HomeMy WebLinkAbout2616 LA COSTA AVE; ; CB121424; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-30-2012 Miscellaneous Permit Permit No: CB121424
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
2616 LA COSTA AV CBAD
MISC
2162800300
$12,502.00
Subtype: REROOF Status:
Lot#: 0 Applied:
Entered By:
Reference #: Plan Approved:
PC#: Issued:
Inspect Area:
Project Title: HAZELWOOD RES-REPLACE CONCRET
TILES W/ NEW CONCRETE TILES -3600 SF -ESR #1900
Applicant:
GM-ET ROOFING REMOVAL & CONSTRUCTION INC
STE 201
2500 E IMPERIAL HWY
BREA CA 92821
714 990-4578
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
PERMIT FEE
Owner:
HUGH HASELWOOD
2616 LA COSTA AV
CARLSBAD CA 92009
714 926-2703
ISSUED
07/30/2012
RMA
07/30/2012
07/30/2012
$268.00
$0.00
$0.00
$268.00
Total Fees: $268.00 Total Payments To Date: $268.00 Balance Due:
Inspector: Clearance:
$0.00
NOTICE: Please take 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 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 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
f hih h Tl imilr hl r hihh i I
, THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING D ENGINEERING OeulLDING
/?~', ~'"''?'> ~ CITY OF
CARLSBAD
JOB ADDRESS
CT/PROJECT# LOT#
Building Permit Application
1635 Faraday Ave., Garlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: buldllng@carlsbadca.gov
www.carlsbadca.gov
SUITE#/SPACE#/
PHASE# # OF UNITS # BEDROOMS # BATHROOMS
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ? (,, 5~6 P:,"'12-
I I L If:'=',, I A) Sfl'\ L.-L-
y co 5 --f11 't
~
" s. 8 s ~T,{(/ ;u & A--r--0
cou~ f2.&Tf2.at-w,,t-f
OFIRE
EXISTING USE PATIOS (SF) DECKS (SF) FIREPLACE
YES □#_ NOD
APPLICANT NAME (Primary Contact APPLICANT NAME (Secondary Contact)
ADDRESS
Cl1Y STATE
PHONE FAX
EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE LIC. #
CONSTR. TYPE OCC. GROUP
AIR CONDITIONING
YES □ NO □
ZIP
FIRE SPRINKLERS
YES O NO □
(Sec. 7031.5 Business and P_rofessions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair anr structure, prior to its issu 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 Sect1 7 . O of D1v1s1on 3 of the Business and Professions Code} or that he 1s exem_P.t therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permi subJects the applicant to a civil penalty of not more than five hundred dollars {$500)).
Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations:
D I have and will maintain a certificate of consent to self-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.
J( I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the _performance of the work for which this pejplit is issued. My worl<.ers' compensation insurance carrier and policy
number are: Insurance Co. :S'"7?\7"E F._.ry..,,.,O Policy No. 0 f:O CT-t> 50 k Expiration Date-,;,,,~tJ~l~~~----
This section need not be completed if the permit is for one hundred dollars ($100) or less D Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall Ject employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damages as provided for In 'ltt""'T9i'O$ofthe La nd atto 's fees.
NS CONTRACTOR SIGNATURE
/ 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 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 _______ Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. □ Yes □ No
2. I (have I have not) signed an application for a building permit for the proposed worl<..
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 worl<. (include name/ address I 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 I phone I type of work):
,a$ PROPERTY OWNER SIGNATURE □AGENT DATE
-,, * 1""" w11rw,~,,-c,w;-11=*'"-w ,,~,-, , "' :~ \\\"'\ t" --~f"'\Wf1\f"\ "'""',"** ~" *J/4\ih'K" ~;:,c: * , ''' JC ~1 ~d#'~l"1-~~1iWHl'8" 7 1
COMPLll'l'll NII$ JliCTIO!il PQR NON•itlUll:llllllTIAL 11!,!ILDll'l!li l'li!RMITI Ol\UY;
0 _, ~ * * * 1 --*;;t, * ,, * --~ 1 --'~* *1*** '*"°0
Is the applicant 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 the
Presley-Tanner Hazardous Substance Account ActJ □ 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 feet of the outer 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 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 lnfonnatlon is correct and that the lnfonnation on the plans is accurate. I agree to comply 'Mlh all City ordinances and State laws relating to building construction.
I hereby authorize representative of the City of Ca~sbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIPr' AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST All LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT,
OSHA: M OSHA pem,tt is required for excavations over 5'0' deep and demolition or coostruction of structures over 3 stories in heght.
