HomeMy WebLinkAbout2570 GREGORY DR; ; CB150496; Permit' a , City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
02-17-2015 Miscellaneous Permit Permit No: CB150496
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
2570 GREGORY DR CBAD
MISC
1562314300
$1,064.00
Subtype: REROOF Status:
Lot#: 0 Applied:
Entered By:
Reference #: Plan Approved:
PC#:
Project Title:
Applicant:
RYAN RES-RE-ROOF 600 SF OF
COMPOSITION @ ADDITION OVER GARAGE
Owner:
Issued:
Inspect Area:
LAURIE RYAN SCHMIDT VERDA L TRUST
2570 GREGORY DR
CARLSBAD CA 92008
760 729-2256
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees:
Inspector:
$65.00
PERMIT FEE
2570 GREGORY DR
CARLSBAD CA 92008
Total Payments To Date: $65.00 Balance Due:
Clearance:
ISSUED
02/17/2015
RMA
02/17/2015
02/17/2015
$65.00
$0.00
$0.00
$65.00
$0.00
proval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. lf 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 Carlsbad 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.
/
/
THE Fi~LLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: •PLANNING •ENGINEERING •BUILDING •FIRE •HEALTH 0HAZMAT/APCD
Ccityof Building Permit Application Plan Check No. ('.A/ tj;J Lj 1,/
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value f ~' lf.--
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. De~os t email: building@carlsbadca.gov lf),4---www.carlsbadca.gov Date :J //7 I > lswPPP
JOB AOORESS 2 51 Q b '(' V(OV''/ 7)'( Cc." t~ I.cu( cA '12-colf SUITE#/SPACEf/UNITf APN ---
CT/PROJECT# I LOT# I PHASE# I# OF UNITS # BEOROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
I . '
DESCRIPTION OF WORK: Include s1'.a~ Feet of~ Area(s)l. 1 ) R~..,...__ou-e... .ekt t >l'fJ I k-.5 ( oo
"~ s (. 0 (l JZ.., i:.--~ J O y'\e.. ,.,~)
1nVO.,II ~"P /Jt!lt-l'/i.. dttp~l_~'f: --i. ,t~6
L.J () 0 J 'f•-,ih ~ (Ge,__~ ) h C ,.:,....-e. s I . '.5 ,
@_ ,tlJ • 1, ( t,t,,_ ~1~
EXISTING USE GARAGE (SF) FIREPLACE I PROl"USED USE PATIOS (SF) I DECKS (SF)
YESO
IAIR CONDITIONING I FIRE SPRINKLERS
ND• YES •No• YES•No•
APPLICANT NAME !J'••u1u.i~·e. t}, , • J Primary Contact -ADDRESS ~DDRESS 2S70 8-IJ.i:u<fl.y o~
CITY STATE ZIP CITY a.Al-L..~ 614 o STATE ZIP
cA-q2.-0<>"i?
PHONE I FAX PHONE IFAX ·--u-a 7 2,, 'l ~ 'l-~ c,,.
EMAIL EMAIL a.lt:YVa..ri ';) hof-mtt, L. (_~
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE IFAX PHONE I FAX
EMAIL EMAIL
I STATE LIC. # STATE LIC.# !CLASS I CITY BllS. 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, pnor to its issuance, also reciuIres the applicant for such permit to file a signed statement that he Is licensed pursuant to the provisions of the Contractor's license LawJChapter 9, commending with Section 7000 of Division 3 of the B_usiness and Professions Code) or that he Is exemP.t therefrom, and the basis for the alleged exemption. Any vIo!atIon of Section 031.5 by any applicant for a permit subjects the applicant to a
ctvil penalty of not more than five hundred dollars {$500)).
WORKERS· COMPENSATION
Workers' Compensation Declaration: / heteby affirm under penalty of perjury one of the following declarations: D 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 pelformance of the work for which this permit is issued. D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the pertormance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. ____________________ Policy No. _____________ Expiration Date ________ _
~section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the pelformance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
Califomia. WARNING: Failure to secure workers' compensation coverage ls unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees.
,,8$ CONTRACTOR SIGNATURE •AGENT DATE
OWNER-BUILDER DECLAnATION
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: D 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 sa~ (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 1101 intended or offered for d sale. If, however, the building or improvement is sold within one year of completion, the own.er-builder will have the burden of provi119 that he did not build or improve for the purpose of sate).
L!J I, as owner of the property, am exclusively contracti11g 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) hcensed pursuant to the Contractor's License Law).
• I am exempt under Section ____ ,Business and Professions Code for this reason: _,L
1. I ~ally .plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes L!JNo
2, I ~have not) signed an application for a building pennlt for the proposed work. •
3. I have contracted 'Mth the follo'Mng person (firm) to provide the proposed construction (include name address I phone/ contractors' license number): /(, • J E t.l f' 1'!.. .oo ft I rl (s..
4. l 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/ contractors' license number):
5. I will provide some of the work, but I hav tractecl (hired) the following persons to provide the work indicated (include name I address/ phone I type of work):
,1$ PROPERTY OWNER SIGNATURE •AGENT DATE
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
1. JOB ADDRESS: 2570 Gre.joVi bv-Ca.vl{ba.J.. ,c.A q2.,oo~
2. TYPE OF BUILDING: RESIDENTIAL ✓ COMMERCIAL.~~-
3. ROOF SLOPE: RISE (o INCHES IN 12 INCHES k, /rv '{)'1-k/V:
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) G) 2 3
• 5. TYPE OF EXISTING ROOF COVERIN~ s•t 1[!.Q. SHEATHING 1/?)
*6. NEW ROOF MATERIAL Go N\Q . CLAssA__wEIGHT PER SQ . .3"f O
J 7. NUMBER OF SQUARES &J · ~
8. TRADE NAME 1,J, ¥11\NJ.:i )"'I'.'-MANUFACTURER_Gcc..-a..._9~----
9. ROOF SYSTEM LISTING:
,);,k UL NO.-~>< __ , __ I.C.C.E.S. Report# _____ _
f. ASTM M )u
B-10
-----
10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF /HE
PROPOSED ROOF? ~ NO C.u~v-""* ~I.e. rn ;'(ao r.1 \..:-7 t..-et")r,S lh et /;tJtrO /6s j'f,.-5, .
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.
::::., /;2::_,(!1fe:::cioc o,~ 2fn/2D1L
Name _________ _
*6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other
Page 4 of 4 Rev. 02/11
Inspection List
Penn it#: CB 150496
Date Inspection Item_
07/14/2015 19 Final Structural
07/14/2015 19 Final Structural
02/25/2015 15 Roof/Reroof
Friday, July 17, 2015
Type: MISC REROOF
Inspector Act
PY
PY
RI
AP
AP
RYAN RES-RE-ROOF 600 SF OF
COMPOSITION @ ADDITION OVER GARA
Comments
AM PLEASE
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