HomeMy WebLinkAbout2015 AURA CIR; ; CB152852; Permit09-01-2015
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Miscellaneous Permit Permit No: CB152852
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
PC#:
Project Title:
2015 AURA CR CBAD
MISC
2072303800
$5,186.00
Subtype:
Lot #:
REROOF
0
CULBERTSON RES-RE-ROOF 3000 SF
COMPOSITION
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
09/01/2015
RMA
09/01/2015
09/01/2015
Applicant:
URBACH ROOFING INC
Owner:
S&M TRUST 10-21-09
445 PRODUCTION ST
SAN MARCOS CA 92078
760 471-5065
2015 AURA CIR
CARLSBAD CA 92008
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
PERMIT FEE $136.00
$0.00
$0.00
TOTAL PERMIT FEES $136.00
Total Fees: $136.00 Total Payments To Date: $136.00 Balance Due: $0.00
Inspector:
FINAL
Date: _ Clearance:
NOTICE: Piease talie NOTICE that approvai of your project includes the Imposition of fees, dedications, reservations, or other exactions hereafter collectively
refened to as "fees/exactions." You have 90 days from the date this pemiit was issued to protest imposition of these fees/exactions, if you protest them, you must
foiiow the protest procedures set forth in Govemment Code Section 66020(a), and fiie the protest and any other required information with the City Manager for
processing in accordance with Carisbad IWunicipai Code Section 3.32.030. Failure to timely foiiow that procedure wili 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 previousiv been given a NOTICE similar to this, or as to which the statute of limitations has previouslv othenivise expired.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMmSSUANCE: nPLANNING •ENGINEERING • BUiLDING • FIRE •HEALTH • HAZMAT/APCD
^ CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: buildingtgcarlsbadca.gov
www.cartebadca.gov
Plan Check No.
Est. Value
^ Plan Ck. Depqsit
SWPPP
JOB ADDRESS SUITEf/SPACE«/UNn
CT/PROJECT # LOT# PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTf), TYPE OCC.GROUP
DESCBJPTIONOFWORK: (netudsS4iiai«F*«tofAffkctmfArM(s; / C W •, // >0
WmaV(Layyuidispose of ^iC/Siin^ rovfifn^-Si^l^p f^,inSizUJ 3^^f •
EXISTING y- PROPOSEDUSE GARAGE (5F) PATIOS (SF) DECKS (SF) FIREPLACE AIRCONDITIONING FIRESPRINKLERS
YEsfT* Nc| 1 YES QNO Q YEsj |NO| 1
APPLICANTNAME (Primary Contact) APPLICANTNAME (Secondary Contact)
ADDRESS ^ ADDRESS /
CITY STATE ZIP CITY y/^ STATE ZIP
PHONE FAX PHONE / FAX
EMAIL ENiAIL '
CONTRACTORBUS.NAME ... . _
Urbach Roofing. Inc. ADDRESS
445 Production Street
'^n/UiMMaJ rsA ^z^r cmr STATE ZIP
San Marcos CA 92078
FAX PHONE
760-471-5065
FAX
760-471-9610
EMAIL
J*
EMAIL
urbach@urbachroofing.com
ARCH/DESIGNER NAME & ADDRESS / - STATE LIC. # STATE LIC.#
602378
CLASS CmrBUS.LIC.#
C39 1200289
applicantfor such permitto file 8 si0ied statement that he is licensed pursuantto the provisions ofthe Contractor's License Law (Chapter 9, commendingwith Section 7000 of Division Sof the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged exemptian. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars (itSOO)).
WORKERS' COMPENSATliON
Workers' Conipensation Declaration: / hereby aflirm under penally ofpeijury one <^ the following declarations:
Bl havt and wM maintain a cartificatt of contmt to *«lf.lntiw« for workers' compensation as provided by Section 3700 of the Labor Code, for the pertormance of the work for which this permii is issued.
I have and will maintain worlters' conipensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this pemilt is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co Zurich American Insurance Company p^fcyNo WC 47-58-635.«rQj^ Expiration Dale (MKOIBtW-^Otg
This section need not be completed if the permit is for one hundred dollars ($100) or less.
I ] Ctitilicats ot Exemption: I certify that in the perfomiance of the worl( lor which Ihis pemiit is issued, I shall notemploy any person in any inanner so as to become subject to the Workers' Compensation Laws of
California WARNING: Failure to secure wnricw*' tnmpantatinn coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (S100,000), in
addition to the cost of compensation, dinsgtsaspFovided for in Section 3706 of the Labor code, interest and attomey's fees.
