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Home My WebLink About2217 Pamplona Way; ; CBR2017-1709; PermitPrint Date: 08/23/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2217 Pamplona Way BLDG-Residential 2152320300 $17,874.40 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit www.carlsbadca.gov Work Class: Reroof Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Description: ZAKOSKI: REPLACING 40 SQUARES OF UNDERLAYMENT AND REUSING EXISTING TILES Owner: Status: Applied: Issued: Finaled: Inspector: Contractor: Permit No: CBR2017-1709 Closed -Fina!ed 07/26/2017 07/26/2017 COOWNER ZAKOSKI ROBERT A AND KATHLEEN M REV UV TRUST SAN DIEGO COUNTY ROOFING INC BUILDING PERMIT FEE $2000+ BUILDING PLAN CHECK FEE (BLDG) SB1473 BUILDING STANDARDS FEE STRONG MOTION-RESIDENTIAL Total Fees: $319.38 2217 Pamplona Way CARLSBAD, CA 92009 Total Payments To Date: $319.38 1345 Encinitas Blvd, 733 Encinitas, CA 92024-2845 855-732-6868 Balance Due: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." You have 90 days from the date this permit 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/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. $0.00 $185.92 $130.14 $1.00 $2.32 ,' • { Cicyof Carlsbad JOB ADDRESS CT/PROJECT# DESCRIPTION OF WORK: EXISTING USE APPLICANT NAME {Primary Contact) CITY Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 780-802-2719 Fax: 760-602-8558 email: bulldlng@carlsbadca.gov www.carlsbadca.gov SUITE#/SPACE#/UNIT# Date APN TENANT BUSINESS NAME PROPOSED USE GARAGE {SF) PATIOS (SF) DECKS (SF) FIREPLACE PROPERTY OWNER NAME 8ob o/- #119 ADDRESS CITY occ. GROUPS"" FIRE SPRINKLERS NO □ YES □ NO □ PHONE ,Q cJ CP(, -,33-PHOLR/ 9-99 3-'f9 0__5=,--~FAX-----------j EMAIL_ .,.,,,,-; V !M)/1,f'Frf,,l_ EMAIL DESIGN PROFESSIONAL NAME ~~NTRACTOR BUS. NAMEsS:V ~A_D_D_R~E~SS~-----------------------------.j-ADDRESS I IN/-rYJS CITY STATE ZIP CITY Wv{!_/ IV I T7't PHONE FAX EMAIL EMAIL ----------'-~~' STATELIC.# 350 5',(}(_p STATE UC.# (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, al equires the applicant for such per_mit to file a s1f,!;ned statement that he 1s licensed pursuant to the prov1s1ons of the Contractor's License LawjChapter 9, commending with Section 7000 of Div1s1on 3 of the B_usiness and Professions Code} or [hat he 1s exemet therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 031.5 by any applicant for a permit subJects the applicant to a c1v1I penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of peljury one of the following declarations· 0 _!..bave and will maintain a certificale 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 req,ed by Section 3700 of the Labor Code, for the _performance the work for which this permit is issued, My workers' compensation insurance carrier and policy number are: Insurance Co. ::577tt£ ~I / Al :S Polley No. 4 Expiration Date ..J la.RI/ r I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ 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 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) O 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 D 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 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): AS PROPERTY OWNER SIGNATURE □AGENT DATE REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESS: f)J-12 Plr/V/ F'.Lo;J/l Wfl--V / 2. TYPE OF BUILDING: RESIDENTIAL ✓ COMMERCIAL 3. ROOF SLOPE: RISE tf; /'?-iNCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 1 2 3 5. TYPE OF EXISTING ROOF COVERING rl L/l-SHEATHING __ _ !<l'i..t,t.5€.. ~x, 1rtN3-Tt'-IL *6. NEW ROOF MATERIAL _______ CLASS __ WEIGHT PER SQ .. __ 7. NUMBER OF SQUARES __ L{+JD""'------ 8. TRADENAME _______ MANUFACTURER ________ _ 9. ROOF SYSTEM LISTING: UL NO. ______ I.C.C.E.S. Report# ______ _ ASTM _____ _ 10.IS THE EXISTING STRU~ 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 covering 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signature __ db----\,'---'-''1:_'-1---~-----=-----·Date_2,c._+-/~"'--'-'6;i"-'/2-'J-2,__ __ Contractor ____ Owner / Contractor I Name __________ _ *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other B-10 Page4of4 Rev. 02/11 , . PERMIT INSPECTION HISTORY REPORT (CBR2017-1709) Permit Type: BLDG-Residential Application Date: 07/26/2017 Work Class: Reroof Issue Date: 07/26/2017 Slatus: Closed -Finaled Expiration Date: 02/05/2018 Scheduled Date Actual Start Date 08/08/2017 08/08/2017 08/23/2017 08/23/2017 August 23, 2017 IVR Number: 5271 Inspection Type Inspection No. BLDG-15 Roof/ReRoof (Patio) 030942-2017 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 032644-2017 Checklist Item BLDG-Structural Final Inspection Status Passed COMMENTS Passed COMMENTS No card onsite Owner: COOWNER ZAKOSKI ROBERT A AND KA TH LEEN M REV LIV TRUST Subdivision: LA COSTA VALLEY UNIT#4 Address: 2217 Pamplona Way Carlsbad, CA 92009-6255 Primary Inspector Reinspection Complete Chris Renfro Complete Passed Yes Andy Krogh Complete Passed Yes Page 1 of 1