HomeMy WebLinkAbout2173 CORTE ACEBO; ; CB160616; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
02-17-2016 Miscellaneous Permit Permit No: CB160616
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
PC#:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
2173 CORTE ACEBO CBAD
MISC
2552604700
$0.00
Subtype: REROOF
Lot#: 0
LEHMER: 2600 SF REPLACE FELT,
REROOF WITH EXIST TILE
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
02/17/2016
JMA
02/1i'/2016
02/17/2016
MARK ANTHONY CONSTRUCTION LEHMER SUZANNE C TRUST 04-15-04
PO BOX 1434
VISTA CA 92085
760-803-7534
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
PERMIT FEE
3716 WILLIAMS LN
CHEVY CHASE MD 20815
Total Fees: $228.00 Total Payments To Date: $228.00 Balance Due:
Inspector: fV\. {..,jjk,,
FINAL ~~~FjOVAL
Date: b_3/t>z/lb Clearance:
$228.00
$0.00
$0.00
$228.00
$0.00
NOllCE: Please take NOllCE that appuvaJ of ycur project includes tre "lrT'fXJSition'' d fees, dedications, reservations, or otrer exa::tions hereafter rolectively
referred to as "fees'exa::tions." Yoo have 00 days from the date this penrit V\aS issued to protest irrpositioo of trese fees'exa::tioos. If ycu protest them, ycu rrust
fdkmtre p-alest pra:ajures set forth in <?overnrrent Oxle Sectioo60020(a), and file tre protest a~d a~y otrer required infonratioo wth the Oty l\ll3nager for
prooossil'(l in ocrodarrewth 03r1sba:l MJnidpal Oxle Sectioo3.32.030. FailuretotirrelyfdiCMithat prcx:edurewll b:lr a~ysubsequent legal action toattad<,
rflliiENV, set aside, void, or annu their irT'fXJSition.
Yoo are rereby RRn-lERNOllREDthat yoor right to protest the specified fees'exa::tions DCES f\Of APPLYtowaterand SEMerCOITIOCtioofees and capacity
changes, nor plannil'(l, zmil'(l, gradil'(l or otrer sinilar applicatioo prcx:essil'(l or servioo fees in ccnnedioo wth this project. 1\CR. DCES IT APPLY to any
fees'exactions ofWlich vru have oreviouslv been oiven a NOllCE sinilar to this or as to Wich tre statuted linitatioos has creviouslv CJ!her.Mse expired.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING OBUILDING OF IRE OHEALTH OHAZMATIAPCD
City of Building Permit Application Plan Check No.~ h· 0 (of fe,
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov
www.carlsbadca.gov Date jSWPPP
JOB ADDRESS~ 17 3 (er-k Ac!-bto SUITE#/SPACE#/UNIT#
rPN'A 5' 5 ~' 0 '17 ~(;) -
CT/PROJECT # 'LOT# rHASE# I# OF UNITS I# BEDROOMS #BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
Rt-...~.c.. :1.6$(. (!)~ Cu4C:If.>~ -\1 le. -~.,< fc.l+ f'<pc.
:Z:"sJ.-.lf 11 u•·· fc.-IJ. P"'P"· l?c-J-t<:ot4o.lt .Jl/c.
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS
YESO NoD YES0No0 YESONoO
APPLICANT NAME A\~ Al\+lo t'IV
PROPERTY OWNER .s; Le.~/hCf" Primary Contact o~Annc
ADDRESS , ADDRESS \ 3S' N. 1"'4e. ~ frc ,S(., ..s ... ~~-c... c Al73 ( e.rfc. Ac.,. \.. .
CITY STATE ZIP CICcu-t)~ cA ZIP »" MN"t.-tJS C. fir tq2ob1 q~oo'f
PHONE I FAX PHONE I FAX I( "1(,~ ~oJ ·oSh 0~S'8'J ~ oS-;J..SS7
EMAIL EMAILb o"·~f-c. P t:~: Leo t'--
DESIGN PROFESSIONAL CONTRACTOR M;;tME " ~ si k A.l\...\-w Lo" · 19-Avl R.o,.:f: ~ II\(.
ADDRESS ADDRESS P~":f:c s.( S'ur.k. C...-~r> N.
