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Home My WebLink About2355 CAMINO VIDA ROBLE; ; CB140636; Permit03-20-2014 City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Miscellaneous Permit Permit No: CB140636 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: 2355 CAMINO VIDA ROBLE CBAD MISC Subtype: REROOF 2130502700 Lot#: 0 $11,688.00 RE-ROOF-8700 SF OF TPO ROOFING MATERIAL ON INDUSTRIAL BUILDING- UL # R-10167 & Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 03/20/2014 RMA 03/20/2014 03/20/2014 Applicant: AAA ROOFING BY GENE INC 2685 AVALON ST JURUPA VALLEY CA 92509 951 823-0213 Owner: F R NATIONAL LIFE LLC 898 N SEPULVEDA BLVD #750 EL SEGUNDO CA 90245 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $252.00 $0.00 $0.00 $252.00 Total Fees: $252.00 Total Payments To Date: $252.00 Balance Due: $0.00 Inspector: t^' ^^P^<^ FINAL APPROVAL Date: (C^{>|/(f 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 pennit 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 Cify 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 oreviouslv been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv othenArise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMmSSUANCE: OPLANNING nENGINEERlNG nBUlLDING DFIRE DHEALTH nHAZMAT/APCD CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: buildingigcarlsbadca.gov www.carlsbadca.gov Plan Check No. Est. Value J, Plan Ck. Deposit ^ Ayhr... 7/j fi/(a SWPPP JOB ADDRESS SUITE*/SPACE«/UNr CT/PROJECT # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: /nclude Square Feet of Affected Area(s; CONSTR. TYPE OCC. GROUP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESr~k N0| I AIR CONDITIONiNG YES I I NO I I FIRE SPRINKLERS YES I |NO| I APPLICANT NAME Prima »NTNAME /) L /" fy Contact /^j^/Q /Zoof^/^f Sw Ct>t^ SU^C^ PROPERTY OWNER ADDRESS ADDRESS STATE ZIP ^ STATE ZIP CITY PHONE" STATE PHONE FAX FAX EMAIL IPROFESSIONAT^^"^^^^^^^^^^^^^^ EMAIL DESIGN CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY PHONE FAX PHONE EMAIL EMAIL (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 issu/r#e, also requires the applicant for such permitto file a signed statement that he is licensed pursuant to the provisions ofthe Contractor's License Law (Chapter 9, commending with SectionvOOO 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 applicantfor a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). WORKERS' COMPENSATION Workers' Coippensation Declaration: / hereby affimi underpenalty of perjury one ofthe following declarations: LJj>trilve and will maintain a certificate of consent to self-insure for worlters' compensation as provided by Section 3700 of the Labor Code, for the perfonnance of the worti for which this pemiit is issued. I have and will maintain workers' compensation, as requiied by Section 3700 of the Labor Code, for the perfomiance ofthe woik for which this permit is issued. My workers' compensation Insure^ carrier and policy number are: Insurance Co. ^4-fX-A-<— C-t^ r.rC^ Policy No. j ?r Q ST^CP.^ "? "? Expiration Date / /i^/// ( Thjs section need not be completed If the permit is for one hundred dollais ($100) or less. I I Certificate of Exemption: I certify that in the performance of the wori( for which this pemiit Is Issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Lavis of Califomia. WARNING: Failure to secure workers' compensation coverage isiinlawfiil, 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, [lamagg»«fpn3VNled for in Snr^inn'ifvgjrf thu I ahnr tnrln, intnrriit and attomey's fees. CONTRACTOR SIGNATURE •AGENT DATE OWNER-BUILDER D E C L A R A T I O / hmeby affinn that I am exempt from Contractor's Ucense Law for the following reason: I I i, as owner of the praperty 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 bunlen of proving that he dkl not build or imprave for the purpose of sale). I I I, as owner of the praperty, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Prafessions Code: The Contractor's License Law does not apply to an owner of praperty 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. i personally plan to provide the major labor and materials for construction ot the proposed property improvemenl QYes I iNo 2. i (have / have not) signed an application for a building pemiit for the proposed work. 3.1 have contracted with the following peison (fimi) to provide the praposed construction (include name address / phone / contractors' license number): 4. i plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major wori< (include name / address / phone / contractors' license number): 5.1 wiil pravide some of the world but I have contracted (hired) the following persons to pravkJe the wori< indicated (include name / address / phone / type of wori(): PROPERTY OWNER SIGNATURE •AGENT DATE COMPLETE THIS SECTION FOR N O N - R E S I D E N T I A L BUILDING PERMITS ONLY Is the appiicant or future buikiing 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 buikiing occupant required to obtain a permit 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 a schooi 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a constniction lending agency fbr the perfonnance of the wori( this pemiit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I cef% that I have lead the applkadon and slate thatthe above infbmiatioii is conectand thatthe infomiation on the plans is accurate. I agree to comply with all Cl^ ordinances and State lave relating to building cons&uctkin. I hereby authorize representative ofthe City of Carlsbad to enter upon the above menlioned property for inspectbn purposes. I ALSO AGREE TO SAVE, INDEIi/INIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST Aa LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTiNG OF THIS PERMIT. OSHA: An (DSHA permit is required fbr excavations over 5'0' deep and demolitbn or constructbn of structures over 3 stories in height. EXPIRATION: Every pemnit issued by the Building Mdai under the ptovisbns of this CodMhall expire by limitatbn and become null and void if the building or vwik authorized by such peimit is not commenced wilhin 180 days from the date of such pennit or if the building or work authorized by such penpit^yEuspended or abandoned at any time after the work is commenced fbr a periodof 180 days (Sectbn 106.4.4 Unifbim Building Code). ^eS'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 buildinq(S)carlsbadca.aov or Mall the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carisbad, Califomia 92008. C0#: (Offlce Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE CITY STATE ZIP Carlsbad CA PHONE OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAILTO: 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 JBSAPPLICANT'S SIGNATURE DATE REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOBADDRESS: <^3^S C^/^yA^ U/c/^/^h/^ 2. TYPE OF BUILDING: RESIDENTIAL COMMERCIAL 3. ROOF SLOPE: RISE [/^ INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) (T) 2 3 5. TYPE OF EXISTING ROOF COVERING ^Jj-/f^j/P SHEATHING *6. NEW ROOF MATERIAL (aO /l^) /T'^^CLASS /Q- WEIGHT PER SO. ,3 7. NUMBER OF SQUARES ^ 8. TRADE NAME A (^Q MANUFACTURER /?y)^Sl///^ 9. ROOF SYSTEM LISTING: UL HO./l:/n/ CT? I.C.C.E.S. Report# ASTM f^^O^ 10. IS THE EXISTING STRUCUIft^ DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? (^^^ 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^ ^ .^<Q^ \ Date Contractor )><C^ Owner Contractor Name *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass. Built Up, Other B-10 Page 4 of 4 Rev. 02/11 Inspection List Permit*: CB140636 Type: MISC REROOF RE-ROOF-8700 SF OF TPO ROOFING MATERIAL ON INDUSTRIAL BUILDiNG- U Date Inspection Item 03/31/2014 19 Final Structural 03/31/2014 19 Final Structural Inspector MC Act Rl Fl Comments am WORK COMPLETED WITHOUT PREUMINARY DECK INSPECTION. Tuesday, April 01, 2014 Page 1 of 1