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Home My WebLink About2255 HIGHLAND DR; ; CB112274; Permit, -. City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-24-2011 Miscellaneous Permit Permit No: CB112274 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2255 HIGHLAND DR CBAD MISC 1560511600 $4,505.00 Subtype: REROOF Lot#: 0 PRIMO RES-3300 SF COMPOSITION Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/24/2011 RMA 10/24/2011 10/24/2011 SCHOTT ROOFING INC PRIMO CARLOS&HARBECKE-PRIMO RUTH 225 E CARMEL STREET #1 SAN MARCOS, CA 92069 619-7 44-6450 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $134.00 Inspector: 2255 HIGHLAND DR CARLSBAD CA 92008 PERMIT FEE Total Payments To Date: $134.00 $134.00 $0.00 $0.00 $134.00 Balance Due: Clearance: $0.00 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 annu( 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. NOA DOES IT APPLY to any fees/exact' n f which u have revi been iv n a NOTICE similar hi r which th t ut of Ii I i ns ha reviousl o herwise x ired «~~ ~ CITY OF CARLSBAD JOB ADDRESS ')}SS Building Permit Application 1635 Faraday Ave., Garlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlgbadca.gov CT/PROJECT# LOT# PHASE# # OF UNITS # BEDROOMS #BATHROOMS DESCRIPTION OF WORK: lndude Square Feet of Atrectp Area(•) et!l'i\'1,c.{. e,µ,;l0 · roe'\ . I\ C lM-0, I\" GARAGE (SF) PATIOS (SF) CONTACT NAME tlf Different Fom Applicant) APPLICANT NAME ADDRESS ADDRESS ) ) ,;- CITY STATE ZIP CITY PHONE FAX PHONE Plan Check No. Est. Value ANT BUSINESS NAME ¼co<; 7~0 Jlft/-C,t(s-v EMAIL EMAIL ":>Cho PROPERTY OWNER NAME J"'f / fl Lu.,--toS f-1'I fr-0 CITY /_ {) STATE a, Is lftf.CX (',<] -I& -ou CONSTR. "TYPE OCC. GROUP AIR CONDITIONING YES O NO □ FIRE SPRINKLERS YESON0 □ AC ZIP C/;)O 7 '6 PHONE ?~o-,Jo-7,si,-t( FAX 7&0-7L/Lf-6l(S;) EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC.# STATEU~# 3l\Ol .15 (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 applicant for such permit to fUe a signed statement that he Is licensed pursuant to the provisions of the Contractor's Ucense Law !Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or 0,at 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)). WORKERS COMPENSATION Workers' Compensation Dedaratlon: / hereby afl'im under penalty of pe,juty one of th6 fol/owing declarations: □ I have and wlH maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfomlance of the work for which this permit is-Issued. iJl{t have and wll maintain wofklfS' CC)~"• as rVQ!lired by ~on 3700 of the Labor Code, for the performance of,,the wqrk for which th~s permit is issued. My workers' compensation insura!'ce carrier and policy number are: Insurance Co. ~ {. ~k':1:::~ Policy No. 67 3 , "' / (, 0 d-O I I Expiration Date I -I :JO l 2...._ This section need not be oompleled If lhe permit le for one hundred dollars ($100) or less. □ Certificate of Exemption: t certify that in the performance of the work for which this permit is Issued, I shell nol employ any person in any manner so as to become subject to the Wor1refs' .Compensation Laws of CaMlomia. WARNING: Failure to HCure workers' compensation coverage Is unlawful, end sheN eubfect an empk,yerto criminal penalties and civil ffnea up to one hundred thousand doUars (&100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, lntemt and attorney's fHe. A$ CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's LJcense Law for the following reason: □ I, as ffler of lhe property or my employees with wages as their sole compensation, will do the wor1< and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Conlraclor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work htmself or through his own employees, provided that such Improvements are not intended or offered for sale. If, however, the building CN' improvement is sold within one year of completion, the O'Mlar-builder wiU have the burden of proving that he did not buid or improve for the purpose of sate). □ I, as owner of lhe property, am exclusively contracting with llcensecl contractors to construct the projecl(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 contracls fer such