HomeMy WebLinkAbout2009 CORDOBA PL; ; CB153818; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
11-05-2015 Miscellaneous Permit
Permit No: CB153818
Building Inspection Request Line (760)
602-2725
Job Address: 2009 CORDOBA PL CBAD
Permit Type: MISC Subtype: REROOF
Status:
ISSUED
Parcel No: 2072401200 Lot #: 0
Applied:
11/05/2015
Valuation: $6,051.00
Entered By:
RMA
Reference #: Plan
Approved:
11/05/2015
PC#:
Issued:
11/05/2015
Inspect Area:
Project Title: LOGAN RES-RE-ROOF 3500 SF WITH
COMPOSITION
Applicant: Owner:
COSENZA ROOFING
9260 LAMAR ST
SPRING VALLEY CA 91977
619 465-0877
Miscelaneous Fee #1 PERMIT FEE
$152.00
Miscelaneous Fee #2
$0.00
Additional Fees
$0.00
TOTAL PERMIT FEES
$152.00
Total Fees: $152.00 Total Payments To Date: $152.00
Balance Due:
$0.00
FINAL APPROVAL
Inspector:Zllg� Date: Clearance:
NOTICE Rease take NOTICE that approval d your project includes the "Irrpositiori' d fees, dedications, reservations, or other exactions hereafter ocllectivdy
referred to as ' fees/exactiors." You have 90 days from the date this permit was issued to protest imposition of these fees/exacbons. If you protest therm you must
fellow the protest procedures set forth in Goverr ngnt Code Section 66020(a), and file the protest and any other requred inforation with the City Manager for
processing in accordanoewith Carisbad Mxiiapal Code Section 3.32030. Failure to timdyfdlorvthat procedure will bar anysubsequert legal action to attack,
review, set aside, void, or amid their imposition.
You are hereby FUTI l-M NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer oe ien fees and capaaty
d>anges, nor plaming, zAng, gracing or other similar application processing or servioa fees in connection with this project. NOR DOES ITAR'LYto any
fees/exac6ons of which you have ywalisly been civen a NOTICE similar to this or as to which the statute of limitations has prokuslycithowse gpired.
• ��� *• •v..�rnv�.+w rccaurrtcu rrclVK I V PtNMII ISSUANCE: j_,_JPLANNING
QENGINEERING [BUILDING EDFIRE DHEALTH CJHAZMAT/APCD
Building Permit Application
C4Cl of 1635 Faraday Ave., Carlsbad, CA 92008
Plan Check No. s
Est. Value
Carlsbad Ph: 2-2719
Farlsbad 602-8558
Plan Ck. Deposit
mail:
email: building@carlsbadca.gov
Date
SWPPP
www.carisbadca.gov
JOB ADDRESS ^ —_ 1
'�1.1Y%�7 � v �j'.� q ,�% / •
SUITEi/SPACEI/UNIT qpN -
- -
CT/PROJECT # LOT # PHASE #-1 #rOF Uf,N/•I'T'S [BEDROOMS =NT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: Include SquareI Feet of Affected Area(s)
"If
30
6' h
�-Q4
IP
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES NO[]YES ONO 0 YES❑ NO❑
APPLICANT NAME
Primary Contact rAh cc eftn
PROPERTY OWNER
J V ir`-p-ADDRESS
�n /IT / ar 1�
l.�fjV L- Q J
ADDRESS
rclo TE f °
CITY Y, N V� STATE„ ZIP '
r 1
'
CITY � � � ` � STATE_ ' ZIP
ILU•
PH / F
— 0 6/ Zia )Q
PHONE FAX
EM IL ��J y�
/
GOSt h rC3 11
EMAIL
(/_ • / r ~
DESIGN PROFESSIONAL
CONTRACTOR BUS. NAME Q
e�
ADDRESS
ADDRESS
CITY STATE ZIP
PHONE
CITY V � STATE ZIP I
S r `
FAX
EMAIL
PHONE
` �' FAX
4t /(�' "' 23P
EMAIL
c c,St a Z1 rao
STATE LIC. #
STATE LIC.# C CITY BUS. 1 .
