HomeMy WebLinkAbout2048 AVENUE OF THE TREES; ; CB151742; Permit06-08-2015
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Miscellaneous Permit Permit No: CBI51742
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
PC#:
Project Title:
2048 AVENUE OF THE TREES CBAD
MISC Subtype: REROOF
1562900900 Lot#: 0
$7,076.00
HAVERKAMP- RE-ROOF-1700 SF
REMOVE STD WEIGHT CONCRETE TILE & REPLACE W/ NEW
Status
Applied
Entered By:
Plan Approved
Issued
Inspect Area
ISSUED
06/08/2015
RMA
06/08/2015
06/08/2015
Applicant:
SAN DIEGO ROOF DOCTOR
1075 LINDA VISTA DR
UNITO
SAN MARCOS 92078
760-471-7131
Owner:
HAVERKAMP ROBERT&KATHLEEN LIVING TRUST 10-05-04
2048 AVENUE OF THE TREES
CARLSBAD CA 92008
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
PERMIT FEE $166.00
$0.00
$0.00
$166.00
Total Fees: $166.00 Total Payments To Date: $166.00 Balance Due: $0.00
Inspector:
FINAL APPRpVAU
Date: Clearance:
NOTICE: Please take NOTICE tfiat approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter coiiectively
refen-ed to as "fees/exactions." You have 90 days from the date this pemiit 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 writh the City IVIanager for
processing in accordance with Carlsbad IVlunicipal Code Section 3,32.030. Failure to timely foiiow 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, 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 previouslv been given a NOTICE similar to this, or as to which the statute of limitations has previously othenwise expired.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: OPLANNING •ENGINEERING •BUILDING •FIRE nHEALTH nHAZMAT/APCD
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 m
Plan Check No.
Est. Value
Pian Ck. Deposit
SWPPP
CT/PROJECT tt |LOT# I PHASE* ' |# OF UNITS |# BEDROOMS
SUITEt/SPACEf/UNITl
# BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: /nc/ude SQuare Feet of Affected faetis) 'TIT . j _ / ^ y_ 7Z. T
EXISTING USE PROPOSED USE PATIOS (SF) DECKS (SF) FIREPLACE
YES|~|# N0| I
AIR CONDITIONING
YES I |NO| I
FIRESPRINKLERS
YES I |NO| I
APPLICANT NAME
Primary Contact
PROPERTYOWNER
ADDRESS f . / / y
CITY _ , , ~^ STATE ZIP
WNER , , I
ADDRESS .
CITY STATE ' ' ZIP STATE
PHOTTE
STATE
PHONE FAX
74-0-^7/- 7/JU--27^&
FAX
EMAIL EMAIL
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME
ADDRESS ADDRESS (X / JJ
IY _ STATE ZIP CITY STATE ,\ I I
PHONE FAX
7/^-^7/-7/J/ FAX
EMAIL EMAIL
> £/^>^^
;TATF I ir a ' ri PITY CITY BUS. LIC.#
(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 issu/r)6S7alsorequir^sthe 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 Sectjonf/OOO 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 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' Compensation Declaration: / hereby affirm under penalty ofpeijuiy one ofthe following declarations:
_J I have and will maintain a certlflcate of consent to self-insure for woiters' compensation as pravided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
Jidl have and will maintain worlters' compensation, as required by Section 3700 of the Labor Code, for the perfonnance of the work for which this permit is issued. My workers' compensation insurance earner and policy
number are: Insurance Co. ^//^/V^ ^.Z) Policy No. _ Expiration Date
This section need not be completed if the permit 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 pemiit 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 workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil flnes up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as providedin SecgaD-37MrUl'tn6Labui code, interest and attomey's fees.
JS^ CONTRACTOR SIGNATURE • AGENT DATE
0 W N E R-BUIt06R DEri.ARAriON
/ hereby affirm f/iaf / 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 the stnjcture is not intended or oflered 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 I I, as owner of the property, am exclusively contracting with licensed contractors to constmct 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),
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 proposed property improvement. [^Yes j iNo
2,1 (have / have not) signed an application for a building pemiit for the proposed work,
3,1 have contracted with the foliowing person (fimi) to provide the proposed construction (include name address / phone / contractors' license number):
4.1 plan to provide portions of the wori(, but I have hired the following person to coordinate, supervise and provide the major worit (include name / address / phone / contractors' license number):
5,1 will pravide some of the work, but I have contrxted (hired) the following persons to provide the wori( indicated (include name / address / phone / type of wort():
^PROPERTY OWNER SIGNATURE •AGENT DATE
COMPLETE THiS SECTION rOR NON-REStOEMTIAL BUItOtHG 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 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? Yes ^^S^
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quj% management district? Yes (W^
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes (^iO
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 LENDING AGENCY
I hereby aflirm that there is a construction lending agency for the performance of the work this pennit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I cetti^ that I have read the applteation and state thatthe above inlbnnation is correct and that the intbrmotion on the plans is accurate. I agree to complywith ail City oidinances and State iaws lelating to building constmctton.
I hereby authorize representative of the Qty of Carlslad to enter upon the above mentioned property for inspeclion purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CfTY 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 stmctures over 3 stories in height,
EXPIRATION; Every permit issued l)y the Building Oflicial under Ihe provisions of Ihis Code shall expire by limitaton and become null and void if the building or m\<. aulhorized by such pemnit is not commenced wilhin
180 days tam the date of such pemiit or if the building or vwrt< authorized by such pemiit is suspend^iiLabandoned at ariy time afler the wortt is oommericed Ibr a period of 180 days (Section 106,4.4 Uniform Building Code).
'APPLICANT'S SIGNATURE
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 bulldinotSlcarlsbadca.aov 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 OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAILTO: 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
>ef APPLICANT'S SIGNATURE DATE
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
1. JOB ADDRESS: ^-^4^^ A/J^A/O/f G/-7^^ ^fe"^
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 j^^o^
*6. NEW ROOF MATERIAL^.^^/ug/g^ CLASSWEIGHT PER SQ. S^>^^
7. NUMBER OF SQUARES / ^
8. TRADE NAME /^^^J^^ MANUFACTURER /^/^
9. ROOF SYSTEM LISTING:
UL NO. I.C.C.E.S. Report # ^ S/2-
ASTM
10. IS THE EXISTING STRUCTURALDESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE
PROPOSED ROOF? C^S^
All roof coverings are required to be CLASS A. Combustible roof coverings of any type or
classification are prohibited.
I understand the foilowing 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.
Siqnature ^^^^^ ^^-^"^^ Date ^/^/f-
Contractor A-^^ Owner Contractor
Name ^/^/^ /^/"
*6. Roiled Roofing.^^S^daT^te^^fle^sphalt/Comp fiberglass, Built Up, Other
B-10 Page 4 of 4 Rev. 02/11
Inspection List
Permit*: CB151742
Date Inspection Item
06/22/2015 19 Final Structural
06/22/2015 19 Final Structural
06/09/2015 15 Roof/Reroof
Type: MISC REROOF
Inspector Act
Rl
PB AP
PY AP
HAVERKAMP- RE-ROOF-1700 SF
REMOVE STD WEIGHT CONCRETE TILE
Comments
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