HomeMy WebLinkAbout2586 HIGHLAND DR; ; CB112198; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-13-2011 Miscellaneous Permit Permit No: CB112198
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
2586 HIGHLAND DR CBAD
MISC
1561300100
$4,091.00
Subtype: REROOF Status:
Lot#: 0 Applied:
Entered By:
Reference #: Plan Approved:
PC#: Issued:
Inspect Area:
Project Title: BERTOTTI RES-2800 SF RE-ROOF
Applicant: Owner:
PIVA ROOFING, BOB BERTOTTI ERIC A&LISA P
1192 INDUSTRIAL AV
ESCONDIDO, CA 92029
619-745-4700
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees: $134.00
Inspector:
PERMIT FEE
2586 HIGHLAND DR
CARLSBAD CA 92008
Total Payments To Date: $134.00
Date:
Balance Due:
Clearance:
ISSUED
10/13/2011
RMA
10/13/2011
10/13/2011
$134.00
$0.00
$0.00
$134.00
$0.00
NOTICE: Please take NOT! E thot a roval of your project includes the aim ition" o ees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You ve 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 fort in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processlng in accordance with Car1<Jbad 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 impositior..
You are hereby FURTHER 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
fee xacti n of whi h h v r vi n iv n a N T!CE imilar to this or as to which th f limi i n h x ir d.
CITY OF
CARLSBAD
JOB ADDRESS
CT/PROJECT#
EXISTING E
CONTACT NAME (If Different Fom App/leant)
ADDRESS
CITY STATE
PHONE FAX
EMAIL
ARCH/DESIGNER NAME & ADDRESS
Building Permit Application
1635 Faraday Ave , Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Fax 760-602-8558
www.carlsbadca.gov
SUITE II /SPACE# /UN IT#
Plan Check No.
Est. Value
# BEDROOMS # BATHROOMS -[(NANT BUSINESS NAME
ARAGE (SF) PATIOS (SF)
ZIP
CONTRACTOR BUS. NAME
STATE LIC. II
iSWPPP
CONSTR l'rP[ OCC GROUf'
(Sec. 7031.5 Business and P_ro(essions Code: Any City or Coun_ty which requires a permit to construct. alter, improve, demolish or repair any structure, p_r1or to its issuance, also requires the applicant for such permit to file a sI,gned statement that he Is licensed pursuant to the provIsIons of the Contractor's License Law [Chapter 9, comme_nding 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 penalty of not more than five hundred dollars j$500)).
Workers' Compensation Declaration I hereby affirm under penalty of perjwy one of the following declarations
□J>i<ve and will maintain a certificate of consent to self-insure for wo_rkers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work tor which this_ permit is issued
M1 have and will maintain wo1e:f)9We .. " .... as lj!!llired b'\_ ~on 3700 of the Labor Code, for the _performance~ the work fo-hk:h ~P$il1Ys issued. My wo~ers· compensation I ura e c rier and policy
number are: Insurance Co ~---1:'J'~ O)~ U _ Policy No. QU'()l)2, ~, ..fil. ll ExpIratIon Date -~'l-'--J1hj'-"~---
This section need not be completed if the permit is for one hundred dollars ($100) or less D Certificate of Exemption: I certify that in the performance of the work for which this perm! is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred th usand dollars (&100,000), in
addition to the cost of compensation, damages as provided for in S:tio~ of the Labor code, interest and attorney's fees.
2$ CONTRACTOR SIGNATURE _Q_-, C)_
I hereby affirm that I am exempt from Contractor's License Law for the following reason·
□
□
□
I, as owner of the property or my empkiyees 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).
I am exempt under Section _____ B.usiness and Professions Code for this reason:
1. I personally plan to provide the major labor am! materials for construction of the proposed property improvement. 0Yes 0No
2. I (have I have not) signed an application for a building perniit for the proposed work
3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone I contractors' license number)
4. 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. 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):
Ji:S PROPERTY OWNER SIGNATURE □AGENT DATE
Lender's Name
I certify th at I have read the application and state that the above infonnation is correct and that the infonnatlon 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 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 ANY WAY 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 dernohtlon or construction of structures over 3 stories in height
EXPIRATION: Every penn1t issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such pennit is not commenced within
180 days from the dale of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 ays (Section 106.4.4 Uniform Building Code)
_,g APPLICANT'S SIGNATURE DATE
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
1. JOB ADDRESS:---=2=$3---'"'-'"(p"--_,_,d_._~=·°)"""'Lc...L..JI wu..:..:,.."--1)=---fL--____ _
2. TYPE OF BUILDING: RESIDENTIAL D<... COMMERCIAL ___ _
3. ROOF SLOPE: RISE Y'::/ INCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 1 @ 3
5. TYPE OF EXISTING ROOF COVERING oLU SHEATHING ---
*6. NEW ROOF MATERIAL As(?/i11-(_ / ~ttA S f} WEIGHT PER SQ. /0-0
7. NUMBER OF SQUARES_L_~==-------
8. TRADE NAME f3u (2.._ MANUFACTURER _______ _
9. ROOF SYSTEM LISTING:
UL NO. 9,5 1 l::, tJ I.C.C.E.S. Report# _____ _
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:
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 _ _,,,_Q...;>~\""'-S)..,-,..,i='\'-<S)-2f,i--_~,.,._-='------Date __ l_O-+b-'l_3-1-/...:../....:./ __
I I
Contractor ____ Owner ~ Contractor
Name ~b AvirlLoD~\J
*6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass,90ther
8-10 Page4of4 Rev. 02/11
m • . City of Carlsbad Bldg Inspection Request
.
.
Permit# CB112198
For: 03/05/2012
Title: BERTOTTI RES-2800 SF RE-ROOF
Description:
Type:MISC Sub Type: REROOF
Job Address:
Suite:
2586 HIGHLAND DR
Lot:
OWNER BERTOTTI ERIC A&LISA P
Owner: BERTOTTI ERIC A&LISA P
Remarks: CAN YOU FINAL
Total Time:
CD Description
19 Final Structural
0
Comments
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description
10/25/2011 15 Roof/Reroof
Act lnsp Comments
AP JM
Inspector Assignment: JM ---
Phone:
Requested By:
Entered By: JANEAN