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HomeMy WebLinkAbout2508 LA COSTA AVE; ; CB102139; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-23-2011 Miscellaneous Permit Permit No: CB102139 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 2508 LA COSTA AV CBAD MISC 2161602000 $0.00 Subtype: REROOF Status: Lot#: 0 Applied: Entered By: Reference #: Plan Approved: PC#: Project Title: ZAMANl:3,000 SF SHAKE TO HEAVY ST. TILE (EAGLE) Applicant: ADAN CRUZ ROOFING 3005 LUANA DR 92056 760 726-6440 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE Owner: ZAMANI AMIR ALI 2508 LA COSTA AVE CARLSBAD CA 92009 Total Fees: $197.00 Total Payments To Date: $197.00 Inspector: Issued: Inspect Area: Balance Due: Clearance: ISSUED 11/15/2010 JMA 11/15/2010 11/15/2010 PY $197.00 $0.00 $0.00 $197.00 $0.00 pproval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions.' Yo 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 !T APPLY to any f f i h v r vi I h' w i h h f limi i h I h rwi & ~ CITY OF CARLSBAD L4-05. LOT# Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www.carl5badca.gov Plan Check No. {!{3/ 0 2/39 Est. Value ~ '? " . Plan Ck. Deposit Date / 10/10 SWPP SUITE#/SPACE#/UNIT# APN A ,q.-y-R. PHASE# #OF UNITS ... s #BATHROOMS TENANT BUSINESS NAME fY -s /L'S. - l""< FIREP E AIR CONDITIONING FIRE SPRINKLERS YES □#_ NOD YES □NO □ YES □ NO□ CONTACT NA.ME (It Different Fom AppJlcantJ APPLICANT NAME ADDRESS ADDRESS CITY STATE ~p CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC.# (Sec. 7031.5 Business and Professions Code: Any City or County whieh requires a permit to construct. alter, improve, demolish or repair any structure, prior to Its lssuan e, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law JChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basiS for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$5001). WORKERS' COMPENSATION Wor,...Compensatlon Declaration:/ hereby alllrm under penalty of perJury one ollhe following declarsions: ~ j)Mlve and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of Iha Labor Code, for the performance of the work for which this permit ii issued. 2f'"" 1 have and will maintain wos&iJ.utlon, Pcuired r 3700 of the Labor Code, for lhe perform,~ work for wh6 rlt is Issued. My~• compensation ~nee rt,~rd policy number are: Insurance eo.e Jo Polley No. Y'5 J ExpH&lion Dale / Z O I I 0 This section need not be completed If the pennit is for one hundred dollars ($HMl) or less. □ Certificate of Exemption: I certify that In the performance of the work for which this pennil is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of CaHlomia. WARNING: Failure to secure workers' compensation coverage is unlawfu~ and shall subject an employer to c:rirninal penaltiq and ciYII ftnH up to one hundred thousand doHal"I (&100,000), in addition to the cost of compensation, damages as rovlded for in Section 3708 of the Labor code, interest and atto,ney's fNa. J Af CONTRACTOR SIGRATIJRE / / I hereby aman that I am exempt from Contractor's Ucense Law for lh6 following 18880ll: □ I, as owner of lhe property or my employees Ylith wages as their sole compensation, will do the work and the structure Is not intended oc offered for sale (Sec. 7044, Business 111d Profesaions Code: The Conndor's License Law does not apply lo an owner of property \\tlo builds oc 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 lhe boolen d proving that he did not build or improve for !tie purpoae of sale). □ l, as owner of lhe property, am exclusively contracting with liceo&ed contractors lo conslrucl lhe project(Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply kl an owner d property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant lo 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 conslruction of the proposed properly improvement. □ Yes □ No 2. l (have I have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the