HomeMy WebLinkAbout2590 DAVIS AVE; ; CB122589; Permit01-22-2013
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Miscellaneous Permit Permit No CB122589
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Valuation
Reference #
PC#
Project Title
2590 DAVIS AV CBAD
MISC
1552520700
$2,508 00
Subtype REROOF
Lot# 0
HERRICK RESIDENCE
8 SQUARES OF BUILTUP ESR-1274
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
12/04/2012
MDP
12/04/2012
12/04/2012
PD
Applicant
WEATHERGUARD ROOFING
STE N
300 ENTERPRISE ST
ESCONDIDO CA 92029
760-801-4842
Owner
HERRICK WILLIAM&JEANNE REVOCABLE LIVING TRUST 01
2590 DAVIS AVE
CARLSBADCA 92008
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
PERMIT $108 00
$0 00
$0 00
$108 00
Total Fees $108 00 Total Payments To Date $108 00 Balance Due $0 00
Inspector
FINAL APPROVAL
Date 1'^^' O Clearance
NOTICE Please lake NOTICE that approval 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 pemiit was issued to protest imposition of these fees/exactions If you protest them, you must
follow the protest procedures set forth in Government Code Seclion 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad fvlunicipal Code Section 3 32 030 Failure to tmely follow that procedure will bar any subsequent legal action lo attack,
review, sel aside, void, or annul their imposition
You are hereby FURTHER NOTIFIED thai your nghl to protest the specified fees/exaclions DOES NOT APPLY to water and sewer connection fees and capacity
ctianges, nor planning, zoning, grading or other similar application processing or service fees m connection with this project NOR DOES IT APPLY to any
fees/exactions of which vou have previously been given a NOTICE similar lo this, or as to whipti the statute of limitations has previQuslv othewise expired
• >
|THE FOLLOWING APPROVAIS REQUIRED PRiORTO PERMIT ISSUANCE • PLANHiHG • ENGINEERING • BUILDING • RRE • HEALTH • HAZMAT/APCD
Cirv o 1^
Building Permit Application
1635 Faraday Ave . Carlsbad, CA 92008
Ph 760-602-2719 Fax 760-602-8558
email buldllng@carlsbadca gov
vjvjw carlsbadca gov
Plan Check No.
Est. Value
Plan Ck. Deposit
Date SWPP
JOB ADDRESS 3 Av/E
SUITE#/SPflCE#/UNIT#
CT/PROJECT # #0F UNITS tt BEDROOMS # BATHROOMS TENA^^" BUSINESS NAME COMSTR TYPE OCC GROUP
:HIPTION OFWORK inciuae square Feet ot Anectea Area(s) / , i^_r^_<-«/^ —
TEAfi OFF &X(5Ti/^<S ROOF - S/-INST^LL iso Bo^i^O - ^^75
BASE srtEtT ' 2L pty iti\ pLys+^eeT - ^^^P+^ALT
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YESD # NO •
AIR CONDITIONING
YES • NOD
FIRE SPRINKLERS
YES D NO D
APPUCANT NAME (Primary Cpntact)
5o<? Br^JB«P(^\S^ sr ttkjJ
APPLICANT NAME (Secondary Contact)
ADDRESS ADDRESS
CITY
1-M8Mi
STATE CITY STATE ZIP
PHONE 7^0 60 PHONE FAX
EMAIL EMAIL
PROPERTY OWNER NAME tTit.M niAmt 1 „ — . — . V CONTRACTOI^BUS NAME _ <
w gATU eegp AI^J:) e^g> -^H^G ADDRESS
2-5 DA\//_S A\/E
ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE I FAX PHONE ^E FAX
7^^ go I-H8 42- 7^0 73^-€>SlS EMAIL
ARCH/DESIGNER NAME & ADDFIESS CLASS CITY BUS Lies
(Sec 70315 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 requires Uie applicant for such permit to file 3 signed statement that he is licensed pursuant to the provisions ofthe Contractors License Law (Chapter 9, commending wrth Section 7000 of Division 3 of the
Business and Professions Code} or tnat he is exempt therefrom and the basis for the alleged e?!empUon Any violation of Section 70315 by any applicant for a permit subjects the applicant to a
ctvil penalty of not more than five hundred dollars {$500))
Workers' Compensation Declaration / hereby affirm under penalty of perjury one of (fie following declarations
d I have and will mainlain a certificate ot consent to self insure lor workers'compensation as provided by Section 3700 olthe Labor Code for lhe performanceof ttie work for which this permit is issued
13 I have and will maintam workers' compensation as required by Section 3700 of Ihe Latwr Code, for the perfonnance of the wori< tor which this permil is issued My workers' compensation insurance camer and policy
:STATE FUNJD - ' number are InsuranceCo Policy No 7 Expiraton Date. 8- ('13L
This section need not be completed if the permit is for one hundred dollars ($100) or less
O Certificate of Exemption I certify that m the perfomiance of the work for which tfiis permit is issued 1 shal! not employ any person in any manner so as to become sutiject to the Workers' Compensation Laws of
Calilomia WARNING Failure to secure workers' compensation coverage is unlawful, and shall subjertan employer to criminal penalties and civil fines upto one hundred thousand dollars (&100,t)00), in
addition to thecost of compensation, damages^s provided form S_ecti^ 3706of^eLaboyfode, interest and atiomey's fees
JSS CONTRACTOR SIGNATURE •AGENT DATE
(hereby affirm that I am exempt from Contractor's Ucense Law for the following reas
n I, as owner olthe property or my employees with wages as their sole compen^tion will do the work and the structure is not intended or oflered lor 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 himsell or ^irough his own employees provided that such improvements are not intended or oflered for
