HomeMy WebLinkAbout2277 CAMEO RD; ; CB141366; Permit06-17-2014
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Miscellaneous Permit Permit No: CB141366
Building Inspection Request Line (760) 602-2725
Job Acidress:
Permit Type:
Parcel No:
Valuation:
Reference #:
PC#:
Project Title:
2277 CAMEO RD CBAD
MISC
1670801800
$3,823.00
Subtype:
Lot#:
REROOF
0
WILKINSON: 2800 SF WOOD & COMP
TO COMP SHINGLES
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Applicant:
PIVA ROOFING, BOB
1192 INDUSTRIAL AV
ESCONDIDO, CA 92029
619-745-4700
ISSUED
06/17/2014
JMA
06/17/2014
06/17/2014
Owner:
WILKINSON ROBERT E TRUST 01-09-06
2277 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 APRROVAL ,
Date: ll Clearance:
NOTICE: Please take NOTICE that approval of your project includes the Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
refen-ed 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 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 vou have previouslv been given a NOTICE similar to this, or as to which the statute of limitations has previously othenwise expired.
THE FOLLOWING APPROVALS REQUIRED PRIORTO PERMIT ISSUANCE: nPLANNING nENGINEERING nBUILDING nFIRE nHEALTH ] HAZMAT/APCD
^ CITY OF
CARLSBAD
Building Permit Appiication
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax:760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
Plan Check No. Cg?!*^' i3 4^^
Est. Value
Plan Ck. Deposit
Date SWPPP
JOB ADDRESS SUITE«/SPACE«/UNIT*
CT/PROJECT # PHASE # # OF UNITS # BEDROBMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: Includa Square Feet of Affected Areafs) _ ~Z Z * T~. «y •
„ . ^, , <f<o^^ /tes^oy^^ ^iSf>^9j ^et^/ii^^S
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES|~|# NOj I
AIR CONDITIONING
YES QNO I I
FIRE SPRINKLERS
YES I 1NO| I
APPLICANT NAME
Primary Contact
PROPERTY OWNER
ADDRESS ADDRESS
CITY STATE ZIP..-CITY
PHONE PHONE
EMAIL
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE 9 2c-L^
PHONE PHONE
EMAIL
lAltLIU.ff ^ CLASS CITY BUS. LIC.#
39 I m>2?(^S^ (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 applicantfor such permit to file a signed statement that he is licensed pursuantto the provisions ofthe Contractor's License LavK (Chapter 9, commendingwlth Section 7000 of Division 3 ofthe 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 permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)).
WORKERS' COMPENSATION
wor Workers' Compensation Declaration: / herety affirm under penalty ofpeijury one ofthe following declarations:
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 perfomiance of the work for which this pemiit Is issued.
I have and will maintain workers' compei]sa)ion, ajr required bj^ection 3700^ the Labor Code, for the perfomnance of the work for which this permit is issued. My workers' compensation insuranc^ earner and policy
Policy No. Expiration Date _ number are: Insurance Co,_
ip^sa^^a^^^ii
T^s section need not be completed if the pemnit is for one hundred dollars ($100) or less.
I \ Certificate of Exemption: I certify that in the performance 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
Califomia. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employerto criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damages^provfded for In Section 3706 of the ^alipr code, Interest and attomey's fees.
CONTRACTOR SIGNATURE
ages as provided for In Section 3706 of the Lalipr code, Intel
• AGENT DATE A 7/ /
ow Hen-BUiLonn DECLARATION
/ hereiiy affirm that I am exempt from Contractor's Ucense Law for the following reason:
I J I, as owner of the property or my employees with wages as their sole compensation, will do the wori< and the stnjcture 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 emptoyees, 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 v»ill have the burden of proving that he did not build or improve for the purpose of sale).
[3] 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 Ucense 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 I I am exempt under Section Business and Professions Code for this reason:
1.1 personally plan to provide the major labor and materials for constraction of the proposed property improvement. Q Yes I INO
2.1 (have / have not) signed an application for a building pemiit for the proposed work.
3.1 have contracted with the following person (fimn) 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, supen/ise 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 QAGENT DATE
ff ii S SECTION FO
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? 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 constructed 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
HCY
1 hereby affimi that there is a constmction lending agency for the performance of the work this permit is issued (Sec. 3097 (1) Civil Code).
Lender's Name Lender's Address
APPLICANT CERTI F 1 C A TJ^O N , .^^^^
I certl^ that I have read the appikation and state that the above Information Is conectand tiiatthe information on the plans Is accuiate. I agree to comply with all Cl^ oidinances and State laws relating to building construction.
I hereliy authorize representative ofthe 01^ of Carisbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CfTY 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 pemnit is required for excavations over 5'0' deep and demolitbn or constmctkjn of structures over 3 stories in heighl
EXPIRATION: Every permit issued by the Building Ofliciai under Ihe provisbns of Ihis Code shall expire by limitation and tiecome null and void if the building or WDri< authorized by such pemiit is not commenced within
180 days from the date of such permit or if the buHdta or work authorized by such permit is suspended or abandoned at any time after the wori< is commenced for a period of 180 days (Sectton 106.4.4 Unifomn BuiWing C^).
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 builclina(5)cartsbadca.aov or Mall the completed form to City of Cadsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008.
Cb#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
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 APPLICANTS SIGNATURE DATE
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
1. JOB ADDRESS: 2 "7-^7 d^m^
2. TYPE OF BUILDING: RESIDENTIAL «^ COMMERCIAL
3. ROOF SLOPE: RISE j5~ INCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 1 (g) 3
5. TYPE OF EXISTING ROOF 0OyER\m CCT-^^Looi^ SHEATHING
*6. NEW ROOF MATERIAL f^^pe^f^S CLASS /t WEIGHT PER SQ.J^O
7. NUMBER OF SQUARES ^ 8
8. TRADE NAME MANUFACTURER Ol^e>^S CoV^-''^
9. ROOF SYSTEM LISTING:
UL NO. I.C.C.E.S. Report # ^^/^ /37
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 Sl vSl CL, Date 6^I ^/z
Contractor^ ^ Owner Contractor
Name ^"y^/)iA^ """/—^//^
*6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass. Built Up, Other
B-10 Page 4 of 4 Rev. 02/11
Inspection List
Permit#: CB141366
Date Inspection Item
07/09/2014 19 Final Structural
07/09/2014 19 Final Structural
06/27/2014 15 Roof/Reroof
06/27/2014 15 Roof/Reroof
Type: MISC REROOF
Inspector Act
Rl
PY AP
Rl
PY AP
WILKINSON: 2800 SF WOOD & COMP
TO COMP SHINGLES
Comments
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