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Home My WebLink About2042 MAR AZUL WAY; ; CB150014; PermitCity of Carlsbad .. 1635 Faraday Av Carlsbad, CA 92008 01-05-2015 Miscellaneous Permit Permit No: CB150014 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2042 MAR AZUL WY CBAD MISC Subtype: REROOF Status: Parcel No: Valuation: Reference #: PC#: Project Title: Applicant: 2151304700 $8,018.00 ROLFES RES-RE-ROOF 4900 SF COMPOSITION OLD FASHION ROOFING CO 1137 EVILO ST EL CAJON CA 92021 619 447-3814 Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Owner: ROLFES KENNETH D&MARY A 2042 MARAZUL WAY CARLSBAD CA 92009 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees PERMIT FEE TOTAL PERMIT FEES ISSUED 01/05/2015 RMA 01/05/2015 01/05/2015 $182.00 $0.00 $0.00 $182.00 Total Fees: $182.00 Total Payments To Date: $182.00 Balance Due: Inspector: FINAL APPROVAL Date: /-/'I-Ir Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition· of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." 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. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING Ccityof 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 SUITEI/SPACEI/UNI □BUILDING □FIRE # BEDROOMS # BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet of Atrected Atea(s) ,~~7ik'~ :1-P&-_ EXISTING USE APPLICANT NAME Primary Contact ADDRESS CITY PHONE EMAIL DESIGN PROFESSIONAL ADDRESS CITY PHONE EMAIL PROPOSED USE STATE FAX STATE FAX GARAGE {SF) PATIOS (SF) PROPERTY OWNER ADDRESS ZIP CITY PHONE 1£o Sl. -4, EMA\L ZIP STATE LIC. # STATE :s FAX □HEALTH 0HAZMATJAPCD SWPPP CONSTR. TYPE OCC. GROUP ZIP FIRE SPRINKLERS YES0NO□ (Sec~ 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to_c_onstruct, alter, improve, demolish or repair any: structure, prior to its iss ce, also requi es the applicant for such permit to file a signed statement that he 1s licensed pursuant to the prov1s1ons of the Contractor's License Law /Chapter 9, commending with Sect1_ 7000 of Division 3 of the Business and Professions Code) or that he 1s exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: .QI 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 perfom1ance of the work for which this pem1it is issued. ~ I have and will maintain workers' compensation, as raQuired by Section 3700 of the Labor Code, !i~~ ~1.m1ance of the work for which this permit is issued. My workers' compenhn insurance carrier and policy numbe, ·~ lnsoranr.e r.o f. ~Ir~ Ix fi<At,f f.ff,ff;f;,'ffo /,a!, n-fli{-'745:-CB E,~raton Date • I · .). c 15 J.m.section need not be completed if the permit Is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the pertonnance 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, end shall subject an employer to criminal penalties and civil fines up to one hundred thousand doll an (&100,000), in addition to the cost of compensation, dama es.as lded in Section 3706 of the Labor code, interest and attorney's fees. ~ CONTRACTOR SIGNATURE t:_')(,t;C.,l,,J ~ ~AGENT I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ □ □ 1, as owner of the property or my employees with wages as their sole compensation, will do the work and lhe 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). 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 wtlh contractor(s) licensed pursuant to the Contractor's License Law). 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. OYes 0No 2. I {have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (finn) to provide the proposed construction (include name address I phone I contractors' license riumber): 4. I plan to provide portions of the worll, but I have hired the following person to coordiriate, supervise and provide the major work (include name I address I phone I contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to pro~ide the work indicated (include riame I address I phone/ type of work): ~ PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE T_HU $1'.CTION FOR NON•hli'.SIDENTHIL IBIILDING PIIRMITS 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 25505, 25533 or 25534 of the Presley-Tarmer Hazardous Substance Account Act? Yes No Is the applicant or future building occupant required to obtain a permit from the air pollubon 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 MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT, I hereby affirm that there 1s a construction lending agency for the performance of the work this permit 1s issued (Sec 3097 (1) C1v1I Code) Lender's Name lender's Address ,11.P!'LICANT CIIRTIFTC,11.TIO.N l certify that I have ,ead the application and state that the abow Information is oorrect and that the infonnatlon on the plans Is accurate. I agree 1D c:omplyv.tth all Chy ordinances and Sta1e laY.5 181ating 1D buUdng oonstruction. I hereby authorize representative of the City of Carlsbad to enter up::in the al:xtve mentioned property Dr iru;J):!Clion puflXlses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CllY OF C.ARLSBAD AGAINST All LIAfllLITIES, JUOOMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA permit is requred fof excavations over 5'0' deep and demolltbn or coostruction of structures over 3 stories in h8ghl. EXPIRATION: Every permit i.ssued by the Buikling Offdal under the provisions of this Code shall expire by limilaOOn and become null and VOO ff the buikling Of oork authorized by sud"t permit is not oommem:ed v,,rthin 180 days from the date of such permit Of if the lxlilding orv.ork aulho · by such pennit is suspended or abandoned at any time after the v.ork is oommenced for a period of 180 day.; (&!coon 100.4.4 UnOOrm Building Code). A$ APPLICANT'S SIGNATURE DATE j -5' -;;4')f'5 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 building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Car1sbad, California 92008. CO#: (Office use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. UC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) MAIL TO: CONTRACTOR (On Pg . .1) CONTACT (LISted above) CONTRACTOR (On Pg . .1) OCCUPANT (Listed above) MAIL/ FAX TO OTHER: _______________ _ i! APPLICANT'S SIGNATURE ASSOCIATED CB#------------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESS: :kt/~ l[JI}(? Aul t!lAff 2. TYPE OF BUILDING: RESIDENTIAL X COMMERCIAL. ___ _ ; 3. ROOF SLOPE: RISE f INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE)eD 2 3 • 5. TYPE OF EXISTING ROOF COVERING £/ff SHEATHING /J/"lt,t)Mt/ B-10 *6. NEW ROOF MATERIAL G,/tf 5J-hµµ,;5cLASS fl: WEIGHT PER SQ.3tl? 7. NUMBER OF SQUARES_t/9.,_,_ ___ _ 8. TRADE NAME1i'niWt¥ {q}/aJ:;1{tNUFACTURER c;.-;4-F 9. ROOF SYSTEM LISTING: ULNO. 79/J ASTM 'Q]ff;'</ I.C.C.E.S. Report# t?.s/l -lf;lf 10. IS THE EXISTING STRUC~DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? eY 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-Inspection 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 Ml!] ~ ~ Contractor 'j Owner ____ Contractor Date_J,_-_..6'----"-J-,-~_/_5' __ Name ---------- *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other Page 4 of 4 Rev. 02/11 Inspection List Permit#: CB150014 Type: MISC Date .. Inspection Item 01/13/2015 19 Final Structural 01/13/2015 19 Final Structural 01/06/2015 13 Shear Panels/HD's 01/06/2015 15 Roof/Reroof Wednesday, January 14, 2015 REROOF Inspector Act RI PB AP RI PB AP ROLFES RES-RE-ROOF 4900 SF COMPOSITION Comments PM PLEASE Page 1 of 1