HomeMy WebLinkAbout2221 LAS PALMAS DR; ; CB122063; PermitCity of Carlsbad1635 Faraday Av Carlsbad, CA 9200810-10-2012 Miscellaneous Permit Permit No: CB122063Building Inspection Request Line (760) 602-2725Job Address:2221 LAS PALMAS DR CBADPermit Type:MISC Subtype:REROOF Status:ISSUEDParcel No:2130503101 Lot #:0 Applied:10/10/2012Valuation:$23,522.00 Entered By:RMAReference #:Plan Approved:10/10/2012PC#:Issued:10/10/2012Inspect Area:Project Title:RE-ROOF 16,100 SF -INSTALLCOLD PROCESS BUILT UP ROOF -ASTM #E108Applicant:Owner:
SEACORE INDUSTRIAL INC HOUSE OF CARDS INC
107 RINCON CT 3310 W END AVE #400
SAN CLEMENTE CA 92672 NASHVILLE TN 37203
949 291-4065
Miscelaneous Fee #1 PERMIT FEE $455.00
Miscelaneous Fee #2 $0.00
Additional Fees $0.00
TOTAL PERMIT FEES $455.00
Total Fees:$455.00 Total Payments To Date:$455.00 Balance Due:$0.00
FINAL APPROVAL
Inspector:Date:Z 7 -/3 Clearance:
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 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 elven a NOTICE similar to this. or as to which the statute of limitations has previously otherwise expired.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:0 PLANNING 0 ENGINEERING 0 BUILDING 0 FIRE 0 HEALTH..`0 Building HAZMAT/APCD,tX.Building Permit Application...Plan Check No.Cif fiZ aoc34.1635 Faraday Ave., Carlsbad,CA 92008 Est. Value 0.2_1.5-0202-..Irj CITY OF Ph:760-602-2719 Fax:760-602-8558CARLSBADemail: buldling@carlsbadca.gov Plan Ck. Depositwww.carlsbadca.gov 1k -Date/f /-7(2 SWPPJOB ADDRESS SUITE#/SPACE#2UNIT#APN2 1 -'2..i L4S PPI.(14-.6-i SIA'''t ---CT/PROJECT #LOT#PHASE ##OF UNITS # BEDROOMS #BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUPDESCRIPTION OF WORK:Include Square Feet of Affected Areks)(?-44." 0 4"'t le-X;5 1-:\--I f....3 0.-4-5-A..i.s.-i-At.C(A. /ILA)c_0(?..-.7.-4-s.)b ../.i 1-‘. id 'R %.3.34-A--f 7-A #r Ion /4.f°°I,•
EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES 0 #NO 0 YES 0 NO 0 YES 0 NO 0
APPUCANT NAME (Primary Contact)APPLICANT NAME (Secondary Contact)
S.e-Vi C._0 rk .V..4..0.I%,/11-10^:CA_(ft vx C..ADDRESS ADDRESS
1 .Z31 r1.:.A/ t_d"e-4-
CITY STATE ZIP CITY STATE ZIP
.0 A-.1 cieliKe.14-c c4 126 7 t.
PHONE FAX PHONE FAXiCI( ci 15 (yo GT 51 Yi 3 6 t rt 6 TEMAIL EMAIL
rte.C.0 ft"(kolv rf-e-`:c-i -A cc( /0(.01-(•in--4-((-
PROPERTY OWNER NAME CONTRACTOR BUS. NAME1E A-C_.4rot 1 --d v•i--..;(%_(c
ADDRESS ADDRESS
l...1.-1-i L.41?4 (1.--ket )(131 t..*t /../ Le ....CA
CITY STATE ZIP CITY STATE ZIP
e__Ar o Sid S et.ol C-(e_101•VjA"R.c_A-"16?1-
PHONE FAX PHONE FAX
7 (00 4.00 ti°35o ?c to 4.3 (?C s.C /
EMAIL
te9 2_9 (cinc..3—/ tf
EMAIL
5
..ge-Loare 1v1/4d ul t•N't 0-(S Ito C_S tots..(.tat.
ARCH/DESIGNER NAME & ADDRESS STATE LIC.#STATE LIC.#CLASS CITY BUS.LIC.#
it...)cr-ft.?-11-2./1 7 i 1 E 3 Cri -04 v 1a 1(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 issue e a so requires theapplicant 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 1140 of Division 3 of heBusiness 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 fora permit subjects the applicant to acivil penalty of not more than five hundred dollars ($500)).
..
-i.imWORKER'S''COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
ri 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.
