HomeMy WebLinkAbout2633 GARFIELD ST; ; CB051024; Permit\} ~~ty City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008 ..
03-24!20051 Miscellaneous Permit Permit No: CB051024
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2633 GARFIELD ST CBAD
MISC Subtype: REROOF Status:
Parcel No: 2031411900 Lot#: 0 Applied:
Valuation: $1,368.00 Entered By:
Reference #: Plan Approved:
Issued:
Projec , e: TOY RES-12 SQ COMP REROOF Inspect Area:
Applicant:
PIVA ROOFING,
11921NDUS IALAV
'Ea.CQ!blDlll:10, CA 92029
619-745-4700
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees: $47.00
PERMIT FEE
Owner:
TOY JOYCE R TRUST 01-06-89
2501 E COMMONWEAL TH
FULLERTON CA 92831
Total Payments To Date: $0.00 Balance Due:
ISSUED
03/24/2005
LSM
03/24/2005
03/24/2005
$47.00
$0.00
$0.00
$47.00
$47.00
4541 03/24/05 0002 01
CGF·
Inspector: Date: Clearance:
NOTICE: Please take NOTICE that approval of your project includes the ulmposition" of ees, dedications, reseivations, 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/exa"ctions. 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. NOA DOES IT APPLY to any
f · n fwhi h I n iv n N Tl imil · · h vi I h i
FOR OFFICE USE ONLY
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
PLAN CHECK NO. (!,/6 0 -s-· I OcXj
EST. VAL. t ~0 tr.OD
Plan Ck. Dep:~/
Valid ated By __ ......,,~-£'--,----,,-.----
Date ~-
Address (include Bldg/Suite #) Business Namo (at this address)
.;;z~23
Logel Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor"s Parcel # Existing Uso· Proposed Use
Nai:ne Address City State/Zip Telephone #
[4~~~tY~-~~:~~~:~~~=~n~~~~1~~w&1~~~~,,~~~;:~~~~ri:ko1
Name ...; .l.ddress , ""' S.tate/Z1p Telephone # /
oorm.c:o.B.r.l.\¥cX<>:rm&oMEA!m'N.~'l'df ~ · '*~~~~-~a:o:r~m~&"
(Sec. 7031.5 Business and Professions Codo: Any City or County which requires a permit to construct, alter, improvo, demolish or repair any structure, prior to Its
Issuance, also requires tho applicant for such permit to file a signed statement that he Is licensed pursuant to tho provisions of the Contractor's License Law
(Chapter 9, commending with Section 7000 of Division 3 of tho Business and Professions Codol or that ho Is exempt therefrom, an<! tho basis for tho allogod
exemption. Any violation of Sect on 7031.5 by any applicant for o permit subjects tho applicant to a civil penalty of not more than five hundred dollars ($5001).
· -i "c o \ nei .. n ,· -'c ve :-s , i' ( · ~ 'r,9e,~. ·ri r,,C 7 sL/1-6D
Address City State/Zip T olophone II
Liconso Closs G ~cl City Business Lic.ons~ # I :~o.Z, \ ct ?( Stato License # __ .;2_1_lr_-_<-i_' _3_'6_· __ _
Designer Name Addross City State/Zip Telephone
State License # ----------
(tf:!Mi{W.0.BR~ilmFc:OMP.i::'f'isil,;(JON~'ial'M~~af.,~mm_iiiiM>;R~d~.!li'?6:ii~lfil!;;i,i.MT•Jia1'Jil~if@f,fi,l~,'.\t};g;lt,:l"~~-~;;t"1,i;t~i;};:(;•i,~;E/!J1,,'\ii:;~'.:1ii;
Workers' Compensation Doclorotion: I hereby affirm under penalty of perjury ono or tho following declarations:
O I have and will maintain a certlricata of consent to self-insure for workors' compensation as provldod by Soction 3700 or tho Labor Code, ror tho performance
of tho work for which this permit is Issued.
