HomeMy WebLinkAbout2565 NAVARRA DR; ; CB163912; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-17-2016 Miscellaneous Permit Permit No: CB 163912
Building Inspection Request Line (760) 602-2725
Job Address: 2565 NAVARRA DR CBAD
Permit Type: MISC Subtype: REROOF Status: ISSUED
Parcel No: 2162002729 Lot #: 0 Applied: 10/17/2016
Valuation: $0.00 Entered By: JMA
Reference #: Plan Approved: .10/17/2016.
PC#: Issued: 10/17/2016
Inspect Area:
Project Title: REROOF: 2000 SF LT. WT. TILE
Applicant: Owner:
PREMIER ROOFING QiAi'4 LEI&ePtE1crME1qe
9054 OLIVE DR
SPRING VALLEY .2565-NAVARRkDR#A
CA 91977 CARLSBAD CA 92009
619-667-4515
Miscelaneous Fee #1. PERMIT FEE $182.00
Miscelaneouá Fee #2 . . . $0.00
Additional Fees . $0.00
TOTAL PERMIT FEES $182.00
Total Fees: $182.00 Total Payments To Date: $182.00 Balance Due: $0.00
FINAL PPPROVAL
Inspector: f'' c.P€e4.SI5 Date: RIO ) fh Clearance:
NOnCE Rem take IC110E that approved d,uir xqect includes tbeTpcbth' dfees declications, msevatias, or ctlu aaactions Peafte cxfledidy
rermd feeslaic ias.' You beve 90 days from the date this pemit vwas issued to protest irrpasiticn of these fee aiai,s. If you prest tberr you mist
fdlowtbe protest pres sat faith in rrrnt Oxie Sediai, 660(a), and file the protest aid any other requred infam Wth the City Managerfa
pvces-rig in axxxthncewth Carlsbad Wthdpai Code Section 3.32 030. FaturetotinDyfdloithet procedure WII bar arT,subeequent legal action toattedc
re%fievv, sot aside, bud, a-arnii their irrTxton.
You are hereby RRWER I.U11AED U'et yar right to protest the specified fiseslocacticris DOES NOTARPLYtovvaterard se rccaeduai fees ard capacity
chars, nor planning,zoning g'a'irg or other sinila' application ptxe5sr9 or seivioa fees in connection Wth this project. NCR DOES lTYtoar'
feesteecticnis dwid, vai have a-e4ay been ciei a NOTICE sinilartotts. or as to tith the statutecf linitatiais has aiaSv cherWse aa]md
ITHE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: EJPLANNING [:]ENGINEERING.- DBUILDING DFIRE EJHEALTH DHAZMATIAPCD
. -, Building Permit Application
'L. City of 1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558 Carlsbad. email: buildingcarlsbadca.gov
.4 www.carlsbadca.gov
Plan Check No. 3
Est. Value
Plan Ck. Deposit
Date 10 .11. tb SWPPP
WAIAWZ5 a
ADDRESS JOB
'
e4
SUITE#/SPACE#/UNIT# - APN
CT/PROJECT # • LOT C PHASE #, C OF UNITS C BEDROOMS C BATHROOMS TENANF BUSINESS NAME CONSTR. TYPE 0CC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affece Area(s) '
e~øk ,Q1,0 77/e /Q45 ,4Jp .
j1(/,,t(f AksJ Me— 77 le
icc,-
..
EXISTING USE
/
PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE .
YESEIff . NOE
AIR CONDITIONING
YES NO
IFIRESPRINKLERS
YESEI NO
APPLICANT NAME .
Primary Contact
PROPERTY OWNER
ADDRESS . . . ADDRESS .
CITY STATE ZIP . CITY STATE ZIP
PHONE
4
FAX * .
PHONE
,
FAX
EMAIL * ,. EMAIL
. . . .
DESIGN PROFESSIONAL - CONTRACTOR BUS. NAME
ADDRESS
.
S.
.
. AD ISS
g..
75
çy CITY STATE ZIP IP çfJ a/fey 4?977
PHONE
•
FAX
.
PHO ~0_,VZ
.
,_1 FAX
EMAIL EMAIL
•
-H
STATE LIC. C STATE LIC.#
--7/J'77
CLASS Le-;isz47f7 CITY BUS. LI .#
(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 7031.5 by any applicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars ($500)). -
Workers' CompensatIon Declaration: thereby affirm under penalty of perjury one of the following declarations:
C] 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.
I have and will maintain workers' c p satio ,as required by Stion 3700 of he Labor Code, for the performance of the work for which this pe it is issued. My workers' compensation insur ce •erand policy
number am: Insurance C _AIAL?9At T4ft CO Policy No. _i34f&Te7-D7 O Expiration Date ________
This section need not be completed if the permit is for one hundred Mrs ($100) or less. .
