HomeMy WebLinkAbout2569 NAVARRA DR; ; CB163915; PermitCity of Carlsbad
1635 FaradayAv Carlsbad, CA 92008
10-17-2016 Miscellaneous Permit Permit No: CB163915
Building Inspection Request Line (760) 602-2725
Jb Address: 2569 NAVARRA DR CBAD'
Permit Type: MISC Subtype: REROOF Status: ISSUED
Parcel No: 2162002723 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: 3900 SF LT. WT. TILE -
Applicant: Owner:
PREMIER ROOFING , MISSION CAPITAL PROPERTIES INC
9054 OLIVE DR -
SPRING VALLEY - 245 S HIGHWAY 101 #514
CA 91977 - SOLANA BEACH CA 92075
619-667-4515
Miscelaneous Fee #1 PERMIT FEE • $319.00
Miscelaneous Fee #2
Additional Fees • $0.00
TOTAL PERMIT FEES • $319.00
Total Fees: $319.00 Total Payments To Date: $319.00 Balance Due: $0.00
FINAL APPRQVAL
Inspector: ' Date: ____________ Clearance:
NOTICE Ree take NOTICE that ap doir prqect irdudastte Thpedf dfees reservaticsis, Feicrs haafter crIlediyy
rerTed toas "fees/eons.' You have 90 d from the date this permtas issued to protest irrptiai of these fees/aalia,s. Ifyouprotedthem yournAt
fdloNtfe protest pvuduis sat fall, in Q,iemn-Ert Gale Section 66(120(a), and file the protest aid any other mqured infarmlicsi wth the aty 1VhTerfor
ptcessing in thth Csbed wthdpai Gale Sedicn 33a(130. FlutottrryfdIothat pthe wll bar aiysube&uent lI action toattaic
w4ew, sat aside, void, or am.l their irrpcstion.
Yw ae ha-thy RR11-ER NOTIFIED ttet ar ngtt to protest h spedfied feesfecactions DOES NOT APRY to 'veter and seeer conrection fees and capalty
dnges, ru p1arri1r9, zctirg grauir-ig a other smlar application processing or saice fees in cwneotion wth this pqed. IsCR DOES ITAPPLY to any
feesJiais ofd, voti have aaaJv been di a NOTICE simla to this, or as to hth the statute at linitatlais has a-eviajslvdiienMse g'dmd
h LOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: E3PLANNING EJENGINEERING BUILDING FIRE OHEALTH DHAZMATIAPCD
Cdlisbad
Cft y of Building Permit Application ,
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: buiIdingchrIsbadca.gov
www.carlsbadca.gov
Plan Check No. z I
Est. Value
Plan Ck. Deposit
Date IswPP I
JOB ADDRESS SJITE#/sPACE#/uIIrr# APN
- - -
,1/PROJECT # LOT # PHASE # # OF UN # BEDROOMS # BATHROOMS ' TENANT BUSINESS NAME
-
CONSTR. TYPE 1OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
"fløk 77k- iWi(/ AksJ /ke D143
37 -. .
EXISTING USE
10
*
'NESD_
PROPOSED USE I GARAGE (SF) I PATIOS (SF) I DECKS (SF) FIREPLACE I
D NOI
I AIR CONDITIONING
0N0DI
I FIRE SPRINKLERS
YESENOD
APPLICANT NAME . . . "
Primary Contact
PROPERTYOWNER
ADDRESS . ADDRESS
CITY STATE ZIP CITY - . STATE ZIP
PHONE FAX PHONE FAX -
EMAIL . EMAIL
DESIGN PROFESSIONAL . -F- ICONTRACTOR BUS. NkME C4,
'ADDRESS .
. ADD4ESS ~..y
CITY STATE ZIP . CI
-' 11,ilfey_/-f/ STATE 77
PHONE FAX P HOIE W9—_'7 - ,'(ctc FAX
- _ /2_Q/
EMAIL . . EMAIL
I STATE LIC. # I STATE LiC.#
- 7/5177
I CLASS I e.-;l I CITY BUS. UC)I sz'ff 797
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair anstructure, 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 fChapter 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 ($500)).
