HomeMy WebLinkAbout2652 LA GRAN VIA; ; CB071512; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
06-01-2007 Miscellaneous Permit Permit No: CB071512
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
PC#:
2652 LA GRAN VIA CBAD
MISC
2162503300
$9,630.00
Subtype: REROOF
Lot#: 0
Project Title: TARON RES SHAKE TO STD TILE
30 SQUARES RE-ROOF
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
06/01/2007
KG
06/01/2007
06/01/2007
Applicant: Owner:
PATRIOT ROOFING TARON FAMILY SURVIVOR'S TRUST 01-03-97
1042 EL CAMINO REAL
ENCINITAS, CA 92064
760-577-2935
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees: $167.00
Inspector:
PERMIT FEE
2652 LA GRAN VIA
CARLSBAD CA 92009
Total Payments To Date: $167.00
FINAL
Date:
$167.00
$0.00
$0.00
$167.00
Balance Due:
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 pennit was issued to protest imposition of these fees/exactions. If you protest them, you must
foUow 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 132.030. 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 in fwhi h h v r vi I n N Tl i 'Ir hi ra o hi h fl' i i I h i
City of Carlsbad
1635 Faraday Ave., Garlsbad, CA 92008
760-602-2717 / 2718/ 2719
Fax: 760-602-8558
Building Permit Application
Est. Value
Plan Ck. Deposit
Date G-
SUITI:#/SPACE#/UNIT# APN
#BATHROOMS TENANT BUSINESS NAME CC. GR UP
11? /4 /,
BUILDING AREA (SF) ADDITION AREA (SF) GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES □#_ NOD
AIR CONDITIONING
YES □ NO □
FIRE SPRINKLERS
YES D NO □
CONTACT NAME (If Different Fom Applicant) APPLICANT NAME
ADDRESS
ZIP
100
CITY STATE ZIP
PHONE FAX
EMAIL
PROPERTY OWNER NAME
ADDRESS
CITY STATE ZIP CITY 0'1
PHONE FAX
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE UC.#
/Sec. 7031.5 Busi11eu and Profeuions Code: Any City or County: which rtquirei a permi1 to construct, alte~ improve. demolish or rtP.air any 1tructure1 __ prior ta its inuanct, 110 requires die applicant for such permit to file a signed statement that he is 6censtd _1._urniant to the provisions of the Contractor's Licen1e law {Chapter 9, commending with Section 1000 of Divi1ion 3 of the Busine11 and Pro1Hsion1 Code} or that he is exempt therelrom, and die bam for the alleged exemption. Any liolation of Section 1031.S by any applicant for a permit subjtcts the applicant to a ciYil penalty of not more than five hundred dollars {$500}).
WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
D I have and wlll maintain I certificate of content to self.lnture for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
~ I have and will maintain work uired by Sectio 3700 of the labor Code, for the performance of the work for which this ~eJffiit is is~ed. My workers' compensation insuranc , carrier a por
number are: Insurance Co. n r4. Policy No. ll)C! c3 ¼.a -:J'-l..:::. 0 ./.. Expiration Date t..? C)
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 tecure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penaltles and clvll fines up to one hundred thousand dollars (&100,000), in
addlti to the cost of compensation, damages as provided for In Section 3706 of the labor code, interest and attorney's fees.
I hereby affirm that I am exempt from Contractor's License 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
sate. 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/ have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include 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 (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):
,65 PROPERTY OWNER SIGNATURE DATE
COMPLETE THIS SECTION FOR NON•Rl!SIDENTIAL BUILDING PERMITS ONLY
ls 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 Act1 □ Yes □ No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or airqua\ity management district? □ Yes □ No
ls 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 POLWTION CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there IS a construction lending agency for the pertormance of the work this permit 1s issued (Sec 3097 (i) Civil Code)
lender's Name fA.v,(,.,,,. lender's Address
APPLICANT CERTIFICATION
I certify that I have read the appllcatlon and state that the above Information Is correct and that the Information on the plans Is accurate. I agree to comply with all Clfyordlnances and State law3 relatlng to bulldlng construction.
I 1Jereby lll1horize representative of ~e City of Calobad to enter upon lhe ab<we mentiooed property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LV\BILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: AA OSHA pennit is reqlil!d for excavations """ 5'0' deep and derroition or conslruclion of slrucrull!S """J sfories in height.
EXPIRATION: Every pennit issued by ~e Buiijing Official under lhe pl1l'lisklns of ~is Code shall expre by im-and become nun !lld void I ~e bui~ilg or-authorized by such pennl is not commenced v.ithin
180 days from lhe dale of such pennit or l~e buidilg or-OJ1horized by such pennit is spended or a>andoned at any time after ~e-is oonm,nced for a period of 180 days (Section 106.4.4 Unlonn Bui~ilg Code).
_g APPLICANT'S SIGNATURE DATE
t
REROOFING
SUPPLEMENTAL BUILDING PERMIT APPLICATION
1. JOBADDRESS: q~ lq (it:9-nU,·1; Ovirls-b'!(/e,9, Cj',?tJ09
2. TYPE OF BUILDING: RESIDENTIAL ./ COMMERCIAL __ _
LJ' .., 7 3. ROOF SLOPE: RISE 2· I vfNCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERIN-G (CIRCLE ONE)@2 3
5. TYPE OF EXISTING ROOF COVER IN? .f.llhd &-J1.9/:-e-SHEATHING 6/C-, 'f
•6. NEW ROOF MATERIAi.da&d ,b'le, CLASS __ WEIGHT PER SQ._
1. NUMBER oF SQUARES 3o(p L
8. TRADE NAME fLa-qtf!j MANUFACTURER /Y2cn/?1 ( 1-e.
9. ROOF SYSTEM LISTING UL NO. ____ ICBO NO. C/'l/la(JC.
10. IS THE EXISTING STRUCTU~ESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE
PROPOSED ROOF? V 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 lnstail new roof covering
2. Final Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for Inspection.
Signature ~ cGd ; ~= · Oate _ ___.,0..,,/4._,_/ ____ _
Contractof ki~/-Owner Qalf-L Contractor Name _______ _ &t:y #¼ (v'
*6. Rolled Roofing, Standard/Lite Tile, Aspha1tjComp fiberglass, Built Up, Other
City of Carlsbad Bldg Inspection Request
For: 06/12/2007
Permit# CB071512
Title: TARON RES SHAKE TO STD TILE
Description: 30 SQUARES RE-ROOF
Type:MISC Sub Type: REROOF
Job Address:
Suite:
Location:
2652 LA GRAN VIA
Lot:
APPLICANT PATRIOT ROOFING
0
Owner: TARON FAMILY SURVIVOR'S TRUST 01-03-97
Remarks: FIRST AM PLEASE
Total Time:
CD Description Act Comments
Inspector Assignment:
Phone: 7604644188
Inspector: ----
Requested By: IVAN
Entered By: JANEAN
19 Final Structural fr_ ______ _
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description
06/05/2007 15 Roof/Reroof
Act lnsp Comments
AP PD ENG OK