HomeMy WebLinkAbout2362 ALTISMA WAY; ; CB054160; Permit12-06-2005,
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Miscellaneous Permit Permit No: CB054158
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
2362 ALTISMA WY CBAD
MISC
2152403401
$0.00
Subtype: REROOF
Lot #: 0
CASITAS DE LA COSTA RELAY
EXIST TILE-NEW UNDERLAYMENT
Status: ISSUED
Applied: 12/06/2005
Entered By: KG
Plan Approved: 12/06/2005
Issued: 12/06/2005
Inspect Area:
Applicant:
OILS ROOFING CO.
1089LEUCADIABL
ENCINITAS.CA 92024
619-436-7588
Owner:
BUONOMO MICHAEL L&HEATHER L
2362 ALTISMA WAY #A
CARLSBAD CA 92009
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
PERMIT FEE $60.00
$0.00
$0.00
$60.00
Total Fees:$60.00 Total Payments To Date:$60.00 Balance Due:$0.00
Inspector:
ALFINAL APPR
Date:Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" 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.
PERMIT APPLICATIONCITY OF CARLSBAD BUILDING DEPARTMENT1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLYPLAN CHECK NEST. VAL.Plan Ck. Deposit _Validated ByDate VZ_Address (include Bldg/Suite #)Business Name (at this address)Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total # of unitsAssessor's Parcel #Existing Use Proposed Use
(Sac. 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 of the 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)}.
P/ IS ft(Oo-ri>^f 2.2/SC* A4- fl")i'rAjQ/f $#-- U\$T/± 7^&£f $?£>-
Name ^) Address City State/Zip _ Telephonejf
State License # 6 J / V to / License Class C -3 *t City Business License # ///uP 08^2 ^
De&jgnerMame Address
StateXjBBnse #
City State/Zip Telephone
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
I"! I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Coda, for the performance
of the work for which this permit is issued.
"Q_ I heve and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
'issued. My worker's compensation insurance carrier and policy number are:
Insurance Company j ~tt j-g •a*tVV-'*f _ Policy No. / 7 5~~7 — / "7 ^ -1sQetS Expiration Date _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
Q 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.
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 doHarsJ4100,OOf)}, In addition to the cost of compensation, damages as provided for hi Section 3706 of the Labor code. Interest and attorney's fees.
SIGNATURE t/^J^f^^— _ __ DATE / ^? - S~ <=• J~
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
Q 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 sele
(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 contractors) licensed
pursuant to the Contractor's License Law).
D 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 of the proposed property improvement. O YES QNO
2. I (have / have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / 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 work (include name / address / phone
number / contractors license number):
5. I wilt provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type
of work):
PROPERTY OWNER SIGNATURE 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? Q YES Q NO
is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES Q NO
Is the facility to be constructed within 1,000 feet of the outer boundary of e school site? Q YES Q 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 OFRCE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
hereby affirm that there is a construction tending agency for the performance of the work for which 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 information is correct and that the information on the plans is accurate. I agree to comply with all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the CitV of Carlsbad to enter upon the above mentioned
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 construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work
authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit Is suspended or abandoned
at any time after the work is commencedjfor a.period gf 180 days (Section 106.4.4 Uniform Building Code).
£L~—-— DATE / 2~£~*J
WHITE: File YELLOW: Applicant PINK: Finance
APPLICANT'S SIGNATURE
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. -IQB ADDRESS:.
2. TYPE OF BUILDING: RESIDENTIAL ts^ COMMERCIAL _ ._
3. ROOF SLOPE: RISE 4* inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) ($ 2 3
5. TYPE OF EXISTING ROOF COVERING TTU, SHEATHING PLyurtnrJ
*6. NEW ROOF MATERIAL J^*fM^ CLASS^/LWEIGHT PER SQUARE
7. -NUMBER OF SQUARES
8. TRADE NAME V^ /V/4 MANUFACTURER^ -_ -y
9. ROOF SYSTEM LISTING UL No. _ _JCBO No. _ .
10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THEs^~y(
WEIGHT OF THE PROPOSED ROOF? /' YK; 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-inspection 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 I ^"^J ^—- Date.
Contractor ^^ Owner Contractor Nanie
*6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up,
Other.
City of Carlsbad Bldg Inspection Request
For 06/08/2006
Permit* CB054158
Title: CASITAS DE LA COSTA RELAY
Description: EXIST TILE-NEW UNDERLAYMENT
Sub Type: REROOF
2362 ALTISMA WY
Lot
Type: MISC
Job Address:
Suite:
Location:
OWNER BUONOMO MICHAEL L&HEATHER L
Owner:
Remarks: WORK IS COMPLETE
Inspector Assignment: JM
Phone: 6199872337
Inspector:
Total Time:
CD Description
19 Final Structural
Act Comment
Comments/Notices/Hold
Requested By: HEATHER
Entered By: CHRISTINE
Associated PCRs/CVs Original PC#
Inspection History
Date Description
03/03/2006 19 Final Structural
02/28/2006 19 Final Structural
01/27/2006 15 Roof/Reroof
Act Insp Comments
CO JM
CO JM COMPLETE TILE SET
AP JM OK TO COVER EXISTING PLY
THIS DOCUMENT HAS A BLUE PATTERNED BACKGROUND