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Home My WebLink About2413 APPIAN RD; ; CB120175; Permit01-30-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CBl20175 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: 2413 APPIAN RD CBAD MISC 1673813200 $4,096.00 Subtype: REROOF Lot#: 0 HUMPHREY: 3000 SF COMP TO COMP REROOF Applicant: ADAN CRUZ ROOFING Status: ISSUED Applied: 01/30/2012 Entered By: Plan Approved: Issued: Inspect Area: Owner: HUMPHREY WILEY R&PATSY L JMA 01/30/2012 01/30/2012 3005 LUANA DR 92056 760 726-6440 2413 APPIAN RD CARLSBAD CA 92010 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $134.00 $0.00 $0.00 $134.00 Total Fees: $134.00 Total Payments To Date: $134.00 Balance Due: $0.00 Inspector: FINAL APPROVAL Date: _JlMfI^ Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, resen/ations, or other exactions hereafter collectively refen'ed to as "fees/exactlons.' You have 90 days from the date this pemnit 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 sewtee fees in connection with this project. NOR DOES IT APPLY to any fees^exacHons of which vou have previously been oiven a NOTICE similar to this, or as to which the statute of limitations has previously othenvise expired. ^ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.ca risbadca .gov Plan Check No. (2 Q (7.^ Est. Value ^ ^ ^ Plan Ok. Deposit Date, SWPP JOBADDRBS / CT/PROJECT # I COT* ' | PHASE # |#OFUNn SUITE#/SPACE#/UNrr# UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC GROUP DESCRIPTION OF WORK: /nc/ude Square Feet ctAStectad Area(s) ren or mrectea HreaiS) j . —I — »' — - r '—**** —— "—~ — •—•—' \j tCmP LT^V^/?^ CJ^- So^lMS- F-^Ly- ctnc^ i\r£MJ EXISTING USE I DPnDftscn iiec I n&D&nc PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES • # NO • AIR CONDITIONING YES • Non FIRE SPRINKLERS YES • NO • IE (Primary Confact) APPUCANT NAME (Secondary Contact) ADDRESS CITY / ' ' STATE. ADDRESS CITY / STATE ZIP OC^QOSi^s^ CPz 9^S^ PHONE T TFAX CITY STATE ZIP iMAIL , PHONE EMAIL FAX PROPERTY OWNER NAME , A ^ ^ \ / outlay liOr\^ft(V^y ADDRESS CITY STATE ZIP STATE ZIP PHONE PHONE FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS irove, demolish or repair any structure, priof to Its Issuance, also requires the civil penalty of not more than five hundred dollars ($500)). WORKERS COMPENSATION structure, priorto Its Issuance, also requires the , commending with Section 7000 of Division 3 of the any applicant for a permit subjects the applicant to a VVorkers' Compensation Declaration: / hereby afUnn underpen^ c/peijury one tithe following declarations: 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 perfonnance of the work for which this perm It Is Issued. I have and will maintain workers' Mmpanutlon, as required by Sectton 3700 of the Labor Code, for the perfonnance of the work fo(^hichthls.^nnlt Is Issued My workers' compensation Insurance earner and policy number are: Insurance Co. ^./cf'/--^ pU/)(/ Policy No. /^"^ Expiration Date / ~ ^ 7. / ? This.section need not be completed If the pemiit Is ibr one hundred dollars ($1 (X)j or less. ^ Certificate of Exemptian: I certify that In the perfonnance of the work for which this pennit Is Issued, I shall not employ any person In any manner so as to become subject to the Workers' Compensatkin Laws of California. WARNING: Failure to secure workers' compensatior coverage Is unlawful, and shall subject an employerto criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damages as mvlded for In Section 3706 of the Labor code, interest and attomey's fees. ygS" CONTRACTOR SIGNATURE (X-Cj^iii\ C Vl/Z OAGENT DATE j JSCyJ OWNER-BUItOER DECLARATION / fteretiy affirm fM / am exempt from Contractor's License Law for the following reason: D 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 bulkls 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 dkJ not build or Improve for the purpose of sale). • I, as owner of Ihe property, am exclusively contracting with licensed contractors to construct the pmject (Sec. 7044, Business and Professkins 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 Ucense Law). • I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for constnjction of the proposed property improvement • Yes O No 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (Include name address / phone /contractors' license number): 4.1 plan to provide portions of the wort(, but I have hired the folkiwing person to coonlinate, supen/lse and provkle the major work (Include name / address / phone / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indk:ated (Include name / address / phone / type of work): veTpROPERTY 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 applicant or future building occupant required to submit a business plaiv^cutely hazardous materials registration fonn o r risk management and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazanlous Substance Account Act? DYes OTJO Is the applicant or future building occupant required to obtain a pemiit from the air pollution control district or air quality management district? • Yes J>11o Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? OYes ONo IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT 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 construction lending agency for the perfomiance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I certif thati have lead the application and sbtB that the above infbmiatkin Is conect and thatthe Infbira I heretjy authorize representative ofthe Qty of Carlsbad to enter upon the above mentbned property for inspection puiposes. 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 pennit is required ibr excavations over SC deep and demolition or construction of stmctures over 3 stories In height EXPIRATION: Every pennit issued by the Building OlScial under the provisions of this Code shall expire by limitatbn and become nul and void if the building or vmik authorized by such pemiit is not commenced viiihin 180 days from Ihe dale of such permit or if the building or work authorized by such peimit is suspended or abandoned at any time after the vwik is commenced fbr a period of 180 days (Sectton 106.4.4 UnHbrm Buikiing Code). vC^APPLICANT'S SIGNATURE DATE i \3ol REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOBADDRESS: 2V/.^ /^^ffnAj Rc/ 2. TYPE OF BUILDING: RESIDENTIAL^ COMMERCIAL 3. ROOF SLOPE: RISE V INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE)^ 2 3 5. TYPE OF EXISTING ROOF COVERING ,<r^ JQ^SHEATHING A:^ *6. NEW ROOF MATERIAL ^ki^rfile CLASS Pj- WEIGHT PER SQ.7d^ ^^5. 7. NUMBER OF SQUARES 8. TRADE NAME77 \A/\lriP/l7^ P MANUFACTURER {r> A-P^- 9. ROOF SYSTEM LISTING: UL NO. ''^^ ^'^^^I.C.C.E.S. Report#JLSj£Wf/5S_ ASTMvO^^^^iL^ 10. 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: 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, /ho/^l^ C/i\^^ Date d^oliT^ Contractor (^^/ty Owner /^Contractor Name /f^yj CILCZ *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass. Built Up, Other B-10 Page 4 of 4 Rev. 02/11 City of Carlsbad BIdg Inspection Request For: 02/02/2012 Permits CBl 20175 Title: HUMPHREY: 3000 SF COMP TO COMP Description: REROOF Inspector Assignment: PY Type: MISC Sub Type: REROOF Job Address: 2413 APPIAN RD Suite: Lot: 0 Location: APPLICANT ADAN CRUZ ROOFING Owner: HUMPHREY WILEY R&PATSY L Remarks: Phone: 7608022126 Inspector: Total Time: CD Description 19 Final Structural Act Comments Requested By: EVAN CRUZ Entered By: CHRISTINE Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection Histon/ Date Description Act Insp Comments 01/31/2012 15 Roof/Reroof AP PY EXISTING SHEATHING