HomeMy WebLinkAbout2015 CORDOBA PL; ; CB122580; Permit12-04-2012
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Miscellaneous Permit Permit No: CBI22580
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Valuation
Reference #
PC#
Project Title
2015 CORDOBA PL CBAD
MISC
2072401000
$3,413.00
iSHIOKA RES - RE-ROOF 2500SF
COMPOSITE UL 790
Subtype REROOF Status
Lot #. 0 Applied
Entered By
Plan Approved
Issued
Inspect Area
Applicant
MORENO ROOFING
Owner.
ISHIOKA FAMILY TRUST 11-27-05
ISSUED
12/04/2012
SKS
12/04/2012
12/04/2012
2686 ISLAND AV
SAN DIEGO CA 92102
619 279-9205
2015 CORDOBA PL
CARLSBAD CA 92008
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
$118 00
$0 00
$0 00
$118 00
Total Fees $118 00 Total Payments To Date $118 00 Balance Due: $0.00
Inspector
FINALAPPROVAL
Date Clearance
NOTICE Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, resen/ations, or other exactions hereafter collectively
refened to as "fees/exactions" You have 90 days from the date this perniit was issued to protest imposition of these fees/exactions If you protest them, you must
follow the protest procedures set forth in Government 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 nght 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 oiven a NOTICE similar to this, or as to which the statute of limitations has previously othenwise expired
THE FOLLOWIHG APPROVALS REQUIRED PRIOfi TO PERMir ISSUANCE: C PUNNING •ENGINEERING • BUILDING • FIRE • HEALTH • HAZMAT/APCD
^ CITY OF
CARLSBA
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: buiclling@carlsbadca.gov
vvwvi/.carlsbadca gov
Plan Check No. \ ^ ^"^Q^
Est. Value 3y ^ ^
Plan Ck. Deposit
Date Z/V/i^ SWPP
JOB ADDRESS SUITE#/SPACE#/UNIT#
CT/PROJECT # « OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Areafs)
6*4-F f;cify^ So^^i^^ -^^
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES • # NO •
AIR CONDITIONING
YES • NOD
FIRE SPRINKLERS
YES • NOO
APPLrbA/MT NAME (Primary Contact) irCA/MT NAME (Pr APPLICANT NAME (Secondary Contact)
ADDRESS
A.
ADDRESS
CITY STATE ZIP CITY STATE
(6
FAX PHONE FAX
EMAIL
PROPERTY OWNER NAIVIE CONTRACTOR BUS NAME -
^ ADDRESS ADDRESS
STATE
6*4
ZIP CITY STATE
PHONE FAX PHONE
EMA-tf
FAX
EMAIL
ARCH/DESIGNER NAME & ADDRESS r-7> I /L^ r^/3>
(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, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions ofthe Contractor's License Law (Chapter 9 commending with Section 7000 of Division 3 ofthe Busmess and Professions Code) or that he is 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 / fterefcy affirm underpenalty of perjury one ofthe following declarations
a I have and will maintain a certificate of consent to self-msure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this perm it is issued
^ I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfonnance of the work foi which this pemnit is issued My workers' compensation insurance earner and policy
number are Insurance Go ^ Policy No ^ •—[ ^ f Expiration Date / ^/C %
This section need not be completed if the permit is for one hundred dollars ($100) or less
O Certificate of Exemption I certify that in tiffl perfonnance of the work for which this permit is issued, I shall not employ any person in ,3ny manner so as to become subject to the Workers Compensation Laws of
California WARNING' Failure to secure Wormrs' c^pensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (8.100,000), in
addition to the cost of compensation, damaoies as ^ovided for in Section 3706 ofthe Labor code, interest and attomey's fees
J8$ CONTRACTOR SIGNATURE •AGENT DATE/Z/'/i CL
I hereby affirm that I am exempt fiom Contractor's bcense Law for the following reason
3 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, Busmess and Professions Code The Contractors
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 lhat 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 Prolessions Code The Contractor's License Law does not appiy 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 Profes!,ions Code for this reason
1 I personally plan to provide the major labor and matenals for construction of the proposed property improvement 3 Yes • No
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 / 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 (include name / address / phone / contractors' license number)
5 I will provide some of the vrork but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work)
PROPERTY OWNER SIGNATURE •AGENT DATE
Is the applicant or future building occupant required to submit a business plan acutely hazardous matenals registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Acf • Yes • No
Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or air quality management distncf^ n Yes • No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site'' 3 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 ttie perfomiance of the work this pemiit is issued (Sec 3097 (i) Civil Code)
Lender's Name Lender's Address
I certily that I have read tie application and state that liie above information is conEct and that the information on the plans is accurate I agree to comply with all City oidinances and State laws relating to building construction
I hereby authorize representative of the City of Carisbad to enter upon the above mentoned property for inspection purposes I ALSO AGREE. TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSB,AD
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 oyer S'O deep and demolition or constaiction of structures over 3 stones in heght
EXPIRATION Every permit issued by the Bm\gSmaat U8der the provisions of this Code shall expire by limitation and become null and void if the building or fioik authonzed by such permit is not commenced with'n
180 days from the date of such permit or i^^i^ing or '^rk authonzed by such permit is suspended or abandoned at any time after the woik is commenced for a penod of 180 days (Section 106 4 4 Unifomn Building 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 final inspection.
CERTIFICATE OF OCCUPANCY (Commerc a t I» r o jf e c t s On l^yj_^^
Fax (760) 602-8560, Email www buiidina(5)carlsbadca gov or Mail the completed form to City of Carlsbad, Buildmg Division 1635 Faraday Avenue, Carlsbad, California 92008
C0#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
EIVIAIL OCCUPANT'S BUS LIC No
DELIVERY OPTIONS
3 PICK UP: c CONTACT (Listed above) • OCCUPANT (Listed above)
11 CONTRACTOR (On Pg 1)
a MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg 1)
3 MAIL / FAX TO OTHER:
o ASSOCIATED CB#-
• NO CHANGE IN USE / NO CONSTRUCTION
o CHANGE OF USE / NO CONSTRUCTION
APPLICANT 8 SIGNATURE DATE
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
1. JOB ADDRESS: f 5" Co-^ta\p^ ^<r
2. TYPE OF BUILDING: RESIDENTIAL )C COMMERCIAL
3. ROOF SLOPE: RISE *•( INCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE)(x) 2 3
5. TYPE OF EXISTING ROOF COVERING ff^K^c^^ SHEATHING
*6. NEW ROOF MATERIAL <i U:y I<^ ^ CLASS WEIGHT PER SQ.Z- ^CT
7. NUMBER OF SQUARES ?
8. TRADE NAME <^/I-P MANUFACTURER
9. ROOF SYSTEM LISTING.
ULNO. "7^^ I.C.C.E.S. Report#
ASTM
10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE
PROPOSED ROOF? CYI^ 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^ladder extending at least 2 rungs above the roof for inspection.
Signature ^^^^ Date {^/"//c^
Contractor )C Owner Contractor
Name l4c.<:4r>>^ KM..O^C
*6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other
B-10 Page 4 of 4 Rev 02/11
Inspection List
Permit*: CB122580
Date Inspection Item
12/24/2012 19 Final Structural
12/21/2012 15 Roof/Reroof
12/06/2012 15 Roof/Reroof
Type: MISC REROOF
Inspector Act
PD AP
PD AP
PB CA
ISHIOKA RES - RE-ROOF 2500SF
COMPOSITE UL 790
Comments
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