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Home My WebLink About2003 COSTA DEL MAR RD; ; CB152798; Permit08-27-2015 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CBI52798 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: 2003 COSTA DEL MAR RD CBAD MISC Subtype: 2162100301 Lot#: $26,266.00 REROOF 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: 4TH LA COSTA HOA: REROOF REMOVE ROOF MATERIALS AND REPLACE WITH 150 ISSUED 08/27/2015 SLE 08/27/2015 08/27/2015 Applicant: PREMIER ROOFING 9054 OLIVE DR SPRING VALLEY CA 91977 619-667-4515 Owner: SMITH ROGER&MARSHA 3680 CAMINO DEL PILAR ESCONDIDO CA 92025 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT ISSUANCE $448.00 $0.00 $0.00 $448.00 Total Fees: $448.00 Total Payments To Date: $448.00 Balance Due: $0.00 Inspector: FINAL APP Date: ^ PPR( m ,OVAL 1^ Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively refen'ed 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 Govemment 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 vou have previouslv been given a NOTICE similar to this, or as to which the statute of limitations has previouslv othenwise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: OPLANNING nENGINEERING IZlBUILDING OFIRE •HEALTH nHAZMAT/APCD ^ _ Building Permit Application Citv 01 1635 Faraday Ave., Carlsbad, CA 92008 ^^^1 -if J Ph: 760-602-2719 Fax:760-602-8558 1 jrirl^lD3d email: buildingigcarlsbadca.gov www.carlsbadca.gov Plan Check No.OJ(^ If) ZH^K Est. Value ^ _ Building Permit Application Citv 01 1635 Faraday Ave., Carlsbad, CA 92008 ^^^1 -if J Ph: 760-602-2719 Fax:760-602-8558 1 jrirl^lD3d email: buildingigcarlsbadca.gov www.carlsbadca.gov Plan Ck. Deposit ^ _ Building Permit Application Citv 01 1635 Faraday Ave., Carlsbad, CA 92008 ^^^1 -if J Ph: 760-602-2719 Fax:760-602-8558 1 jrirl^lD3d email: buildingigcarlsbadca.gov www.carlsbadca.gov Date ^-^TT-I^ SWPPP JOB ADDRESS • . , j, j _ SUITE#/SPACE#/UNIT# APN CT/PROJECT # LOT # 1 PHASfr^ # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP EXISTING USE PROPOSED USE ' 'QARAGE (SF) PATIOS (SF) 3ECKS (SF) FIREPLACE AIRCONDITIONING FiRESPRiNKLERS YEsQ# No| 1 YES QNO Q YES| |NO| [ ADDRESS ^ ^ t" i\ /\-J, ^ ADDRESS ' CITY ^ STATE ZIP / PHONE " / " lU-'^'^f'/'JOd EMAIL ' ' f EMAIL • " DESIGN PROFESSIONAL ' ' CONTRACTOR BUS. NAME f jt y\ 1 / ji , / ^ ADDRESS CITY STATE ZIP PHONE FAX '"ti^'t0 ^^c<r EMAIL EMAIL • " " " STATE LIC. # STATE LIC.# ^ CLASS CITY BUS. LIC.# . (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, aiso requires the applicantfor such permit to file a signed statement that he is licensed pursuantto the provisions ofthe Contractor's License Law (Chapter 9, commendingwith Section 7000 of Division 3 ofthe Business and Professions Code) or that he is exempt therefrom, and the basis forthe alleged exemption. Any violation of Section 7031.5 by any applicantfor a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). WORKERS' COMPENSATION Woriters' Compensation Declaration: / hereby affirm under penalty ofpeijuiy one ofthe fdlowing dedarations: LSi have and will maintain a certificate of consent to self-Insure for worl<ers' compensation as provided by Section 3700 of the Labor Code, for the perfonnance of the wort( for which this pennit is issued. I yll have and will maintain woriters' compensatiop, as lequired by Section 3700 of the Latxir Code, forthe perfonnance of the worii for which this permit is issued. My workeis'compensation insurance canier and policy ^ number are: Insurance Co, C/9^/f ^ "XAiViA^f^^j^ • ^"'^'^ 7^^V^-^ / (> ~ f " 6> This section need not be compleled if the permit is for one huiii3rM dSlIais (»i uuj ur less. I I Certificate of Exemption: I certify that in the perfomjMce of the wori( for which this pennit is issued, I shall not employ any person in any manner so as to become subject to the Workeis' Compensation Laws of California. WARNiNG: Failure to secure workers' camgensation coverage isunlgwful, 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 avfi^^a^ for injecti«r37l!6 of the Laborcode, interest and attomey's fees. JS^ CONTRACTOR SIGNATURE • AGENT DATE OMTNEff-BUILDglt OeclARATION / freretsy affirm that I am exempt from Confractor's License Law for fhe fdlowing reason: I I I, as owner of the property or my employees with wages as their sole compensation, will do the wort( and Ihe stmcture is nol intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of praperty who builds or impraves thereon, and who does such work himself or through his own employees, pravided 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 