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Home My WebLink About2612 LUCIERNAGA ST; ; CB153356; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-06-2015 Miscellaneous Permit Permit No: CB 153356 Building Inspection Request Line (760) 602-2725 Job Address: 2612 LUCIERNAGA ST CBAD Permit Type: MISC Subtype: REROOF Status: Parcel No: 2152901902 Lot#: 0 Applied: Valuation: $3,700.00 Entered By: Reference #: Plan Approved: PC#: Project Title: ROSSALL: REROOF 20 SQ Applicant: Owner: REGAN ROOFING ROSSALL DENISE MT 2510 VIA SORBETE CARSLBAD CA 92010 858-255-7100 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $107.00 Inspector: 2612 LUCIERNAGA ST CARLSBAD CA 92009 PERMIT/INSPECTION Total Payments To Date: $107.00 Date: Issued: Inspect Area: Balance Due: Clearance: ISSUED 10/06/2015 SLE 10/06/2015 10/06/2015 $107.00 $0.00 $0.00 $107.00 $0,00 I\OTICE: Flease ta<e CE ~ d )Cl.r J)tjed irdudes tt-e "lnµstion" d f"'5, dedcaicns, reeevaicns, cx ctt-er ....:licns -rolectil.dy refarad to as 'Yees'exa::tia1s" Yw ha,e 00 days fmTI 11-e-ttis perrrit""" issuld to prctest i"l)Cl5ition d these fees'exa::tiais If )W prctest ttan )W rrust fcilo.vtt-e prctest ~~forth in Go.<m-re"t Q:de Sedicn €0020(a), a-d file tt-e prctest a-d a,y ctt-er req.ired infarreion wlh 11-e aty Mngerfcr ,:rooossirg in axx:nJaKl8wlh Ca1stm Mridpa Q:de Sedion 3.32.CID. FalLretotirrelytalo.vlh:t µca,<irewll a,-a,yscniec,.,ert l<go actiontoaluD<, l"E'Mew, set asi(E, \Od, a an.J thFir il1'fX'E,iticn YOJ ere hereby FlRTH:R I\OTIFIED tt-et )Cl.r rigt to prctest 11-e spedfla:I fees'exacticns IXEl l\01" ADA-Y tolMier a-d ,,,,_ amedion fees a-d ~ c:twges, ra p,mrg, 20irg gairg cx ctt-er sirrilar ~icaion ~rg ex sen.ice fees in amedion wlh ttis J)'Cjed. !\CR DCES IT ADA-Y to a,y i cl' ' ··1a-Ii' THE FOLLOWIN~ APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMAT/APCO ·r (_ City of Building Permit Application Plan Check No. Q.6 1~ 33~'" 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value '3.7f"W'l Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov www.carlsbadca.gov Date 10-ln-\, lswPPP JOB ADDRESS S, SUrrEf/SPACEf/UNITf IAPN 7/~1'7 ,,r,~~.f;6A --- CT/PROJECT# LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I T£NANT BUSINESS NAME ICONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Aru(s) ·1 n , +-e. 11 ..evZ • Pl-'< ,,,..._e.tvl b~ 'iZf,»t,O~ "].l!JOO so.. Ett '0Ul2. I ., EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS vesO "'° YES □No □ YES □No□ APPLICANT NAME P,-qPERTY OWNE't:, 4"'\ Primary Contact ' "'"-" L. I... ADDRESS ADDRESS ..,,_1"2.. Luc.,, -~ .. -~ ,. ... },._,... CITY STATE ZIP CITY STATE ZIP r -~ . ,. -AP c~ °!2f)O&f PHONE IFAX PHONE IFAX 71,,0 -"178-747'3 EMAIL E';d ros.~// <2 "'rn,~.i /. c-z,-n, DESIGN PROFESSIONAL CO~ACTDR eu~:ME .. ,--,;;,,,, rJ (;. /Nr. ADDRESS ADDRESS IQ?I~ l'v\nA,,__,.,[rc, A-,,.. CITY STATE ZIP CITY r brJ STATE e LL ZIP °l'}AJR r,,, I, PHONE IFAX PHONE ~,., -7..-c;-c;--,10O IFAX EMAIL EMAIL 1 • --· -s:i vi' r. ~,. __ roo C-,1n.c, • C.o )1,, I STATE UC.# STATE UC.# J J !°~~er IT23'3qo0 4-fl S' '31>-Z. {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 I1s issuance, also requires the applicant for such per_mit to me 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 031.5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for worllers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this pennil is issued. \SI I have and will maintain worker&' compensation, as ~uired bv Section 3700 of the labor Code, for the performance of the work for which this permit is issued. My worllers' compensation tur!X2 carrier and policy nomberara:lnsurara:eCo \?4d1u,od &=jry .