HomeMy WebLinkAbout2140 JANIS WAY; ; CB043599; Permit~ c v\ JO City of Carlsbad
,, . ii{ 1635 Faraday Av Carlsbad, CA 92008
B ilding Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
Applicant:
2140 JANIS WY CBAD
MISC
1672402000
$10,730.00
Subtype: REROOF
Lot#: 0
SCHAFER RES-REPLACE SHAKE
WILT WT CONC. TILE-37 SQRS (ICBO 3748)
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
PIVA ROOFING, BOB SCHAFER FAMILY TRUST 11-30-88
1192 INDUSTRIAL AV
ESCONDIDO, CA 92029
619-745-4700
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees: $179.00
2140 JANIS WAY
CARLSBAD CA 92008
PERMIT FEE
Total Payments To Date: $0.00 Balance Due:
ISSUED
09/17/2004
KMT
09/17/2004
09/17/2004
$179.00
$0.00
$0.00
$179.00
$179.00
.1421 09/17/04 0002 01
CGP
Inspector: Clearance:
NOTICE: Please take NOTICE at approval of your project includes the "lmpo lion" 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
fees/exa ions of which ou have revi usl been iven a NOTI E imilar to this or as to whi h the statute of limita i n h s reviousl therwis x ired.
0.2
179,, 00
FOR OFFICE USE ONLY
PLAN CHECK No.C8di.35q°(
EST. VAL. ID, 730-
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
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,
Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No.
Assessor's Parcel # Existing Use· Proposed Use
Total # of units
Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms
'R.e_reo(? · ~he.~ .+o-r,·~ 3 1-ol .
fi.9.[c.o.&'tfC:-T°lel.:~'.b"'ro(ir.l~l!fer"entl'ttoMa'p'pitTe'i,iUiA'SD!¥!~Ml~~0"'1~~;r,;t'l'i,f1t,~*~r'.>,if.:1~.~~z;,_11,j~t't~t~;;~r~~~~-1¥'~W•fi(:i"4t~•f·.,·'•.~~;t,~i;~'f:;'.:
~!~~lli;i~~Jr,J,?trnl;gli{(:/ilt"ri&11ii\+:-J1~,.
'J.ooS '=IIPO r c; ..so3
Telephone #
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(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
Issuance, also requires tho applicant for such permit to file a signed statement that he ls licensed pursuant to the provisions of tho Contractor's License Law
(Chapter 9, commending with Section 7000 of Division 3 of tho Business and Professions Codel or that ha Is exempt therefrom, anl:f the basis for tho alleged
exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a civil penaIty of not more than five hundred dollars ($500)).
~ \ <A. s; u \ P..ve.. =sc nd1 . 'T(p -1.r:roO
City State/Zip Telephone #
State License # o/..1 r Cj:!;8 License Class --~(3~_4' ____ _ City Business Lic.ense # / ~ 03131$
Designer Name Address City State/Zip Telephone
State License #
r&Sw.5.iiREiis"'.(c,ol;f P!:'NSATiON.S.. 1 '""&II~i~~~:,.,W?ft:'tt3?t\.iJ~~7'f~J0.>~~:;';:,; .,~z+t.ti.~~'1 :tt\:'i
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
O 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 tho performance
of the work for which this permit is Issued.
!Si!' I have and will maintain workers' compensation, as required by Section 3700 of tho Labor Codo, for the performance of the work for which this permit is
1ssued. My worker's compensation insurance carrier and policy number are: _ · _ / _
Insurance Company s+o..:te. £,,oA _ _ Policy No. oZ&s OCo~33SOj Expiration Date (p /1 O;;>
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS)
O CERTIFICATE OF EXEMPTION: I certify that in tho performance of the work for which this permit Is issued, I shall not employ any person in ony manner so os
to become subject to the Workers' Compensation Laws of California.
WARNING: Failure to secure workers' mpensatlon coverage Is unlawful, and shall subject an employer to crlmlnnl penalties nnd civil fines up to one hundred
thousand dollars ($100,09,1'), in addition tha cost of compensation, damages as provided for In Section 3706 of the Labor oda, te est nnd attorney's fees.
SIGNATURE • k.(' 0~ . DATE °( IG
ffW'6WNEii:S:u1\:5'ER 'i:fEcfiAFl'At1bN~~m'P".ll;?:":S.::it;J~:li!\,~.J:-~.filt,)~J,Hfl[· ';>?'~IJ''1'1f/,'\,~~~~•~~"!'!!'';.:'.,f">l;".r.t{t~!
I hereby affirm that I am exempt from the Contractor's License Law for tho following reason:
0 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 owner-builder will have the burden of proving that ho did not build or Improve for the purpose of sale).
O 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 Low does not apply to on owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed
pursuant to t~e Contractor's License Law).
