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HomeMy WebLinkAbout2060 LAURIE CIR; ; CB122577; Permit.. City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-03-2012 Miscellaneous Permit Permit No: CB122577 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: 2060 LAURIE CR CBAD MISC 2051521800 $3,004.00 WHITE RES -RE-ROOF 22 SQ Subtype: REROOF Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: TEAROFF EXISTING ROOF. SHINGLE PITCHED AREA WITH Applicant: RLT ROOFING STE 200 2424 VISTA WAY OCEANSIDE CA 92054 760-583-9867 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Owner: WHITE RICHARD V&STEPHANIE A 2060 LAURIE CIR CARLSBAD CA 92008 BUILDING PERMIT PENDING 12/03/2012 SKS $118.00 $0.00 $0.00 $118.00 Total Fees: $118.00 Total Payments To Date: $118.00 Balance Due: Inspector: 6INAL APPROVAL Date /2 · It -tZ: 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 pem,it 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, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any f i n whi h T im'I i h h l'mi h THE.FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: [] PLANNING 0 ENGINEERING )~_'_ ~~ .. , ~ CITY OF CARLSBAD CT/ ROJECT # LOT# Building Permit Application 1635 Faraday Ave., Garlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: buldllng@carlsbadca.gov www .ca rlsbadca .gov # BATHROOMS □BUILDING Est. Value Plan Ck. Deposit Date '2,3j SWPP APN OCC. GROUP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) FIREPLACE YES □#_ NO □ AIR CONDITIONING FIRE SPRINKLERS YES □ NO □ YES □ NO □ APPLICANT NAME (Secondary Contact) ADDRESS ZIP ,-/_ ~r CITY STATE ZIP PHONE FAX EMAIL CONTRACTOR BUS. NAME ZIP STATE ZIP PHONE FAX EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC.# STATE LIC.# q Workers' Compensation Declaration: I hereby afflnn under penalty of petjury 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. f:Sl' I have and will maintain work«s' compensat!E:._as req~d,by Section 3700 of the Labor Code, for the performance of~ YJOrk Jj)I" whiCll,,this permit is issued. My workers' compen~ation inirance carrier and policy numberare:lnsuranceCo. .,S ~ tL ~ {J Policy No. / o._7.S 7 ~ L Expiration Date 3 -_ -/J This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the performance of the worl\ for which · rmit 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 w mpensation coverage· unlawf , and shall subject an employer to criminal penalties and civil fines upto one hundred thousand dollars (&100,000), in addition to the cost of compensation, d vided in S ion 06 oft abor code, interest and attorney's fees. AS CONTRACTOR SIGNATURE 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 O'Mler-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 with 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 arid materials for construction ol the proposed property improvement □ Yes □ No 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number)· 4. I 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/ contractors' license number): 5. I will provide some of the YJOrk, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone/ type of work}: AS PROPERTY OWNER SIGNATURE □AGENT DATE • 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 Substa11ce Account Ac(! □ Yes D 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 O No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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 certify that I have read the application and state that the above information is correct and that the lnfonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating bJ building construction. I hereby authorize representative of the City of Cansbad to enter urx>n the aOOve mentioned property for inspecoon purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CrTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHk An OSHA permrt is requil'OO forexcavahons over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Buildin ial under the provisbns is shall expire by limitation and become null and vokl ~ the building orv.ort<. authorized by sudi permit is not commenced within 180 days from the date ofsuci1 permit or ifth ild' or WJfk authorized b u rmlt is suspended or abandoned at any time after the 'MJfk is commenced for a peliOO of 180 days (Section 106.4 4 Uniform Building Code) ,N$ APPLICANT'S StGNA TURE 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 www.building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008 CO#: (Offlce Use 0nty) CONTACT NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL DELIVERY OPTIONS □ PICK UP: c CONTACT (Listed above) cJ OCCUPANT (Listed above) r] CONTRACTOR (On Pg. 1) □ MAIL TO: □ CONTACT (Listed above) n OCCUPANT (Listed above) n CONTRACTOR (On Pg. 1) □ MAIL/ FAX TO OTHER: .. .............. _ A$ APPLICANT'S SIGNATURE OCCUPANT NAME BUILDING ADDRESS CITY STATE Carlsbad CA OCCUPANT'S BUS. UC. No. o ASSOCIATED CB#------------- □ NO CHANGE IN USE/ NO CONSTRUCTION o CHANGE OF USE/ NO CONSTRUCTION DATE ZIP REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOBADDRESS: df2 ~ ~ ~ 2. TYPE OF BUILDING: RESIDENTIAL X COMMERCIAL ___ _ 3. ROOF SLOPE: RISE '/17.-c INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 2!) 2 3 5. TYPE OF EXISTING ROOF COVERING ;:;:JJ,k SHEATHING __ _ C'-"7Jt' -~ "'jru,L,.~S~ *6. NEW ROOF MATERIAL SJ\ «r CLASS ,4 WEIGHT PER SQ. __ 7. NUMBER OF SQUARES 2---'i--- 8. TRADE NAME _______ MANUFACTURER-'G;'""--"a.::..::....,-f?,_ ____ _ 9. ROOF SYSTEM LISTING: UL NO. ?51! I 97f I.C.C.E.S. Report# _____ _ ASTM _____ _ 10. IS THE EXISTING STRUC~L DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? (_o/ 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 ladder exte ding at least 2 rungs above the roof for inspection. Contractor-=--t-:-=-Owner _____ Contractor Name /(~ 'f R 'p. ,:;v._ ~ 0 ,-<-/ *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other B-10 Page 4 of4 Rev. 02111 Inspection List Permit#: CB122577 Type: MISC REROOF WHITE RES · RE-ROOF 22 SQ TEAROFF EXISTING ROOF. SHINGLE Pl Date Inspection Item -----Inspector Act Comments 12/11/2012 19 Final Structural RI 12/11/2012 19 Final Structural PB AP 12/04/2012 15 Roof/Reroof RI EARLY PM PLS 12/04/2012 15 Roof/Reroof PB AP Wednesday, December 12, 2012 Page 1 of 1