"(S I have and will maintain workers' compensation, as roquirod by Section 3700 or tho Labor Codo, for the porformanco of tho work ror which this permit is
Issued. My worker's compensation insurance carrier and policy number oro:
Insurance Company S t sk E, >iOC Policy No. :Z35f-~o:3<3'.? .::;oi.-j Expiration Dato __ c.:,_/_,_(~u_C---i __
• . .
(THIS SECTION NEED NOT BE COMPLETED IFTHE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS)
O CERTIFICATE OF EXEMPTION: I certify that in tho performance of tho work for which this permit Is issued, I shall not employ any person in any manner so as
to become subject to tho Workers' Compensat n Laws of Californla. ·
WARNING: Failure to secure orkers' com satlon coverage ls unlawful, and shall subject on employer to criminal penalties and civil fines up to ono hundred
· thousand dollars ($100,00Q.l, l n~dltlon tot cost f ompensatlon, damages as provided for in Soctlon 3706 of the La r cod In rest and attorney's fees.
SIGNATURE . · DA TE -q....::.'2___:lf..µ.1:::,,,-<'----
[~lffl6WNEi([fi.Ufe:tiER(if.E.C)!ARAJIOij~~~!,t~~Jt;'?.~7i~4MJ{~fkJ~iii;°it~rl~fi,'!N:l?jr.1;,:~'.;~'f\'Jitn~i;J~~'~fiJe~'.~f!f.:t(~:iflfs,~
I horoby affirm that I am oxompt from tho Contra.ctor's Liconso Low for the following raason:
0 I, as owner of tho property or my employees with wagos as thoir solo compensation, will do tho work and tho structure is not intended or offered for sale
(Soc. 7044, Business and Professions Code: Tho Contractor's License Law doos not apply to an owner of property who builds or improves thoreon, and who docs
such work himself or through his own employees, provided that such Improvements are not Intended or offered for sole. If, however, tho building or improvement is
sold within one yoar of completion, the owner-builder will have tho burdon of proving that ho did not build or lmprovo ror tho purpose or sale).
O I, as owner of tho property, am exclusively contracting with licensed contractors to construct the project (Soc. 7044, Business and Professions Code: Tho
Contractor's Liconse Law doos not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed
pursuant to t~o Contractor's License Law).
D I am exempt under Section Buslrtoss and Professions Codo for this reason:
1. I personally plan to provide tho major labor_ and materials for construction of the proposed property lmprovomont. 0 YES ONO
2. I (havo / havo not) signod an application for a building pormit for tho proposed work.
3. I have contracted _with the following person (firm) to provide tho proposed construction (include namo I address I phono number I contractors liconso number):
4. I plan to provide portions of the work, but I have hired tho following person to coordinate, supervise and provide the major work (include namo I address I phone. number I contractors liconso number): _____________________________________________ _
5. I will provide somo or tho work, but I have contracted (hired) the following persons to provide tho work indicated (include name / address / phono number I typo
of work): ____________ ~-~------------------------------------------
PROPERTY OWNER SIGNATURE DATE----------
(cp_MP,(~fel tB[~l~Eg;tf9.~}6Q8Jf.!(.QW}f~/P.1f.?1Y.!'Z!lfpJc.rfiliGle.EJ\M!J.Sl oJf~)'-~ijJ)J]Jl~kllfl~~J/!~:/,'~~iE~b1~~"11J'8W,°lt)11'.;~~!Jit8r,;.¥.;-,J,~~~;'.:;;~~
Is the applicant or future building occupant required to submit a businoss plan, a_cutoly hazardous motorials registration form or risk manogemont and provontion
program under Sections 25505, 25533 or 25534 of the Prosloy-Tannor Hazardous Substance Account Act? 0 YES O NO
Is the applicant or future building occupant required to obtain a pormit from tho air pollution control district or air quality managomont district? 0 YES O NO
Is tho facility to be constructed within 1,000,foet of tho outer boundary of a school site? 0 YES O NO
IF ANY OF THE ANSWERS ARE YES, A FIN~L CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS ME'ETING THE
REQUIREMENTS OF THE OFFICE OF EMERG NCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
r~c§if~:itil([~N.ffi~]ru@lt&ftiGJW ,· 1 ·~a~~~~~:1r;r.;.;.1£111.~a~;.:-~~ii:~l1m~sr:wi;'S!tifi~:::i~1-.~~:L~'1:};-:ii~-.-:1~~~,
I horeby affirm that there is. a construction le~ding agoncy for the performance of tho work for which this permit is issued (Soc. 3097(1) Civil Code).
