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
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