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Home My WebLink About2246 CAMEO RD; ; CB121712; Permit09-04-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB121712 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: 2246 CAMEO RD CBAD MISC 1670802700 $3,823.00 Subtype: REROOF Lot#: 0 CIANCIOLA RES- 2800 SF COMPOSI Status: ISSUED Applied: 09/04/2012 Entered By: Plan Approved: Issued: Inspect Area: RMA 09/04/2012 09/04/2012 Applicant: M S ROOFING Owner: CIANCIOLA MICHAEL&MARIE T 1349 MARABOU LN VISTA 92083 760889 3051 2246 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 APPR' Date: -2X PRO VAL -2, Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively refened 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 Govemment Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Cartst>ad 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 senice fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv othenvise expired. THE FOLLOVWNG APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: •PUNKING •ENGINEERING • BUILDING DoRE • HEALTH • HAZMAT/APCD CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: buldllng@carlsbadca.gov wm/.ca risbadca .gov JOB ADDRESS SUITE#/SPACE#/UNn# CT/PROJECT# DESCRIPTION OF WORK: Include # OF UNITS # BEDROOIWIS # BATHROOMS CONSTR. TYPE OCC GROUP Square Feet of Affected Area(s) - ^ -• " - 7 \~ EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES • # NOD AlFTCOffDITiONING YES • NOD F>ll\£ SPRINKLERS YES • NO O APPUCANT NAME (Primary Contact) APPUCANT NAME (Seconilaiy Contact) ADDRESS ADDRESS CITY STATE ZIP CITY STATE PHONE EMAIL FAX PHONE FAX EMAIL M\f<^( T^v<^ri/^ PROPERTY OWNER NAME CONTR, ITRACTGR BUS. NAME ADDRESS ADDRESS CITY 'HBNf STATl J34 ZIP STATE ZIP Piy»NE SAM FAX THONE ' " /^FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS irove, demoilsfi or repair any structure, prior (Sec. 7031.5 Business and Professions Code: Any City or County wliich requires a permitto construct alter, improve, demoilsfi or repair any structure, priorto its issu; applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Lav* (Chapter 9, commending with Sectic 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 permi' civil penalty of not more than five hundred dollars ($500)). RKERS P E N S A T I O N Workers'poinpensatlon Declaration: / hereby afSmi under penalty perjury one cfthe following dedaraSons: G LXjve and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfonnance of the work for which this penn it is issued, dl I have and will maintain workgi;s'compensation, as required bv Section 3700 of the Labor Code, for the perfomiance of tj^wgrkfor which this pemiit ijjspued. My workers' compensation insurance carrier and number are: Insurance Co fy^Cf'/'£. fTLi t^.>4. Policy No. l^C^3^f2.(ip -'TLOI Expiration Date ^~/~^o|^ policy This section need not be completed if the permit is for one hundred dollars ($100) or less. n Certificate of Exemption: I certify that in the perfomiance of the work for which this pemiit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Cailfbmia. 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), ii addition to the cost of compensation, damages as provided for In Section 3706 of the Labor cgjte, Interest and attorney's fees. ygS'CONTRACTOR SIGNATURE jC^<*ittf^<W ^^^^^Cc'^^'^^ ^"^* * ' OAGENT DATE T" ^ 2'^^2. f OWNER-BUILDER Ok'ClARATION ; /lereby affirm f/iaf / 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 stmcture 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 buikling or improvement is sokt within one year of completion, the owner-builder will have the burden of proving that he dkl not build or improve for the purpose of sale). • I, as owner of Ihe property, am exclusively contracting with licensed contractors to constmd the project (Sec. 7044, Business and Professions C:ode: 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 Lteense Law). O I am exempt under Sectton Business and Professions Code for this reason: 1.1 personally plan to provkte the major labor and materials for construction of the proposed property