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Home My WebLink About1928 HIGH RIDGE AVE; ; CB162536; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-28-2016 Miscellaneous Permit Permit No: CB162536 Building Inspection Request Line (760) 602-2725 Job Address: 1928 HIGH RIDGE AV CBAD Permit Type: MISC Subtype: REROOF Status: Parcel No: 2073850500 Lot#: D Applied: Valuation: $10,115.00 Entered By: Reference #: Plan Approved: PC#: Issued: Inspect Area: Project Title: OWENS RES-RE-ROOF 2300 SF REMOVE EXISTING CONCRETE TILS, REPLACE PAPER, Applicant: Owner: MARK ANTHONY CONSTRUCTION OWENS FAMILYTRUST03-11-10 PO BOX 1434 VISTA CA 92085 760-803-7534 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $212.00 Inspector: PERMIT FEE 1928 HIGH RIDGE AVE CARLSBAD CA 92008 Total Payments To Date: $212.00 FINAL APPROVAL Date 7 -ff,,-JC, Balance Due: Clearance: ISSUED 06/28/2016 RMA 06/28/2016 06/28/2016 $212.00 $0.00 $0.00 $212.00 $0.00 I\OllCE Rease take I\OllCE that "R)l"CMll ct yoor prtjed irdl.des Ire "lrrpc,sitiorl' ct fees, declcalions, reservations, or cther exidions -rolectiwly -to as "fees'exactions" Yw have 00 d8)'l frantre dale lhs pemil ""5 issl.ecl to poxes! irrpc,silioo ct these lee,;/exaclions. If yoo poxes! them yoo rrust follootre pretest procedures set forth in C?<M,-m-ert Code Sedioo00020(a), ard filetre poxes! ard anycther requred infoorelioowthtreatylllranagerfor proressirg in a:xmiara,l'.ith C'"1stm Mridpal CodeSedioo 3.32Cll0. Failuretotirrelyfolloothat procedurewll bar anysubsecµ,rt legal adiooto alt'°' review, set aside, vcid, er annul tl"eir irrpc.sition. Yw a-e t-eret>, FLRTI-ER I\OllFIED that your right to poxes! Ire spedfi<>J lee,;/exaclioos CXES 00T" AFR Y to>wler ard re,,er o:n-eclioo fees ard ~ cnanges, ncir pla-rirg, zonirg, gra:lirg oc ether sinilar ~ication P'0(25Sirg er savice fees in a:rried:ion 'Mth this J:(tjed. ~ lXES IT .AfA.. Y to any ~ ~ THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE D! EAL TH 0HAZMAT/APCD Ccityof Building Permit Application Plan Check No. ( ~/~ ,;/C, 1 ~ 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value 1n I ·c;- Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Cl1, Depos t , email: building@carlsbadca.gov a1. www.carlsbadca.gov Date I ? JIJ.i' J 'h lswPPP JOB ADDRESS l'f'212 ,l.\ :.d,.. ~; -L-"I,(. SUITE#/SPACE#/UNIT• 1A; '"'7 -"3 R~ -D~ -or-. CT/PROJECT# ILOT# -n=E# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION Of WORK: Include Square Feet of A"8cted Area(sJ RU'"'"(. 2351 -<,,k .:.,~If,.,.., f>'CF"· Rc,.,,.,\.:.11 +1 i. J,o /J.)J.lbHr (MtO/{£!£ EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS YESO "'° YES □No □ YES□No□ APPLICANT NAME A.le~ A 1I .... PROPERTY OWNER Primary Contact ,,,._ "' C1\v(,-< ADDRESS l'lS J,J. 1'.,.ci'f.c (;(. sJJc.. C. ADDRElS il-S I\,, I.. R"L~ Ave CITY STATE ZIP CITY , ., ?TA if 2Cl()g s.-Jv..~• /" //Ir i'l2oG f C..,.l, L, PHONE IFAX PHONE FAX 'q__f.l".}8°1-088'-C16v 'd•l·7S°J'f EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NA't: A..lL.., (c,._.4,,J. R.J..~r ... -- ADDRESS ADDRESS • - 17S )J. P,.,:,f., ~, . s;..,,.\c. C -r, CITY STATE ZIP ~ STATE ZIP ""~· ,,.~ t;,., ~ PHONE IFAX PHONE FAX \76 0/'tO > · 7 S"S '1 ~ EMAIL EMAIL ---ISTATELIC.# STATE UC.# r-~ o/ I CITY BUS. LIC.# 3S'I 'll.J -I "l ,~,V (SEic. 7031.5 Business and Professions Code: Any Ci or Coun which requires a permit to construct, alter, improve, demolish or re air an structure, priomo its issuance, also requires the applicant for such per_mit to file a signed statement t~at he is li~ensed pursuant to the provisions of the Contractor's License Law {C~apter1, 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 eKemption. Any violation of Section 7031.5 by any appllcant for 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. fz] 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 carrier and policy nomberare:lnsuranceCo S ~k., l'.