HomeMy WebLinkAbout2019 MAR AZUL WAY; ; CB051549; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008 \~'2
04-29-2005 Miscellaneous Permit Permit No: CB051549
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
2019 MAR AZUL WY CBAD
MISC
2151301400
$14,500.00
Subtype: REROOF
Lot#: 0
ROSENBERG RES-5000 SF STD WT
CONCRETE
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
04/29/2005
RMA
04/29/2005
04/29/2005
SECURE ROOF INC ROSENBERG RICHARD LIVING TRUST
7356 TRADE ST
SAN DIEGO CA 92121
800 338-6868
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees: $230.00
2019 MAR AZUL WAY
CARLSBAD CA 92009
PERMIT FEE
Total Payments To Date: $0.00 Balance Due:
$230.00
$0.00
$0.00
$230.00
$230.00
7088 04/29 /05 0002 01
CGP
Inspector:
FINAL
Date: Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "lmpositionn of fees, dedications, reseivations, or other exactions hereafter collectively
referred to as "fees/exactions.n 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 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 right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, ~or planning, zoning, grading or other similar application processing ~r service fees in connection wit~ t~is ?roject. NOR_ DOES IT APPLY to any
02
230-00
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Fl;).raday Ave., Carlsbad, CA 92008
1. PROJECT INFORMATIPN
Assessor's Parcel # Existing Use ffj)
Description of Work sa. FT. #ot Stories
:it-· <;-A~fP,t:JCANY: 0:-.Coi'ftriiPtili'; l!f_Ag'ent,for C.ontractor D Owner D Agent·for Owner
FOR OFFICE USE ONLY
PLAN CHECK NO. ,J/j05/ 2Lj r
EST. VAL. _________ _
Plan Ck. Deposit -------,4-.----
Validated By ____ h---,r-~~L...
Date _____ ----"=l---/----6°"'"1-----H.L...J..-
Phase No.
Proposed U~ 4F µ
# of Bedrooms # of Bathrooms
Jf~6 02_5
Fax#
............ /rosePllet?.G CJ3 State/Zip Telephone# -'.// ')2-r,tp"J "7bo 4"7~ co-r •,, Pl!OPERtv<OWNER· · •.
Address City S.tate/Zip Telephone II
(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 of the Contractor's License Law
(Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code! or that he is exempt therefrom, and the basis for the alleged
exemption. Any violation of ~action 7031.5 by any applicant for permi subjects the applicant to a civil penalty of no~or,,than five hundred dollars 1$500]). 6-E:"CL-<-Af l(..0C S'S o--, o-...-JJv (.j,Lf'· C/Zt90'; 160 5'f6 02.5"~
Name
State Ucense # ~S~9_,_,0~8~3~1/~_
Address City State/Zip Telephone #
License Class c_3 r City Business License # ? /:2.. / f O 5' 'J
Designer Name Address City State/Zip Telephone
State License # _________ _
ill,. ;. .. )i,/()Jjg!ili$!"¢DMPll\l!l'~llCll\lc
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 I 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' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
{ss~ued. My worker's compensation insurance carrier and policy number are: /
lnsu,ence Company BT ATL F\.u.lO Pol;cy No. 2..S5 1 y gf, 0 o Exp;,afon Date / ~ / -0 t>
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS)
0 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 wor ' compensation coverage Is unlawful, and shaH subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars I$100,000), In on to f compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees.
SIGNATURE ~ DATE J./-:2.., ' ~ OS
:7; i :ciV!irjEl\,i1iJ,1€pE)l::i!El;i:A11J1llDN ..
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 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 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).
0 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).
0 I am exempt under Section ______ Business and Professions Code for this reason;
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. D YES ONO
2. I (have / have not) signed an application for a building p·ermit for the proposed work,
3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number):
4. l 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
number/ contractors license number): ________________________________________________ _
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address I phone number / type
of work):. ___________________________________________________________ _
PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _
~QMPLE;Tl;''l"H!S:SECTIQN:FOR:NON°RES/OENT/AL· BUILl;>INQ·.PERMITS.ONLY
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 26606, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES O NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES D 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.
:e•,,:: iCl>N$,TfflJQTIPN·'LENPING.ll:GENCY
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code),
LENDER'S NAME _____________ _ LENDER'S ADDRESS ________________________ _
iili•R•iiAl/f~ICANf l::EBTIFICAT\0111,
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt 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 provisions of this Code shall expire by limitation and become null and void if the building or work
authorized by such permit ls not commenced wl h 1 BO days from the date of such permit or If the building or work authorized by such permit is suspended or abandoned
at any time after the work is commenced for riod of 180 ays ectlon 106.4.4 Uniform Building Code), . ~ . APPLICANT'S SIGNATURE DATE /-1.9 -,::;S
WHITE: File YELLOW: Applicant PINK: Finance
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOBADDRESS: 20/CJ 1'?10-,, Oz.~°15" C{? 9J.0 09
2. TYPE OF BUILDING: RESIDENTIAL f: COMMERCIAL. __ ....!
3. ROOF SLOPE: RISE J./ inches in 12 Inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) 6) 2 3
S. TYPE OF EXISTING ROOF COVERING ~C.: SHEATHING ,A/0 •
-61"!7 wT 2
*6. NEW ROOF MATERIAL rpPc._ CLASS.._V~WEIGHT PER SQUARE
7. -NUMBER OF SQUARES 5() . 10 tbs 111"" ~
8. TRADE NAME 11f a/(jlt{ MANUFACTURER £~ale
9. ROOF SYSTEM LISTING UL No. ____ lCBO No. 5 G 6 0
IO. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE
WEIGHT OF THE PROPOSED ROOF? ® NO
see <2-Mf5 ""'f
All roof coverings are required to be CLASS A. CombU5tible roof coverings
of any type or classification are prohibited.
I understand the following Inspections are required: .:.,,
1. Tear Off/Pre-inspection prior to instalfnew roof covering.
2. Final Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for
inspection.
Signature ___ /4_-'----~--'_Pt'_M _____ .Date lf • :1.. q -05
Contractor ___ Owner ____ Contractor Nawe
*6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built u ,
Other.
m City of Carlsbad Bldg Inspection Request
. .
.
For: 06/03/2005
Permit# CB051549
Title: ROSENBERG RES-5000 SF STD WT
Description: CONCRETE
Type: MISC Sub Type: REROOF
Job Address:
Suite:
Location:
2019 MAR AZUL WY
Lot
APPLICANT SECURE ROOF INC
0
Owner: ROSENBERG RICHARD LIVING TRUST
Remarks:
Total Time:
CD Description
19 Final Structural
~ Comment
Associated PCRs/CVs
lnsiiection Histo[l1
Date Description Act lnsp Comments
05/20/2005 15 Roof/Reroof AP PD
Inspector Assignment: JM ---
Phone: 7605460254
Inspector: ~
Requested By: CHARLA
Entered By: CHRISTINE
05/10/2005 15 Roof/Reroof co JM SECTION B NOT PER ENGINEERS REPORT
05/09/2005 15 Roof/Reroof CA JM BY CONTRACTOR