improvement. DYes ONo 2.1 (have / have not) signed an application for a building pennit for the proposed work. 3.1 have contracted with the following person (Ami) to provide the proposed construction (include name address / phone / co ntractors' license number): 4.1 plan to provkJe portions of the work, but I have hired the fblkiwing person to coordinate, supen/ise and provkle the major work (include name / address / phone / contractors' license number): 5.1 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 woric): I PROPERTY OWNER SIGNATURE •AGENT DATE COMPiETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is 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 the Presley-Tanner Hazardous Substance Account Act? 13 Yes • No Is the applicant or future building occupant required to obtain a pemiit from the air pollution control district or air quality management district? • Yes • No Is the facility to be constmcted within 1,000 feet of the outer boundary of a school site? [3 Yes • No IF ANY OF THE ANSWERS ARE YES, A HNAL 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. CONSTRUCTION L E N D i N Q A C E N C V I hereby affimi that there is a construction lending agency for the perfomnance of the work this penmit is Issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the appllcatk>n and state that the above Infbimation Is conect and that the infbimatk^ I hereby authorize representative of the City of Cailst)ad to enter upon the atxive mentbned property fcr inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILfTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMfT. OSHA: An OSHA pemiit is required tpr excavatbns over 50' deep and demolitbn or constnictbn of stmctures over 3 stories in height EXPIIWION: Every pemiit issued by the Building Oflicial under the provisbns of this Crxie shal expire by limitation and become null and vob if the buikling or woric authorized by such pemiit is not commenced within 180 days from the date of such permit or if the buikling or vwik authorized by such permit is suspended or abandoned at any time after the work is commenced far a period of 180 days (Sectbn 106.4.4 Unilbrm BulHIng Co6e). 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 www.buildina@car1sbadca.gov or Mail the completed fomi to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008. C0#: (Ofnce Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS cmr STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. UC. No. DELIVERY OPTIONS • PICK UP: • CONTACT (Usted above) • OCCUPANT (Usted above) D CONTRACTOR (On Pg. 1) • MAIL TO: • CONTACT (Listed above) • OCCUPANT (Listed above) • CONTRACTOR (On Pg. 1) • MAIL/FAX TO OTHER: • ASSOCIATED CB# • NO CHANGE IN USE/NO CONSTRUCTION • CHANGE OF USE / NO CONSTRUCTION • ASSOCIATED CB# • NO CHANGE IN USE/NO CONSTRUCTION • CHANGE OF USE / NO CONSTRUCTION >ef APPUCANT'S SIGNATURE DATE REROOFING SUPPLEMENTAL BUILDING PERMIT APPUCATION 1. JOB ADDRESS: 6 T^/^eo D r- 2. TYPE OF BUILDING: RESIDENTIAL \^ COMMERCIAL 3. ROOF SLOPE: RISE 6? INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE 0NE)(J3^ 3 5. TYPE OF EXISTING ROOF COVERING ^-Q^^^AW^^ SHEATHING W.'^/-^ ^*SB) *6. NEW ROOF MATERIALOC '^Kn/^U<^ CLASS A- WEIGHT PER SQ. 7. NUMBER OF SQUARES 'V^^ 8. TRADE NAME MANUFACTURER/QU/^n 5 ^or^//7^f 9. ROOF SYSTEM LISTING: ULNO. I.C.C.E.S. Report# ASTM 10. 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 thejcdjowing inspections are required: <:!!ji^ 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 /?4(4MJ.^d^O ^ ^^''^ 9-<ii/^Zd>/Z . Contractor Owner Contractor Name /^/^(f(>f^l jwi/<rft/g M. %, j^4>xf,'Ai ^, *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass)Built Up, Other B-10 Page 4 of 4 Rev. 02/11 Inspection List Permlt#: CB121712 Type: MISC REROOF CIANCIOLA RES- 2800 SF COMPOSI Date Inspection Item 09/13/2012 15 Roof/Reroof 09/13/2012 19 09/13/2012 19 09/06/2012 15 09/06/2012 15 09/06/2012 15 Final Structural Final Structural Roof/Reroof Roof/Reroof Roof/Reroof Inspector Act RI RI MC Fl RI MC AP MC AP Comments NEW OSB Friday, September 14, 2012 Page 1 of 1