HomeMy WebLinkAbout2045 CHARLEEN CIR; ; CB153481; Permit10-15-2015
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Miscellaneous Permit Permit No: CBI53481
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
PC#:
Project Title:
2045 CHARLEEN CR CBAD
MISC
2053302100
$4,440.00
MOORE: REROOF 24 SQ
Subtype:
Lot#:
REROOF
0
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
10/15/2015
SLE
10/15/2015
10/15/2015
Applicant:
CURTIS CONSTRUCTION
Owner:
MOORE FAMILY TRUST 05-19-87
3420 DONNA DR
CARLSBAD, CA 92008
2045 CHARLEEN CIR
CARLSBAD CA 92008
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
PERMIT/INSPECTION $122.00
$0.00
$0.00
$122.00
Total Fees: $122.00 Total Payments To Date: $122.00 Balance Due: $0.00
Inspector.^^O
FINAL APPROVAL
Date: /t7 '"Zf'/^ Clearance:
NOTICE Rease take NOTICE ttiat apprcval of >ajr prqject indudes the "Imposition" of fees, dedcations, neservations, a cither ejections tiereafter cdlectively
referred to as "fees'exactions." You have 90 days frmi the date ttiis perrnit vvas issued to protest irrposition of these fees'exactk^ If yxi protest them, you must
fdlcwthe prdest procedures set forth in Gcverrrient Code Section 66020(3), and file the protest axl any other recMiEdinfonrHtionvwth the Qty IVIanager for
processing in aocordanoe with Carlsbad Munidpal Code Section 3.32030. Failure to tiriEly fdlcw ttiat prooedure will bar any subsequent legal action to attack,
ra/iew, set aside, vdd, or amd their inposition.
You are heneby FURTl-BR NOnRED ttiat yoLT rigtt to prdest the spedfied fees'exacUons IXES
dianges, nor plaming, zoning, grading a ottier sirrilar application processing a servioe fees in oonnection VMth this prqjed. NOR DOK IT/VPR.Yto any
fees/'exadions of which vou have oneviouslv been dven a NOTICE sirrilar to this a as to which the statute rf lirritations has previouslv dtierwase exared.
THE FOLLOWING APPROVALS REQUiRED PRIOR TO PERMIT ISSUANCE: OPLANNING •ENGINEERING nBUILDING OFIRE nHEALTH •HAZMAT/APCD
Ccityof
Carlsbad
Building Permit Appiication
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax:760-602-8558
email: building(gcarlsbadca.gov
www.carlsbadca.gov
Plan Check No.C5 15 ^^^g" |
EstValue ^ j\^AO
Plan Ck. Deposit
Date vn-SWPPP
JOB ADDRESS SUITE*/SPACEi/UNIT*
CT/PROJECT # PHASE » # OF UNITS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC GROUP
DESCRIPTION OF WORK: Incfude Square Feet of AfTected Area(s;
-^it-rlA^^^-Te»P^ "POoJjJ pduypL^
2-A 'bcyaoJTtU
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YESj""!* NCj I
AIR CONDITIONING
YES Q^NO I I
FIRESPRINKLERS
YES I |NO| I
APPUCANT NAME
Primary Co
ADDRESS
PROPERTYOWNER
ADDRESS
CITY ^ STATt, ZIP
PHONE^ , Z— TFW ..« ~>
CITY
EMAIL . I
PHONE wx
EMAIL
DESIGN PROFESSIONAL
ADDRESS ADDRESS
CONTRACTPR BUS. NAME ^ _ ^ <
JO ——^ w
CITY STATE ZIP CITY
PHONE FAX
EMAIL tMAIL ^
LIU.». CITY BUS. LIC.#
ts ri2.o^3iq
icuire, prior to its issuance, also requires tlie
(Sec. 7031.5 Business and Professions Code: Any City or County v»nich requires a permit to construct, alter, improve, demolisii or repair any strucuire, prior to its issuance, also requires the applicant for such permitto file a signed statement that he is licensed pursuantto the provisions oftiie Contractor's License Law {Chapter 9, commendingwith Section 7000 of Division 3 ofthe Business and Professions Code) ortnat he is exempt therefrom, and the basis for the 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
Workers' Coinpensation Declaration: / hereby affirm under penatty of perjury one ofthe following declaratbns:
11 Iiave and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perionnance of the woh( for which this pemiit is issued.
have and will maintain worltere' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance earner and policy
number ane: Insurance Co. "'"'> 1 & V~0 ^ Policy No. J ^dnS'^^'^ Expiration Date J- /*~/ Co
This section need not be completed if the pemiit is for one hundred dollars ($100) or less.