).ENDER'S NAME LENDER'S ADDRESS-------------------------
~~lC~r;i;fi(CJ:~"rlfJ.C°fi'ilO!JA~~ij\jfl(~~~mmB!m3Mitlm..:f.il~(t~~~~ifMil.~J-11i~~1~JJtri~m~!~lcl~~~~~li~l_l~~
I certify that I have road the application and state that tho above information is corroct and that the information on the plans is accurate •. I agreo to comply with all
City ordinances and s,ate laws relating to ~uilding construction. I hereby authorize roprosontativos of tho Cit\! of Carlsbad to enter upon tho ~bove mentioned
property· for lnspectlop purposes. I ALStj AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST j L LIABILITIES,
JUDGMENTS, COSTS ('ND EXPENSES WHlqH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF ·THE GRANTING OF THIS ERMIT.
OSHA: An OSHA permit Is required for oxca~ations over 5'0" doop and domolitior:i or construction or structures over 3 stories In height.
EXPIRATION: Every P,ermit Issued by the b~lldlng Official und the provisions of this Code shall expire by limitation and become null and void If th~ building or work
authorized by such perr,iit Is not commenced ~Ith~ 180 da¥.,S fr Iha d?JP of such permit or if the building or work aulhorlzod by such p rmit Is suspended or abandoned
at any limo after tho wqrk Is commenc~d fo~a.po od1of 10p\d s (Se r'n 106.4.4 Uniform Bullding Codo).
APPLICANT'.S SIGNATURE l(_ DATE ~ :s
WHITE: Filo YELLOW: Applicant PINK: Finance
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOBADDRESS: ;1Cti33 Gc.c-'\'eld St-.
2. TYPE OF BUILDING: RESIDENTIA~ :'.\ COMMERCIAL. __ ~
3. ROOF SLOPE: RISE _3 inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) 1 a) 3
5. TYPE OF EXISTING ROOF COVERING (0 /Y\f SHEATHING 'R_ . ·
*6. NEW ROOF MATERIAL ~M\? CLASS--A,_WEIGHT PER SQUARE,;;; ZQ
7. -NUMBER OF SQUARES (Z ;,('
8. TRADE NAME ~ 30 J r · MANUFACTURER Ff K
9. ROOF SYSTEM LISTING UL No. ICBO No. SC//f
10. IS THE EXISTING STRUCTURAL DESIGN ~ICIENT 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 instalfnew roof covering.
2. Final Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for
inspection.
Signaturt-u~~ · vL C Date--=3+,t.:=2:....sl/-1--;0P~tJ=-f __
Contractor 71. Owner Contractor Na!Pe Bo h fr'~ q l:oo.(2, '4_
*6 • Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, (]~
Other.
City of Carlsbad Bldg Inspection Request
For: 04/22/2005
Permit# CB051024
Title: TOY RES-12 SQ COMP REROOF
Description:
Type: MISC Sub Type: REROOF
Job Address: 2633 GARFIELD ST
Suite: Lot 0
Location:
APPLICANT PIVA ROOFING, BOB
Owner: TOY JOYCE R TRUST 01-06-89
Remarks:
Total Time:
Act Comment
Inspector Assignment: PC ---
Phone: 7607454700
Inspector:
Requested By: NA
Entered By: CHRISTINE
CD Description
~------19 Final Structural
Associated PCRs/CVs
Inspection History
Date Description
04/07/2005 15 Roof/Reroof
Act lnsp Comments
AP PC