CITY STATE ZIP CITY STATE ZIP ~~loS Cf4 q ;to61f
PHONE I FAX CJNE I FAX f>Q) So3~7S'31.f
EMAIL EMAIL
l"'t.ar\1:4.7-...w A,..Uo ,.,co,.rir-b.i~-J."',,+;IIIt,e..or
'STATE LIC. # STATE LIC.If , ~~S~~J_'f_ r1B~~s }'f.J 35'1»-.t
(Sec. 7031.5 Bus1ness and Professions Code: Any C1ty or County which requ11es a perm1t to construct, alter, 1mprove, demolish or repa11 any structure, pnor to 1ts Issuance, also requ11es the 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 Section 7000 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 applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500}).
Workers' Compensation Declaration: I hereby affirm under penalty of perjury 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. ~I have and will maintain workers' 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 carrier and policy
number are: Insurance Co. SJ.(-k, (e~'>pcns..#;".,_ l'Mc.rA,.c:c.. fVttp'( Policy No. If 0 '1 SJ'fJ] -l.S Expiration Date I./I Ill/ :2t:> I~
This section need not be completed if the permit is for one hundred dollars ($1 00) or less. 0 Certificate of Exemption: I certify that in the performance 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, 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 Labor code, interest and attorney's fees.
Ji5 CONTRACTOR SIGNATURE .r-C --z.__-....
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
D
D
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 Contractors
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 Contractors 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 and materials for construction of the proposed property improvement. DYes 0No
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 (f11m) 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 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 provide the work indicated (include name I address I phone I type of work):
Ji5 PROPERTY OWNER SIGNATURE 0AGENT DATE
I certify that I have read the application and state that the above information is correct and thatthe information on the plans is accurate. I agrea to comply with all City ordinances and Slate laws relating to building construction.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned properly for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY 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 permrr is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or oork authorized by such permit is not commenced within
180 days fi"om the date of such permit or if the building oroork authorized by such permit is suspended or abandoned at anytime after the oork is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
~APPLICANT'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 building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
EMAIL
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above)
CONTRACTOR (On Pg.1)
MAIL TO: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
OCCUPANT (Listed above)
OCCUPANT (Listed above)
MAIL/ FAX TO OTHER:-----------------
AS APPLICANT'S SIGNATURE
CO#: (Office Use Only)
CA
ASSOCIATED CB#------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
B-10
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
1. JOB ADDRESS: _ _:_!"~'-'-t_7_3____;(c:::..;_o..:_r-k-=-....:...:A=-=-c=..~~.....:o"-----------
2. TYPE OF BUILDING: RESIDENTIAL __ Y __ COMMERCIAL ___ _
3. ROOF SLOPE: RISE 5 INCHES IN 12 INCHES ---
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) ~ 2 3
5. TYPE OF EXISTING ROOF COVERING
*6. ~OOF MATERIAL c~~('.'"""k -l,·lc...
(_., ,.c.rc.-Lc.. i 4t..-SHEATHING ~~ -'-----
CLASS ~WEIGHT PER SQ. /Fo 7~o
7. NUMBER OF SQUARES.....,--7._,----:-:----
5 j,; .. .<c.,( !Nc·JI.. ....
8. TRADENAME __ l=·_;k-_________ MANUFACTURER ___ ~_~~~~----------
9. ROOF SYSTEM LISTING:
/tf._o l7CJ)u UL NO. ______ I.C.C.E.S. Report# _____ _
ASTM 14q2
1 O.IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE
PROPOSED ROOF? ~ 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 coverin~g
2. Final Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for inspection.
Signature ~ Date
Contractor Owner Contractor ~~J..
Name ~ le.e A~L., ... ;
I
*6. Rolled Roofing, Standard/Lite Tile, Asphalt!Comp fiberglass, Built Up, Other
Page 4 of 4 Rev. 02/11
I pection ist
Permit#: CB160616 Type: MISC
Date Inspection Item
~-·---·--
03/02/2016 19 Final Structural
03/02/2016 19 Final Structural
02/19/2016 15 Roof/Reroof
02/19/2016 15 Roof/Reroof
02/18/2016 15 Roof/Reroof
02/18/2016 15 Roof/Reroof
Wednesday, March 02, 2016
REROOF
lns;pector Act
Rl
MC Fl
Rl
MC AP
Rl
MC CA
LEHMER: 2600 SF REPLACE FELT,
REROOF WITH EXIST TILE
Comments
UPPER WEST SIDE ROOF
PM PLEASE
PER CONTRACTOR, RAIN EVENT.
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