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2567 NAVARRA DR; ; CB160326; Permit
City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-29-2016 Miscellaneous Permit Permit No: C13 160326 Building Inspection Request Line (760) 602-2725 Job Address: 2567 NAVARRA DR CBAD Permit Type: MISC. . Subtype: REROQF Status:. ISSUED Parcel No: 2162002727 Lot #: 0 Applied: 01/27/2016 Valuation: $9,675.00 . . Entered By: SLE Reference #: . Plan Approved: 01/27/2016 PC#: Issued: 01/27/2016 Inspect Area: Project Title: PILOT PROPERTY:22 SQ.CONC TILE REROOF rN Applicant: Owner: PREMIER ROOFING .PAR*E!dN-S&VAERF 9054 OLIVE DR SPRING VALLEY CA 91977 CARLSBAD CA 92009 619-667-4515 Miscelaneoui Fee #1 PERMIT /INSPECTION $198.00 Miscelaneous Fee #2 $0.00 Additional Fees $0.00. TOTAL PERMIT FEES . $198.00 Total Fees: $198.00 Total Payments To Date: $198.00 Balance Due: $0.00 FINAL APPROVAL Inspector: t1 '' Date: b3/O2f Clearance: 11cE Please take NOTICE ttet appruiaJ of your prqect irxudes the "Irrtith ci fees, declications, reservations, or other eiicris hereaft& cziledivdy refaced toes "feeslea' You have 90 days from the date this petmt ves issued to prdes,t irrxitiai of these fe&athis. If you protest thern. you mist .fdkw the protest prdures set forth in emnent Cede Section 660QO(a), and file the protest and any ether reqwed !rmTor1 wth the City rMerfor prtg in a'xãth Carlsbad Mzidpd Cede section 3.32.030. Faikire to tirryfdIowthet prdtsewlI her arty suheeqient lel aion toatterk. re-view, sot aside, void, or amii their inTxbort Vat are heretty RR11-ER NOTIFIED that your right to protest the spedfied fees/ooctims DOES NOT APPLY to water and swar conneotion fees aid capadty charges, nor planning, zair gang or ether sinilar application prrxessirg or senice fees in cxnon with this p. NOR DOES lTAAIY to any APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: DPLANNING DENGINEERING DBUILDING DARE . DHEALTH DHAZMAT!APCD ck City of Cdlsbad'. email: Building Permit Application 1635 Faraday Ave., Carlsbad,' CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 building©carlsbadca.gov www.carlsbadca.gov -. Plan Check No, Est. Value 1(oi 3 Plan Ck. Deposit Date f -- ?_1- ft ô Iswpp . I JOB ADDRESS 577 ii) SUITE#/SPACE#/UNIT# , APN - - - CT/PROJECT C LOT # . PHASE # NITS C OF u C BEDROOMS U BATHROOMS TENANT BUSINESS NAME J CONSTR. TYPE f 0CC. GROUP DESCRIPTION OF WORK: include Square Feet of Affected Area(s) t 7 k... 'e EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) I FIREPLACE I''EsE NO[:]I lAIR CONDITIONING - YES ElNOD I FIRE SPRINKLERS I YESLINOEJ APPLICANT NAME . / / / . Primary Contact m,4J AJ11 PROPERTY OWNER ADDRESS 2/ lilt 9 c ;d. g/,Jp_.1 is _z ADDRESS ___________________________________ CITY i j. STATE ZIP CITY STATE ZIP PHONE FAX 4 I PHONE . I FAX EMAIL - EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME c'it ADDRESS , . . ADDRESS TE 1,110M 7-_ b t q5. •FAX - /2 /• CITY, STATE ZIP Cl%.pd M/ STAL ZIP /977 PHONE FAX PtiONE EMAIL - - EMAIL _________________________ eMfooI4 J •C1b &? fP7 . . 7/-77• . 1 7-17 I STATE LIC. U STATE LIC.# I CLASS 4Y 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, 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 IChapter 9, commendingwith 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: I hereby affirm under penally of pe,ju,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 performance of the work for which this permit is issued. IlI have and will maintain workers' comppsation, as required by S,ction 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insyrance cairier and policy number are: Insurance Co.C,4/ir [)4,14' PotcyNo._73r'/pô 76 1 xpiration Date______________ This section need not be completed if 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 worke 'compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil finesup to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damage s provided for in Section 3706 of the Labor code, interest and attorney's fees. CONTRACTOR SIGNATURE -. DAGENT DATE I hereby affirm that lam exempt from Contractor's License Law for the following reason: El 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 Contractors 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 coirtractors 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: I personally plan to provide the major labor and materials for construction of the proposed property improvemenL DYes —]No I (have! have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name address phone! contractors' license number): 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 (include name Iaddress ! phone! type of work): .'PROPERTY OWNER SIGNATURE - . -. []AGENT DATE - REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION JOB ADDRESS: _Z5tQ iJALMPji9- Pi ñ2fjJ8//-P. i O TYPE OF BUILDING: RESIDENTIAL COMMERCIAL ROOF SLOPE: RISE______ INCHES IN 12 INCHES NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 2 3 TYPE OF EXISTING ROOF COVERING. 7 iI SHEATHING__//yiiôôJ) *6. NEW ROOF MATERIAL i-1/i-. CLASS _WEIGHT PER SQ._qoô 7. NUMBEROFSQUARES 8. TRADE TRADENAME— c1I4.&e_MANUFACTURER t/- ROOF SYSTEM LISTING: UL NO. _ Report# ASTM C Z- 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 providAla er extending at least 2 rungs above the roof for inspection. Signature V Date i//- Contractor __Owner' Contractor Name 5'°L2_1977 *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other B-i 0 - V Page 4 of 4 Rev. 02/11 Inspection List Permit#: CB160326 Type: MISC REROOF PILOT PROPERTY:22 SQ CONC TILE ,. 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 PA ROOF DRIED IN AND LOADED BEFORE £ INSPECTION. NO RAIN FORECAST., ) 4 - S . S -• ) 4 - .. . . : - • • * Wednesday, March 02, 2016 . - - - * • - Page 1 of 1