[]Certificate of Exemption: I certify that in the performance oft ejrork 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' compensa ofcoverage is unlawfuI,aalI'subjelthiipIoyerto criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in
addition to the cost of compensation, damages as provided S ecti n3706roffifiifbor code, interest and attorney's fees.
CONTRACTOR SIGNATURE . . 0 AGENT •' DATE
I hereby affirm that lam exempt from Contractor's Licnse 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 completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
[J 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). [J I am exempt under Section Busiress and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed prbperty 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 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, but Ihave contracted (hired) the following persons to provide the work indicated (include name! address phone/type of work):
..'PROPERTY OWNER SIGNATURE , []AGENT DATE
Is the applicant or futige building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and revention program under Sections 25505, 25533'or 25534 of the
Presley-Tanner Hazardous Substance Account Act? CI Yes CI No -
Is the applicator future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYes CI No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYes CI 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.
213191111 U11 law_
I hereby affirm that there is construction lending agency for the performance of the work this permit is issued (Seá 3097 (I) Civil Code). -
Lenders Name - Lender's Address -
-
-,
I certilythat I have mad the application and state thatthe above information is coieciand thatthe Information an the plans Is accurate. I agree W complywitin all Cilyordinanoes and State laws relating W building construction.
I hereby authorize representative of the City of CarIs'd to enter upon the above mentioned 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 AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavationsover '0' deep and demolition or construction of structures over 3 stories in height. -
EXPIRATION: Every permit issued by the Building Offi under the previsions of this all expire by limitation arid become null and void if the building or work authorized by such permit is not commethwd within
180 days from the date of such permit or if the buildi warkautho permitissuspended or abandoned at any time after the work is commenced fora period of 180 days (Section 106.4.4 Uniform Building Code).
IL 'APPLICANT'S SIGNATURE . . . DATE
AOL
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
-
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection
CERTIFICATE OF OCCUPANCY (Commercial Projects Only)
Fa (760) 602-8560, Email bUiIdinatCarIsbadca.goV or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
. - . ' - CO#: (Office Use Only)
CONTACT NAME
.
OCCUPANT NAME . V
. ADDRESS .
.
-. BUILDING ADDRESS
.
$ .
CITY STATE ZIP CITY STATE . ZIP
- Carlsbad CA
PHONE
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS E PICK UP: o CONTACT (Listed above) OCCUPANT (Listed above)
o CONTRACTOR (On P. 1)
ASSOCIATED CB#
L:MAIL TO: o CONTACT (Listed above) OCCUPANT (Listed above)
V o CONTRACTOR (On P. 1) V
V V NO CHANGE IN USE/ NO CONSTRUCTION
[MAIL! FAX TO OTHER: -
V
V ,
CHANGE OF USE NO CONSTRUCTION V
Z'APPLICANT'S SIGNATURE .' ' DATE
--
V V •• '-V. • . . . .
. V
• V I .. V V V
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
1. JOB ADDRESS: '4
TYPE OF BUILDING: RESIDENTIAL COMMERCIAL________
ROOF SLOPE: RISE INCHES IN 12 INCHES
NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 0 2 3
(
TYPE OF EXISTING ROOF COVERINGCO4644'e 17k-SHEATHING 6
*6. NEW ROOF MATERIAL /e T/k-CLASS A WEIGHT PER SQ.____
NUMBER OF SQUARES_____________
TRADE NAME MANUFACTURER__________________
ROOF SYSTEM LISTING:
UL NO. I.C.C.E.S. Report# C...7l
ASTM______
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:
Tear Off/Pre-Inspection prior to install new roof covering
Final Inspection *
I agree to provide a la er extending at least 2 rungs above the roof for inspection..
Signature , Date_______________________
Contractor '. Owner Contractor
Name_sID cif I*Ô4 cf
*6. Rolled Roofing, Standard/Lite Tile; Asphalt/Comp fiberglass, Built Up, Other
B-iD Page 6of6 Rev. 04/14
Inspection List ;
Permit#: CB163912 Type: MISC REROOF REROOF: 2000 SF LT. WT. TILE
Date Inspection Item Inspector Act Comments
11/01/2016 19 Final Structural - RI PM PLEASE
11!01/2016 19 Final Structural MC Fl
10/19/2016 15 Roof/Reroof - RI
10/19/2016 15 Roof/Reroof MC AP EXISTING SHEATHING
Tuesday, November 01, 2016 Page 1 of 1