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HomeMy WebLinkAbout2450 PIO PICO DR; ; CB080829; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 ' ,. 05-06-2008 Miscellaneous Permit Permit No: CB080829 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2450 PIO PICO DR CBAD MISC 1561104300 $0.00 Subtype: REROOF Lot#: 0 NISHIMOTO RES-1600 SF COMP TO Status: Applied: Entered By: Plan Approved: rssued: Inspect Area: SAME REPLACE 1 4X6X12 ROOF RAFTER AND REPLACE 2 Owner: ISSUED 05/06/2008 LSM 05/06/2008 05/06/2008 CAL-BEST CONSTRUCTION CO NISHIMOTO HIDEO&ANNA S .T TRUST STE L 24 70 S LA PALMA 92806 714 630 1180 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $138.00 Inspector: REROOF ELECT/INSP 2450 PIO PICO DR CARLSBAD CA 92008 Total Payments To Date: $138.00 Balance Due: Clearance: $83.00 $55.00 $0.00 $138.00 $0.00 NOTICE: Please take NOTICE that approval of your project includes the 'Imposition' off , dedications, reservations, er 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 proce.~ing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure wrn bar· ?ny 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 proj£-ct. NOR DOES IT APPLY to any f · n h" E i hi h h f limi t11rum~lul~~mml~ _ _J City of Carlsbad Plan Check No. CU) 0~0 ~~ 1635 Faraday Ave., Carlsbad, CA 92008 760.602-2717 I 2718 I 2719 Fax: 760-602-8558 Building Permit Application DESCRIPTION OF WORK: Include Squ•re FNt of Affected Atea(s) EXISTING USE #OFUNIS #BED STATE UC.# Est. Value Plan Ck. Deposit Date U1 #/ PACE#/UNIT# TENA BUS1NES NAME CON TR. TYPE CLASS CITY BUS. UC.# TD t,-p C fStc. 7031.S ksiliess and Prqftssions Coil~ Mf CitJ_ or ComlltJ. which r1q1im a per,nit to cons~ al1trj ~~ ""'°lish or re~r IIIJ' sncaire, ~ It ilS i~ ako ....-n, ~t for Hell ,etmit to lilt • sitned ltlltllnl dlat h is lictftlH J!.l!nNII to the P'!"IIOIII of the ~s LictllR Law {Chpler 9, aimmfflding with Section 000 of Dimion l of the. lusineu and Professiotls Code} or tliat lie is uerwpt 111d die ••11 for the ale&ff hen!ption. Alty violatioR of le<uo, JUl 1.5 ~ uy ,;,i;a,,t 1w I ,.... Mbj,<u lie appiunt I> I ci,i P"'i<J of "1 m,e dt1fl fi-<t ho,dr,4 d,I., {1500)) WORKERS COMPENSATION Wonutrl' Compentltion Dtclntlon: I hereby afflrm under penalty of perjuy one of the following declarations: 0 I hlYt 1nd will m1lntain I certtllcate of consent to 1elf-tn1ure for workers' compensation as provided by SecUon 3700 of the Labor Code, for the perfonnance of the work for which this permit ls issued. ~have and wlll m1lntlln worllert' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. My workers' compensation lni,rance carrier and policy numbern:lnsuranceCo. :!ft', &1,tt{ PollcyNo. /,J %.23£-.;;,007 Ex~rallonDa~ Id: vry This section need not be completed if the permit ls for one hundred dollars ($100) or less.I Cl Ctl'tlflclte 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 Wor1ters' Compensation L!r#S of Galifornia. WARNING: F1llure to secure wortters' compenutlon cOVfflge 11 unllWful, ind shall subject 1n employer to crimln1I pen11tle1111d clvil fine, up to one hundred thounnd doll1r1 (&100,000), In 1ddltlon to 111, cost of.compen11tion, d1m1ges 11 provided for In Sectl~37]& of the i;,bor code, Interest 1nd attomey'a fees. i! c0N1'RACT0RS1GNATURE O?