HomeMy WebLinkAbout2575 NAVARRA DR; ; CB163914; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-17-2016 Miscellaneous Permit Permit No: CB163914
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type:
Parcel No:
Valuation:
Reference #:
PC#:
Project Title:
2575 NAVARRA DR CBAD
MISC Subtype: REROOF
2162002715 Lot #: 0
$0.00
REROOF: 3200 SF LT. WT. TILE
Status: ISSUED
Applied: 10/17/2016
Entered By: JMA
Plan Approved: 10/17/2016
Issued: 10/17/2016
Inspect Area:
Applicant: Owner:
PREMIER ROOFING UMEN-ANN€-M-
9054 OLIVE DR
SPRING VALLEY WW190RRiSVE
CA 91977 BEEF ORD NTD77Th
619-667-4515
Miscelaneous Fee #1 PERMIT FEE . $273.00
Miscelaneous Fee #2 $0.00
Additional Fees $0.00
TOTAL PERMIT FEES - $273.00
Total Fees: . $273.00 Total Payments To Date: $273.00. Balance Due: $0.00
FINAL APPROVAL
Inspector: f41 /4,,€,c Date: 1i/9 /I(a Clearance:
11E IResse take F'O110E that açroa1 ctur Aect includes the ntiarf dfees ckkatis reservations, or otherias he'esfte collectively
rered toes eeslexaiore." You iave 60 days from the date the penntes issued to protest irrpcllcn of these fee aicna lfcti prctest llerr oi
fdlo,v the protest rjres set forth in GDArrinrent Code Section 66020(a), ard file the protest and aiydhar req,ired in ft. aliai wth the Oerfa
poceserig in accordanoe with Cai1etai Msicipal Code Section 3030. Riluretotirrielyfc1lowthEd paewll her any sulisequent leJ edim toattedç
reAew, set aside, vicid, or arfJ thdr irTpedticn.
You are hereby RRI1-ER F'O11RED that your rigil to protest the specified feesfexedicre DOES NOT APPLYtoetar aid sew connection fees ard capacity
thartgee, nor plaTing, zoning, gairg a- other 51n11arapplication a-sarwefew in correction with this project. NCR DOES lTAYto any
fIirrs of Wirh vm Kam rzrih, Ei civm a KMCFniIwtntip. nr as toHth tha statute d limtáms has aimAriustvdhewse e,aimd
THE FqNLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: PLANNING [--]ENGINEERING DBUILDING DFIRE EIHEALTH DHAZMATIAPCD
' Building Permit Application
City of 1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
C arlsbacl email: buiIdingcarIsbadca.gov, ,
. www.carlsbadca.gov 7.ae
Plan Check NID4~_V(b
.
Est. Value
Plan Ck. Deposit
SWPPP
JOB ADDRESS '•,jfl ,/,*z41 z),t. 94g/5, .
SUITE#/SPACE#/UNIT# APN
CT/PROJECT # LOT # PHASE C C OF UNITS [BEDROOMS C BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE 0CC. GROUP
1
DESCRIPTION OF WORK: Include Square Feet of Affece Area(s) e€..Øk fiI1. 77/c like-
EXISTING USE
•
PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF)
'
FIREPLACE
YESEJ#_ NOD
AIR CONDITIONING
YES EINOD
FIRE SPRINKLERS
YESD NOD
APPLICANT NAME • . "
Primary Contact
PROPERTY OWNER . .
ADDRESS.
.
. . ADDRESS
CITY STATE ZIP CITY . STATE ZIP
PHONE FAX
-
PHONE / FAX
-
EMAIL -. - . EMAIL
DESIGN PROFESSIONAL . ICONTRACTOR BUS. NkME
ADDRESS 4 Ds 41
CITY .. STATE ZIP Cl
LI iiifey STATE zIP ,, 77
PHONE FAX
-:
PHOEj FAX
EMAIL
..
. - -. EMAIL
- STATE UC. C STATE LIC.#
7/977
CLASS I e-?1 CITY BUS. LI •# sz4(797
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, aemoiisn or repair any structure, prior to its issuance, map requires tne
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
*Ih,,fnnt fh, hnnrIrrl ,lnii,,rq fflfl1 -- -
ME
Workers' Compensation Declaration:! hereby affirm under penaltyof perjury one of the following declarations:
EJ Ihave 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) pe satio , as required by Stion 3700 of be Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurqnce cimer and policy
number are: Insurance Co._iJáif1X.. iAIfr PolicyNo. _i3'I Jo7/' O Expirationoate
This section need not be completed if the permit is for one hundred dgll rs ($100) or less.
