HomeMy WebLinkAbout2019 AURA CIR; ; CB121238; Permit07-02-2012
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Miscellaneous Permit Permit No: CBl21238
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
PC#:
Project Title:
2019 AURA CRCBAD
MISC
2072303900
$0.00
Subtype: REROOF
Lot#: 0
KLEEBERGER: 3300 SF COMP
REROOF
Status:
Applied:
Entered By:
Plan Approved:
issued:
Inspect Area:
ISSUED
07/02/2012
JMA
07/02/2012
07/02/2012
Applicant:
SAN DIEGO ROOF DOCTOR
1075 UNDA VISTA DR
UNITO
SAN MARCOS 92078
760-471-7131
Owner:
KLEEBERGER REVOCABLE TRUST 02-17-99
2019 AURA CIR
CARLSBAD CA 92008
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
PERMIT FEE $134.00
$0.00
$0.00
$134.00
Total Fees: $134.00 Totai Payments To Date: $134.00 Balance Due: $0.00
Inspector:
FINAL
Date: "2
ARPROyJa
Clearance:
NOTICE: Please take NOTICE that approval of your pniject Includes ttie "Imposition'' of fees, dedications, resen/ations, or ottier exactions tiereafter collectively
refened fo as "fees/exactlons." You tiave 90 days from the date this pennit 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 infonnation 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 attacl^,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactlons DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or sen/Ice fees In connection with this prqjecL NOR DOES IT APPLY to any
fees/exactlons of which vou have previousiv been given a NOJICE similar to this, or a^ to which ^>ie statute of limitations has oreviouslv othenwise expired.
THEFOLLOWINGAPPROVALSREQUIREDPRIORTOPERMITISSUANCE: DPUNNING DENGINEERING nBUILDING DFIRE DHEALTH •HAZMAT/APCD
^ CITY OF
CARLSBAD
Building Permit Appiication
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718/2719
Fax: 760-602-8558
www.carlsbadca.gov
Plan Check No. C 'QlT- ' I Z
Est. Value
Plan Ck. Deposit
Date 7/^/(2. SWPP
JOB ADDRESS
JZr^/9 y^U^ C^y^jsr
SUITE#/SPACE#/UNIT# APN
-
CT/PR0JECT# ' L0T# PHASE # #0I-TINIIS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR.TYPE OCC GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) , . _^
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES • # NO • YES • NO • YES • NO •
APPLIMNI NAIVIE Wtlmary Contapt) APPLICANT NAME (Secondary Contact)
ADDRESS
CITY—, STWE ZIP CITY STATE ZIP
PHOI<lE ' FAX PHONE FAX
ElVIAIL EMAIL
PROPERTYjDWNER NAME ^ ' y, , / ' ' CONTRACTOR BUS. NAME jg ^ —
t^/^r^ .^Ai"/ />0/^^r^ ADDRESS Q r*-w^^, TM-^^.T
CITY . ^ STATE ZIP CITY ' STATE ZIP
PHONE FAX PHONE
y^^> y/3/
FAX
EMAIL EMAIL r—7—
ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE LIC.#
^3? eriY Bu^ic#
applicant for such permit to file a signed statement that he is licensed pursuant to the provisions ofthe Contractor's License Lav/(Criapter 9, commending with Section 7000 of Division 3 ofthe Business and Professions Code) or tnat he is exempt therefrom, and the basis for the alleged exemption. Any violaUon of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than flve hundred dollars ($500)).
Workers' Compensation Declaration; / hereby aflinn under penalty of peijuiy one of tlie following declarations:
a I have and will maintain a certificate of consent to self-insure for workers' compensation as proyided by Section 3700 of the Labor Code, for the perfonnance of the worti for which this permit Is issued.
have and will maintain woriters' compensation, as required by Section 37j|D of the Labor Code, for the performance of the work for which this pemnit is issued. My workers' compensation insurance canier and policy
^ number are: Insurance Co. ^~i^^^T . Policy No. ^ri^9-'^^^ -Expiration Date //O —/ ~
This section need not be completed if the permit is for one hundred dollars ($100) or less.
Q Certificate of Exemption: 1 certify that in the perfomiance of the work for which this pennit is issued, 1 shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure woriters' compensation coverage is unlawful, and shall subject an employerto criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provided foMn Section ""^'thn I ""''•i und aHomav's fees.
JS^ CONTRACTOR SIGNATURE •AGENT DATE
I hereby afUrm that I am exempt from Contractor's Ucense Law for the following reason:
n 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, 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 emptoyees, 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 wiil have the burden of proving that he did not build or improve for the purpose of sale).
