HomeMy WebLinkAbout2227 CAMEO RD; ; CB121434; Permit07-31-2012
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Miscellaneous Permit Permit No: CB121434
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
PC#:
Project Title:
2227 CAMEO RD CBAD
MISC
1670801200
$4,000.00
Subtype: REROOF
Lot #: 0
HORN: 2900 SF WOOD TO COMP RE
ROOF
status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
07/31/2012
JMA
07/31/2012
07/31/2012
Applicant:
PIVA ROOFING, BOB
1192 INDUSTRIAL AV
ESCONDIDO, CA 92029
619-745-4700
Owner:
HORN FAMILY TRUST 02-13-91
2227 CAMEO RD
CARLSBAD CA 92008
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
PERMIT FEE $118.00
$0.00
$0.00
$118.00
Total Fees: $118.00 Total Payments To Date: $118.00 Balance Due: $0.00
Inspector:
FINAL
Date:
PROVAL
Clearance:
NOTICE: Please take NOTICE ttiat approval of your project includes ttie "Imposition' of fees, dedications, reseivations, or other exactions tiereafter collectively
refetred to as "fees/exacfions." You tiave 90 days from the dafe this pemiit was issued fo protest imposifion of these fees/exacfions. If you protest them, you must
follow the protest procedures set forth in Govemment Code Section 66020(a), and file the protest and any other required infonnation with the City Manager for
processing in accordance with Carisbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attacic,
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/exactlons of which vou have oreviouslv been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv othenivise expired.
CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717/2718/2719
Fax 760-602-8558
www.carlsbadca.gov
Plan Check No.
Est. Value
Plan Ck. Deposit
Date IZ. SWPPP
JOB ADDRESS Z2Z1 Ct^eo CD SUITE#/SPACE#/UNIT#
CT/PROJECT « # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR.TYPE OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
Re-ooBf^"* TBAi^ofP PcoP. NaJiOeB, fulSmrsJ^
/
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YESQ* NO] I
AIR CONDITIONING
YES I |NO| I
FIRESPRINKLERS
YES I |NO| I
CONTACT NAIVIE (H Different Fom Applicant) APPLICANT NAME
ADDRESS
CITY STATE CITY — ,rv /«^^ STATE 2iB
PHONE FAX PHONE
EMAIL ElVIAIL
PROPERTY OWNER NAIVIE CONTRACTOR BUS. NAME
ML '
'Tibofi ITY 1 Ps^ STATE ^ ZIE. , ^£^/>^tSiDD ^7gZ^
-?t^- t^anl -x/^r-T^FPO EMAIL
ARCH/DESISNER NAME & ADDRESS EX1C.# _ CLASS CITY BUS, LC.« _
civil penalty of not more than five iiundred doiiars ($500)),
issuance, also requires trie - • n 7000 of Division 3 of the subjects the applicant to a
Wori(ers' Compensation Declaration: / tiereby affirm under penalty of perjury one ofthe foltowing declarations:
I i have and will maintain a certificate of consent to self-Insure for woriiers' compensation as provided by Section 3700 of the Labor Code, for the performance of the wor)/. for wihich this permit is issued,
have and will niaintain waij(ai3lCQBlPt|pta>t^[i, js rgpnired |y S^stitn SSlQofJthe Labor Coslf, for the perfonriance of thg^oildouvbicM^^ My vwrlters'compensatia
number are: Insurance Co
i;^j^o^|p^y^,^ryi|r^|v 3j^of|he Lab^Co^fr
Policy No.
thf watidotj»tiiq^4ii^j»ermi^ is issmd. My Vforlters' compensation intranet caiMSfai
PCfefcP Expiration Date ^| i | j >J
ind policy
This section need not be completed if the pennit is for one hundred doiiars ($1 OO) or less.
I I Certificate of Exemption: I certify that in the perfomiance 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 Worl<ers' Compensation Laws of
Caiifomia. WARNING: Failure to secure woriters' compensation coverage is unlawful, and shall subject an employerto criminal penalties and civil fines up to one hundred thousand doiiars (&tOO,000), in
addition to the cost of compensation, damages as prodded for in Section 3706 ofthe Laborcode, interest and attomey's fees. j /
JS^ CONTIWCTOR SIGNATURE V_S1 >-S^V,-X_ <7 n DAGENT DATE l/llli'L.
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason:
I, as owner of the property or my employees with wages as their sole compensation, wiii do the wort( 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 constmct 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:
1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. Q^Yes I iNo
2.1 (have / have not) signed an application for a building pennit for the proposed woti(.
3.1 have contracted with the following person (firm) to provide the proposed constmction (include name address / phone / contractors' license number):
4.1 pian to provide portions of the wori(, but 1 have hired the foiiowing person to coordinate, supervise and provide the major worii (include name / address / phone / contractors' license number):
5,1 will provide some of the wori<, but I have contracted (hired) the following persons to provide the worit indicated (include name / address / phone / type of vrarit):
•
•
•
PROPERTY OWNER SIGNATURE •AGENT DATE
Is the applicant or future building occupant required to submit a business plan, xutely hazardous materials registration fomi or risit management and prevention program under Sections 25505,25533 or 25534 of the
Presley-Tanner Hazaidous Substance Account Act? I I Yes I iNo
is the applicant or future building occupant required to obtain a permit from the air pollution controi district or air Quality management district? LJYes |_J No
is the facility lo be constructed within 1,000 feet of the outer boundary of a school site? CDYOS I I No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY HAY 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 hereby 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 Address
I certify that I have read the application and state that the above infomiation is conect and that theinfbnnation on the plans Is accurate. I agree to comply with all City oidinancesand State laws relating to building constmction.
I hereby authonze representative ofthe City of Carlsbad to enter upon Ihe above mentioned property for Inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or constmction of structures over 3 stories in heighl.
EXPiRATiON: Every pemiit issued by the Building Ofliciai under the provisions of this Code shall expire by limitation and become null and void if the building or wortt authorized by such permit is not commenced within
180 days from the date of such permit or if the building or wortt authorized by such pennit Is suspended orabandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code):
VSS'APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CBl 21434 Type: MISC REROOF HORN: 2900 SF WOOD TO COMP RE
ROOF
Date Inspection Item Inspector Act Comments
08/15/2012 19 Final Structural - Rl
08/15/2012 19 Final Structural PD AP
08/09/2012 15 Roof/Reroof PD AP
08/09/2012 83 Roof Stieattiing/Ext Stiear - Rl
Wednesday, August 15, 2012 Paget of 1
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
1. JOBADDRESS: ^JTSUJ 0/9r71 e2>
2. TYPE OF BUILDING: RESIDENTIAL ^ COMMERCIAL
3. ROOF SLOPE: RISE 5^ INCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 1 3
5. TYPE OF EXISTING ROOF COVERING UJ^yC^>^ SHEATHING SU'^
*6. NEW ROOF MATERIAL CLASS f) WEIGHT PER SO. "Z^O
7. NUMBER OF SQUARES ^?
8. TRADE NAME (2>P^<^ ^^^"^^^^NUFACTURER (^fif^^LL
9. ROOF SYSTEM LISTING: ^/^^
ULNO. I.C.C.E.S. Report # /VT^
ASTM_
10. IS THE EXISTING STRUCTUBAUDESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE
PROPOSED ROOF? ^Ci^YES^ 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-lnspection 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, s^_Q, ..-^ ^^^^ Date //"^
Contractor Owner Contractor
Name
*6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass. Built Up, Other
B-10 Page 4 of 4 Rev. 02/11