HomeMy WebLinkAbout2257 CAMEO RD; ; CB121555; Permit08-16-2012
City of Carlsbad
1635 Faraday Av Cartsbad, CA 92008
Miscellaneous Permit Permit No CB121555
Building Inspection Request Line (760) 602-2725
Job Adidress
Permit Type
Parcel No
Valuation
Reference #
PC#
Project Title
2257 CAMEO RD CBAD
M\SC
1670801500
$0 00
GATES RES-REROOF FROM
Subtype
Lot#
REROOF
0
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
COMP/WOOD TO COMP NEW FELT. FLASHING ,OSB 2,700 SF
Applicant
PIVA ROOFING, BOB
ISSUED
08/16/2012
LSM
08/16/2012
08/16/2012
Owner
CATES FAMILY 2006 TRUST 10-07-06
1192 INDUSTRIAL AV
ESCONDIDO, CA 92029
619-745-4700
2257 CAMEO RD
CARLSBAD CA 92008
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
PERMIT FEE $118 00
$0 00
$0 00
TOTAL PERMIT FEES $118 00
Total Fees $118 00 Total Payments To Date $118 00 Balance Due $0 00
Inspector
FINAL APPROVAL
Date Clearance
NOTICE Please take NOTICE that approval of your project includes Ihe Imposition" of fees, dedications reservations, or ottier exactions hereafter collectively
referred to as lees/exaclions ' 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 infomiation 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 5ubsequen\ legal action to attack
review set aside, void, or annul their imposition
You are hereby FURTHER NOTIFIED that your nght 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
tees/exactions of which vou have previously hRen given a NOTICE similar to this, or as lo which the statute of limitations has previously otherwise expired
CITY OF
Building Permit Application
1635 Faraday Ave , Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Fax 760-802-8558
www carlsbadca gov
Plan Check No. (Lg> f 3. i ^
Est Value 3^ ^
f-
Plan Ck. Deposit
Date ^//6>//^ SWPPP
JOB ADDRESS SUITEK/SPACEff/UNlTK
CT/PROJECT H PHASE » tl OF UNITS U BEDROOMS H BAIHROOMS TFNANT BUSINESS NAME COMSTR IVPE OCC GROUP
1E5CRIPTIUN Ut-WUKR inciuoe :>qaare i-eei OTnrrentea Area(s) _ Ay^C^
fe-(2cOF« TB*^ OFF COHp 4 WOOD ^hcPs. I^^S\^LL ^
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES Q# N0| 1 YES Q NO |^ YES Q N0| [
CONTACT NAME llf Different Fom Applicant)
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL EMAIL
PROPERTY OWNER NAME |^ ^^g; C^^XS^ CONTRACTOR BUS NAMEg^Qg^ V( A ^T/Fl IV^I^
FAX PHONE ^ -
EMAIL EMAIL
ARCH/OrSIGNER NAME S ADDRESS STATE LIC # STATE LIC # ./-N
7.
CLASS CITVaiiS L!CB_ , —.•^
[Sec 7031 5 Business and Professions CodG Any City Of Coumy which requires a permiuo construct alter improve demolish or repair any structure pnor to its issuance also requites the applicant for such permit to lile a signed statement that he is licenseQ pursuant to the provisions of the Contractor s License Law (Chapter 9 commending with Section 7000 of Division 3 ofthe Business and Professions Code} or that he is exempt th&rerrom 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 Declaration / hereby affirm under penalty ol perjury one otthe fdlowing declarations
•jJ
tiave and will maintain a certiflcateof consent to self msure for workers'compensation as provided by Section 3700 of the Labor Code for the performance of the work for which Ihis permit is issued HTh have and will maintain worlj
numt)erare Insurance Co.
quired 00 of the Labor Code for the perform
Policy W
Mywoil^ers compensatjin itfur^mj
_ Expiration Date.
