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2561 NAVARRA DR; ; CB160328; Permit
City of Carlsbad 1635 FaradayAv Carlsbad, CA 92008 . 01-29-2016 Miscellaneous Permit Permit No: C13 160328 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: 2561 NAVARRA DR CBAD MISC Subtype: REROOF 2162002736 Lot #: 0 $13193.00 PILOT PROPERTY:30 SQ CONC TILE REROOF Status: ISSUED Applied: 01/27/2016 Entered By: SLE Plan Approved: 01/27/2016 Issued: 01/27/2016 Ins'pect Area: Applicant:' Owner: . * PREMIER ROOFING 8eMBER44E4et- 9054 OLIVE DR SPRING VALLEY . -5479VE1TRC CA 91977 SAN DIEGO CA 92130 619-667-4515 Miscelaneous Fee #1 PERMIT / INSPECTION $260.00 Miscelaneous Fee #2 . . $0.00 Additional Fees $0.00 - TOTAL PERMIT FEES $260.00 Total Fees: $260.00 Total Payments To Date:. $260.00 Balance Due: $0.00 FINAL APPROVAL Inspector: /'1 2.44 5 Date: _____________ Clearance: NOTICE Rem take NOTICE that appaval of yw prqed irdudes the lrrpoth thees, dedicationsss, reservatia-s, crc(Iaicns heaft& cdledhdy ratenwi to fe&emia-& You hae 93 days from the date this peffrit ves issued to pest irrpasitia, of these fees/iais. If you protest theM ycu rn.t follow the protest puethes set forth in Qwemnuit Code Section 66020(a), aid file the protest and any other mivsd infarmbm4Ui the aty Wlanagerfa- .u.*ng in aatewth Carlsbad MJnidrI Code Section 332.(X30. Faikue to tirrdyfdIowthatptheII baraiVsAiseqjentII edia, toattacic review, set aside, void, or arriil their inpcstion. You are hacebl RRfl-ER NOTIFIED that your iiqjt to pretest the spedfiJ feesleactionsPOES NOTPPR.Ytomater and sew connection fees and capacity charge ruplaiirg, zalrg, gredrg or other emlar application processing or service feed in connection wth this pqed. NCR DOES IT F1LY to any fcIrgt' nf v,hith ri hr, hmn di a NCITICErTiIactothis. &esto With the statutecf Iin'itatims has amwydhaWseae'rnd. orTHE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: DPLANNING DENGINEERING 0 BUILDING I DFIRE 0 HEALTH DHAZMATIAPCD I 100"1 Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008' . Ph: 760-602-2719 Fax: 760-602-8558 email: building©carlsbadca.gov Cd.risbacl www.carlsbadca.gov 19% Plan Check No. (flj((pg32S Est. Value Plan Ck. Deposit Date I — ?11— (i IswpPp - I JOB ADDRESS / 1SUITE#/SPACE#/UNIT# JAPN - - - CT/PROJECT # LOT # PHASE # # OF UNITS # BEDROOMS # BATHROOMS I TENANT BUSINESS NAME CONSTR. 1YPE 0CC. GROUP DESCRIPTION OF WORK: include Square Feet of Affected Area(s) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) I FIREPLACE YES NOD AIR CONDITIONING YES DNO D I FIRE SPRINKLERS NO I YESD D APPLICANT NAME mnrJ l'AJ/ Primary Contact PROPERTY OWNER ADDRESS 21 411 V ei c d A'-q5 g/t/p ç/ /i 1 ADDRESS CITY STATE ZIP CI STATE9 . Z PHONE FAX PHONE I ( FAX EMAIL EMAIL DESIGN PROFESSIONAL . . . CONTRACTOR BUS. NAME f/f i_t . ADDRESS - ADDRESS TO /h_-1-'7- CITY STATE ZIP CIff STATE q /977 PHONE 1FAX PkIONE — EMAIL EMAIL Al STATE UC. # 3TATE 1.1119 I 7,7 CLASS 1 6—J17zg/717 BUS. LIC.# (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, aiso requires me applicant for such permit to file a signed statement that he Is licensed pursuant to the provisions of the Contractors 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 7031.5 by any applicant for a permit subjects the applicant to a civil nenaltv of not more than five hundred dollars ($50011. Workers' Compensation Declaration: I hereby affirm under penally of perjury one of the folkiwing declarations: Ell have and will maintain a certificate of consent to self-insure for woilters' compensation as provided by Section 3700 of the labor Code, for the performance of the work for which this permit is issued. III have and will maintain workers' comgpsation, as required by S,clion 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation ins)irance carrier and policy number are: Insurance Co._C,4 hr fii(Iz0f4' (' Policy No.__U019:30 76 1 Expiration Date_________________ This section need not be completed if the permit is for one hundred dollars ($100) or less. [J 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. WARNING: Failure to secure worke 'compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damage Vs provided for in Section 3706 of the Labor code, Interest and attorney's fees. CONTRACTORSIGNATURE 1) DAGENT DATE thereby affirm that I am exempt from Contractor's License Law for the following 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 year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Conlractor's License Law dos not apply loan owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to 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 construction of the proposed property improvemenl. DYes —]No 2.1 (have! have not) signed an application for a building permit for the proposed work., 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address! phone !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! address! phone contractors' license number): 5.1 will provide some of the work, bull have contracted (hired) the following persons to provide the work indicated (inckde name! address phone! type of work): .PROPERTY OWNER SIGNATURE AGENT DATE - REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOBADDRESS: 2iJ W/zR ThZ. /c8.wY TYPE OF BUILDING: RESIDENTIAL— L7 : COMMERCIAL_______ ROOF SLOPE: RISE_q INCHES IN 12 INCHES NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 2 3 TYPE OF EXISTING ROOF COVERING SHEATHING______ *6. NEW ROOF MATERIAL 1_!_ CLASS __ft 'WEIGHT PER SQ:9oO 7. NUMBER OF SQUARES_____________ TRADE NAME Co .ik,/1&1- MANUFACTURER_________________ ROOF SYSTEM LISTING: UL NO. Report# ASTM_______ . IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOFS? • •NO -. All roof coverings are required to be CLASS A. Combustible roof coverings of any tpe or classification are prohibited. I I understand the following inspections are required: Tear Off/Pre-Inspection prior to install new roof covering Final Inspection I agree to provide a la derextending at least 2 rungs above the roof for inspection. Signature ' Date__________________ Contractor Owner' Contractor • Name__________________ . *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other. • I B-10 Page 4 of 4 • Re.?. 02/11 Inspection List Permit#: CB160328 Type: MISC REROOF PILOT PROPERTY:30 SQ CONC TILE t . REROOF Date Inspection Item Inspector Act Comments 03/02/2016 19 Final Structural - RI 03/02/2016 19 Final Structural MC Fl 02/03/2016 15 Roof/Reroof MC AP EXISTING SHEATHING OK. I. I 4 I-, 1 -- ,•.. -. t . - - •I: , 1_ • •- Wednesday, March 02, 2016 Pagelofi '