The URL can be used to link to this page

Home My WebLink About2370 PIO PICO DR; ; CB120893; PermitI • City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-14-2012 Miscellaneous Permit Permit No: CB120893 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: Building Inspection Request Line (760) 602-2725 2370 PIO PICO DR CBAD MISC 1560322800 $2,730.00 Subtype: REROOF Lot#: 0 VILLALOBOS RES-2000 SF COMPOS Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 05/14/2012 RMA 05/14/2012 05/14/2012 VILLALOBOS AVILA 2002 TRUST 12-16-02 Applicant: SAN MARCOS ROOFING 1580 GRAPEVINE LN VISTA CA 92083 760-549-7835 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $101.00 Inspector: 2370 PIO PICO DR CARLSBAD CA 92008 PERMIT FEE Total Payments To Date: $101.00 FINAL APPROVAL Date: S--I f · I 2- $101.00 $0.00 $0.00 $101.00 Balance Due: Clearance: $0.00 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. <<~~ ~ CITY OF CARLSBAD JOB ADDRESS C) EM IL ARCH/DESIGNER NAME & ADDRESS Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www.carlsbadca.gov Plan Check No. Est. Value Plan Ck. Deposit ol4-, Date SUITE#/SPACE#/UNIT# # BATHROOMS TENANT BUSINESS NAME GARAGE (SF) PATIOS {SF) DECKS (SF) FIREPLACE YESD #_ NOD APPLICANT NAME (Secondary Contact) ADDRESS STATE ZIP CITY STATE FAX PHONE FAX EMA ZIP z_ }0 8 STATE LIC. # SWPP CONSTR. TYPE OCC. GROUP AIR CONDITIONING YES D NOD ZIP ZIP Cl , FIRE SPRINKLERS YES O NOD (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 th 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 D1vis1on 3 of the B.usiness and Professions Code) or that he 1s exem.et therefrom, and the basis for the alleged exemption. Any v1olat1on 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 Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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 . .Rf I have and will maintain workers' com~atlon, as r uired by Se ion 3700 of the Labor Code, for the performance of the JDrk for which this permit is issued. My workers' compensalion'J)i Uraife carrier and policy number are: Insurance Co. --Policy No. Q:?;lV,'iZ/o Jo II? Expiration Date t,,_ // 2... This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 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 dollars (&100,000), in addition to the cost of compensation, da es as provided in Section 3706 of the Labor code, Interest and attorney's fees. ~ CONTRACTOR SIGNATUR I hereby affirm that I am exempt from Contractor's License Law for the fa/lawing reason: [] 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). [] 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 Yes D No 2. I (have I 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 I phone I 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 I address I phone I contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work): ~ PROPERTY OWNER SIGNATURE i:JAGENT DATE Is the applicant or futllre bllilding occL1pant reqllired to Sllbmit a bllsiness plan, aclltely hazardolJs materials registration form or risk management and prevention program Linder Sections 25505, 25533 or 25534 of the Presley-Tanner HazardolJs Sllbstance AccolJnt Act? D Yes D No Is the applicant or futllre building occlJpant reqllired to obtain a permit from the air polllltion control district or air qllality management district? D Yes D No Is the facility to be constructed within 1,000 feet of the ollter boundary of a school site? 0 Yes O 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. I certify that I have read the application and state that the above Information Is correct and that the information on the plans is acx:urate. I agree to comply with all City ordinances and State laws relating to bllildlng construction. I hereby authorize representative of the City 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 PERWIT. OSHA: Ari OSHA permit is required for excavations over 5'0' deep and demofltion or construction of structures <N0f 3 stories in height EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by imitation and become nul and void if the building or work authorized by such pem,it is not commenced within 180 days from the date of such permit or if the bun · or work authorized ch pemiit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Unifoml Bu~ding Code). AS APPLICANT'S SIGNATURE 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 www.building@carlsbadca.gov or Mail the completed fonn to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CONTACT NAME ADDRESS CITY STATE PHONE FAX EMAIL DELIVERY OPTIONS D PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (O, Pg. 1) D MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) ZIP Cl MAIL/ FAX TO OTHER:--------------- A'S' APPLICANT'S SIGNATURE CO#: (Office Use Only) OCCUPANT NAME BUILDING ADDRESS CITY STATE ZIP Carlsbad CA OCCUPANT'S BUS. UC. No. o ASSOCIATED CB# --------- o NO CHANGE IN USE/ NO CONSTRUCTION o CHANGE OF USE/ NO CONSTRUCTION DATE REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESS: 1~ 7 a P, o P, c o 2. TYPE OF BUILDING: RESIDENTIAL--S.X--"---COMMERCIAL. ___ _ 3. ROOF SLOPE: RISE Lf INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 1 (V 3 5. TYPE OF EXISTING ROOF COVERING Cof'.1::7 {2 • SHEATHING __ _ *6. NEW ROOF MATERIAL Cone, rJ CLAssA.__wEIGHT PER sa.J2Q I 7. NUMBER OF SQUARES_.,,;lc.....,.(J"'----- 8. TRADE NAME Ti tr> b<?c l,~1 P MANUFACTURER GA C 9. ROOF SYSTEM LISTING: UL NO. i..-1-£4 'f<_ YI I.C.C.E.S. Report# _____ _ ASTM _____ _ 10. IS THE EXISTING STRUC~L 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. 8-10 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. Signatur~~ct':-uv/ Contractor ,>( Owner Contractor. Name £fra /11 $CJ') cfo 1/0:... I Date s-;Jc; )! L 1 *6. Rolled Roofing, Standard/Lite Tile, AsphalVComp fiberglass, Built Up, Other Page 4 of4 Rev. 02/11 City of Carlsbad Bldg Inspection Request For: 05/17/2012 Permit# CB120893 Title: VILLALOBOS RES· 2000 SF COMPOS Description: Type:MISC Sub Type: REROOF Job Address: Suite: Location: 2370 PIO PICO DR Lot: APPLICANT SAN MARCOS ROOFING 0 Owner: VILLALOBOS AVILA 2002 TRUST 12-16-02 Remarks: Total Time: CD Description Act Comments 19 Final Structural i/£2_ Inspector Assignment: PD --- "'"';Jl Inspector ' Requested By: NA Entered By: JANEAN ~~L~~~~ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description 05/15/2012 15 Roof/Reroof Act lnsp Comments AP PD