>-i: ~l!P' ~ I hemby affirm that I am exempt from Contracfo"'s License Law for the fol/owing reason: Cl 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 yer!6 of completion, the owner-builder will have the burden of proving that he did not build or Improve for the purpose of sale). C] I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business c11d Professions Code: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon, and contra::ts for such projects with contractor(s) licensed pursuant to the Contractor's license law). C] I am exempt under Section Business and Professions Code for this reason: 1. I personally plan to provide the major lalx>r and materials for construction of the proposed property improvement. Cl Yes C] No 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contra::ted with the following person (flrm) 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): _,,g PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the apptlcant or future buildlng occupant required to submit a business plan, a::ulely hazardous materials reg!slrallon form or risk managemenl and prevention program under Sectkms 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Cl Yes Cl No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Cl Yes Cl No Is the facility to be constructed within 1,000 feel of the outer boundary of a school site? C] Yes C] 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 aboYe lnfonnatlon Is correct and that the lnfonnatlon on the plans Is accurate. I agree to compty wltfl all City ordinances and S1ale laws relating to bulldlng construction. I hern!Jy OJllorize rep,""'llllive of lhe Clly of~ l>enten....-, lhe --property for i,speclon puposes. I ALSO AGREE TO SAVE, INDEl.tllFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND EXPENSES WHICH W.Y IN Alff WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRAKTING OF THIS PERMT. OSHA: /IJI OSHA pennl • requied for excavatioos """5'0' deep and deirdllon or cooslrudion of sinx:IJ'"5 """3 slories n height EXPIRATION: Ewiy pemil issued by lhe BJl~lng Official under lhe provisions of !his Code shaTI expre by imilallcn and ilec:olro nul and void ff lhe bundlng or-au!1orized by such pemil • not carrnenced IWhn 180 days_ !he dale of such pemit or ff Ille buidlng or-aulhooized by such pennft osuspended or abandoned allllY lire allerlhe-ls "'"'"'ired for a period of 180 days (sedion 106.4.4 Unifoon BJldlng Code) . ..fS' APPLICANT'S SIGNATURE DATE .. REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESS: 2_ Lj5 0 ~/if) f° /("b )7~, 2. TYPE OF BUILDING: RESIDENTIAL. __ v __ COMMERCIAL. __ _ 3. ROOF SLOPE: RISE 3 INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) tJ 2 3 5. TYPE OF EXISTING ROOF COVERING (!t1«()-SHEATHING __ J_· *6. NEW ROOF MATERIAL -a~:.-,yps CLASS ,-, WEIGHT PER SO. 7 / t-7. NUMBER OF SQUARES / t f 5 p , 8. TRADE NAME <:., /J r; d'" ' MANUFACTURER ·---------- 9. ROOF SYSTEM LISTING: UL NO.-----I.C.C.E.S. Report# _____ _ ASTM ____ _ 10. IS THE EXISTING STRUCTURAL DESIQN 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. · 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 ~~et J;/;; « 2Z: Date S: ~ I,, -a c£:::: Contractor ____ Owner ____ Contractor Name,_· --------- *6. Rolled Roofing, Standard/Lite Tile, AsphaltjComp fil:>erglas~, Buili Up, c;>ther City of Carlsbad Bldg Inspection Request For: 05/23/2008 Permit# CB080829 Inspector Assignment: Title: NISHIMOTO RES-1600 SF COMP TO Description: SAME REPLACE 1 4X6X12 ROOF RAFTER AND REPLACE 2 LIGHT FIXTURES Type: MISC Sub Type: REROOF Job Address: 2450 PIO PICO DR Suite: Lot 0 Location: OWNER NISHIMOTO HIDEO&ANNA ST TRUST Owner: NISHIMOTO HIDEO&ANNA ST TRUST Remarks: Total Time: ----- CD Description omment Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments Phone: 7144037771 Inspector:~ Requested By: JUSTIN Entered By: JANEAN -