jnsatm itfiuraniK camei I and policy
This secuon need nol be completed if (he permit is for one hLinOred dollars ($100) or less
I 1 Certificate of Exemption I certify lhat in the performance of the work for which this permit is issued I shall nol employ any person in any manner so as to become subject to the Workers Compensation Laws of
California WARNING Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to cnmmal penalties and civil fines up to one hundred ttfousand dollars (&10D,000), in
addition to the cost of compensation, damages as4novicie<i for mSection 37Q6(rf-the Labor code, interest and attomey's fees / /
^CONTRACTOR SIGNATURE V V) . C) > vJ . OAGENT DATE // Le / 7 2
/ toeby affirrn tha[ I am exempt irom Contractor's License Law tor the following reason
I I I as owner of the property or my employees with wages as their sole compensation will do Uie work and the stmcture is not intended ot offered for sale (Sec 7044, Business and Pnjtessions Code The Conlractor's
License Law does not apply to an owner of property who builds or improves Ihereon, and who does such work himself or through his own employees provided that sucti improvements are nol intended or offered for
sale If, however, the building or improvement is sold witfim one year ol completion Ihe owner builder will have the bunJen 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 wiih licensed conlractors to construct Ihe project (Sec 7044, Business and Professions Code The Contractor's License Law does not apply lo an owner of
property who builds or improves ihereon, and contracts for such proiecls with cQnlracIor(s) licensed pursuant to Ihe Contractor's UcsnsQ Law)
I I I am exempt under Section Business and Professions Code for this reason
1 I personally plan to provide the major labor and m^ienals for construction of Ihe proposed properly improvement QVes I |NO
2 I {have / have not) signed an application for a buildmg permit for the proposed work
3 I have contracted with the following person (limi) Hj provide the proposed construction (include name address / phone / contractors license number)
A I plan to provide portions of the work but I have hired the tollowing person to coordinate supennse and provide Ihe major work [include name / address / phone / contractors license number)
5 I will provide some Of the work but I have contracted (hired) the following persons to provide Ihe work indicated (include name / address / phone / type ol work)
PROPERTY OWNER SIGNATURE QAGENT DATE
Is the applicant or fuiure buiWing occupant required to sibmil a business piari, acutely hazardous materials regislralion form or nsk management and prevention program under Sections 25505 25533 or 25534 ol ihe
Presley Tanner Hazardous Substance Account Act' | | Yes | INO
Is the applicant or future buildmg occupant required to obtain a permit from the air pollution control distncl or airguaiity management distnct? UVes Ll No
Is the facilily to be constmcted within 1 000 feet ot the outer boundary of a school site'' nYes [ I No
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 thai tfiere is a construction lenijing agency tor the perfoimance of the work this permit is issued {Sec 3097 (i) Civi! Code)
Lenders Name Lenders Address
I certify that I have read the application and Slate that the above infonnation IS conect and ttiatthe infomiation on the plans IS accurate I agree to comply with all City ordinances and State laws relating to building constnicbon
I hereby authorize lepresenteflve (?f (he City of Carlsbad to enter upon Itie above menimed properly lonnspectm purposes I ALSO AGREE TO SAVE INDEWfJIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL UABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE Of THE GRANTING OF THIS PERMIT
OSHA An OSHA permil is required for excavations over 50 deep and demolition or constnxtion of staiclures over 3 stones in height
EXPIRATION Every perniit issued hy ihs Building Official under Ihe provisions of this Code shall expire by limitation and become null and void il Ihe building or work authorized by sucli permit is not commenced wilhm
180 days trom Ihe date ot such pefmil or if the buHding or work authonzed by such perrml is suspshded or at)andoned al any time after the work is cornmenced for a p&iqd ot 180 days (Sectim 106 4 4 Uniform BiJikfing Code)
-^APPLICANTS SIGNATURE Q y ^ DATE
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
1 JOB ADDRESS 'X'^Sl Ql^^ '^J^-
2 TYPE OF BUILDING- RESIDENTIAL COMMERCIAL
3 ROOF SLOPE RISE_f:{_ INCHES IN 12 INCHES
4 NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 1^3
5 TYPE OF EXISTING ROOF COVERING C-^v^-ir t-^^HEATHING
*6 NEW ROOF MATERIAL CLASS WEIGHT PER SQ _Sop
7 NUMBER OF SQUARES
8 TRADE NAME. _MANUFACTURER,
9 ROOF SYSTEM LISTING
UL NO I^O I C C E S Report #
ASTM
10 IS THE EXISTING STRUCTHBAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE
PROPOSED ROOF'? (^S^ 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 covenng
2 Final Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for inspection
Signature. Date 5^/^^ ^
Contractor '==^<F_ Owner Contractor
Name_
*6 Rolled Roofing, Standard/Lite Tile, Asphait/Comp fiberglass. Built Up, Other
B-10 Page 4 of 4 Rev 02/11
Inspection List
Permits CB121555 Type MISC REROOF CATES RES-REROOF FROM
COMP/WOOD TO COMP NEW FELT, FLAS
Date Inspection Item Inspector Act Comments
08/27/2012 19 Final Structural PY AP
08/22/2012 13 Shear Panels/HD's PB WC
08/22/2012 15 Roof/Reroof PB AP
Wednesday, December 26, 2012 Page 1 ofl