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HomeMy WebLinkAbout2276 CAMEO RD; ; CB111547; Permit07-14-2011 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB111547 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: Applicant: M S ROOFING 1349 MARABOU LN VISTA 92083 760889 3051 2276 CAMEO RD CBAD MISC 1670802400 $4,737.00 Subtype: REROOF Lot #: 0 SARKO RES- REMOVE SHAKE REROOF 10 S WYTORCH DOWN/ 24 S COMP SHINGLE Owner: SARKO BIRGIT E TR 2276 CAMEO RD CARLSBAD CA 92008 Status: ISSUED Applied: 07/14/2011 Entered By: LSM Plan Approved: 07/14/2011 Issued: 07/14/2011 Inspect Area: Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $121.00 $0.00 $0.00 $121.00 Total Fees:$ 121.00 Total Payments To Date:$121.00 Balance Due:$0.00 Inspector: FINAL APPROVAL Date: 7/2 7/W/"r-f -f Clearance: NOTICE: Please take NOTICE that approval of your project includes the '/fnposition" 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 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov Plan Check No. C& f t ( Est. Value Plan Ck. Deposit Date SWPP JOB ADDRESS PHASES # BEDROOMS SUITE#/SPACE#/UNIT# # BATHROOMS I TENANT BUSINESS NAME CONSTR. TYPE I OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE YESO #NOD AIR CONDITIONING YES D NO D FIRE SPRINKLERS YES O NO D APPLICANT NAME (Primary Contaci APPLICANT NAME (Secondary Contact) ADDRESS,ADDRESS CITY STATE ZIP CITY STATE ZIP HONE FAX PHONE EMAIL FAX PROPERTY OWNER NAME CONTRACTOR BUS. NAME ADDRESS CITY STATE ZIP CITY'lc//sf- FAX EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. #CLASS 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, afso requires theapppcant 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 theBusiness 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 acivil penalty of not more than five hundred dollars ($500)). Workers' Com pensation-Declaration:/ hereby affi/m under penalty of perjury one of the following declarations: £J2d I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workere^compensation, as required by Section 3700 of the Labor Code, for the perform number are: Insurance Cn <^f^( If y^f/V>1 T^W'f/OO Policy No. e work for which this permit is issued. My workers' compensation insu ' " 1 <?// Expiration Date r and oolicy This section need not be completed if the permit is for one hundred dollars ($100) or less. L"J Certificate of Exemption: I certify that in the performance 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. WARNING1. 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. CONTRACTOR SIGNATURE / hereby affirm that I am exempt from Contractor's License Law for the following reason: O I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure 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 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). O 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). d 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, a Yes a No 2.1 (have / have not) signed an application for a building permit for the proposed work, 3.1 have contracted with the following person (firm) 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 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 work): pROPERTY OWNER SIGNATURE CJAGENT DATE 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? CJYes O No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O Yes O No Is the facility to tie constructed within 1,000 feet of the outer boundary of a school site? DYes D No IF ANY OF THE ANSWERS ARE YES,/ 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 I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspecfon 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 construction of structures over 3 stories in height. 180 days from the date of such permit or if the building or work authorized buaich permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ^APPLICANT'S SIGNATURE DATE REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION fc1. JOB ADDRESS: 2 2. TYPE OF BUILDING: RESIDENTIAL Y COMMERCIAL^ 3. ROOF SLOPE: RISE_^_ INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 0 2 3 5. TYPE OF EXISTING ROOF COVERING (jJ ^5^^ &e SHEATHING *6. NEW ROOF MATERIAL6/4f 3^r C^f^ClASS /\ WEIGHT PER SQ. j\ 7. NUMBER OF SQUARES 2^ ' lO $ T® 8. TRADE NAME _ MANUFACTURER _ 9. ROOF SYSTEM LISTING: UL NO. _ ^^_ I.C.C.E.S. Report # _ ASTM _ 10. IS THE EXISTING STRUCTURAL DgSJQN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? ^YEs3 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 M/^JUJ^ ^fli juuajtfrt . _ Date *1 / ft /? ^ // _ ( / f 7~ Contractors J&&f/>7{ Owner Contractor^ ^— ^ ^ «^«— ^ «B^B^^^_^^^«B«^^_^^_ Name *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other B-10 Page 5 of 5 Rev. 03/09 City of Carlsbad Bldg Inspection Request For: 07/26/2011 Permit* CB111547 Title: SARKO RES- REMOVE SHAKE Description: REROOF 10 S W/TORCH DOWN/ 24 S COMP SHINGLE Inspector Assignment: PY 2276 CAMEO RD Lot: Type: MISC Job Address: Suite: Location: APPLICANT MS ROOFING Owner: SARKO BIRGIT E TR Remarks: Sub Type: REROOF Phone: 7608893051 Inspector: Total Time: CD Description 19 Final Structural Act Comments Requested By: M S ROOFING Entered By: CHRISTINE Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act Insp Comments 07/21/2011 15 Roof/Reroof AP PY