HomeMy WebLinkAbout2525 Jefferson St; ; CBR2018-2095; Permit{city of
Carlsbad
Residential Permit
Print Date: 09/24/2018 Permit No: CBR2018-2095
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
2525 Jefferson St
BLDG-Residential
1551703608
$3,374.53
Work Class:
lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Re roof Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Closed -Finaled
08/20/2018
08/20/2018
Plan Check#:
Final
Inspection: 9/24/2018 3:57:SlPM
Project Title:
Description: LAGUNA DE LOS PATOS: (UNITS H, I, J) RE-ROOF 19 SQUARES COMP AND TORCH-DOWN
BUILDING PERMIT FEE ($2000+)
BUILDING PLAN CHECK FEE (BLDG)
SB1473 GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION-RESIDENTIAL
Total Fees: $106.46
Owner:
LAGUNA DE LOS PATOS HOA
760-720-0900
Total Payments To Date: $106.46
Contractor:
DIVERSIFIED CONTRACTING
940 Wind Drift Dr
Carlsbad, CA 92011-1130
760-521-1821
Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these
fees/exactions. lf 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 IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
$0.00
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
$61.74
$43.22
$1.00
$0.50
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMfT ISSUANCE: 0PLANNING D ENGINEERING 0BUILOING 0FIRE 0HEALTH 0HAZMAT/APCD I
( City of
Building Permit Application Plan Check No. Cl3{2p'(J I) -o'.204'1
1635 Faraday Ave., Ca~sbad, CA 92008 Est. Value ~ ,: .. 'Ji ,.,_ ., ..,,,
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit •
email: building@ca~sbadca.gov .
xi -111 II x www.carlsbadca.gov Date
JOB ADDRESS <J.S). > ~Jefferson Street
SUITEI/SPACEI/UN IAPN H-J ---
CT/PROJECT # ILOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME CONSTR. TYPE I DCC. GROUP
Roofi111
DESCRIPTION OF WORK: Include Square Ffft of Affected Area(•)
remove/replace existing pitched roof with new composition shingles----1600 Sq. Ft. t~;z( ! remove/replace existing flat roof with torch applied granulated cap sheet---300 sq. ft.
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS
Multi Family Residential Same n/a n/a n/a YES[J# Nc{J YES0No[Z) YES0No[ZJ
APPLICANT NAME Gary Rogers PROPERTY OWNER NAME
Pffllllrv Cont11<:t Laguna De Los Patos HOA-C/o GRG Manaa
ADDRESS ADDRESS
940 Wind Drift Drive 2535/2525 Jefferson Street
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA 92011 Carlsbad CA 92008
PHONE IFAX PHONE IFAX 760-521-1821 866-870-4986 760.720.0900 ext 103 760. 720.0085
EMJ>JL EMAIL
Gary@diversified-contracting.net Leann@GRGMgmt.com
DESIGN PROFESSIONAL N/a CONTRACTOR BUS. NAME GL Roaers. Inc. Dba Diversified Contractira
ADDRESS ADDRESS 940 Wind Drift Drivew
CITY STATE ZJP CITY STATE ZJP
Carlsbad CA 92011
PHONE IFAX PHONE IFAX 760-671-4231 866-870-4986
EMAIL EMAIL
Customerservice@diversified-contracting.net I STATE LIC. # STATE UC.# ICB/C-39 ICITYBUSLIC1241809 564276
(Sec. 7031.5 Business and Professions Code: My City or County which requires a perrmt to construct. alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement ttiat he is licensed pursuant to the provisions of the Contractor's License Law {Chapter 9, commending with Section 7000 of DMsion 3 of the Business and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applic:anCTor a permit subjects the applrc:ant to a
civil penalty of not more than five hundred dollars {$500]).
WORKERS' COMPENSATION
Workeni' Compensation Declaratlon: I hereby affirm under penalty of perju(y one of the following declarations: 0 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 pertormance of the work for whk:h this permit Is issued.
[ZJ I have and will maintain workers' c0f11)9nsation, as required bV Section 3700 of the labor c.ode, for the performance of the WCfk for which this oermlt is issued. My workers' compensation insurance carrier and pdicy
number are: Insurance Co. Applied Underwrtten; Policy No. 46-892719-01·04 Expiration Date 91112011
I,tl§.section need not be completed if the permit is for one hundred dolars ($100) or less. LJ Certificate of Exemption: I certify that In the perform.nee of the work for which this permit is issued, I shal not employ any person In any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to securewori<ers' compensation coverage Is unlawful, and shall subject an employer to crtmlnal penaltiea and civil fines up to one hundred thou11111d dollars (&100.000), in
addition to the cost of compensation, d as provided f71n n 3706 of the Labor code, Interest and attorney's fees.