I I, as owner of the property, am exclusively contracting with licensed contractors to constmct the project (Sec, 7044, Business and Professions Code: The Contractoits 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 I I am exempt under Section Business and Professions Code for this reason: 1,1 peisonally plan lo provide the major labor and materials for construction of the proposed property improvement, QYes I iNo 2,1 (have / have not) signed an application for a building pennit for the proposed work, 3,1 have contracted with the following person (fimi) to provide the praposed constmction (include name address / phone / 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 / address / phone / contractors' license numtier): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): yfiTpROPERTY OWNER SIGNATURE •AGENT DATE MPLETE THIS f ECTION FOB N O lilt R E S I D 6 N TI i^t « U 1 L O III G PERMITS ONLY Is the applicant or futuie 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 futuie building occupant required to obtain a permit fram the air pollution control district or air quality management district? Yes No Is the facility to be constmcted within 1,000 feet of the outer boundaiy 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 11 TRUCTION LENOING AGENCY I hereby affirm that there is a construction lending agency for the perfonnance of the worit this pemiit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address . •PtICANT CERTIFICATION I certif that i have read the application and state thatttie above infbnnation Is coirectand thatthe Inlbnnation on the plans is accurate. I agree to complywith all Cify ordinances and State lave lelating to building constniction. I hereby authorize representative ofthe City of Caiisbad to enter upon the above mentbned property for inspection puiposes, I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CFTY OF CARLSBAD AGAINST Aa LIABILfriES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID ClfY IN CONSEQUENCE OF THE GRANTING OF THIS PERMff. OSHA: An OSHA pennit is required for excavations over SOldeep and demolition or constmction of stmctures over 3 stories in height, EXPIFiATION: Every pemiit issued by the Building Officiaf uider the piovisbns of this Code shall expire by limitatbn and become null and void if the buikJing or vwik aulhorized by such pemiit is not commenced within 180 days from the dale of such pennit or if the buikiing qr worit authorized by such perniiLis suspended or abandoned at any tme after the woiit is commenced for a period of 180 days (Sedbn^l 06,4.4 Unifomn Buikiing Code), APPLICANT'S SIGNATURE DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at fmal inspection. Fax (760) 602-8560, Email buildinqtSlcarlsbadca.aov or Mail the completed fomi to City of Carisbad, Building Division 1635 Faraday Avenue, Carisbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUiLDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX OCCUPANT'S BUS. LiC. No. DELIVERY OPnONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAILTO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) ASSOCIATED CB#- MAIL/FAX TO OTHER: NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION ygf APPLICANT'S SIGNATURE DATE Inspection List Permits: CB152798 Type: MISC REROOF Date 09/18/2015 09/18/2015 09/08/2015 09/08/2015 09/02/2015 09/02/2015 08/31/2015 Inspection Item 19 Final Structural 19 Final Structural 15 Roof/Reroof 15 Roof/Reroof 15 Roof/Reroof 15 Roof/Reroof 15 Roof/Reroof 15 Roof/Reroof Inspector MC PD PD PD PD Act Rl Fl Rl AP AP AP AP 4TH LA COSTA HOA: REROOF REMOVE ROOF MATERIALS AND REPLA Comments AM PLEASE AFTER 9:30 AM Monday, September 21, 2015 Page 1 of 1 REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOBADDRESS: 2003 La Costa Del Mar, Carlsbad, Ca 92009 2. TYPE OF BUILDING: RESIDENTIAL COMMERCIAL 3. ROOF SLOPE: RISE i /4 INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 1 ^ 3 5. TYPE OF EXISTING ROOF COVERING ¥oam & gravel SHEATHING 1/2 & 5/8 *6. NEW ROOF MATERIAL TPO 6 0 Mil CLASS A WEIGHT PER SQ. 90 lb 7. NUMBER OF SQUARES ^50 8. TRADE NAME TPO MANUFACTURER Johns Manville 9. ROOF SYSTEM LISTING: UL NO. ^10I.C.C.E.S. Report* ASTM D 6878 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-lnspection prior to install new roof covering 2. Final Inspection I agree to provide a ladc^r extending at least 2 rungs above the roof for inspection. Signature yj-^^f ly Date a - 2 7 - 2 5 Contractor Owner Contractor Premier Roofing CA Name sid Scott-vp *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other B-10 Page 6 of 6 Rev. 04/14