HomeMy WebLinkAbout2580 Gregory Dr; ; CBR2018-0126; Permit(City of
Carlsbad
Print Date: 01/19/2018
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
2580 Gregory Dr
BLDG-Residential
1562314200
$5,639.70
Residential Permit
Work Class: Reroof
Lot#:
Reference#:
Construction Type;
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Description: SHELTON: REROOF 30 SQUARES TORCH DOWN (POLYGLASS)
Owner:
Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Final
Inspection:
Contractor:
Permit No: CBR2018-0126
Closed -Finaled
01/17/2018
01/17/2018
1/19/2018 11:47:18AM
COOWNER SHELTON MICHAEL I AND RENEE D
2580 Gregory Dr
APODACA ROOF SERVICES
BUILDING PERMIT FEE ($20DO+)
BUILDING PLAN CHECK FEE (BLDG)
SB1473 GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION-RESIDENTIAL
Total Fees: $136.85
CARLSBAD, CA 92008
Total Payments To Date: $136.85
3265 Valley St
Carlsbad, CA 92008-1158
760-518-1259
Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these
fees/exactions. If 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.
You are hereby FURTH ER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection
fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this
project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
$0.00
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
$79.48
$55.64
$1.00
$0.73
jTHE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: •PLANNING •ENGINEERING •BUILDING •FIRE •HEALTH •HAZMAT/APCD I
(city of Building Permit Application Plan Check No.C.,8f.? Ot'"J ( ~ _ ,...,, ~
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ ,_ "'-4 .. ,o
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit I
email: building@carlsbadca.gov
www.carlsbadca.gov Date t -l 1 -1 .:;; lsWPPP
JOBADD~ j----g,o c:;;;,,,._,,,90~-/ Yrt SUITEI/SPACEI/UNIT, l"N ---
CT/PROJEo,;1 # ILOT# I PHASE If I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME lcoNSTR TYPE I acc. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Atea(s) yc.--,,..,-L. 0,1.:1~-c:: x 1sfrr-? Fo --1-----i re oo ,= ...5/"s v e ,.._., ..--....Z-~,_,r---, If
,,-q '''fc,,-1..-d _ i) O'-<.!~ "/(Do,.= s 7srr~___,_ =:, 0 ~,r d-rJ <-_ _sL, ~.,. r,
{J;):_s/70C'<rt, I' ,:::_--, 1/ ,,. •. '-ct-Cu ~,SL, "' ~ rr -,f // ~e,...., /-/-?-,rL. , -9-s
EXISTING USE I PRO~ED USE I GARAGE (SF) PATIOS (SF) TOECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS
YES[}, •<0 YESO•oD vesO•oO
APPLICANT NAME J-1__.,. vi.,."--,~ PROPERlY OWNER T ')" t, / p--r;
Primary Contact ~ , 'c:'. • -'?re-/ ( ~ :i_,,,,.._,
ADDRESS -.J r ADDRESS
3 :Z. c.s-v::;., // .. L, sr--ci2-S-J>-C 4 ....._ea, o,,._y .f.)pt.
CL' ~Is,.,..., rsrA{! -1 ZIP 9' 2-oo,;, Cle! ,,.,..,._rs C).-4. /) STCJ'-f ZIP ;,z.oo.,f--
PHONE \FAX PHONE FAX
7Go-?:ir-Z.?uY --7/;,o-1/?J-87J(;. l --
EMAIL • EMAIL [,., ,,. vi, rt_ 0" ,.:: t:£> _,,...,....-, ..-,.., /_ c' c,,-, i::i,.,./ri.-.~ Le c~~_,..,,.., /-c'£-,..-..,
DESIGN PROFESSIONAL C~OR BUS. NAME /'100,F "~-""L..f-.,..,..,(,),'.> ...... (t ......
ADDRESS Aooqs ye, .// A->-L V/Jf'.,,. f)M..
CITY STATE ZIP CITY sr:iE ..A ZIP
1,,/;__rf'-1 9 2-oe-(
PHONE IFAX PHONE I '"' 7t;, o -.S'f .r-I 2-J-7
EMAIL EMAIL ----, ,,._"' C>/-=.5-e ... 1:...v1e ~....S @q---,_,,.~/-rf,,.--, I STATE UC.# STATE LIC.# ~~ 3 c; 1-r.·~~~·1..,;i.auoq 'I .;z ~ / 2-,f-
(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 tt\at 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 fhat he ls exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars {$500)).
