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
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