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HomeMy WebLinkAbout2267 BOCA ST; ; CB153003; Permit09-15-2015 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CBI53003 Building Inspection Request Line (760) 602-2725 Job Address; Permit Type; Parcel No; Valuation; Reference #; PC#; Project Title; 2267 BOCA ST CBAD MISC 2163402400 $0.00 Subtype: Lot#; REROOF 0 PUPPING RES- REPLACE 2,700 SF STANDARD TILE TO SAME LIKE FOR LIKE Status: Applied: Entered By: Plan Approved; Issued; Inspect Area; ISSUED 09/15/2015 LSM 09/15/2015 09/15/2015 Applicant; PREMIUM ROOF SERVICES Owner; PUPPING LEENDERT&ANITA 864 34THST 92102 619 239-8880 2267 BOCA ST CARLSBAD CA 92009 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $227.00 $0.00 $0.00 $227.00 Total Fees; $227.00 Total Payments To Date: $227.00 Balance Due: $0.00 Inspector: vZ^ FINAL APPROVAL Date: /O'l'/^ Clearance: NOTICE Rease tate NOTICE ttiat apprtval of your project indudes tfe Impcsiticn" cf fees, dedications, reservations, or ottier exactions hereafter odiectiveiy referred to as tees/exactions." You have 90 day« from the date this penrit was issued to protest irrpoation of these feesfexadior^^ If you protest them, yau must fdlow the protest procedures set forth in Gcwemmsnt Code Section 66Q20(a), and file tfe protest and any other requited infomiation with the Qty IVIanager fa processing in accordance with Carlsbad f\/Lridpal Code Section 3.32030. Failure to tirrely fdlcw that prooedLre will bar any subsequent legal action to attad<, review, set aside, vdd, a amd their imposition. You are hereby FURTFER NOnRED that yDLT ric^t to pndest the spedfied fees/exadioTS dianges, nor plaming, zoning, gadng or other simiar application processing a service fees in oonnection with this project. NCR DOES IT APPLY to any fees/exacbons of wtiich wu have previouslv been aven a NOTICE sirrilar to this, a as to which tfe statute cf linitations has previouslv otherwise excined. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: •PLANNING IZlENGiNEERiNG •BUILDING •HRE •HEALTH •HAZMAT/APCD City of Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph; 760-602-2719 Fax; 760-602-8558 email; building@carlsbadca.gov www.carlsbadca.gov PlanCheckNo. ObjS'SOO'^ Est. Value Plan Ok. Deposit Date SWPPP JOBADDRESS . , , 7ZG7 Uea SUITE#/SPACE#/UNIT« CT/PROJECT # # OF UNITS tt BEDROOMS # BATHROOMS TENANT BUSINESS NAIVIE CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet ofAtfected Area(s) lo-yf^f, oi- lyfA 40ll<) /STfA [iMf. 2*7. i"5^ s^ar^s. ah on EXISTING USE PROPOSED USE ry Contact /n\qov\>0 Ah H<r/ia/>g^t GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES|~>. N0| I AIR CONDITIONING YES I INOI I FIRESPRINKLERS YESQ NO) I APPLICANT Prima PROPERTYOWNER ADDRESS ADDRESS fecY.t>. Sf. CITY PHONS * / STATE ZIP CITY STATE ZIP FAX PHONE FAX EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE CITY STATE ZIP PHONE FAX PHONE FAX EMAIL STATE LIC. # STATE LIC.# CLASS (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permitto construct, alter, improve, demolish or repair any structure, priorto its issuance, also requires the applicant for such permit to file a signed statement that hi ' ' " . - . . - „ . ^. Business and Professions Code) or that he is exempt thert civii penalty of not more than five hundred dollars ($500)), applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Elusiness 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 Workers' Compensation Declaration: / hereby affinn under penalty of perjury one ofthe follomng declarations: I have and will mamtain a certiflcata of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfomiance of the work for which this permit is issued 11 have and will maintain workers' compensation, as required bv Section 3700 of the Labor Code, for the perfomiance of the wotk for which this permit is issued. My worliers' compensation insurance carrii number are: Insurance Co (]^ati fefl^jt* \inS^J}oinCi CoAiyciKX/ Policy No. A(a' ?g5S i%^0hO\ Expiration Dale 2% / I ( ((Q This section need not be completed if the permit is for one hundred dollars ($100) 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 Workers' Compensation Laws of California. 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 attomey's fees. ^gS" CONTRACTOR SIGNATURE ^.^.Jm^* QAGENT DATE ^ //^ // ^ / tereby affirm thai I am exempt from Contractor's Ucense Law for the foiiowing reason: I I I, as owner of the property or my employees with wages as their sole compensation, will do the wcrt( and the stnjcture is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Conlractor's Ucense Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own empkiyees, 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 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 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 improvemenL [[^Yes I 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 (fimi) to provide the proposed constaiction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the wort(, but I have hired the following person to coordinate, supen/ise and provide the major work (include name / address / phone / contractors' license number): 5.1 will provide some of the work, bul I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): PROPERTY OWNER SIGNATURE QAGENT DATE PLETE THIS SECTION FOR NON-RESIOENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risl< management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Acf? Yes No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management districr? Yes No Is the facility to be constnjcted within 1,000 feet of the outer boundary of a school site? Yes 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. ION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance ofthe vi/ork 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 coirectand that the infoimation on ttie plans Is accuiate. I agree to complywith all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Cartebad to enter upon the above menttoned 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 for excavations over 5'0' deep and demolition or constnjction of stmctures over 3 stories in height. EXPIRATION: Every permit issued by the BuikJing Oflicial under the provisions of this Code shall expite by limitation and become null and void if the building or vwrk authorized by such permit is not commenced within 180 days from the date of such permit or if the buikling or wxk authonzed by such pemiit is suspencied or abandoned at any time after the woi1< is commenced for a period of 180 days (Section 106.4.4 Unifomi Buikiing Code). ^fiS"APPLICANT'S SIGNATURE -Hi^^" 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 buildinq(S>carlsbadca.qov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EIVIAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICKUP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) IVIAIL TO MAIL/FAX TO OTHER: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) ASSOCIATED CB#_ NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION >ef APPUCANT'S SIGNATURE DATE REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOBADDRESS: ?ZG7 ^CJC. S-f- foz/sW^ (^?O0C\ 2. TYPE OF BUILDING: RESIDENTIAL COMMERCIAL 3. ROOF SLOPE: RISE ^ INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) © 2 3 5. TYPE OF EXISTING ROOF COVERING ft^ncrrl^ -4^1^ SHEATHING '^lyouood *6. NEW ROOF MATERIAL CoY^ftii UU CLASS ^WEIGHT PER SO. W 7. NUMBER OF SQUARES^Z!Zii5 8. TRADE NAME JtJiAtn MANUFACTURER &0f^ j 9. ROOF SYSTEM LISTING: UL NO. I.C.C.E.S. Report # Z^^' ASTM 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? (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_ .^f^^ Date ^//^ //r Contractor Owner Contractor Name Pf4!i>^'uyw i^onf 0./i/)L/S *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other B-10 Page 6 Of 6 Rev. 04/14 Inspection List Permit*: CB153003 Date Inspection Item 09/30/2015 19 Final Structural 09/30/2015 19 Final structural 09/21/2015 15 Roof/Reroof 09/21/2015 15 Roof/Reroof Type: MISC REROOF Inspector Act Rl PB AP Rl PB AP PUPPING RES- REPLACE 2,700 SF STANDARD TILE TO SAME LIKE FOR LIK Comments AM PLEASE Friday, October 02, 2015 Page 1 of 1