WOIJKERS' COMPENSATION
Workers' Compensation Oeclaratlon: I hereby affirm under penalty of petjury one of the following declarations: •!have and will maintain a certificate of consent to self-insure !or worirers' compensation as provided by Section 3700 of the labor Code, for the pelformance of the wori,; for which this permit is issued.
~have and will maintain workers' compensation, as required by Section 3700 of the labor Code, for the pelformance of the work for which this permH is issued. My workers' compensation insurance carrier and p:ilicy
numberare:lnsuranceCo. 1, S:::L---t:tr:c FL-r-'2 PolicyNo. 9o IL/JJ-0 ExpirationDate (q -r:-1£::::
~section need not be completed if the permit is for one hundred dollars (S100) 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
Calilomla, WARNING: Failure to secure worken.' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civll fines up to one hundred thousand dollars (&100,000), In
addition to the coat of compensation, damages as p ·dad for in Section 3706 of the Labor code, interest and attorney's fees •
.Jt5 CONTRACTOR SIGNATURE ____ c-
I hereby affirm that I am exempt from Contractor's Ucense 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 oot intended or offered for
sale. If, however, the building or improvement is sold within one year of completion, the owner-builder wm have the burden of proving that he did not build or Improve for the purpose of sale).
f, as owner of !he 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 lo an owner of
property who builds or improves thereon, and contracts lor such projects with contractor(s) licensed pursuant !o the Contractor's license Law).
I am exempt under Section ____ ,Business and Professions Code for this reaso11:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. OYes 0No
2. l (have I 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 I phone I contractors' license number):
4. I plan to provide p:irtions of the work, but I have hired fhe following person to coordinate, supervise and provide the major work (include name f address/ phone/ contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated {include name/ address I phone/ type of work):
_85 PROPERTY OWNER SIGNATURE •AGENT DATE
I
Is the applicant or future building occupant required lo 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? • Yes • No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes D No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D 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 certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby authorize representative of the City of Carlsbad to enter upon the above men~oned 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 5'0' deep and demolition or construction of strucb.Jres over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or wort<. authorized by such permit is not commenced within
180 days from the date of such penTiit or if the buildi work authorized by such permit is suspended or abandoned at any time after the work is commenced for a pertod of 180 days (Section 106.4.4 Uniform Building Code).
OJO c---I
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATIO~ ~ :'i;;;
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G) 0 .....
1. JOB ADDRESS:_.:,:c!J-::..·-=S-_-_?° __ o __ 4__,_...:...PL._"""....,'?c.._o_· "'-___,,,Yc..___:::c)_...:_Pr.--=--.,__. ------~~~ ~
'ii, en co
2. TYPE OF BUILDING: RESIDENTIAL ~
3. ROOF SLOPE: RISE' 0 INCHES IN 12 INCHES
COMMERCIAL ____ 0 ~ Zo
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) (D 2 3
5. TYPE OF EXISTING ROOF COVERING~; '"1-..-, SHEATHING /J/7 t..-u -
*6. NEW ROOF MATERIAL VO-"'-t!/4, Vo,.,_,.,._, CLASS /f WEIGHT PER SQ. 3 CJ O ~
7. NUMBER OF SQUARES ___J 0
8. TRADE NAME v 0 n.. rvl, MANUFACTURER /Jo r I ? /-, J'.J
9. ROOF SYSTEM LISTING:
UL NO. _____ _ I. C. C. E.S. Report # _ ___:/_· .::3:......=:8-.__,cY::..__
ASTM ____ _
::0 m
()
m -< m
0
1 O. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE
PROPOSED ROOF? (Y~0 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:
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.
Signature 4 · L
Contractor ~ lowner _____ Contractor
Date / -/ 7-/ Y
Name:=::::::::::z//.C-c.. d£b.,.-~ '? ro~
*6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other
B-10 Page 4 of 4 Rev. 02111
. .. PERMIT INSPECTION HISTORY REPORT (CBR2018-0126)
Permit Typo: BLDG-Residential Application Date: 01/17/2018 Owner: COOWNER SHEL TON MICHAEL I
AND RENEE D
Work Class: Reroof Issue Date: 01/17/2018 Subdivision: KNOWLES TERRACE
Status: Closed -Finaled Expiration Date: 07/17/2018 Address: 2580 Gregory Dr
Carlsbad. CA 92008-1514
IVR Number: 8940
Scheduled Actual
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete
01/18/2018 01/18/2018 BLDG-15 046146-2018 Passed Chris Renfro Complete
RooffReRoof (Patio)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
01/19/2018 01/19/2018 BLDG-Flnal 046238-2018 Passed Michael Collins Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
January 19, 2018 Page 1 of 1