OF USE / NO CONSTRUCTION
.Lf APPLICANT'S SIGNATURE DATE
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
1. JOB ADDRESS: \ q G reet'\.V ,· e....> Dr-. -~--------------------
2. TYPE OF BUILDING: RESIDENTIAL / COMMERCIAL ----
3. ROOF SLOPE: RISE ~ INCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 1Qy
5. TYPE OF EXISTING ROOF COVERING C.ed.ct.r s-~k.e..sHEATHING
B-10
---
*6. NEW ROOF MATERIAL Lv":f? CLAssA_wEIGHT PER SQ. 3o0
7. NUMBER OF SQUARES __ '3_3 ___ _
8. TRADE NAME _______ MANUFACTURER Oe M Dwel'\,5 Cc.rl\..'n.J
9. ROOF SYSTEM LISTING:
UL NO. 1CfD £5/< C372-1.c.c.E.s . Report# ______ _
ASTM €,, /()(5 C,lcus )\
10. IS THE EXISTING STRUC~ 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 ext ding at least 2 rungs above the roof for inspection.
Name
*6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other
Page 4 of 4 Rev. 02/11
Inspection List
Permit#: CB132097
Date Inspection Item
01/30/2014 19 Final Structural
01/30/2014 29 Final Plumbing
09/03/2013 15 Roof/Reroof
Friday, January 31, 2014
Type: MISC REROOF
Inspector Act
PB
PB
RI
AP
AP
WELP RES-3300 SF COMPOSITION
Comments
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