sale If, however, the building or improvement is sold within one year ol completion the owner-builder will have Ihe burden ot proving thai he did not build or improve for the purpose of sale)
• i, as owner ol the property, am exclusively contracting with licensed contractors to construct the pro|ecl (Sec 7044 Business and Professions Code The Contractor s License Law dees not apply to an owner ol
property who buiids or improves thereon and contracts lor such projects with contrxtor(£) licensed pursuant to the Contractor s License Law)
• I am exempt under Section Business and Professions Code for this reason
1 I personally plan to provide Uie major labor and matenals for construction of the proposed property improvement • Yes O No
2 I (have / have not) signed an application tor a building pemiit for the proposed work
3 I have contracted with the loiiowing person {firm) to provide the proposed construction (include name address / phone/contractors license number)
A i plan to provide portions of the vrork, but I have hired the following person to coordinate, supervise and provide the major work (include narne / address / phone I contractors' license number)
5 I will ptovKie some ot the worK, M \ have conlracted (hired) the following persons to provide the work indicated (include name / address / phone / type of mtk]
jS^PROPERTf OWNER SIGNATURE •AGENT DATE
Is the applicant or future building occupant required to submit a business plan acutely hazardous matenais registration form or nsk management and prevention program under Sections 25505,25533 or 25534 ol the
Presley Tanner Hazardous Substance Account Act' • Yes • No
Is the applicanl or future buiidmg occupant required to obtain a permit from the ai pollution control distnct or air quality management distncf? • Yes O No
Is the facility to be constmcted wthin 1,000 feet of the ouler boundary of a school site'' • Yes • No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLtCANT HAS MET QR IS MEETIMG THE REQyiREWlENTS 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 fhe work this permit is issued (Sec 3097 {i) Civil Code)
Lender's Name Lender's Address
I certifythat I have tead the applii^on and state thatthe above ii^mnal3on IS conect and tfiat the mfomiation on tlie pl^^^ I agree to complywith ail Ci^otdirtancesand State laws reiabngto building constmction
I hereby authonze representative of the Cily of Carlsbad to enter upon the above mentoned poperly for inspecfion purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILfTiES, JUDGMENTS, COSTS AWD EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CiTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMfT
OSHA An OSHA permit is required for excavations over 5'0' deep and demolition or constnictim of slmctures over 3 stones in heght
EXPIRATION Every permii issued by the Building Offcial under the provisons of thts Code shajj&pire by limilalion and become null and void if the building or vtork authonzed by such pemiil is not ixmmenced wthin
180 days from the date of such permit or ifthe building orv,orkauitonzed by such pemiit is suspended orabandonedatanytime after the vroik is commenced for a penod of 180 days (Section 106 4 4 Uniform Building Code)
APPLICANT'S SIGNATURE DATE
STOP- THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection
CERTIFICATE OF OCCUPANCY (Commercial Projects Only
Fax (760) 602 8560 Email jjww.buj[dinqiaca,r;lsbadc3 ,gov or Mail the completed fomi to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008
C0# (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CfTY STATE ZIP CiTY STATE ZIP
Carlsbad CA
PHONE FAX
EIV1AIL OCCUPANT 5 BUS UC No
DELIVERY OPTIONS
• PICKUP -3 CONTACT (Listed above) • OCCUPANT (Listed above)
• CONTRACTOR (On Pg 1)
• MAIL TO • CONTACT (Listed above) • OCCUPANT (Usted above)
• CONTRACTOR (On Pg lj
• MAIL/FAXTOOTHER _
• ASSOCIATED CB#-
• NO CHANGE IN USE/NO CONSTRUCTION
• CHANGE OF USE/NO CONSTOUCTION
^APPLICANT'S SIGNATURE DATE
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
Z5^0 DA\/I5 1 JOB ADDRESS
2 TYPE OF BUILDING RESIDENTIAL v COMMERCIAL
3 ROOF SLOPE RISE I INCHES IN 12 INCHES
4 NUMBER OF EXISTING ROOF COVERING (CIRCLE 0NE)(2) 2 3
5 TYPE OF EXISTING ROOF COVERING BUIL-T SHEATHING TfG
*6 NEW ROOF MATERIAL gU|LT OP CLASS A WEIGHT PER SQ _3pO
7 NUMBER OF SQUARES ^
8 TRADE NAME GA'F MANUFACTURER <9AF
9 ROOF SYSTEM LISTING
UL NO I C C E S Report#_
ASTM
10 IS THE EXISTING STRUCTySAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE
PROPOSED ROOF'? ^Es) 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-lnspection 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_ ^^S^&MJ ^hof>(/2pJ^ Date IZ-M' 12^
Contractor J 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
Permits CB122589
Date _ Inspection Item
01/22/2013 19 Final Structural
01/22/2013 19 Final Structural
01/16/2013 15 Roof/Reroof
01/16/2013 15 Roof/Reroof
Type MISC REROOF
Inspector Act
Rl
PD AP
Rl
PD AP
HERRICK RESIDENCE
8 SQUARES OF BUILTUP ESR-1274
Comments
REROOF
Tuesday, January 22, 2013 Page 1 of 1