projects with contractor{s) licensed pursuant to the Contractor's license Law). □ I am exempt under Section ---~·usiness and Professions Code tor this reason: 1. I personally plan to provide the major labor and materials for construction of fie proposed property improvement. □ Yes □ No 2. I (have f have not) 5gned an application for a building permit for the proposed work. 3, I have conlraeted with lhe following per&Ofl (firm) to provide the proposed(XJllStruction (include name address I phone/ contractor&' 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 wort (include name I address/ phone/ contractors' Ucense number): 5. t will provide some cl the work, bot I have contracted (hired) the following peraons to provide the work indicated (include name/ address / phone I type of work): ,#!5 PROPERTY OWNER SIGNATURE □AGENT DATc COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is lhe applicant or fuhJre buHding 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? □ Yes □ No Is the applicant Of future buildllg occupant required lo obtain e permit from the air pollution control dimct or air quality management dl5lrlcl? □ Yes □ No Is the facility to be consbUcled IMlhin 1,000 feet oflhe outer boundary of a scoool site? □ Yes □ No F ANY OF THE ANSWERS ARE YES, A ANAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFflCE OF EMERGENCY SERYICES ANO THE AIR POLLIJ110N CONlROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affirm Iha! there is a construction lending agency for lhe performance of lhe work lh,s permit IS issued (Sac. 3097 Q) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have ,ead theappllcatlon and slate lhatlhe above lnbmatlon is conactand that the infonnatlon on the plans Is ICQlrate. I agiee tomnpt;wlth all Qty ordlMDS and Stale law& lelatlngto bulldngconstructton, 1 toreby-rep,esanmtiYe of"' C11J of~ il enterupoo lhe atx,,<e mentilned property rornspectb\ ptl!IOS8S. I /II.SO AGREE TO SAVE, ll'IJEMNIFY HID KEEP HAAM..ESS THE CITY OF CARLSIWl AGAINST /11.L LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN NIYWAY ACCRUE AGPJNST SAD CITY IN CONSEQUENCE Of THE GRANTING OF THIS PERMIT. OSHA: "'1 OSHApe,mll lsrequied ilr"""""""1,,,.,5U' deep and-ocoonstrucliln of-owr3"""' il height EXPIRATION: Ew,ry penrit issued by the Buikling Ollaal ll'<lerlhe pn,,tsi,nsollhls Code shall expi,, by liniation and becanerlJI and void n., l>Jildi1g oc'Mllk autoorizad bysudl pemiis rdcoownenced \\ilhil 180 clays too, lhe dale of sudl penritocWl\eblidilg oc'Mllkautoorizad by sud, penni1 is o_..ied ocabandorod at any tine allerl\e 'Mllk iscommer<:edrora peli)dof 180 clays (Section 106.4A Ll1iilrrn att,g Code). AS' APPLICANrs SIGNATURE lr::,,n--~ !,, • + f Re O ft" kc. DATE ( o -r ) -u REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESS: ;,?-Sc; bL=3 h. lW}J k?h, J-f 2. TYPE OF BUILDING: RESIDENTIAL / COMMERCIAL __ _ 3. ROOF SLOPE: RISE l.\ INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE)® 2 3 5. TYPE OF EXISTING ROOF COVERING (D~D-" SHEATHING~oJ *6. NEW ROOF MATERIAL e,(hp, CLASS~ WEIGHT PER~ [bt? 7. NUMBER OF SQUARES_?.._7:,--'Cl ___ _ 8. TRADE NAME L)l,,v(~11r--MANUFACTURER ~ell\<;. (DYr,t/\~ 9. ROOF SYSTEM LISTING: UL NO. '?q O I.C.C.E.S. Report # E'S~ \?,; ;).___ ASTM 1 o c~ "if< I 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 classlficatlon 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 ___ f& ___ tJ.-_._Uvn __ zi-----------·Date /6 -17 -I ( / Owner ____ Contractor Name Sd,o+i t2°4,Aj, ~\c Contractor *6. Rolled Roofing, Standard/Lite Tile, AsphalVComp fiberglass, Built Up, Other City of Carlsbad Bldg Inspection Request For: 11/08/2011 Permit# CB112274 Tille: PRIMO RES-3300 SF COMPOSITION Description: Type:MISC Sub Type: REROOF Job Address: Suite: 2255 HIGHLAND DR Lot: 0 Inspector Assignment: JM --- Phone: 7607168816 Location: Inspector: OWNER PRIMO CARLOS&HARBECKE-PRIMO RUTH Owner: PRIMO CARLOS&HARBECKE-PRIMO RUTH Remarks: Total Time: CD Description 19 Final Structural ff Comments Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description 10/28/2011 15 Roof/Reroof Act lnsp Comments AP JM ----- Requested By: PHIL SCHOTT ROOFING Entered By: CHRISTINE