followlng person (firm) to provide the proposed conslruction (include name address/ phone I connctor&' license number): 4.1 plan to provide portions d the work, but I have hirad the following person to COOl'dinate, supervise and provide the major work (include name I address I phone/ c:ontracmrs' license mrnber): 5. I wiN provide some d the wont, but I have conlraded (hired) the following persons to provide the work indicated Qndude name / address / phone I type of v.ak): Af PROPERTY OWNER SIGNATIJRE □AGENT DATE - COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is lhe applicant or future building occupant requlntd to submit a business plan, acutely hazardous materials registration fonn or risk management and prevention program under Sections 25505, 25533 or 25534 rA lhe Presley-Tanner Hazardous Substance Account Act? □ Yes □ No Is the applicant or Min buUng occupant requiled lo obtain a permit from lhe air pollution control dlsbict or air quaNty management district? □ Yes □ No Is lhe l'aclllty lo be C005tructed v.flhin 1,000 feet of lhe oul&r 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 TtE OFFtCE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENPING AGENCY I hereby affirm that there tS a construction lenchng agency for the perfonnance of the work this perrmt 1s issued (Sec. 3097 (1) Civil Code). lender's Name Lender's Address APPLICANT CERTIFICATION I certtrythat I have reed the application and state that the above lnfonnatlon Is correct and that the lnfonnation on the plans Is acairate. 1 &gn,e 10 com~wllh all Clfy ordinances and State laws retattngto 1Ju1k11rW COi• dDn I hereby euroize rep,esenlalive of Ile Cify of Carlsbad I> enler ""'1 Ile abow> rrenooned property for nspedkJo purpooes. I Al.SO AGREE TO SAVE, IIOEMfo!FY #ID KEEP HARM.ES5 TIE CITY CF CARl.S8AO AGAINST ALL LL/\BLITIES, JUDGMENTS, COSTS #ID EXPENSES WHICH MAY IN AflYWAY ACCRUE AGAINST SAi) CITY IN COOSE<lUENCE Of THE GRANTING CF THIS PERMIT. OSHA: An OSHA pem,il is requimd br excavations rNf!K 5'0' deep and deroolilion or oonstructi::>n of slruclures rJ,lfJf 3 stl03s il hei;lt. EXPIRA TKlN: Eve,y pe<ml osued by lhe BuHcl"9 Official under lhe plO'IWlS of 1his Code shall expire by linMalon and become OJI and ,old I Ile buidi'g o, ""'1< aumized by llUCh pemil is rd commenced - 1110 days from lhe dale of sud1 pemito, llhe buidi'lg" aumized by sud1 pemlit •suspended" abandoned at any line ellor Ile mis commenced ilr a peood of 180 days (Section 106.4A lhbm llti1g Qxle). ,€S' APPLICANT'S SIGNA llJRE DATI! REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOBADDREss:_2_S_c_8' __ L_P,....:...._~(=Q'--S"'"')_g'-'--_ _,,r..,.~v_,,e __ _ 2. TYPE OF BUILDING: RESIDENTIAL ~ COMMERCIAL ____ _ 3. ROOF SLOPE: RISEL/i'I?., INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE)(D 2 3 s. TYPE OF EXISTING ROOF COVERING Sh 4Jre SHEATHING tv6' *6. NEw RooF MATERIAL /;a GI e cLAss 4: wE1GHT PER so.~ SO' 7. NUMBER OF SQUARES. _ _.,,_5_C).::...._ __ _ a. TRADE NAME. ______ MANUFACTURER e1+:5 l~ -tr!"?,., 9. ROOF SYSTEM LISTING: "''~ UL NO. 7)!.L,7 I.C.C.E.S. Report# 14 j'9 ASTM _____ _ IC(OO 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-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 _ __,_/k/4..1..l ..... ar'J:<!::.L_-1,c..,.~c...:_,,cr,.._:__:=--------Date u/ Is lp -~ C C~Owner ____ Contractor -Name Kt Ian, Crtu L *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other B-10 Page 5 of5 Rev. 03/09 Inspection List Permit#: CB102139 Date Inspection Item 03/23/2011 19 Final Structural 11 /24/201 O 19 Final Structural 11/18/2010 15 Roof/Reroof 11/17/2010 15 Roof/Reroof Wednesday, March 23, 2011 Type: MISC REROOF Inspector Act PY Fl PY PA PY PA PY NR ZAMANl:3,000 SF SHAKE TO HEAVY ST. TILE (EAGLE) Comments FINAL WITHOUT ENGINEERS CALCS. WORK COMPLETED. @ WORK COMPLETED WITH OUT ENGINEERS CALCS PROVIDE PLANS & ENGINEERING CALCS FOR HEAVY WEIGHT TILE Page 1 of 1