SC I have and will maintain workers' compensation,as required by Section 3700 of the Labor Code, for the performance of the w94( forwqh'tirmit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co.Arerf..)C.P.•-%)...rt..e.4-V:.1 Policy No.CO(a V Expiration Date (( 0
This section need not be completed if the permit is for one hund r dollars ($100) or less.0 Certificate of Exemption:I certify that in the performa 'of the work for which this pe;ii 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'co..".e ation coverage is unl ',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 .4 •....forin Section 370.•e Labor code, Interest and attorney's fees.
AK CONTRACTOR SIGNATURE ['AGENT DATE
OWNER -BUILDER DdCLARATION
I hereby affirm that I am exempt from Con.:dorsLicense Law for the following reason:
O 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).
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 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.0 Yes 0 No
2.I (have / have not) signed an application for a building permit for the proposed work.
3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone I contractors' license number):
4.I plan to provide portions of the work, butI have hired the following person to coordinate, supervise and provide the major work (include name I address / phone / 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 / address / phone / type of work):
,..e1PROPERTY OWNER SIGNATURE DAGENT DATE
...................../.......1*•••••••...4f ...•,.,,..•..•......4....P.PPM•••.•...•NN•11...
1111.00111111111111111.1114••trAPT.VM:,..alirPA.ETE THIS SECTION FOR NON -RESIDENTIAL BUILDING PERMITS ONLYIs 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 thePresley-Tanner Hazardous Substance Account Act?0 Yes 0 NoIs the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?0 Yes 0 NoIs the facility to be constructed within 1,000 feet of the outer boundary of a school site?0 Yes 0 NoIF 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 OFEMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.CONSTRUCTION LENDING AGENCYIhereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).Lender's Name Lender's AddressAPPLICANTCERTIFICATIONI certifythatIhave read the application and state that the above information is correct and that the information on the plans is accurate.Iagreeto comply with all Cfty ordinances and State laws relating to building construction.Ihereby authorize representative ofthe City of Carlsbad to enter upon the above mentioned property for inspection purposes.IALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBADAGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES H MAY IN ANY WAY ACCRUE AGAINST SAID CITYIN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.OSHA. An OSHA permit is required for excavations,•5'0' deep and $$ton or construction of structures over 3 stories in height.EXPIRATION: Every permit issued by the Buiklin$1.•«al under the $softhis Code shall expire by limitation and become nul and void if the building or teak authorized by such permit is not commenced within
180 days from the date ofsuch permit or if the ling or work au $such permit is suspended or abandoned at any time after the work is commencedbraperiod of 180 days (Section 106.4.4 Uniform Building Code).
NbAKAPPLICANT'S SIGNATURE DATE 9
6013
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.
COP: (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
O PICK UP:o CONTACT (Listed above)o OCCUPANT (Listed above)
o CONTRACTOR (on Pg.1.)
o ASSOCIATED CB#________o MAIL TO:o CONTACT (Listed above)o OCCUPANT (Listed above)
o CONTRACTOR (On P.1)O NO CHANGE IN USE /NO CONSTRUCTION
0 MAIL/FAX TO OTHER:
o CHANGE OF USE /NO CONSTRUCTION
AKAPPLICANT'S SIGNATURE DATE
,•
110111111111111MMIMREROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION1.JOB ADDRESS:7-22(VV1 A-1 CA..(S* &a.c/C 4-2.TYPE OF BUILDING:RESIDENTIAL COMMERCIAL /s`3.ROOF SLOPE: RISE lcf INCHES IN 12 INCHES4.NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE)1 (D 3
5.TYPE OF EXISTING ROOF COVERING C./45 (4...k SHEATHING wood
*6. NEW ROOF MATERIAL r3.-4 60%2.1-.CLASS A-WEIGHT PER SQ.'t fuo(Nosv /1
7.NUMBER OF SQUARES Az. (
8.TRADE NAME e----CS —I 00-Q MANUFACTURER S-a°
9.ROOF SYSTEM LISTING:
UL NO.I.C.C.E.S. Report #
ASTM C /0)1
10.IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE
PROPOSED ROOF?e!D 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 ladd r extending at least 2 rungs above the roof for inspection.
Signature Date to (
Contractor X Owner Contractor
Name
.-.-
gcs‘z.
*6.Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other
B-10 Page 4 of 4 Rev. 02/11
NMIInspection ListPermit#:CB122063 Type:MISC REROOF RE-ROOF 16,100 SF -INSTALLCOLD PROCESS BUILT UP ROOF -ASTMDateInspection Item Inspector Act Comments02/06/2013 19 Final Structural RI02/06/2013 19 Final Structural PB AP01/07/2013 15 Roof/Reroof PB AP01/04/2013 15 Roof/Reroof PB AP11/02/2012 14 Frame/Steel/Bolting/Weldin PB WC11/02/2012 15 Roof/Reroof PB AP
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