^ CONTRACTOR S1GNAIUS£--/Ay«/>^^V^^ [TlAGENT DATE ^./. / <~
O WMER-BUf IPER v<> E it L A R A Tl O N
; hereby affinn that I am exempt from Contractor's License Law for the foiiowing reason:
I I I, as owner of the property or my employees with wages as their sole compensation, will do the work and the sfrucjii[6.is not inlended 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 suctytwITFIimself 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-bjiiWerMI 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 conslmCfttie project (Sec. 7044, Business and Professions Code: The Contractor's Ucense Law does not apply to an owner of
property who builds or improves thereon, and contracts for such projects with csi*Sctor(s) licensed pursuant to the Contractor's Ucense Law),
I I I am exempt under Section _ Business and Professiqnj^tiSe for this reason:
1,1 personally plan to provide the major labor and matenjIrfSrconstruction of the praposed property improvement, ^]Yes I iNo
2,1 (have / have not) signed an application for a bwiMing pemiit for the proposed work,
3,1 have contracted with the foltowing per|pir(flmi) to provide the proposed constmction (include name address / phone / contractors' license number):
4 I plan to provide portions of the^artOut I have hired the following person to coordinate, supervise and provide the major work (inciude name / address / phone / 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 / address / phone / type of work):
PROPERTY OWNER SIGNATURE •AGENT DATE
COMPLETE THIS SECTION FOR NON-RESIOENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and prevention program under Sections 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? • Yes O No
Isthe applicani or future building occupant required to obtain a pemiit from tt;»<llf'pollution control district or air quality management districr? O Yes • No
Isthefacility to be constmcted within 1,000 feet ofthe outer boundary Qt<r6chool site? OYes ONo
IF ANY OF THE ANSWERS ARE YES, A FiNAL CERTIFICATE QptJcCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERViCES AND THE AIR POLLUTiON CONJRtX DISTRICT
CONSTRUCTION LENUING AGENCY
I hereby affirm that there is a eonsJ[MC(ion lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I have read the applnation and state that the above Infonnation is oonect and that the Infonnation on the plans is accurate. I agree to comply wHh all City ordinances and Sbte laws relating to building constniction.
I heieby authorize representative of the City of Caitsbad to enter upon the above mentioned property Ibr inspectbn purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILfTIES, JUDGd^EMTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRAMTING OF THIS PERMfT.
OSHA: An OSHA pemiit is required fbr excavations over 5'0' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued tiy the Building Oflicial underthe proviskjns of this Code shall expiie by limitation and become nul and vokJ if the building or mk authorized by such perniit is not commenced within
180 days frtim Ihe date of such permit or if thapuilding^rWSOXhorized by such permit is suspended or abandoned at any time after the mk s commenoed for a period of 180 days (Sectbn 106.4.4 Uniform BuikJing Code).
ygTAPPLICANT'S SIGNATUI
Inspection List
Permit*: CB152852
Date Inspection Item
09/09/2015 19 Final Structural
09/09/2015 19 Final Structural
09/04/2015 15 Roof/Reroof
09/04/2015 15 Roof/Reroof
Type: MISC REROOF
Inspector Act
Rl
AEK Fl
Rl
AEK AP
CULBERTSON RES-RE-ROOF 3000 SF
COMPOSITION
Comments
early am pre roof inspection
Wednesday, September 09, 2015 Page 1 of 1
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
1. JOBADDRESS : ^0^^ .Ar^ HiYrA jhyiVlJ
2. TYPE OF BUILDING: RESIDENTIAL )>C COMMERCIAL
3. ROOF SLOPE: RISE ^ INCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 1 3
5. TYPE OF EXISTING ROOF COVERING ^'jITipd ^^^^HEATHING
*6. NEW ROOF MATERIAL (i&TVbfdO CLASS/1r"WEIGHT PER SQ.
7. NUMBER OF SQUARES ?>0
8. TRADE mME'ypri/yj^J/yijy MANUFACTURER Qjfiff^
9. ROOF SYSTEM LISTING:
UL NO. "7^^ I.C.C.E.S. Report # ^^/?
ASTM
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
agree to provide a ladder extending at least 2 rungs above the roof for inspection.
a hlA /^JynAJ^J^^Nt Date L
Owner _ Contractor
Name U^b^^l Jw.'
*6. Roiled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other
Page 5 of 6 Rev. 03/09