I I Certificate of Exemption: I certify that In the perfomiance of the work for which this pemilt Is Issued, I shall not employ any person In any manner so as to become subject to the Workers' Compensation Laws of
Califomia. WARNING: Failure to secure woriiere' 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 Laborcgde, interest and attomey's fees.
JS^ CONTRACTOR SIGNATURE •AGENT DATE
OWMER-BUItDER DECLARATION
/ hereby affirm that I am exempt from Conftactor's Ucense 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 the stmcture 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 thiough his own employees, provided that such improvements are not intended or offeied 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 the property, am exclusively contracting with licensed contractors to constnict the project (Sec. 7044, Business and Prafessions 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).
I I 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 praposed property impravement. QYes j INO
2.1 (have / have not) signed an application for a building pemiit for the praposed work.
3.1 have contracted with the following person (fimi) to provide the praposed construction (include name address / phone / contractors' license number):
4.1 plan to provide portions of the work, but I have hirad the following person to cooidinate, 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 workj:
PROPERTY OWNER SiGNATURE •AGENT DATE
C&MPtETE THIS SECTiON FOR NON-RESIOENTIAL BUILOING PERMITS ONLY
Is the applicant orfuture building occupant required to submit a business plan, acutely hazardous matehals 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 applicani or future building occupant required to obtain a permit from the air pollution control district or air qualily management district? Yes No
Is the facility to be constmcted 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
CONSTRUCTION LENOING AGENCY
I hereby affirm that there is a construction lending agency for the perfomiance of the work this pennit is issued (Sec. 3097 (i) Civil Code).
Lenders Name Lender's Address
APPLICANT CERTIFICATION
I certiii; that i have read the appiication and state that the above infonnation is conect and that the infonnation on the pians is accurate. 1 agree to comply with ail City oidinances and State laws relating to buiiding constniction.
I hereby auihorize representative ofthe City of Carlsbad to enter upon the above mentoned propeity for inspecticn purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILfTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CffY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA pemilt Is required for excavations over S'O' deep and demolition or constmctton of sinjctures over 3 stories In height.
EXPIRATION: Every pemnit issued by the Building Oflicial under lhe provisions of this Code shall expire by limitation and become null and void if the building or vroik authorized by such pemiit is not commenced wilhin
180 days from the date of such pemiit or if the building or vwrk authorized by such permit is suspended or abandoned at any tme afler the WDri( is commenced for a pericxJ of 180 days (Section 106.4.4 Unifoim BuikJing Code).
^efAPPLICANT'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 buildinq(S)carlsbadca.qov or Mail the completed fomi to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008.
C0#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANTS BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
IVIAILTO: 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
^APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB153481 Type: MISC REROOF MOORE: REROOF 24 SQ
Date Inspection Item
10/20/2015 19 Final Structural
10/20/2015 19 Final Structural
10/16/2015 15 Roof/Reroof
10/16/2015 15 Roof/Reroof
Inspector Act
Rl
PB AP
Rl
PB AP
Comments
PM PLEASE
Tuesday, October 20, 2015 Page 1 of 1
REROOFING SUPPLEMENTAL BUlLDiNG PERMIT APPLICATION
1, JOB ADDRESS: "Z^VS" C^cj^UjS^ ClUdLi^
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 J-Ur- SHEATHING
*6. NEW ROOF MATERIAL TO Uf rLC^ CLASS ^WEIGHT PER SQ.
7. NUMBER OF SQUARES Z ^
8. TRADE NAME Kouy fl MANUFACTURER ^QHj^^LA$f
9. ROOF SYSTEM LISTING:
ULNO. I.C.C.E.S. Report# g:>tP"^OfO
ASTM DC^Z-Z-T^pli-
10. IS THE EXISTING STRUCXygjAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE
PROPOSED ROOF? (^YE§^ 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 ZA(. ^ Date /a -/.r^ef"
Contractor >C Owner Contractor
Name J^L. ^fMR^
*6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass. Built Up, Other
B-10 Page 4 of 4 Rev. 02/11