[J Certificate of Exemption: I certify that in the performance of tjl'e Prk 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 fo coverage is unlawfug shall.subjEt1iployerto criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of comiensation, damages as provided ecti 3706-drf#[abor code, interest and attorney's fees.
CONTRACTOR SIGNATURE . . 0 AGENT DATE
to, lk Al
4V ,• r xzt
I hereby affirm that! am exempt from Contractor's License Law for the following mason.
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). -
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). -
EJ I am exempt under Section _____________Business and Professions Code for this reason: - . .
- 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvemeni lIYes lilNo -. -
2.1 (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, but I have contracted (hired) the following persons to provide the work indicated (include name! address! phone / type of work): - • . *
PROPERTY OWNER SIGNATURE - - - • . ' . DAGENT - 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? DYes 0 No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYes C 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). I *
Lenders Name Lender's Address
Icertifythati have read the application and state thatthe above Information Is conectand that the inlbrmatiori on the plans is accurate. lagree to complywith all Cityordinances and State laws velatingto building construction.
I hereby authorize representative of the City of Carlsbad to enteupan 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 ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit 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 0th under the provisions of thioyadeshall expire by limitation and become nut and void lithe building or work authorized by such permit is not commenced within
180 days from the data of such permit or if the buildi rwartc authorize .by.sliffpermitis suspended or abandoned at any time after the work is commenced fora period of 180 days (Section 106.4.4 Uniform Building Code).
,.APPLICANT'S SIGNATURE - .
•
DATE
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•. . •
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• • • •
Wj 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 bUiIdingCarlSbadCa.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
V . Carlsbad, CA
PHONE
EMAIL .
. OCCUPANT'S BUS. LIC. No. . V
DELIVERY OPTIONS V
- •
V V •
PICK UP: ci CONTACT (Listed above) a OCCUPANT (Listed above) •
CONTRACTOR (On P. 1) •
- V • V V . 0 ASSOCIATED CB" .
MAIL TO: a CONTACT (Listed above) a OCCUPANT (Listed above) •
CONTRACTOR (On P. 1)
, . 0 NO CHANGE IN USE / NO CONSTRUCTION
MAIL/ FAX TO OTHER: • •
V . •
a CHANGE OF USE/ NO CONSTRUCTION V
- -, •
. .
. . V • •V
•
..APPLICANT'S SIGNATURE V .
•
DATE
V
'I /
• -1
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
JOB ADDRESS: bf M;tl& Ci/45&4 4
TYPE OF BUILDING:* RESIDENTIAL COMMERCIAL_______
ROOF SLOPE: RrSE INCHES IN 12 INCHES
NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE)(9 2
TYPE OF EXISTING ROOF CQVERING cJ6"t4( 17k-SHEATHING
*6. NEW ROOF MATERIAL 4è T1/CLASS 4 WEIGHT PER SQ.____
NUMBER OF SQUARES ___________
TRADE NAME MANUFACTURER_______________
9. ROOF SYSTEM LISTING:
UL NO. . I.C.C..E.S. Report #. E5 .
ASTM .
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: ,.. •
Tear Off/Pre-Inspection prior to install new'roof covering
Final Inspection .
.
. . . S.
I agree to provide a Ia9er extending at least 2 rungs above the roof for inspection.
Signature bate S
Contractor • /!I.. Owner Contractor
Name __S) 77 /fi 4f/ >'' cf
*6 Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other
B-b . .
Page 6 of 6 . . Rev. 04/14
• - 1i'iIIlIl[.]IHISTORY REPORT 1[ff*1II_
Permit Type: BLDG-Migrated Application Date: 10/17/2016 Owner: JEANNE DAUMEN
Work Class: BLDG-Migrated Issue Date: 10/17/2016 Subdivision
Status: Issued -Active Expiration Date: - 04/17/2017 Address: 2575 Navarra Or
Carlsbad CA 92009 ,
IVR Number: 717750
Scheduled Actual
Date Start Date. Inspection Type Inspection No. Inspection Status Primary Inspector. . Reunspection Complete.
1110912016 1110912016 BLDG 15 000346-2016 Passed Michael Collins Complete
RoóflReRoof (Patio) .
Checklist Item COMMENTS .. : Passed
BLDG-Building Deficiency . ' 2 Yes .
1112912016 1112912016 BLDG-Final 003202.2016 . Passed Michael Collins . Complete
Inspection
Checklist Item COMMENTS . Passed
BLDG-Structural Final . No .