O I am O)(empt under Section ______ Business and Professions Codo for this reason:
1. I personally plan to provide the major labor_ and materials for construction of the proposed property Improvement. 0 YES ONO
2. 1 (have / havo not) signed on application for a building permit for tho proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number):
4. I plan to provide portions of the work, but I have hlrod the following person to coordinate, supervise and provide the major work (Include name / address / phone
number / contractors license number): ______________________________________________ _
5. I will provide some of tho work, but I have contracted (hired) tho following persons to provide tho work indicated (include name/ address / phone number / type of work):. _________________________________________________________ _
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 Act7 0 YES O NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management dlstrict7 0 YES O NO
Is the facility to bo constructed within 1,000 foot of the outer boundary of a school site7 0 YES O 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.
l.~M'.CoB~Jtrul:Gl-L~ .. ~ ~.~~_QJ J~ ~~~W_J~ ~ •. ,!&t~™~1t;~~~llW~~~fr;~~!t~~l~'!~-::~~;~~:~)·~~'-tkt~~1;!'!:•.ti:\?~\~t·,~~A~
I hereby affirm that there Is a construction lending agency for tho performance of the work for which this permit Is issued (Soc. 3097(i) Civil Code).
1-ENOER'S NAME
~'Il!l.1:C~rillif£cel{Tlf:]:1f:(@f:i
LENDER'S ADDRESS
I certify that I have road the application and state that the above Information is correct and that the Information on the plans Is occurote. I agree t~ comply with all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit\' of Carlsbad to enter upon the ~bove mentioned
property· for Inspection purposes. 1 ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST I L LIABILITIES,
JUDGMENTS, COSTS p.ND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS ERMIT.
OSHA: An OSHA permit Is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories In height.
EXPIRATION: Every permiI Issued by the building Official u r •he provisions of lhis Code shall expire by limitation and become null and void if th building or work
authorized by such permi• Is not commenced within 180 days tho date of such permit or if the building or work authorized by such permit Is suspen ed or abandoned
at any time after tho work Is commenced _for f~eriod of 180 s (S,ctlon 106.4.4 Unllorm Building Code). L / f I
APPLICANT'S SIGNATURE --=.LJ<.=a:..:/tt._=-----'"--.oG---'-"'--------------DATE __ ct ___ /_lb_/'--t~ _____ 1-----
WHITE: FIio YELLOW: Applicant PINK: Finance
City Of .Carlsbad
SUPPLEMENTAL' 81:JILDING PERMlt APPLICATION FOR REROOFING
1. JqBADDRESS: J..[LJO :ro:c,i6 W'tj
2. TYPE OF BUILDING: RESIDENTIAL X COMMERCIAL __ -=-
3. ROOF SLOPE: RISE L/ inches in 12 inches
4. NUMBER OF EXISTING.ROOF COVERING (circle one} (i) 2 3
5. TYPE OF EXISTIN.G ROOF COVERING Sh °''f:((.SHEATHING '/2~ OS~ .
*6. NEW ROOF MATERIAL T ~ \e..., CLASS A WEIGHT PER SQUARE .
7. -NUMBER OF SQUARES 3 :I: . . h+ ·
8. TRADE NAME tJJePI/Jered .5ha Ke_"' L,~FACTURER \-\e. n-=,o n
9. ROOF SYSTEM LISTJN~ UL No. -1cso· No .. ____ 3_+...;..J./7{;;..,__~
10. IS THE EXISTING STRUCTURAL PESIGN SUFFICIENT TO SUSTAIN THE
WEIGHT OF THE PROPOSED ROOF? @) ·NO
,•
All roof coverings are required to·be-CLASS A.'Combli~tibl~ roof coverings
of any type or classification are·prohibited.
I understand the following inspections are require~: .. i?
1. Tear Off/Pre.:.ins·pection prior to instal(new·roof covering.·
2. Final Inspection
. .
I agree to provide a ladder extending at least 2 rungs _above the roof for
inspection.
Signature_.· Y.C-4<W--=-'J£<.>.,-k_, ___,-(.._...1--'--t-:£,,....: _____ Date_q+-(t1t--'fe'--~-4 __ _
r1
Contractor X Owner . . . Contractor N~rre oo'o ?,'-1 a, ,2..0 0~-:3
"6 . Rolled koo 11g, Sta 1claH.!/U~,:. T:l:, A:iiJhn t'Comr-Fiberglass_ R1i"lt up,
Other. ·
✓
City of Carlsbad Bldg Inspection Request
For: 11/17/2004
Permit# CB043599
Title: SCHAFER RES-REPLACE SHAKE
Description: W/L T WT CONC. TILE-37 SQRS (ICBO 3748)
Type: MISC Sub Type: REROOF
Job Address: 2140 JANIS WY
Suite: Lot 0
Inspector Assignment: PY ---
Phone: 7607454700
Location: Inspector:
OWNER SCHAFER FAMILY TRUST 11-30-88
Owner: SCHAFER FAMILY TRUST 11-30-88
Remarks:
Total Time:
CD Description Act Comment
----
Requested By: BOB PIVA ROOFING
Entered By: CHRISTINE
19 Final Structural -/K:f)-----
Associated PCRs/CVs
Inspection History
Date Description
11/02/2004 15 Roof/Reroof
Act lnsp Comments
AP PY