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Home My WebLink About1921 EAST POINTE AVE; ; CB153357; PermitCity of Carlsbad '1635 Faraday AV Carlsbad, CA 92008 10-06-2015 Miscellaneous Permit Permit No: CB153357 Building Inspection Request Line (760) 602-2725 Job Address: 1921 EAST POINTE AV CBAD Subtype: REROOF Status: ISSUED Permit Type: MISC Applied: 10/06/2015 Parcel No: 2073831300 Lot #: 0 Entered By: SLE Valuation: $3,025.00 Plan Approved: 10/06/2015 Reference #: Issued: 10/06/2015 PC#: Inspect Area: Project Title: SCHLEUTKER: REROOF 17.5 SQ Owner: Applicant: SCHLEUTKER LIVING TRUST 09-09-13 REGAN ROOFING 2510 VIA SORBETE 5221 FROST AVE CARSLBAD CA 92010 CARLSBAD CA 92008 858-255-7100 _ PERMIT/INSPECTION $107.00 Miscelaneous Fee #1 $0.00 Miscelaneous Fee #2 $0.00 Additional Fees $107.00 TOTAL PERMIT FEES Total Fees: $107.00 Total Payments To Date: $107.00 Balance Due: — $0.00 FINAL APPROVAL Date: 3 -' - Clearance: NOTICE. Please take NOTICE that approA of your proed includes the "Inpositiai' d fees, dedicatiais reservations, or other exactions hereafter cdledively referred to as "feeslexadior�s " You have 90 days from the date this permit was issued to protest imposition of these feestecactions. If you protest them, you mast follow the protest procedures set forth in Government Code Section 66Wa), "file the protest and any other required infarretion Wth the a action to attack processing in accordance vuth Carlsbad Municipal Code Section 3.32030. Failure to timely fdlo�vthat procedure WII bar any subsequent legal review, set aside, void, or annul their imposition. You are hereby FURTl-ER NOIIRED that you- right to protest the specified feestexadions DOES NOT APPLY to water and sever oomection fees and capacity changes, nor pluming, zoning, grading or other similar application processing or servioe fees in connection with this project. NOR DOES ITAPPLYto any . _ - K ,rc min f�, thic rr as to which the statute of limitations has aevioursly otherwise exdred m, s n s ntnnn'r_ A000nvt l R Rr-O 1IRED PRIOR TO PERMIT ISSUANCE: E3PLANNING EIENGINEERING EIBUILDING L_ jFIRE L jHCWL! R Building Permit Application tty 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax:760-602-8558 Plan Check No. Est. Value ®2� Plan i Deposit email: building@carlsbadca.gov - Carlsbad www.carisbadca.gov Date ,�®� — SWPPP SUITE#/SPACE#/UNIT# APN _ yam, JOB ADDRESS otZ I I V, r G #BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC.GROUP CT/PROJECT # LOT # PHASE # # OF UNITS #BEDROOMS DESCRIPTION OF WORK: Include Square Feet of AffectedA►ea(s) g.� �+ 'h5}�'� Y1C.W C�Yr►p can'"( sit ► ^>7J k clp�Yvx . I�(p� \?isY✓►dtt� 1 �c-t,tj.P�+' EXIESPIRINKLERS STING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) Y REPLACE NOD A R ESN❑N01❑ FI YES❑ NO❑ LJ" APPLICANT NAME PROPERTY OW R 'Ce 1n ie '�- Prlmary Contact ADDRESS ADDRESS STATE ZIP CITY STATE ZIP CITY PHONE FAX PHONE n -7P l�--7e-24 60 FAX EMAIL EMAIL CONTRACTOR BUS. NAME IN DESIGN PROFESSIONAL tN ADDRESS ADDRESS ^ MA V INVA P-' AVE CITY STATE ZIP STATE ZIP ¢ CITY CA1?j,&S �+ C1 f V Q f-I ►+ PHONE FAX PHONE 0sle--2SS,.."� D FAX EMAIL EMAIL STATE LIC. # STATE LIC.# �-�C C[Wi�()() ypS3b2 nrinr to its issuance, also requires the (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, anwi, miNiwo, applicantfor such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law ((Chapter 9, commendin for a Section o Business and Professions Code] or that s t exempt therefrom, and the basis for the alleged exemption. 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:) herebyaffirm under penalty of perjury one of the following declarations: ❑ 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 workers' compensation, as required bV Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance 1 4 rai policy number are: Insurance Co. Qe(,( �o� �_t�ASulz(%i Ihl• Policy No. [SiEIaCt(L�p �� Expiration Date This section need not be completed if the permit is for one hundred dollars ($100) or less. 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 it become subject to the Workers' Compensation Lours of Elriminal penalties and civil fines up to one hundred thousand dollars (&100,000), in California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to c addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. / CONTRACTOR SIGNATURE AGENT DATE Ci/O Cs { LO)T Im 1 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. 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). an owner of 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 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. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement. QYes [:]No 2. 1(have / have not) signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number): 4. 1 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. 1 will provide some of the work, but 1 have contracted (hired) the following persons to provide the work indicated (include name I address / phone I type of work): ❑AGENT DATE PROPERTY OWNER SIGNATURE Is the applicant or future building occupant required to submit a business pVan, 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 hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lenders Address to cemplywith all City and State laws relating to buildingconstruction. I certify that I have read the application and state thatthe above information is correct and thatthe information on the plans is accurate.I agree I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY INCONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and became null and void 'rf the building or for a period of 10 days (Section 106.4.4 Uniform Building Code). authorized such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for / APPLICANT'S SIGNATURE �u+/ (� _ DATE I ti ,/ 0 Cm 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 buildiflagcgdkads;8.t1OV or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME ADDRESS CITY STATE ZIP PHONE FAX ------------- EMAIL DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (on Pg.1) MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (on Pg.1) MAIL / FAX TO OTHER: ,!§APPLICANT'S SIGNATURE IPANT NAME JPANT'S BUS. LIC. No ASSOCIATED CB# NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION DATE REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESS: `q2` 1 I n �P 2. TYPE OF BUILDING: RESIDENTIAL ✓ COMMERCIAL 3. ROOF SLOPE: RISE 4 INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 1 2 3 5. TYPE OF EXISTING ROOF COVERING 95—S SHEATHING_ *6. NEW ROOF MATERIAL CpG SINGLE CLASS_t%_WEIGHT PER SQ. 7. NUMBER OF SQUARES I %, 5 8. TRADE NAME MANUFACTURER OWPv"s CMM 9. ROOF SYSTEM LISTING: UL NO. 7�'1 D _ I.C.C.E.S. Report # ES — X(- ASTM e. I o 5fttt_"() 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? YES 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---! Contractor � Owner Contractor Name Qe _ifatv__ *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other B-10 Page 4 of 4 Rev. 02/11 Inspection List Permit#: CB153357 Type: MISC REROOF SCHLEUTKER: REROOF 17.5 SQ Date Inspection Item 03/04/2016 19 Final Structural 03/04/2016 19 Final Structural 10/13/201515 Roof/Reroof 10/09/201515 Roof/Reroof Monday, March 07, 2016 Inspector Act Comments - RI PB AP PD AP PY NR Page 1 of 1