HomeMy WebLinkAbout2540 ORION WAY; ; CB020198; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
01-17-2002 Miscellaneous Permit Permit No:CB020198
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
2540 ORION WY CBAD
MISC
$11,900.00
Subtype: REROOF
Lot#: 0
Project Title: FIRE STN #5-1000 SF BUILT UP
Applicant: Owner:
COMMERCIAL & INDUSTRIAL ROOFING INC
9239 OLIVE DR
SPRING VALLEY, CA 91977
619-465-3737
Total Fees: $192.00
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Payments To Date:
PERMIT FEE
Status:
Applied:
Entered By:
Plan Approved:
ISSUED
01/17/2002
RMA
01/17/2002
01/17/2002
$0.00
Issued:
Inspect Area:
9013 01/17/02 0002 01. 02
c~31::n 192=00
Balance Due: $192.00
$192.00
$0.00
$0.00
$192.00
FINA~~ROVAL
Date:~J J--/.-OZ Clearance:-----Inspector.
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "lees/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
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 theifimposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection lees and capactiy
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 ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired.
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONLY
PLAN CHECK NO. c&o;rr!
EST. VAL. /~ t/aJ
Plan Ck. Deposit ~
Validated By • I /) f_(k
Date / {/ 7/
,. PROjECT INFORMATION D :2 S t..\ o C ~ l o"'
Address (include Bldg/Suite II) Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units
Assessor's Parcel II Proposed Use
Description of Work II of Bedrooms II of Bathrooms
2. CONTACT PERSON (if different from applicant)
Name Address
3. APPLICANT ~ontractor D Agent for Contractor O Owner
Name Address
4. PROPERTY OWNER
Name Address
5. CONTRACTOR -COMPANY NAME
City
D Agent for Owner
City
City
State/Zip
State/Zip
State/Zip
Telephone II Fax II
Telephone II
Telephone II
(Sec. 7031 .5 Business and Professions Code: Any City or County which requires a permit 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 that he is licensed pursuant to the provisions of the Contractor's License Law
(Chapter 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 7031.!i,._by any applicant for a p~it subjects the aj!l>licant to a ciril penalty of not more than five hundred dollars ($500]).
C oMm~ • TncJ S 'o.L ,~~,, ,~JC/ o,V~fJ~..S II i,IQ..Jle. C °l'e.z-77
Name
State License II _S-_l.f~d-_7_2~'{~ Address
License Class __ c __ -__ Jc....._!....._ __ _
City State/Zip T ephone (uli.) 4&S-$ 7 J?
City Business License II IJ..o{p 1-Yu
Designer Name Address City State/Zip Telephone
State License II ----------
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
~ 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 performance
of the work for which this permit is issued.
;:8(' I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My worker's COr:!!fe,nsat~n insurance carrie'\and policy number are: l \ 7 7
Insurance Company ~ '"tA 'TE' f \.J ~ cJ Policy No.~ BS-0 OOC> S...) Expiration Date t: I-0 3
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS)
D CERTIFICATE 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 Workers' Compensation Laws of California.
ure era' co P?,.tion coverage ia unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand doUA1'ft"'f1t1-0a:0001, n ildition ,t~~st of compensation, damages es provided for in Section 3706 of-LJl><>r code, interest and attorney's fees.
SIGNATURE DATE '1 fJ I"\ ) ] ,-0 ')....
7. OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
D 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 year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (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 contracts for such projects with contractor(s) licensed
pursuant to the Contractor's License Law).
D I am exempt under Section Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. D YES ONO
2. I (have I have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number 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
number I contractors license numberl:------------------------------------------------
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 number / type of work): __________________________________________________________ _
PROPERTY OWNER SIGNATURE-------------------------
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES D NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
B. CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME---------------LENDER'S ADDRESS ________________________ _
9. APPLICANT CERTIFICATION
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply w ith all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit\' of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES,
JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the bu· g Otlic· nder th rovi · ns f this Code shall expire by limitation and become null and void ii the building or work
authorized by such permit is n e · hin 1 da d of ch permit or if the building or work authorized by such permit is suspended or abandoned
at any time after the wor s commenced f 06.4.4 Uniform Building Code). ,--..
APPLICANT'S SIGNATU DATE I) ,tl.11 I 7 -0 2.
PINK: Finance
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDRESS: Q.S: LL a o .~ ~' o" lr-J Aj
2. TYPE OF BUILDING: RESIDENTIAL COMMERCIAL. )>.C .
3. ROOF SLOPE: RISE 1
/ ,z_ inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) LV 2! 3
5. TYPE OF EXISTING ROOF COVERING v3-v? SHEATHING ·y '2-•
*6. NEW ROOF MATERIAL US-0(3 CLASS f+ WEIGHT PER SQUARE
7. -NUMBER OF SQUARES ) crC>
8. TRADE NAME -+1-eM ( t:i M~NUFACTURER ~~ E'M C:.. D .
9. ROOF SYSTEM LISTING UL No. ICBO No.
10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE
WEIGHT OF THE PROPOSED ROOF? C YE$2 NO
All roof coverings are required to be CLASS A. Combustible rooif coverings
of any type or classification are prohibited.
I understand the following inspections are required: :a
QTear Off/Pre-inspection prior to instal(~ew roof covering.
(I)=inal Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for
inspecti~ f} /) ,1 /J
Signatuki?:~d}/~
~
------Date 'J /J-f-\ ) 1 ~o -:!]__
Contractor X Owner Contractor Narpe c~r. Po-c) 0i >-, j
*6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass,~
Other.
City of Carlsbad Bldg Inspection Request
For: 06/27/2002
Permit# CB020198
Title: FIRE STN #5-1000 SF BUILT UP
Description:
Type:MISC Sub Type: REROOF
Job Address:
Suite:
Location:
2540 ORION WY
Lot 0
APPLICANT COMMERCIAL & INDUSTRIAL ROOFING INC
Owner:
Remarks: PERMIT UP FOR EXPIRATION
Total Time:
Act Comment
Inspector Assignment: PD
Phone: oo1oi.:
Inspect.a~
Requested By: NA
Entered By: CHRISTINE
CD Description
19 Final Structural ¥-----
~~~~~~~~~~~~
Associated PCRs
lnsgection Histo[Y
Date Description Act lnsp Comments
02/13/2002 15 Roof/Reroof PA PD
02/07/2002 15 Roof/Reroof PA PD
02/06/2002 15 Roof/Reroof PA PD
02/05/2002 15 Roof/Reroof PA PD
02/04/2002 15 Roof/Reroof PA PD
02/01/2002 15 Roof/Reroof PA GG
01/30/2002 15 Roof/Reroof PA GG
01/28/2002 15 Roof/Reroof NR GG
01/24/2002 15 Roof/Reroof PA GG
01/23/2002 15 Roof/Reroof PA GG UPPER OK TO COVER
01/22/2002 15 Roof/Reroof CA RC