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Home My WebLink About240 PACIFIC AVE; ; CB111387; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-27-2011 Miscellaneous Permit Permit No: CB111387 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 240 PACIFIC AV CBAD MISC 2030231500 $0.00 Subtype: REROOF Lot#: 0 SULLIVAN RES=1,000 SF COMP TO TORCHDOWN Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/27/2011 LSM 06/27/2011 06/27/2011 KNOX ROOFING SULLIVAN FAMILY LIVING TRUST 10-28-08 4008 WOOSTER DR 92056 760 726-6120 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: Inspector: $60.00 240 PACIFIC AVE CARLSBAD CA 92008 PERMIT FEE Total Payments To Date: $60.00 Date: Balance Due: Clearance: $60.00 $0.00 $0.00 $60.00 $0.00 NOTICE: Please take t approval of your project includes the aim ition" 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 1T APPLY to any fe exacti ns of which hav revio be n iven a NOTI E imil r this r as t whic h stat of limi tion h s revi s oth rwise x ir d. \ .. .~ Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Plan Check No. {],8 f I ,3g-7 '\;l>CITY Of CARLSBAD CT/P ARCH/DESIGNER NAME & ADDRESS Fax: 760-602-8558 www.carlsbadca.gov STATE LIC. # Est. Value Plan Ck. Deposit Date SUITE#/SPACE#/UNIT# # BATHROOMS TENANT BUSINESS NAME SWPP CONSTR. TYPE OCC. GROUP FIRE SPRINKLERS YES □ NO □ (Sec: 7031.5 Business ~nd P_rofes~ions Code: Any City or C(!UnJy which requires a permit to_c~mstruct. alter, improv,e, ~emolish or repair any structure, Rrior to its iss~ance, also req~ires the applicant for such permit to file a s1j;!ned statement that he 1s licensed pursuant to the prov1smns of the Contractor s License Law /Chapter 9, commending with Section 7000 of D1vts1on 3 of the Business and Professions Code} or {hat he is exem_P.t therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred doltara {$500}) W'ORKIIIU' COMPENUl!flON Worka,s' Compensation Declaration: / hereby affirm under penalty of peryury one of the following declarations: D I have and will maintain a certificate of consent to sett-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfom,ance of the work for which this pennit is issued. D I have and will maintain workers' compensation, as !j{JUired by Sec~on 3700 of the Labor Code, for the performance of the work for which this pennit is issued. My workers' compensation insurance carrier and policy oumb,"""'"'raoceCo. -~ ,,/'Jlllo:;J Pol;cyNo. ,:it?076,70-l,QJI E<orabooDale tll~(),/-2()/2 This section need not be completed if the permit is for one hundred dollars ($100) or less. □ Certificate of Exemption: I certify that in the perfom,ance of the work for which this pennit is issued, I shall not emphly any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to crlmlnal penaHies and clvH fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, dam provided for i~n 37 f the Labor code, interest and attorney's fees. A$ CONTRACTOR SIGNATURE -t::/ A I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: □ I, as owner of the property or my em~oyees 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 contractOl'(s) licensed p.irsuant 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 of the proposed property improvement. □ Yes □ No 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/ 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/ contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the won< indicated (include name I address I phone/ type of work): · A$ PROPERTY OWNER SIGNATURE □AGENT 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? □ Yes □ No ls the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the facility lo 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. I certify that I hM read the appticatlon and state that the above infonnatlon is conectand that the infonnatlon on the plans is accurate. I agree to comply Mth all City ordinances and State lawS relating to building construction. I hereby aulh0!"2e representative ollhe City of Ca~sbad to enter upon the above mentioned properly br inspecoon purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN Af.JYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: Art OSHA pem1it is required for excavations over 5'0' deep and demo!ioon or construction of structures over 3 stories in height. EXPIRATION: Every pennit issued by the Buiding Official under the provisbns of this Code shall expre by limitation and become nu1 and YOO W the building or work authorized by sud, pennit is not commenced 'Nithin 180 days from the date of such pennit or iflhe buildi'9 or'NOrk authorized by sudl it· pended or abandoned at any tir.e after lhe work is commenced for a period of 180 days (Secoon 106.4.4 Uniform Building Code). ,65 APPLICANT'S SIGNATURE DATE \ B-10 REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1,1. JOBADDRESS: ~3/0 ;?;c;/'/C. ~-C,4,;f',,IJ/,,7,/10 2. TYPE OF BUILDING: RESIDENTIAL ,......--COMMERCIAL'----- 3. ROOF SLOPE: RISE fo_. INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) (i} 2 3 5. TYPE OF EXISTING ROOF COVERING f'a~O SHEATHING 4vwtJort:7 *6. NEW ROOF MATERIAL£,@'&"A'/~W M#CLASS A WEIGHT PER SQ. /@ 7. 8. ti 9. ROOF SYSTEM LISTING: ULNO. ff? ASTM _____ _ L_--'f" S-..>~~ I.C.C.E.S. Report# , ff 1 ,:q r, <cnr , 10. IS THE EXISTING STRUCTURAL D~ SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? Q:'.sV 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~ x{~ Date (5 "-Ac-// Contractor v Owner ____ Contractor Name u{y$tc~ {J-. ~ Qi' *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other Page 5 of 5 Rev. 03/09 City of Carlsbad Bldg Inspection Request For 07/06/2011 Permit# CB111387 Title: SULLIVAN RES=1,000 SF COMP TO Description: TORCHDOWN Type:MISC Sub Type: REROOF Job Address: Suite: 240 PACIFIC AV Lot: 0 Inspector Assignment: PY --- Phone: Location: Inspector: OWNER SULLIVAN FAMILY LIVING TRUST 10-28-08 Owner: SULLIVAN FAMILY LIVING TRUST 10-28-08 Remarks: 7604734545 Total Time: CD Description Act omments 19 Final Structural Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description 06/28/2011 15 Roof/Reroof Act lnsp Comments AP PY ---- Requested By: KNOX ROOFING Entered By: CHRISTINE