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HomeMy WebLinkAbout2237 CAMEO RD; ; CB121721; Permit09-04-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB121721 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: 2237 CAMEO RD CBAD MISC 1670801300 $5,460.00 Subtype: REROOF Lot#: 0 SCHLESINGER: 4000 SF WOOD SHAK TO COMPOSITION Status: ISSUED Applied: 09/04/2012 Entered By: Plan Approved: Issued: Inspect Area: JMA 09/04/2012 09/04/2012 Applicant: PIVA ROOFING, BOB 1192 INDUSTRIAL AV ESCONDIDO, CA 92029 619-745-4700 Owner: SCHLESINGER LINDA J TRUST 01-31-06 2237 CAMEO RD CARLSBAD CA 92008 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $151.00 $0.00 $0.00 $151.00 Total Fees: $151.00 Total Payments To Date: $151.00 Balance Due: $0.00 inspector: FINAL APPROVAL Date: fvf'/^ 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 pennit was Issued to protest imposition of these fees/exactions. If you preitest them, you must follow the protest procedures set forth in Govemment 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 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 Buildmg Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717/2718/2719 Fax 760-602-8558 www.carlsbadca.gov Plan Check No. Cg>i2.> [1:^1 Est. Value Plan Ck. Deposit Date 1^ i SWPPP JOB ADDRESS CT/PROJECT # # OF UNITS # BEDROOMS DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) SUITE#/SPACE#/UNIT# # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP ^ ^ . KP CLcxifS. aWgf EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YEsr~|# No| 1 YESQNOQ YES| | NO[ 1 CONTACT NAME (If Different Fom Applicant) DftsJiC) P(2,\cB ADDRESS CITY STATE ZIP PHONE FAX EMAIL EMAIL Ih^iaORTTLiflT . A\J& FAX EMML EMAIL ARCH/DESIQNER NAME & ADDRESS STATE LIC. # CLAS^ _ CITY BUS. LIC.#_ _ (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 the applicantfor such permitto file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Lav* (Criapter 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)). la: '—n—: : : -——, _ Workers' Compensation Declaration: / herefcy affirm under penally of perjury one of the following declarations: e and will maintain a certificate of consent to self-Insure for worliers' compensation as provided by Section 3700 of the Labor Code, for the performance of the vwrk for which this permit is issued, [have and will maintain workers' compsM^ioiijarefluirBd bv Sectio^700flUhel^bor Codpjfef-the perforrnance of thewric for v^ich tbis pepjiij esmitUy worl<ers' compensaton iifcurancs carrigum number are: Insurance Co Qj^PCiiirtjO i KJ^LXZJT^ T • " '" J^OOOv** ' ^ ^ Expiration Date 4* ^ I | ind policy This section need not be completed IfWe permit is for one hundred dollars ($100) or less. I I Certificate of Exemption: I certify that in the performance of the worli 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 Califomia. 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. ^CONTRACTORSIGNATURE . Q , ^ - Q DAGENT DATE / hereby affirm that I am exempt from Contractor's License Law for the following reason: I I I, as owner of the property or my employees with wages as their sole compensation, will do the work and the staicture 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 buikJing 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 I 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). I I 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. QYes j INO 2.1 (have / have not) signed an application for a building permit for the proposed work, 3.1 have contracted with the following person (firni) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major wott( (include name / address / phone / contrxtors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to pnjvide the work indicated (include name / address / phone / type of work): PROPERTY OWNER SIGNATURE •AGENT DATE Is the applicant or future building occupant required to submit a business pjan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? I I Yes I iNo Is the applicant or future building occupant required to obtain a permit from Ihe air pollution control district or air Quality management district? ujYes LZI NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? [I]Yes I INO 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. 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 as I ceitily that I have read the application and statethatthe above infomiation is correct and that theinfbimation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property 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 permit is required lor excavations over 5'0' deep and demolitkjn or constnjctfcin of stmctures over 3 stories in height EXPIRATION: Every pennit issued by the Building Oflicial under the proviskjns of this Code shall expire by limitation and become null and void it the building or work authorized by such pemiit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Buikting Code). ^APPLICANT'S SIGNATURE ^^)^^^ ^ REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESS: 2,2-3"7 Q/^e^ f^, 04tlU L/J-KD >Q^ ^ 2. TYPE OF BUILDING: RESIDENTIAL COMMERCIAL 3. ROOF SLOPE: RISE ^ INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 1 <^ 3 5. TYPE OF EXISTING ROOF COVERING ^g«p/c>^ SHEATHING 7^l>^^ *6. NEW ROOF MATERIAL ^^y^/V^^^/^fCLASS ^ WEIGHT PER SQ. ^ 7. NUMBER OF SQUARES 8. TRADE NAME_ 9. ROOF SYSTEM LISTING: UL NO. ASTM Cc,^^ ' MANUFACTURER LL/^ ^ I.C.C.E.S. Report # <^3/< TifeTa 3 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? ^Hi^ 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 v^JX- ^—>-—^-->'^— Date Contractor Cx^ Owner Contractor Name ^^/fc^ ^~r^t *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass. Built Up, Other B-10 Page 4 of 4 Rev. 02/11 Inspection List Permit#: CBI21721 Date Inspection Item 09/18/2012 19 Final Structural 09/18/2012 19 Final Structural 09/12/2012 15 Roof/Reroof 09/12/2012 15 Roof/Reroof Type: MISC REROOF Inspector Act RI PD AP RI PD AP SCHLESINGER: 4000 SF WOOD SHAK TO COMPOSITION Comments PM PLS Wednesday, September 19, 2012 Page 1 of 1