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HomeMy WebLinkAbout2316 BRYANT DR; ; CB112739; Permit01-03-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CBl 12739 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: 2316 BRYANT DR CBAD MISC 2121021800 $2,047.00 Subtype: REROOF Lot #: 0 KELLOGG: NEW FAU & 1500 SF COMP TO COMP REROOF Status: ISSUED Applied: 01/03/2012 Entered By: Plan Approved: Issued: Inspect Area: JMA 01/03/2012 01/03/2012 Applicant: DM BUILDING Owner: MELODY KELLOGG 1825 MCCAULEY LN CARLSBAD CA 92008 760-644-0714 2316 BRYANT DR CARLSBAD. CA 92008 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $130.00 $0.00 $0.00 $130.00 Total Fees: $130.00 Total Payments To Date: $130.00 Balance Due: $0.00 EXPIRED PERMIT PERMIT HAS EXPIRED IN ACCORDANCE WITH C.B.C. SECTION 106.4.4 AS AMENDED BY C.M.C.18.04.030 Pmnj^jlot SIGNATURE x^^f^^ Inspector: FINAL APPROVAL Date: 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 lees/exactions." You have 90 days from the date this pemiit 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 appiication processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have previousiv been given a NOTICE similar to this, or as to which the statute of limitations has previously othenwise expired. CITY OF CARLSBAD Building Permit Appiication 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/2719 Fax: 760-602-8558 www.carlsbadca.gov Plan Check No. Est. Value Pian Ck. Deposit Date SWPP er^irti on Iff, SUITE#/SPACE#/UNIT# APN - CVPROJECr# L0T# • PHASE # — # OF UNITS # BEDROOrulS # BATHROOMS TENANT BUSINESS NAME CONSTR.TYPE OCC GROUP DESCRIPTION OF WORK:/nc/ude Square Fest Of >Urscted>lraa6s| . ^. >. EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES • # NO D YES • NO O YES • NO • APPLICANT NAME (Primary Contact) , _ y>, n^i-^i /v\onfiTO APPLICANT NAIME (Secondaiy Contact) ADCRESS _, f , ADDRESS CITY STATE ZIP FAX PHONE FAX Et^AIL EMAIL "mr'—tem^ CONTRACTOR BUS. NAME J n/n %i/)iLi/in(> mini ADDREsif' ' ^ ^ 1 PHQNE FAX PHONi-i, FAX ElVIAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE LIC,# -CLAS^ CITY Bl^ ua# _ _ II (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 file a signed statement that he is licensed pursuant to the provisions ofthe Contractor's License Law {Chapter 9, commending with Section 7000 of Division 3 of the 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)). t ©'t. K, E.R, S : ,C O M P E N S A T I N Woriters' Compensation Declaration: / hereby afBmi under pene^ of perjury one ofthe foiiowing deciarations: n 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 pemiit is issued. r07l have and will maintain worKere' compensation, e&(equired bySection 3700 of the Labor Code, for the performance of the,work fQ^w|)|ch4iisj)emiiU,s issued. My workers' compensation insufance,^iTj^ and policy ^ number are: Insurance Co._ :eq|^o^i^watlon,^^gquir^byS . PolicyNo. ance of the. work fQuwMch4iisj)emiitls issu Expiration Date. L This section need not be completed if the pennit is for one hundred dollars ($100) or less. n Certificate of Exemption: I certify that in the perfomiance 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 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. CONTRACTOR SIGNATURE ^ ^ •AGENT DATE O W,N„nm.-B UltDERDECLARATION / hereby affimi that I am exempt from Contractor's Ucense Law for the foiiowing reason: • I, as owner of the property or my employees with wages as their sole compensatkin, 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 imprdvements are not intended or offered for sale. If, however, the building or improvement is sokl 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, 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). O 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 • Yes ONo 2.1 (have / have not) signed an application for a building pennit 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 provkle portions of the work, but I have hired the following person to coordinate, supenrise and provkle the major work (include name / address / phone / contractors' license number): 5.1 will provide some of the wodt, but I have contracted (hired) the following persons to provide the worit indicated (include name / address / phone / type of worit): VSTPROPERTY OWNER SIGNATURE •AGENT DATE /l COMPLtTE THIS SfCTION FOR N O W - II E S I D 8 N TI A L 8 tl 1 L O I N G PBRMITS ONtY Is the applicant or futuro building occupant required to submit a business plan, acutely hazardous materials registration forni or risk management and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? • Yes in No is the applicant or futuro building occupant required to obtain a pennit from the air pollution control district or air quality management district? • Yes • No Is the facility to be constmcted within 1,000 feet of the outer boundary of aschoolsite? OYes •No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT #OW$TRUCTION LENDING AGENCY I hereby affinn that there is a constmction lending agency for the perfbnnance of the work this pennit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address "P'LTCA'NT C'feRTIFICATIO.NI I ceiti^ that I have lead the appiication and state that the above infbimatkm Is conect and that the infbiniation 0^ I hereby authorize representative of Ihe City of Carisbad to enter upon the above menttoned property ibr inspecfion purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CiTY OF CAFiLSBAD AGAINST ALL LIABILmES, 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 excavattons over 5'0' deep and demolitton or constnjctton of structures over 3 stories in height. EXPIRATION: Every permit issued by the Buikiing Ofliciai under Ihe provistons of this Code shall expire by limitatton and become null and voto if the buikiing or work aulhorized by such permit Is not commenced \ulhin 180 days from the date of such permit or if the buikiing or work authorized by such pemiit is suspended or abandoned at any time after the worit is oommenoed for a period of 180 days (Section 106.4.4 Uniform Buikiing Code). ygfAPPUCANT'S SIGNATURE DATE REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOBADDRESS: 2. TYPE OF BUILDING: RESIDENTIAL K COMMERCIAL 3. ROOF SLOPE: RISE > INCHES IN 12 INCHES —r 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE)(jl/ 2 3 5. TYPE OF EXISTING ROOF COVERING COV^ P SHEATHING *6. NEW ROOF MATERIAL C^^^f CLASS /h WEIGHT PER SQ._ 7. NUMBER OF SQUARES / ^ 8. TRADE NAME MANUFACTURER Ghx 9. ROOF SYSTEM LISTING: UL NO. _r I.C.C.E.S. Report # ' ASTM 10. IS THE EXISTING STRUCTURS^ DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? fes^ 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. SiqnatureP^ Date Contractor ' Owner Contractor Name *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other B-10 Page 4 of 4 Rev. 02/11 C (0 o> |o two a§^'