Cl I, as ovmer of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Confrxtor'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. • Yes H No
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 / co ntractors' license number):
4.1 plan to provide portions of the work, but I have hired the following person to coonJinate, supervise and provide the major work (include name / address / phone / contrxtors' 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):
•
veTpROPERTY OWNER SIGNATURE •AGENT DATE
COmPtBTE TMtS SECT t&H F.»tt NOH-itES l,0;,IE. «-t l.A;L ' 8 0 I i.:0 I M <S „ PERM I TS O nXM'^ ^
Is the applicant or futuro building oxupant required to submit a business plan, xutely 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 applicanl or future building occupant required to obtain a pemiit from the air pollution control district or air quality management district? • Yes O No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 13 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.
CONSTRUCriON L £ N D I N G A C E N C Y
I hereby affinn that there is a construction lending agency for the perfomiance of the work this pemiit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
A P l» 11 C A N T ce It T I F I C A f i O N
I certlty that I have read the application and state Diat the above infomiation is conect and that ttie infomiation on the plans is accurate. I agree to comply with all Cl^ ordinances and Slate laws relating to building constmction.
I tlensby authorize repfesentative of the City of Carisbad to enter upon fte above menfioned property for inspecfion punxjses. I ALSO AGREE TO SAVE, INDEMI^IFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL UABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMfT.
OSHA: An OSHA pemnit is required for excavations over 5'0' deep and demolition or canstadbn of stmctures over 3 stories in height.
EXPIRATION: Every pemiit issued by the Building Ofliciai under the provisions of this Code shall expire by limitatKin and become null and void if the building or worit authorized by such pennit is not commenced within
180 days from the date of such pemiit or ifthe buikiing or «ortt aulhorized by such pemiit is suspended or abandoned at any time after the vrortt is commenced for a period of 180 days (Section 106.4.4 Unifomi Building Code).
ygS"APPUCANT'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.
Fax (760) 602-8560, Email wvtw.buildinq(5>carlsbadca.qov or Mall the completed fomn to City of Cartsbad, Building 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
ElVIAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
• PICK UP: • CONTACT (Listed above) • OCCUP/VNT (Listed above)
o CONTRACTOR (On Pg. 1)
• MAIL TO: • CONTACT (Listed above) • OCCUPANT (Listed above)
• CONTRACTOR (On Pg. 1)
• MAIL/FAX TO OTHER:
• ASSOCIATED CB# -
• NO CHANGE IN USE / NO CONSTRUCTION
• CHANGE OF USE/NO CONSTRUCTION
• ASSOCIATED CB# -
• NO CHANGE IN USE / NO CONSTRUCTION
• CHANGE OF USE/NO CONSTRUCTION
^afAPPUCANTS SIGNATURE DATE
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
1. JOB ADDRESS:
2. TYPE OF BUILDING: RESIDENTIAL }<i COMMERCIAL
3. ROOF SLOPE: RISE ^ INCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 3
5. TYPE OF EXISTING ROOF COVERING ^^^(^SHEATHING /^D
*6. NEW ROOF MATERIAL^ y/^ '^/^f^ CLASS ^ WEIGHT PER SQ. 2 '^S^
7. NUMBER OF SQUARES
8. TRADE Wm^-//fp. ^^^^^^MANUFACTURER (^^T^-^
9. ROOF SYSTEM LISTING:
ULNO.j^^^^^ I.C.C.E.S. Report # ^S^/^^f
ASTM K/? 3 O /$
10. IS THE EXISTING STRUpj^KT^ DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE
PROPOSED ROOF? f YEsJ 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.
Signature.^ Date 'V/^/
Contractor Owner Contractor
Name^
*6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other
B-10 Page 4 of 4 Rev. 02/11
Inspection List
Permit*: CB121238 Type: MISC
Date
07/11/2012
07/11/2012
07/06/2012
07/06/2012
07/06/2012
07/05/2012
07/04/2012
Inspection Item
19 Final Structural
19 Final Structural
15 Roof/Reroof
15 Roof/Reroof
15 Roof/Reroof
13 Shear Panels/HD's
13 Shear Panels/HD's
REROOF
Inspector Act
Rl
PY
PD
PY
PY
AP
Rl
AP
AP
CA
Rl
KLEEBERGER: 3300 SF COMP
REROOF
Comments
AM PLEASE
Wednesday, July 11,2012 Page 1 of 1