Jl5 CONTRACTOR SIGNAnJRE
I hereby affirm that I am exempt from C,ontractor's Ucense Law for the following mason: 0 1, as owner of the property or my employees with wages as theirsik compensation, will do the work and the structure is no! intended or offered for sale (Sec. 7044, Business .-id Professions Code: The Contractor's
License law does not apply to an owner of prq>erty who Wilds or improves thereon, and who does such IM>lk himself or through his own employees, provided that such improvements are not intended or offered for
sale. If, however, the buikflng or improvement is sold within one year of completion, the owner..tiuilder wil have the burden of proving that he did not build or Improve for the purpose of sale).
0
D
I, as owneJ of the property, am exclusively contracting with licensed contractors to construct the pro;ect (Sec. 7044, Business and Professions Code: The Contrcctor's License Law does not ap~y to an owner of
property who bu~ds or improves thereon, and contracts for such project; with oontractor(s) licensed pursuant to the Contractor's License 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 construction of the proposed property imJJ'()Vement. Oves Oo
2. I {have I have not) signed an a~ication for a building permit for the proposed work.
3. l have con~ed with the fo!kM;ng person (firm) to provide the proJXJsed coostruction ~nclude 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 l have contrac:ted (hired) the folk,Ning persons to provide the work indicated ~nciude name I address I phone I type of work):
NS PROPERTY OWNER SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
ls the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and prevention IJ'l)Qfam under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? [] Yes [] No
Is the applicant or future buHcling occupant required to obtain a permit from the air polution control disbict or air quality management dislrict? [] Yes [] No
Is the facility to be constructed 'Mthin 1,000 feel of the outer boundary of a school site? Cl Yes Cl 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 OFACE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I certify that I have read the applcatlon and state that the above Information Is cona:tand that the Information on the plans Is acwrate.1 agiae ID mmplyv.tlh all City ordinances and StllB laws n'llating ID Wldlng~
I hereby i!IJ~orile representalM!of lhe City of Carlsbad to enter upon ~e--ed p,q,erty ilr mspeclion purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST A1.L UAfllUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUEAG.AJNST SAID CITY IN CO'lSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA AA OSHA permit is re:iuired for excavations over 50' deep and derrdilion or ronstruction of structures ave,-3 stories in heij;tt
EXPIRATION: Every p:ll'ITlit issued by the ilding Official under the pl'OVISkms of this Qxle shal expie by linitatioo and becane nul .rid void if the OOiklhg or val< authorized by sudl ~ is not commenced wlhi'l
180 days troo, lhe date of sud! permit or if ikling or v.ork a · StJdl permit is StJspended or abandoned at any time after the val< is rommenced bra rkJd of 1fK> days (Sedk>n 106.4.4 Unitxm 9.liklhg rme~
,t!S' APPLICANT'S SIGNATURE DATE J
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
')_t;)S
1. JOB ADDRESS:_lMfl....;,,· -"'-d-.,_,__~~IF---"FIP'--'U"--'--l--------"M=....L..1---;j-h_-0-=-----
2. TYPE OF BUILDING: RESIDENTIAL ___ _ COMMERCIAL X,
** Please contact HCD for a permit if you will be doing work on a manufactured/mobile home. **
3. ROOF SLOPE: RISE Y\ INCHES IN 12 INCHES ~ '11 -\ '}
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 1 @ 3
5. TYPE OF EXISTING ROOF COVERING~ SHEATHING~
6. NEWROOFMATERIAL~~ ~ss-4.-b~.AJ,(J
7. NUMBER OF SQUARES l G\ WEIGHT PER sa._-:2-~\ ...... , l __
8. TRADE NAME 0\,0)\p Grun; MANUFACTURER _______ _
9. ROOF SYSTEM LISTING:
ULNO.~\{ "J.l\S--o I I.C.C.E.S. Report#~-~L\.3ff ASTM_~--
10. IS THE EXISTING STRU~L DESIGN 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.
Name~--Y.,~'-/-~~...;:}~~~~~~~~~-
Signature L-~:___.:,1--1-,:~t....:....::-¥--------Date 8 /1 ~J/ ~
(CIRCLE ONE) Owner
*6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other
B-10 Page 6 of 6 Rev. 04/14
0 ':st; 'i ' *
• ~ "':',\. PERMIT INSPECTION HISmRY REPORT (CB~o1s:21>95)
' '
Permit Type: BLDG-Residential Application Date: 08/20/2018 Owner: LAGUNA DE LOS PATOS HOA
Work Class: Reroof Issue Dato: 08/20/2018 Subdivision: CARLSBAD TCT#72-10
Status: Closed -Finaled Expiration Date: 02/20/2019 Address: 2525 Jefferson St
Carlsbad, CA 92008-1462
IVR Number: 13318
Scheduled Actual
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Re inspection Complete
08124/2018 08/24/2018 BLDG-15 068022-2018 Passed Paul Burnette Complete
Roof/ReRoof (Patio)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
09/24/2018 09/24/2018 BLDG-Final 070762-2018 Passed Paul Burnette Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
BLDG-Plumbing Final No
BLDG-Mechanical Final No
BLDG-Structural Final Yes
BLDG-Electrical Final No
September 24, 2018 Page 1 of 1