HomeMy WebLinkAbout2405 MARK CIR; ; CB091868; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
11-06-2009 Miscellaneous Permit Permit No: CB091868
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
PC#:
Project Title:
Applicant:
2405 MARK CR CBAD
MISC
1671604100
$3,780.00
Subtype: REROOF
Lot#: 0
BASHORE: 3000SF COMP TO COMP
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
URBACH ROOFING, INC. BASHORE BRIAN A&SUSAN
445 PRODUCTION AVE
SAN MARCOS CA 92075
760 471-5065
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees: $106.00
2405 MARK CIR
CARLSBAD CA 92010
PERMIT FEE
Total Payments To Date: $106.00
-~ ~.i--
lnspector: b4flJ
Balance Due:
Clearance:
ISSUED
11/06/2009
JMA
11/06/2009
11/06/2009
$106.00
$0.00
$0.00
$106.00
$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.
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
f x i n f whi h h v r vi I N Tl imil r h. r whi h h I Ii i i n h h i
City of Carlsbad
1635 Faraday Ave .. Carlsbad, CA 92008
760-602-2717 / 2718/ 2719
Fax: 760-602-8558
www.carlsbadca.gov
Building Permit Application
PlanChe_ck_No.CBO 'ilk!e8_
Est. Value ~7&()
Plan Ck. Deposit
Date I I b (
SUITE#/SPACE#/UNIT# APN 7
I
----/ {ti ~4-L/i_ ·Q__Q
:THRDOMS _[NAN~B:NESS NAME -----CO:TR TYPE I DCC GROUP mr,~ ~{~, l'OFUNOS l'GEDROOMS-
lnc/ude S uare Feet of Affected Area(s)
I
2olb
AIR CONDITIONING FIRE SPRINKLERS
NO □ YES □ NO □ YES □ NO □
ADDRESS
CITY STAT[ ZIP
t'HONE
EMAIL
I\RCHID~SIGt\JrR NI\MF P, ADDRESS STATt I.IC.#
re 7031.S Busmrn and Profmiom Code: Any City_ or _Countr whi(h requires a permit to co~1trun. _alter/ improve,. demolish or reP.air_ any structure, prior to in imance, also requires the ap_ptkant for such p_ermit to file a 1ignerl 11atement that he is ensed _Jlunuant to the prov111on1 of the Contractors License Law {Chapter _9, commending with lect1on 000 of 01v1s1on l of the Bu11nesi and Protemoni (ode} or that he 11 exempt there from, and the bam for the alleged exemption. Any violation of won 7031.S by any applicant for a permit 1ubjem the applicant to a cml penalty of not more ttian fiVI' hundred dollars {$500}).
'/-.... Workers' Compensation Declaration: I hereby affifm under penalty of perjury one of the following declarations:
/ 0 I have and wilt maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of !he work for which this permit is issued
~ I have and will maintain wo_r~s.' com~ensal!o_"·_'_ s _required-by se,lion 3700 of the Labor Code, tor the_periormance of the work for w_h1ch this permit is is~ued. My workers' compensation insurance carrier ~nd policy
number aw lns1mrnce Co. ____ "2_~_ .. ~~--------Policy No. 6;, 3 c., -I.L? d -de :x:: y·'1 Exp1rat1on Date I -I ~ 2c) I (.)
This soctIon need not be completed if the permit is for one hundred dollars ($100) or less
D Certificate of Exemption: I certify that in the periormanco oi thG work tor 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 lo crlm!nal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, d~s provlded for in Section 3706 of the Labor code, interest and attorney's fees.
~2S CONTRACTOR SIGNATURE (_ -~ ~. . -
,>\., ' , ' I hereby affirm that I am exempt from Contractor's License Law for the followmg reason:
n I, as owner of the oroper\y 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 wrio 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. IL however, the building or improvement is sold within one year of complG!ion, the owner•builder will have the burden of proving that he did not build or improve for the purpose of sale)
:-1 I. as owner of the property. am exclusively contracting with licensed contrac1ors to construct the project (Sec 7044. Business and Professions Code: The Contractor's license Law does not apply to an owner of
property who builrJs or improves !hereon, and contracts for such proiects with contractor(s) licensed pursuant to the Contractor's License Law).
n I am exempt urder Section Business and Professions Code for this reason
1. I personally plan to provide the major labor and materials for construct,on of the proposed property improvement 7 Yes Cl No
2. I (1-iave / have not) signed an application for a bu1ld1ng permit for the proposed work
3. I have contracted with the following person (firm l to provide the proposed construction (include name address /phone/ contractors' license number):
4 I olan to provide portions of !he work. but I have hired the following person to coordinate, supervise and provide the major work (include name I address/ phone/ contractors' license number)
5 I will provide sorne ol the work. but I have contracted (hired) the following persons to provide the work indicated (inclurJe name I address I phone/ 1ype of work)
£5 PROPERTY OWNER SIGNATURE DATE
Is the applicant or future building occupant required to submit n 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 !7 No
Is the applican1 or future buIldIng occupant required to obtain a permit from the air pollution control district or air quality management district? Cl Yes O No
Is the facility to be constructed within 1.000 feet ot the outer boundary of a school site? D 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 hereby affirm that there is a co
Lender's Name
! 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 bull ding construction.
I hereby authonze representative oi the City of Car1sbad to enter upon !he 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 Buildin ial under the provisions of this Code shall expire by I imitation and become null and void if the building or worl< authortzed by such permit is not commenced within
180 days from lhe date of such perm rt or if the authorized by such perrnrt is suspended or abandoned at any time after the work is commenced for a period of 180 days {Section 106.4.4 Uniform Building Code).
£S APPLICANTS SIGNATURE
I.
REROOFING
SUPPLEMENTAL BUILDING PERMIT APPLICATION
JOB ADDRESS:,_d_~--'-=-~ ....... 5..,__~!J1,........,.a-r<=L.. ...... f~----'C""'-L-· ...... rr._,__,IP~----
2. TYPE OF BUILDING: RESIDENTIAL ,x COMMERCIAL ___ _
3. ROOF SLOPE: RISE_!/_ INCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONEG 2 3
5. TYPE OF EXISTING ROOF COVERING ti~ SHEATHING __ _
*6. NEW ROOF MATERIAL {~o cLAssAwEIGHT PER so. __
7. NUMBER OF SQUARES JQ
8. TRADE NAME (z4F,/£flMANUFACTURER ______ _
9. ROOF SYSTEM LISTING:
UL N0.
0
,__ ____ I.C.C.E.S. Report# _____ _
ASTM30/g
I 0. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF
THE PROPOSED ROOF? YES 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:
I. Tear Off/Pre-Inspection prior to install new roof covering
2. Final Inspection
Contractor __ ~ __ Owner ____ Contractor Name /Jrh&/4 Jfe.oGl{j ✓ /J?r.
*6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other
City of Carlsbad Bldg Inspection Request
For: 11/13/2009
Permit# CB091868
Title: BASHORE: 3000SF COMP TO COMP
Description:
Type:MISC Sub Type: REROOF
Job Address: 2405 MARK CR
Suite: Lot 0
Location:
APPLICANT URBACH ROOFING, INC.
Owner: BASHORE BRIAN A&SUSAN
Remarks:
Total Time:
Act Comments
Inspector Assignment: RB ---
Phone: 7604715065
l,spocro"?
Requested By: AMBER
Entered By: JANEAN
CD Description
19 Final Structural L _________ _
--· ----------------·
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments
11/09/2009 15 Roof/Reroof AP RB NO JOB CARD ON SITE (1106-H4)