EXPIRATION: Every pemiit issued by the Buikling OffK:ial under the provisions of this Code shall expire by limitation me null and void if the buik:ling or 1Mxk authorized by such pem,it ls not commenced 'Mthin
180 days from the date of such pennit or if the building or¼Ork authorized by sucw,..;m,,ipend and ed at y time a the ¼Ork ls commenced for a period of 180 days (Section 106.4.4 Unifonn Building Code).
RS 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.
Fax (760) 602-8560, Email www.building@carlsbadca.gov or Mail the completed form 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 ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
□ PICK UP: □ CONTACT (Listed above) o OCCUPANT (Listed above)
□ CONTRACTOR (On Pg. :L)
□ ASSOCIATED CB# .. -........ --------□ MAIL TO: o CONTACT (Listed above) □ OCCUPANT (Listed above)
□ CONTRACTOR (On Pg. :L) □ NO CHANGE IN USE/ NO CONSTRUCTION
□ MAIL/ FAX TO OTHER: _____ _ □ CHANGE OF USE/ NO CONSTRUCTION
2$ APPLICANT'S SIGNATURE DATE
CITY OF CARLSBAD
POLICIES AND PROCEDURES
NUMBER: 97-50 SUBJECT: Re-Roof Sheathing Inspections During Inclement Weather
EFFECTIVE: 12/15/97 SECTION: BUILDING DIVISION
SUPERSEDES:
PURPOSE:
INTENT:
inclement
To set forth the allowable procedure for re-roof inspections during periods of inclement
weather.
The intent of this policy is to establish a uniform procedure for inspecting the
underlayment installation for re-roof projects while protecting the house from the threat of
inclement weather. It is not the intent of this policy to allow roof sheathing to be covered
without inspection during periods of dry weather or when there is no threat of
weather.
BACKGROUND: The threat of wet weather prompts many homeowners to contract to have their house re-
POLICY:
Initiated By:
B-10
roofed. In most cases this involves removing the old roof material and installing new
underlayment (Plywood or proprietary OSB Board). A building permit and "tear off"
inspection is required prior to placing the roofing materials.
During periods of inclement weather, or when there is a threat of rain, roof sheathing on re-roof projects
may be covered with a single layer of asphalt saturated felt and "dried in" prior to the roof sheathing
inspection subject to the following conditions:
1. The roof shall not be loaded with roof covering materials until the sheathing has
been approved.
2. The roofing contractor shall schedule a sheathing inspection and provide the
inspector access to the roof sheathing.
a. The roofing contractor shall provide an appropriate sized ladder on site for
the inspection.
b. The contractor shall call the morning of the inspection and inform the
inspector of the circumstances of the inspection and arrange for either an
a.m. or p.m. inspection.
c. The roofing contractor must have an employee on site during the inspection
to reveal portions of the new underlayment to the satisfaction of the inspector.
d. If structural reinforcement to the roof framing is necessary, the repairs shall
be shown to the inspector at that time.
e. In the event the inspector determines the sheathing is nailed improperly, the
roof sheathing shall be fully exposed an re-nailed. A re-inspection is then
required.
Approved By:
Page 3 of 4 Rev. 02/11
B-10
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
1. JOBADDREss: d <a ,I(, ~d Cos.TA Ac)/£
2. TYPE OF BUILDING: RESIDENTIAL V COMMERCIAL. ___ _
3. ROOF SLOPE: RISE -'f' INCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) (v 2 3
5. TYPE OF EXISTING ROOF COVERING T' Lr;:-}~ SHEATHING __ _
I /
*6. NEW ROOF MATERIAL f1 LF U0i,c CLASS A WEIGHT PER SQ. (r;/2{5 ~7
7. NUMBER OF SQUARES.___,,,3~Cu.aL.._ __ _
8. TRADE NAME _______ MANUFACTURER~ f) (; L E'
9. ROOF SYSTEM LISTING:
UL NO. _____ I.C.C.E.S. Report# £'5-f'.-/j6o
ASTM _____ _
10. IS THE EXISTING STR~ 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.
s;'""'"'0,,,,,,,,, wW Date 7-:30-( ~-
Contractor ✓-Owner. _____ Contractor
Name (;{(;ffio~))d,u1J.p
*6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other
Page 4 of 4 Rev. 02/11
Inspection List
Permit#: CB121424
Date lnspecUon Item
12/27/2012 19 Final Structural
08/06/2012 15 Roof/Reroof
Thursday, April 11, 2013
Type: MISC REROOF
Inspector Act
PD AP
PD AP
HAZELWOOD RES-REPLACE CONCRET
TILES W/ NEW CONCRETE TILES • 3600 S
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