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Home My WebLink About2020 CHESTNUT AVE; ; CB152367; Permit07-27-2015 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CBI52367 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: 2020 CHESTNUT AV CBAD Misc 2053302600 $4,203.00 Subtype: Lot #: REROOF 0 PILGRIM CHURCH-RE-ROOF 2400 SF OF TORCH DOWN ROOFING- DETACHED OFFICE BLDG NEAR status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 07/27/2015 RMA 07/27/2015 07/27/2015 Applicant: SHIELD ROOFING INC. Owner: PILGRIM UNITED CHURCH OF CHRIST OF CARLSBAD 4205 SKYLINE RD CARLSBAD CA 92008-3643 760-802-1920 2020 CHESTNUT AVE CARLSBAD CA 92008 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees PERMIT FEE $121.00 $0.00 $0.00 TOTAL PERMIT FEES $121.00 Total Fees: $121.00 Total Payments To Date: $121.00 Balance Due: $0.00 Inspector: FINAL APPROVAL Date: ^^S'/S Clearance: NOTICE: Please take NOTICE that approval of your project indudes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 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 information with the City Manager for processing in accordance with Carlsbad Munidpal 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 capadty 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 oreviouslv been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: E3PLANNING nENGINEERING •BUILDING DFIRE nHEALTH [• HAZMAT/APCD V City of Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax:760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov IIK^— Plan Check No. Est. Value Plan Ck. Deposit Date SWPPP JOB ADDRESS SUITE«/SPACE#/UI TENANT BUSINESS NAME T CT/PROJECT # # BEDROOMS # BATHROOMS CONSTR. TYPE DESCRIPTION OF WORK: ;nc/u(/e Square Feet Of Affected Area(s; , v V I GARAGE* (SHiy FATTOS^ISF) DECKS (SF) FIRE FIREPLACE YES[~|*. N0| I AIR CONDITIONING YES I INO I I FIRESPRINKLERS YES I |NO| I APPLICANT NAIVIE Primary Contac PROPERTYOWNER ADDRESS ADDRESS STATE PHONE FAX PHONE FAX DESIG^ROFESSIONAI"''"'^^"^^^^"^"''"^^^^^^" PHONE EMAIL ITRACTOR BUS. NAME CITY I y [ t I STATE ZIP ADDRESS CITY STATE STATE PHONE FAX PHONE EMAIL "TJ ICLASS ^ IcraBuauaff (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permitto construcL alter, improve, demolisti 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 forthe alleged exemption. Any violation of Section 7031.5 by any applicantfor a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: / hereby alWrm under penalty ol peijury one of the foiiowing deciarations: have and will maintain a certificate of consent to selMnsure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the worl< for which this permit is issued, 'have and will maintain woijirs' compensation, as reouired bv Section 3700 of the Labor Code, for the performance of the^ork for which this permit is issued. My workers'compensation insurance canier and policy number are: Insurance Co. ^\^^r<^ fiwA) Poiicv No.^ ^"ZTj " \ ^ Expiration Date I'Q'" 1 ^ This section need not be completed if the permit is for one tiundred dollars ($100) or less. I I Certificate of Exemption: I certify that in the perfomiance 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 coverage Is unlawful, 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 provided for In Section 3706 of the Labor code. Interest and attomey's fees. JS^ CONTRACTOR SIGNATUR V, DAGENT DATE '^-TgrT? ^ / hereby affirm that I am exempt from Contractor's License Law for the following reason: I I I, as owner of the property or my employees with wages as their sole compensation, will do the work and Ihe structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contraclor'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). I I I, as owner of tho 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 Ucense Law). • I am exempt under Section _ .Business and Prolessions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. QVes I iNo 2.1 (have / have not) signed an application for a building permit for the proposed work, 3.1 have contracted with the following person (fimn) to pn3vide 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, supen/ise 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): PROPERTY OWNER SIGNATURE QAGENT DATE •JMw—iwti mtmiY i uiw Is (he applicani or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Seclions 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 HET 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 Lender's Name Le I Code). 1 certify that I have read the application and state thatthe above Infoimation Is conect and that the Infomiation onthe plans Is accurate. 1 agree to comply with all City ordinances and State laws relating to bulldlng constmction. I hereby authorize representativB 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 pennit is required lor excavations over 5'0' deep and demolition or constmction of structures over 3 stories in heght. EXPIRATION; Every pemiit issued by the Buikling Oflicial under the provisbns of this Code shall expire by limitation and become null and vokj if the buikling or work authorized by such permit is not commenced within 180 days from the date of such pemiit or if the buikling or authorized by such pennit s suspencied or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Unifomi Buikling Code). APPLICANT'S SIGNATURE DATE i J 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 buildinq(a>carlsbadca.aov or Mall the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carisbad, Califomia 92008. C0#: (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 PICKUP: CONTACT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) MAIL / FAX TO OTHER: OCCUPANT (Listed above) OCCUPANT (Listed above) ASSOCIATED CB#_ NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION ^ef APPLICANT'S SIGNATURE DATE REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESSf^ "^-^ cW^^jvjA 2. TYPE OF BUILDING: RESIDENTIAL COMMERCIAL 3. ROOF SLOPE: RISE ''(^^ INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 2 3 . 5. TYPE OF EXISTING ROOF COVERING SHEATHING *6. NEW ROOF MATERIAlfTor^j-^ CLASS ^WEIGHT PER SO. 7. NUMBER OF SQUARES 8. TRADE NAME'^^r^^Vv MANUFACTURER jW^'CP^^ 9. ROOF SYSTEM LISTING: ULNO. I.C.C.E.S. Report# ASTM 10. IS THE EXISTING STRUCW^AL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? K^^^^^S\ NO All roof coverings are required to be CLASS A. Connbustible 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. Signatur^^^^^ Date'7'~ / ^ 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*: CB152367 Date Inspection Item 09/02/2015 19 Final structural 09/02/2015 19 Final structural 08/17/2015 15 Roof/Reroof 08/14/2015 15 Roof/Reroof Type: MISC REROOF Inspector Act Rl PB AEK AEK AP AP AP PILGRIM CHURCH-RE-ROOF 2400 SF OF TORCH DOWN ROOFING- DETACHED Comments WILL LEAVE LADDER @ ROOF AM PLEASE Wednesday, September 09, 2015 Page 1 of 1