-; Ctit,@lkj Int Polo,No. 12EWC(e02-'( o+ E,pirationOale f!, 1 J/o ~section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the perfonnance of the work for which this pennlt is issued, I shall not employ any person in any manner so as to become subject to the Worllers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest and attomey's fees. ,8$ CONTRACTOR SIGNATURE I hereby afflm, 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 not intended or offered for sale. II, 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, Busir,ess 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 _____ ,Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property impro~ement. 0Yes 0No 2. I (have/ have not) signed an application for a building pennlt for the proposed work 3. I have contracted with the following person (finn) to provide the proposed construction {inch.Ide name address/ phone/ 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 (inciude 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 I address/ phone I type of work): ,6$ PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is lhe applicaot 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 lhe 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? Yes No Is the facility to be constructed within 1,000 feel of the outer boundary of a school site? Yes No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY IIAY 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there 1s a construction lending agency for the performance of the work ttns permit 1s issued (Sec 3097 (1) Civil Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the appllcatlon and state that the above lnfonnatlon Is com,ctand that the Information on the plans Is accurate. I agree tD oomply\\tth all City ordinances anctSta1e laws relating 1D buildlng construction. I hereby aulhorize representative of !he City of Carlsbad b enter UIXlf'l lhe at:ove mentioned property rt inspecoon 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 AG.AJNST S'IID CITY IN CONSEQUENCEOF THE CRANTING OF THIS PERMIT. OSHA: Ari OSHA permit is requi'ed b excavatms over 5'0' deep and demolition or constructbn of structures over 3 sbries in height. EXPIR/i.TION: Every permit issued by the Buik:ling Official under the provisions of this c.ode shall expire by li'nitation and become null and \00 if the buik:llng oroork authorized by sudl pe,mit is not commenced wthin 100 days from the date of such permit or if the buiklhg orWJrk authoozed by sudl permit is suspended or abandoned at any time after the WJrk is commenced for a pericxl of 180 days (Secoon 100.4.4 UnOOfm Buikling c.ode). ~ APPLICANT'S SIGNATURE Q__. DATE lO{DC;, /U>l'S 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 building@carlsbadca.gov or Mail the completed fonn to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LJC. No. DELMRY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR {On Pg. 1). MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) MAIL/ FAX TO OTHER:---------------~ .6$ APPLICANT'S SIGNATURE ASSOCIATED CB#•------------ NO CHANGE IN USE/ NO CONSmucnoN CHANGE OF USE/ NO CONSTRUCTION DATE ZIP B-10 REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESS: 2(e(2 I u.CAfl?N&G.ll s+ I CC(,,ylsha.d 9200, 2. TYPE OF BUILDING: RESIDENTIAL ✓ COMMERCIAL ___ _ 3. ROOF SLOPE: RISE \ INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 6) 2 3 5. TYPE OF EXISTING ROOF COVERll;IG _ __,_B"U=tz...~ __ SHEATHING es('; *6. NEW ROOF MATERIAL APP Mo& Bit Nf/,U CLASS A WEIGHT PER SQ. llo/0 7. NUMBER OF SQUARES __ 7.,0.=-.c. ___ _ M.<Mb~ 8. TRADE NAME AP!" M~d SH-~ MANUFACTURER Tuc:::<9lL1A S.S 9. ROOF SYSTEM LISTING: UL NO. _____ I.C.C.E.S. Report# cS[2.-2..01e ASTM D -Cp'Z..·z.:z... 10. IS THE EXISTING STRUC~L 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 L:.,V=---YbQ Date Io lo<, (WIS Contractor Owner Contractor _.....,..___ ----- Name ]<q;;A-N Roo&NG, /r,1c... *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other Page 4 of 4 Rev. 02/11 Inspection List Permit#: CB153356 Type: MISC REROOF ROSSALL: REROOF 20 SQ Date Inspection Item Inspector Act Comments 08/10/2016 19 Final Structural RI 08/10/2016 19 Final Structural RI 08/10/2016 19 Final Structural PY AP 10/08/2015 15 Roof/Re roof PY AP Thursday, August 11, 2016 Page 1 of 1