571. 4 5 e�) C
appy a0nt for sBusiness
uch permit o f lefessions Code: a signed statementOthat h, i, in,nc i requhes a permit to constr
FcI alter_ Improve, demolish or repair any structure, prior to Is is suarife.iffso requires th .
Dubmiess ano rroresslons (;ode) or that he is exempt therefrom, and the basis for the alleged exemption.�Any violizi ation of Section �/031 5 by Ltf any applicalnt&for a perwitr mit subjects t elvappli a t to a
civil penalty of not more than five hundred dollars ($5001).
Workers' Compensation Declaration: l hereby affirm under penalty of perjury one of the following declarations:
R❑ II 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' c pe ation, asrequiredby Section 3700 of the Labor Code, for the performance of the work for whip this permit is issued. My workers' compensation in urance arrier an policy
number are: Insurance Co. �5 -e / V ^ C Policy No. y -/ 2 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 to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation cov ge r ,lawful, 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 as wded for in Se on 3706 the Labor code, interest and attomey's fees.
)K CONTRACTOR SIGNATURE ❑ AGENT DATE
1 hereby affirm that 1 am exempt from Contractor's License Law for the following reason:
EJI, 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 taw 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. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement. QYes QNo
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 / 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 number):
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):
)KPROPERTY 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 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).
Lenders Name
Lender's Address
I certify that I have mad the application and state thatthe above information is Eomactand thatthe information on the plans is accurate. I agree to complywith all City ordinances and State laws relating to building construction.
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 IN CONSEQUENCE 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 provisio otthis Code shall expire by limitation and become null and void f the building or work authorized by such permit is not commenced within
180 days from the date of such permit or if the building or work authorized by uch ' it is suspended or abandoned at anytime after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
.ESAPPLICANT'S SIGNATURE DATE I ff--
°'n' 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(c
CaflSbadCa.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 ZIP
Carlsbad CA
PHONE
FAX
EMAIL
OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above)
OCCUPANT (Listed above)
CONTRACTOR (On Pg. i)
MAIL TO: CONTACT (Listed above)
OCCUPANT (Listed above)
ASSOCIATED CB#
CONTRACTOR (On Pg. 1)
NO CHANGE IN USE / NO CONSTRUCTION
MAIL/ FAX TO OTHER:
CHANGE OF USE / NO CONSTRUCTION
-eAPPLICANT'S SIGNATURE
DATE
Inspection List
Permit#: CB153818 Type: MISC REROOF LOGAN RES-RE-ROOF 3500 SF WITH
COMPOSITION
Date Inspection Item
Inspector Act Comments
11/17/2015 19
Final Structural
- RI LOGAN RES
11/17/2015 19
Final Structural
AEK FI
11/06/2015 15
Roof/Reroof
- RI AM PLEASE
11/06/201515
Roof/Reroof
AEK AP
Tuesday, November 17, 2015 Page 1 of 1
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
JOB ADDRESS: o`00 cl 4r-d> rc�o bq, Pit
2. TYPE OF BUILDING: RESIDENTIAL COMMERCIAL
3. ROOF SLOPE: RISE--%—DNCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) C 2 3
5. TYPE OF EXISTING ROOF COVERING Co r+\ 12 . SHEATHING
*6. NEW ROOF MATERIALLASS_WEIGHT PER SQ. 2
7. NUMBER OF SQUARES 3 S
8. TRADE NAME
9. ROOF SYSTEM LISTING:
MANUFACTURER Ag )alp vi e-
UL NO. A�11-)—C7 I.C.C.E.S. Report #
ASTM
10. IS THE EXISTING STRUC DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE
PROPOSED ROOF? (ns--)
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 ing at least 2 rungs above the roof for inspection.
Signature Date
Contractor V Owner Contractor
Name_ GU'S-C h `7,0 l!�d� T
*6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other
B-10 Page 4 of 4 Rev. 02/11