Ax
Workers' Compensation Declaration: I hereby affirm under penalty of perju,y one of the following declarations:
U I have and will maintain a certificate of consent to self-insure for workers' compensaton as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ,IXJ I have and will maintain workers' c p satio ,as required by S tion 3700 of he Labor Code, for the performance of the work for which this permit is issued. My workers' compensaflon insuce c rier and policy
number are: Insurance Co._ 7c) to PolicyNo. Expiration Date 7
This section need not be completed if the permit is for one hundred d lrs ($100) or less.
[J Certificate of Exemption: I certify that in the performance oft jork 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 ojjfcoverage is unIawful ad haII.eubjeti'ployer to criminal penalties and civil fines up to one hundred thousanf dollars (&100,000), in
addition to the cost of compensation, damages as provided r Ii cti 7-O6'orffltabbr code, interest and attorney's fees.
CONTRACTOR SIGNATURE [—]AGENT DATE
_;i& ;
I hereby affirm that lam exempt from Contracto?s License Law for the following reason:
I, as owner of the property or my employees with iiiages 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 improiies thereon, and who does such work himself or through his o*n 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).
[1 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 projecls with contractor(s) licensed pursuant to the Contractor's License Law). -
[] I am exempt under Sedan _____________Business and Professions Code for this reason: .
1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. ]Yes ]No
2.1 (have! 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 address! phone! contractors' licnse number):
4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and rovide the major work (include name / address! phone !contractors license number):
5.1 will provide some of the work, but lhave contracted (hired) the following persons to provide the work indicated (include name! address! phone/type of work):
£PROPERTY OWNER SIGNATURE
- . . . . []AGENT DATE -
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 0 No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 Yes CI No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes I] 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 hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (I) Civil Code). -
Lenders Name ' Lenders Address . .
I ceitit'thatI have read the application and state thatthe above information isconectandthatthe information on the plans lsaccurate. l agree tocomplywith all Cityortlinancesand State laws rnlatingto building construction.
I hereby authorize representative of the City of Cartsbad toenteupon the above mentioned property for inspection purposes. IALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA perm is required for excavations over '0' deep and demolition or construction of structures over 3 stories in height
EXPIRATION: Every permit issued by the Building 0111 under the provisions of!odehall expire by flthitafon and become nut and void if the building or work authorized by such permit is not commenced within
180 days horn the date of such permit or if the buitd rworkautho by's permif is suspended or abandoned at any time after the work is commenced bra period of 180 days (Section 106.4.4 Uniform Building Code).
'APPLICANT'S SIGNATURE .. . - DATE
4 Y~_
STOP: THIS SECTION NOT REQUIRED.FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will-be requested at final inspection.
Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of CarIsbad, Building Division 1635 Faraday Aveue, Carlsbad, California 92008.'
- * CO#: (Office Use Only)
CONTACT NAME . OCCUPANT NAME
- ADDRESS BUILDING ADDRESS
- CITY STATE ZIP , CITY STATE • ZIP
Carlsbad .• CA
PHONE . -. FAX
. EMAIL . OCCUPANT'S BUS. LIC.No.
DELIVERY OPTIONS.
PICK UP: a CONTACT (Listed above) a OCCUPANT (Listed above) .
'a CONTRACTOR (On pg. 1)
.0 ASSOCIATED CB" .
MAIL TO: ci CONTACT (Listed above) a OCCUPANT (Listed above)
) a CONTRACTOR (On P. i) a NO CHANGE IN USE / NO CONSTRUCTION
MAIL! FAX TO OTHER: .. . a CHANGE OF USE / NO CONSTRUCTION
. . . f .
Z'APPLICANT'S SIGNATURE DATE .. *
)
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
JOB ADDRESS: ,4ib'4 M'tie 6ftl.~ go 604
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- __J44'e 17k-SHEATHING " 'X
*6 NEW ROOF MATERIAL 2/t T//CLASS ,4 WEIGHT PER SQ.__1Ø'
NUMBER OF SQUARES 31
TRADE NAME MANUFACTURER_. -
ROOF SYSTEM LISTING:
UL NO. . I.C.C.E.S. Report#
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 r extending at least 2 rungs above the roof for inspection.
Signature,
Contractor Owner Contractor .
Name Sit) S577 6C7
*6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other
B-1O Page 6 of 6 Rev. 04/14
Inspection List. . .
Permit#: CB163915 Type: MISC REROOF REROOF: 3900 SF LT. WT. TILE
Date Inspection Item inspector Act Comments
11/01/2016 15 Roof/Reroof MC AP EXISTING SHEATHING