HomeMy WebLinkAbout1915 ASTON AVE; ; CB163733; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-03-2016 Miscellaneous Permit Permit No: CB163733
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
PC#:
Project Title:
Applicant:
1915 ASTON AV CBAD
MISC
2121201900
$17,288.00
VISION INFO: REROOF OF 100
SQUARES OF COMP SHINGLE
PROTECTA ROOFING INC
929 NORTH MIDWAY DR
ESCONDIDO CA 92027
760 802-2103
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Subtype: REROOF Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
VISION REAL ESTATE L L C
1915 ASTON AVE
CARLSBAD CA 92008
ISSUED
10/03/2016
SF
10/03/2016
10/03/2016
$321.00
$0.00
$0.00
$321.00
Total Fees: $321.00 Total Payments To Date: $321.00 Balance Due:
Inspect Date: Clearance:
$0.00
~ ci yw: pqect irdl.des tre "lfT1Xl9ti<rl' ci dedcaicrs, reservaia1s, a cther eca:fu1s ller!Bter cdledivay
ClJ have 00 clays fran tre date tHs pemit was issued to JJtiest irrp:Sti01 ci these feesleca::tials. If~ JJtiest !IBn ~ m..st
fdlo.vtre JJttest ~ fath in Cblerrmrt Qxle Sedi01 Em20(a), em filetre j:Jttest em a1Ycther rec:Jired irlamiti01Wth treaty fv'ringerfa
proalSSirg in ~damWth Ca1stm Mridpal CodeSedi013.32.COO. FciiLJetotirrelyfdlo.vtta r:ro:m.rew11 l:a"CilYSI.bieq.Bt legal a:.ti01toatta:J<.
llMe.v, SEt aside, wid, a anJ their irrp:Sti01.
Yru n herel7i Fl..Rll-ERJ'.DTJAEDthat yw: rigt to JJttest Ire spedfiedfees'saiialS 0CES I\OT PPPI... Yto....Ser !l"d SB1B cxmedialfees!l"d ~
d1crges. na ~rg, zmrg, ga:irg a cther simla" ~icai01 proalSSirg a senAce tees in cxmedia1 wth tHs ~· I'm oces IT PPPL Y to <I1Y
~ . Wi . . sinil . . li . . . . .
• THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING OBUILDING OFIRE OHEALTH OHAZMAT/APCD
I
Ccityof
Carls Dad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@cartsbadca.gov
Plan Check Nl C.'B I fo~ 73~
JOB ADDRESS
CT/PROJECT #
DESCRIPTION OF WORK: Include Square Feet of Alfected Area(s)
'~ s~"~~
EXISTING USE
APPLICANT NAME
Primary Contact
ADDRESS
CITY
PHONE
EMAIL
DESIGN PROFESSIONAL
EMAIL
PROPOSED USE
STATE
FIIX
STATE Ck
FIIX
GARAGE (SF) PATIOS (SF)
ZIP
EMAIL
CONTRACTOR BUS. NAME
STATE LIC. # STATE LIC.#
(-~"'(
CllY BUS. LIC.#
FIRE SPRINKLERS
YESONoD
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair an~ structure, prior to its issuance, also requires the applicant for such permit to file a signed statement tliat 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 exemption. Any violation of Section 7031.5 by any appllcanffor a permit subjects the applicant to a civil penalty of not more than filie hundred dollars [$500}).
WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-Insure for mrkers' compensation as provided by Section 3700 of the Labor Code, for the performance of the mrk for which this permit is issued. ~I have and will maintain work!' c~rgpe~:-"· ~~Y Section 3700 of the Labor Code, for the performance of the mrk r which th" permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. 4-/ ~J JL -/ ..1)__ Policy No. L Expiration Date---------
ll!i§.section need not be completed if the permtt is for one hundred dollars ($100) or less. U Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, Section 3706 of the Labor code, Interest and attorney's fees .
.6$ CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
D
D
D
I, as owner of the properly 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 properly who builds or improves thereon, and who does such work himseK 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 properly, 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
properly 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 mate~als for construction of the proposed properly improvement DYes 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 I address I phone I type of work):
.6$ PROPERTY OWNER SIGNATURE 0AGENT DATE
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? DYes D No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes D No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D 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 oertifythatl have 1111111 the application and s1at11 thattheabolle lnfonnation Is oonactand that the Information on the plans Is IIOOUillbl.l agJ8e 111 comply .. all Cft¥0Jdinancasand SlallllaMI8Iati!W1D bulklngoonstructlon.
I hereby au1horize representative of the City of Carlsbad to enter upon the above mentioned property tlr inspedion purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF C.ARLSBAD
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: M OSHA perm I is required lor excavations over fifJ deep and demoliOOn or construction of structures over 3 sklries i1 height.
EXPIRATION: Every perm~ issued by the Oflk:ial under the of this Code shall expire by rm~ and beoon1e nun and v00 W the buikling or 'Mllk authorized by such permit is not IXlll1IJlei1Ced v.ithin
180 days from the date of such perm~ such perm~ is at any time afEr the 'Mllk is commenced lor a period of 180 days (Secliln 100.4.4 UnOO!m Buiking Code).
~ APPUCANT'S SIGNATURE DATE o--
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@cadsbaclca.aov or Mall the completed form to City of Car1sbad, Building Division 1635 Faraday Avenue, Car1sbad, California 92008.
(Office Use Only)
CA
DELIVERY OPTlONS
PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
o ASSOCIATEDCBI•-----------MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION
MAIL/ FAX TO OTHER:----------------o CHANGE OF USE/ NO CONSTRUCTION
A! APPLICANT'S SIGNATURE DATE
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
1. JOB ADDRESS: l'j \ l] As \z; () "~ C lAC\~ hJ Ctfc q LOO(S.
2. TYPE OF BUILDING: RESIDENTIAL X COMMERCIAL __ _
3. ROOF SLOPE: RISE ___ INCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 1 2 3
5. TYPE OF EXISTING ROOF COVERING ~\A._~ tL \ \e SHEATHING __ _
*6. NEW ROOF MATERIAL CLASSLWEIGHT PER SQ .. __
7. NUMBER OF SQUARES __ \....._lb"""""""""---
8. TRADE NAME MANUFACTURER fv..tfUVIA/ J
(UROOF SYSTEM LISTING:
B-10
UL NO. ______ I.C.C.E.S. Report# _____ _
ASTM tJ \Q~ l~
10.1S THE EXISTING STRUCTURAL 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 Ott/Pre-Inspection prior to install new roof covering
2. Finallnspection
I agree to provide a ladder extending at least 2 rungs above the roof for inspection.
Signaturtl~ L 4 r/
Contractor '\j.; Owner ____ Contractor
Nametfbkk ~
*6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other
Page 6 of 6 Rev. 04/14
Inspection List
Pennit#: CB163733
Date ___ !nspec~on Item
11/0212016 15 Roof/Reroof
11/0212016 19 Final Structural
Thursday, January 12, 2017
Type: MISC REROOF
Inspector Act
PY AP
PY AP
VISION INFO: REROOF OF 100
SQUARES OF COMP SHINGLE
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