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Home My WebLink About2562 LUCIERNAGA ST; ; CB112228; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-18-2011 Miscellaneous Permit Permit No: CB112228 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2562 LUCIERNAGA ST CBAD MISC 2152604102 $3,506.00 WOOD: 2400 SF Subtype: REROOF Lot#: 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/18/2011 JMA 10/18/2011 10/18/2011 BAYNES ROOFING WOOD BRIAN&CARRIE FAMILY TRUST 07-09-10 2152 13TH ST 92024 858 518-4797 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES 2562 LUCIERNAGA ST CARLSBAD CA 92009 PERMIT FEE Total Fees: $118.00 Total Payments To Date: $118.00 Inspector: VI:'.\ ~$ FINAL Af PF,OVAL Date: f of-Zt..J I I $118.00 $0.00 $0.00 $118.00 Balance Due: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "tees/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 Carl':lbad 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. NOA DOES !T APPLY to any f~~~1~xactionc: of whi,.h vou hav" "rAvio11sl" been niv"'n a NOTl"~E c:imilar to this nr as to whir-h the c:t--•·,.,. nf !lmit~tlons has nreviou"h, otherwic:e exnir"'d. .. «~')> Building Permit Application Plan Check No. CB I· 22-2Y ~ CITY OF CARLSBAD JOB ADDRESS 2.. Lvcievna CT/PROJECT# LOT# EXISTING USE APPLICANT NAME (Primary Contact ADDRESS :2,S'h'2 1-ve,t'e CITY / .. f & l:Jq_ d Est. Value 1635 Faraday Ave .• Garlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www.carlsbadca.gov Plan Ck. Deposit SUITE#/SPACE#/UNIT# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME PROPOSED USE PATIOS {SF) NO □ -f- STATE ZIP OA 'tu> FAX 7"70 (p ZIP -?200 PHONE 71,0 ~-a-11 2.c MAIL bq 'WJC 1,,--,() f:,\.., STATE UC.# STATE UC.# ~ Z '2. "j'0'3 SWPP CONSTR. TYPE CCC GROUP AIR CONDITIONING FIRE SPRINKLERS YES □ NO □ YES □ NO □ ZIP 2,0'2.,~ (Sec, 7031.5 Business and P_rofessions 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 per_mit to file a signed statement that he is licensed pursuant to the prov1s1ons of the Contractor's License Law )Chapter 9, commending with Section 7000 of Division 3 of the B_usmess and Professions Code} or that he is exemP.t 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 {$500)). Worken' Compensation Declaration: I hereby affirm under penalty of petjUf'/ 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 per1ormance of the work for which this permit is issued. JI!( I have and will maintain worken' compensation, as ~red by ~ecjion 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. S:f:a.te J.-1.1),. ~ Policy No. OQ 2 2 :Z n-2,,D I o Expiration Date DI -12. -2d?:' '2. This section need not be completed ii the permit is for one hundred dollars ($100) or less. □ 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 workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees. AS CONTRACTORSIGNATIJRE :-p---e__ I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: □ 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 complefion, 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 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). □ 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. □ Yes □ No 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) lo provide the proposed construction (include name address/ 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 I have contracted (hired) the following persons to provide the work indicated (ir.clude name I address I phone I type of wo~): _,6$ PROPERTY OWNER SIGNATURE OAGENT DATE 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 Substar.ce Account Act? □ Yes □ No Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or air quality management district? □ Yes □ No ls the facility to be constructed within 1,000 feet of the outer 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 THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the application and state that the above lnfonnation Is oorrect and that the infonnation on the plans is accurate. I agree tD comply with all City ordinances and State law.; relatlng1D building construction. I hereby authorize rei:resentative of the City of Carlsbad to enter u~n the atx:Jve men!Klned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AG.AJNST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA: An OSHA penTilt is required for excavations over 5'0' deep and demolrtion or construction of structures over 3 stores in he"Jht. EXPIRATION: Every penTilt issued by the Buik:ling OffK:ial under the provisions of this C.ode shall expire by limitation and become null and void ~the buik:ling or W)fk authorized by such permit is not commenced 'MIilin 180 days from the date of such permit or if the building or oork authorized by such pennlt is suspended or abandoned at any lime after the oork is oommenced fur a perbd of 180 days (Sec!Kln 100.4 .4 Uniform Building Code). ,..S APPLICANT'S SIGNATURE Q_. DATE /,;O -/ 'js -2,0 Vf REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESS: 25(p2. Lvc.1'e1-n0,ic. 8+, Cqr(rha/ 2. TYPE OF BUILDING: RESIDENTIAL ✓ COMMERCIAL __ _ 3. ROOF SLOPE: RISE 'f INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE)(j) 2 3 5. TYPE OF EXISTING ROOF COVERING etsphecll-.s/w~l,SHEATHING .....,- *6. NEW ROOF MATERIAL a.,pb .. 1:1: sh/",/.eCLASS k WEIGHT PER SQ .. __ 7. NUMBER OF SQUARES _ _.,2.._'f_,__ __ _ a. TRADE NAME '4,yimawc; ~,.... MANUFACTURER (erft11✓11kuf 9. ROOF SYSTEM LISTING: ('/~'f') UL NO. A I.C.C.E.S. Report# es -l§}t:-/!3f! <f ASTM D30t S, 10. IS THE EXISTING STRUCTURAL 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. Signature (____, ,&-"--12-0 Date lo -t P, -2.0t1 Contractor V--Owner _____ Contractor Name Je.t,,. Pt't:w: Ct,4!10,, *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other B-10 Page 4 of4 Rev. 02/11 m • . City of Carlsbad Bldg Inspection Request . ' Permit# CB112228 Title: WOOD: 2400 SF Description: For: 10/25/2011 Type:MISC Sub Type: REROOF Job Address: Suite: Location: 2562 LUCIERNAGA ST Lot: 0 Inspector Assignment: MC --- Phone: 8585184797 Inspector: t,,lG OWNER WOOD BRIAN&CARRIE FAMILY TRUST 07-09-10 Owner: WOOD BRIAN&CARRIE FAMILY TRUST 07-09-10 Remarks: Total Time: CD Description 19 Final Structural Act Comments Requested By: JEFF Entered By: CHRISTINE _B_ ____________ _ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments 10/19/2011 15 Roof/Reroof PA MC EXISTING PLYWOOD SHEATHING OK, MINOR DECK REPAIR