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2583 NAVARRA DR; A-D; CB160327; Permit
City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-29-2016 Miscellaneous Permit Permit No: CB 160327 Building Inspection Request Line (760) 602-2725 Job Address: 2583 NAVARRA DR CBAD Permit Type: MISC Subtype: REROOF . Status: ISSUED Parcel No: 2162002701 Lot M. 0 Applied: 01127/2016 Valuation: . $19,350.00 • . . Entered By: SLE Reference #: Plan Approved: 01/27/2016 PC#: Issued: 01/27/2016 Inspect Area: Project Title: PILOT PROPERTY:44 SQ CONG TILE . REROOF Applicant: . . Owner: PREMIER ROOFING . 9054 OLIVE DR SPRING VALLEY P-O-BOX.131554 CA 91977 ARbSB9-GA--92O4.3.. 619-667-4515 Miscelaneous Fee #1 PERMIT / INSPECTION , $351.00 Miscelaneous Fee #2 $0.90 Additional Fees $0.00 TOTAL PERMIT FEES $351.00 Total Fees: $351.00 Total Payments To Date: $351.00 Balance Due: - $0.00 FINAL APPROVAL Inspector: t (t4.'< Date: 9>41b_______ Clearance: r.c11cE Please take MJ11cE that açxoval of your pied irdust Ir T tiarf' dfees, dedications, reswrdfions, or other ecacticra. hereafter collectively refened to e/aa Yai heve 90 th,s from the date this pennt as issued to .protest irrsitia, of these fees/aediais. lf,cu pdest them yotirrust- fidlow the protest ptures set forth in (b.iemrrent Code Section 660(a), and file the pretest and any other requred infanticnth the aty itherfa processing ina000rdancewth Caisberi Mncipel Code Sediori 332.030. FaiuretotinyfdloNthet pthe wll bar arrysubsBqwd legEd action toattaric re%Aeg Set aside, void, or annul their irrtim. - Va are hereby RRfl-ER NOTIFIED tfet ox ñglt to pretest the specified fee-Jecacticns DOES NOTAPRY toeter and saer connixton fees and capadty changes, ra- plarrrg, zoning, gractng or ether sirrilarapplicEdon pixessirg or ser*e fees in amdim wth this pqed. I'.CR DOES lTYto any FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: DPLANNING DENGINEERING - 0 BUILDING DFIRE 0 HEALTH DHAZMATIAPCD Milk Of Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 sacI email: building©'carlsbadca.gov ~rI b ' www.carlsbadca.gov Plan Check NO Est. Value Plan Ck. Deposit Date -2.7'l- 1(,..D Iswppp I JOB ADDRESS ,D/Z SUITE#/SPACEe/UNIT# APN - - - CT/PROJECT # - LOT # I PHASE C I C OF UNITS I # BEDROOMS I # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I 0CC. GROUP DESCRIPTION OF WORK: include Square Feet of Affected Area(s) c' /1) k. /&6i F c J(/4)tJ 7 k. I" . I EXISTING USE • PROPOSED USE - GARAGE (SF) PATIOS (SF) DECKS (SF) I FIREPLACE ks N0 lAIR CONDITIONING YES NO El IFIRESPRINKLERS YES j NOEl APPLICANT NAME m1hJIp!1lldf/(JT' Primary Contact PROPERTY OWNER ADDRESS 2/ ADDRESS CITY STATE ZIP 44 o I CITY STATE ZIP, PHONE 7~6 (3/1/ FAX . PHONE (FAX i EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS . ADDRESS TO CITY STATE . ZIP CITY STATE ZIPg 7,7 PHONE FAX PLIONE /7 FAX EMAIL EMAIL 4J CAb CO i1 ______________________ STATE UC. C STATE LIC.0 7/ 77 I CLASS I CJi. )2'ITY BUS. LIC.# I i tL171 7 (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 (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 civil oenaltv of not more than five hundred dollars ($5001). COMPENSAT 1 6.114 Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: C] I have and will maintain a certificate of consent to sell-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 llI have and will maintain workers' comRepsation, 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 in ran carrier and policy number are: Insurance Co._C,4/ir Ø1k' PolicyNo._73c'/o'c 7o / Expiration Date_____________ This section need not be completed if the permit is for one hundred dollars ($100) or less. [J 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 Califomia. WARNING: Failure to secure worke 'compensation coverage is 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, damage s provided for in Section 3706 of the Labor code, interest and attorney's lees. . CONTRACTOR SIGNATURE - .. . DAGENT DATE 11,2711119 i a&I'i.L Di Iii.4i1w.'. rVI'lIS — - - I hereby affirm that I am exempt from Contractor's License 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 Contractofs License Law does not apply loan 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 contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply loan 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 improvement. DYes IiNo 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): - 4. I plan to provide portions of the work, bull have hired the following person to coordinate, supervise and provide the major work (include name! 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 phone! type of work): • - .PROPERTY OWNER SIGNATURE - . - , - []AGENT DATE - • - a REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION JOBADDRESS: _Z53AI A Vlt /2 j15l- TYPE OF BUILDING: RESIDENTIAL________ COMMERCIAL ROOF SLOPE: RISE 4" INCHES IN 12 INCHES NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 2 3 TYPE OF EXISTING ROOF COVERING fl 7L SHEATHING *6 NEW ROOF MATERIAL ---I CLASS ft_WEIGHT PER SQ._9oO NUMBER OF SQUARES LA LA _____________ TRADE NAME MANUFACTURER______ ROOF SYSTEM 'LISTING: UL NO. Report# ASTM C. 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 Ia. der extending at least 2 rungs above the roof for inspection. Signature __Date__________________ Contractor __Owner Contractor ' Name *6 Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other B-10 Page 4 of 4 Rev. 02/11 Inspection List Permit#: C8160327 Type: MISC REROOF PILOT PROPERTY:44 SQ CONC TILE REROOF Date Inspection Item Inspector Act Comments 04/04/2016 19 Final Structural MC Fl 03/15/2016 15 Roof/Reroof MC AP EXISTING SHEATHING OK Monday, April 04, 2016 Page 1 of 1