°v'III' Policy No. '{of/SS:J1-lt. Ex~rationDate 'flli/Z,17 ~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 penaltln 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 feea, _g CONTRACTOR SIGNATURE □AGENT DATE 2 8 ~"< '2 •I' OWNER•BUILDER Dl!CLARATION 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 w~h 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), 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 Professions Code for this reason· 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. OYes ONo 2. I (have/ 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/ 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 (ioclude name/ address I phone/ contractors' lk:ense 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): ./15 PROPERTY OWNER SIGNATURE □AGENT DATE I ' ' COMPLl!TI! THIS SECTfOff FOR ffQff•RIUIOEffTIAL BUILDlffG 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 No Is the applicant or Mure 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 feel 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 CONTRCll DISTRICT. CONSTRUl:TION LEffDING AG&NC'l I hereby affirm that there 1s a construction lending agency for the performance of the work this penmt 1s issued (Sec 3097 (1) C1v1I Code) lender's Name lender's Address APPLICANT C&lfTIFlCATIQN I certify that I have read the application and state that the above lnfonnatlon Is conectand that the lnfonnatloo on the plans Is accurate. I agiae to romptywith all Chy on:llnances and State laws relating to building construction. I hereby authorize representative of lhe City of Carlsbad b enter upon lhe atove mentioned property tJr inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AfJD KEEP HARMLESS THE CITY OF C.ARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN MN WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING Of THIS PERMIT. OSHA: M OSHA l):lrmit is required for excavations over 5'0' deep and demolioon or construCOOn of structures over 3 stories in height. EXPlRATION: Every perrTiil ~ued by the Buik:ling Offcial under the provisOns of this C,ode sha\l expire by limitation and become null and voi:I W the buik:ling or'Mlrk aulhortzed by such permit is notoommenced 'Mthin 180 days from the date of such l):lrmit or if lhe buik:lllg or 'Mlrk authorized by such l):lrmit is suspended or abandoned at any lime after the ....ork is rommenred b' a l):lrioo of 100 days (Section 106.4.4 Uniform Buik:ling C,ode). HS APPLICANT'S SIGNATURE DATE j. ~ -:lv"-'Z,u/ (, 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@car1sbadca.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 STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) MAIL/ FAX TO OTHER: _______________ _ N$ APPLICANT'S SIGNATURE ASSOCIATED CB#------------- NO CHANGE IN USE/ NO CONSmUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESS: _ __.,\ _..,_q=J..~8-----'-~'-,,:,,_L------'-R_:v)"'-'l"'ee-A_v_e_, tV_c:.. _______ _ 2. TYPE OF BUILDING: RESIDENTIAL __ Y__ COMMERCIAL __ _ 3. ROOF SLOPE: RISE 5 INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE)u) 2 3 5. TYPE OF EXISTING ROOF COVERING SHEATHING Y,s -----------5.,..,.., *6. NEW ROOF MATERIAL ,.u WC•)l'-..J.,l. CLASS f!r WEIGHT PER SQ. BS'S 7. NUMBER OF SQUARES---'~"---;>-=----- 8. TRADE NAME S k.J.,_(. "'fcl,_ MANUFACTURER ~..., r, 1 --------- 9. ROOF SYSTEM LISTING: UL NO. 7'{0 ASTM 0?.26 I.C.C.E.S. Report# (70 ~ 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? 6S 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 __ 1,_-S_v_v_"'-__ 2_o_l_, __ ~ ___ Owner _____ C.ontractor Name [)-le~ A .,Jhu.'r *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other 8-10 Page 6 of6 Rev. 04/14 ' . Inspection List Permit#: CB162536 Date lnspectio11_1tem 07/11/2016 19 Final Structural 07/11/2016 19 Final Structural 06/29/2016 15 Roof/Reroof 06/29/2016 15 Roof/Reroof Type: MISC REROOF OWENS RES-RE-ROOF 2300 SF REMOVE EXISTING CONCRETE TILS, RE Inspector Act Comments RI PB AP RI PM PLEASE PB AP