HomeMy WebLinkAbout2657 BRIGHTON RD; ; CB121552; Permit08-16-2012
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Miscellaneous Permit Permit No CB121552
Buflding Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Valuation
Reference #
PC#
Project Title
2657 BRIGHTON RD CBAD
MISC
2081310200
$4,778 00
Subtype
Lot#
REROOF
0
BAILEY RES- 3500 SF COMPOSITIO
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
08/16/2012
RMA
08/16/2012
08/16/2012
Applicant
BAYNES ROOFING
Owner
BAILEY FAMILY TRUST 04-02-08
2152 13TH ST 92024
858 518-4797
2657 BRIGHTON RD
CARLSBAD OA 92010
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
PERMIT FEE $134 00
$0 00
$0 00
$134 00
Total Fees $134 00 Total Payments To Date $134 00 Balance Due $0 00
Inspector
INALAPPROVAL
Date /^-^^Y^ Clearance
NOTICE Please take NOTICE ttiat approval of your project includes the 'Imposition* of fees, dedications, reseivations, or other exactions tiereafter collectively
referred to as "fees/exactions" You have 90 days from the date this perrriit was issued to protest imposition of these fees/exactions If you protest them, you must
follow the protesi procedures set forth in Government Code Section 66020(a), and file the protesi and any other required mfomiaiion with the City fi^anager tor
processing m accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow lhat procedure will bar any sutwequenl legal action to attack
review, set aside, void, or annul their imposition
You are hereby FURTHER NOTIFIED thai your nght lo 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 processir>g or sen/ice fees m connection with this project NOR DOES IT APPLY to any
fees/exaclions of which vou have oreviouslv been given a NOTICE similar to this, or as to whicb the statute of limitations has previously otheiwise expired
I«E FOLLOWING APPROVALS REQUIRED PRIOR TO PERMITISSUANCE • PLANNING • ENGINEERING • BUILDING • FIRE • HEALTH • HAZMAT/APCD
CITY OF
Building Permit Application
1635 Faraday Ave , Carlsbad, CA 92008
Pti 760-602-2719 Fax 760-602-8558
email buldling@carlsbadca gov
wvm carlsbadca gov
S 7 I LOTS iBHASEfl I«OF UNITS * W 8EDR00MS
PlanCheckNo. /JT.TJL
Est. Value 7 7^
JOB ADDRESS suiiE»/SPAC£«/uNrr«
CT/PROJECT # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE 1 OCC GROUP
^Oyr /l-,fkv^ ^Uf/^>
DESCRIPTION OF WORK Include :
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
VES • # NO •
AIR CONDITIONING
YES • NO •
FIRE SPRINKLERS
YES • NO •
APPLICAMMMME (Pr/mary Conla^tT) /-) * APPLICANT NAME (Secondary Contact)
ADDRESS'
e>hf.u.'. ?7i(j
ADDRESS
IFF CITY ZIP CITY STATE ZIP
PHONE FAX
EMAIL
PROPERTY OWNE 7^ V^o.rW'^ ONTRACTORBUS NAME
/ 7 y 6TAT&N ; 7* zF
ADDRESS
C [FAX
CITY CITY STATE ZIP
PHONE PHONE
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS UQ* — — _ CL;^ — CITYB CITY BUS LICW
(Sec 70315 Business and Professions Code Any City or County whicti requires a permit to construct, alter improve, demolish or repair any structure, pnorto its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions ofthe Contractor s License Law {Chapter 9 commending with Section 7000 of Division 3 of the Busmess and Professions Code) or that he is exempt therefrom and the basis for the alleged exemption Any violation of Section 7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500))
Workers' Compensation Declaration I hereby affinn under penalty of perjury one ofthe following declarabons
I have and will maintain a certificate of consent to self insure tor workers compensation as provided by Seclion 3700 of the Labor Code for the perlormance ot Ihe work for wtiich this perniit is issued
/SLi have and will maintain workers'c<i*i pen sat loruas re^gjute^y Section 370ffilf the Labor Code, tor the performanc&ojltowoji fonj/hich this permit is issued My workers' com pensationipsii ran re carrier and policy
'•^ numberare InsuranceCo / 7^ (t(^ ^ 5- ' C PolicvNo ^ Q.Y'f &^'J / S 7 0 ( Expiration Dale ^ f"^ f /
This section need not be compleied if the permit is for one hundred dollars ($100) or less
O Certificate of Exemption I certify thai in the performance of Ihe work tor which this permit is issued, I shall nol employ any person in any manner so as to become subiect to the Workers Compensation Laws of
California WARNING Failure to secure workers' compensation coverage is unlawful, and shall subject an employerto cnminal penalties and ctvil fines upto one hundred thousand dollars (&1D0,000), In
addition to the cost of compensation, damage; as provjifedsTbr in SepMn 3706 of the Labor code, interest and attorney's fees
yfif CONTRACTOR SIGNATURE ^.--^^7-- ' OAGENT DATE
®e5G9@G?-OGD0[i®
/ here/jy affi/m that I am exempt from Contraclor s Ucense Law tor the following reason
• I, as owner of Ihe property ormyempioyees with wages as their sole compensation, will da the work and the structure is nol intended or offered for sale (Sec 7044, Busmess and Professions Code The Contractor's
License Law does not apply lo an owner ol property who builds or improves ^reon, and who does such work himself or through his own employees, provided lhat such improvements are nol intended or offered for
sale If, however the building or improvemenl is sold within one year of complelion, the owner builder will have the burden ot proving lhat he did nol build or improve for the purpose of sale)
• I, as owner of the property am exclusively contracting with licensed contractors lo constrict Ihe projecl (Sec 7044, Business and Professions Code Tho Contractor's License Law does not apply to an owner of
property who builds or improves thereon, and conlracts for such projects with contractor(s) licensed pursuant lo the Contractor's License Law)
O I am exempt under Section Business and Professions Code lor this reason
1 I personally plan to provide Uie major labor and matenals for construclon of Ihe proposed property improvement • Yes Cl 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 Ihe proposed constnicbon (include name address / phone / conlractors license number)
4 I plan lo provide porUons ol the work, bui I have hired the following person to coordinate supervise and provide the major work (ixlude name / address / phone / conlractors license number)
5 I will provide some of Ihe work, but I have contracted (hired) the following persons to provide the vrark indicated (include name/address / phone/type of work)
^fifpROPERTY OWNER SIGNATURE •AGENT DATE
Is the applicant or future building occupant required lo submit a business plan, acutely hazardous matenals registration form or nsk managemeni and prevention program under Sectons 25505 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Acf • Yes • No
Is the applicant or future building occupant required lo obtain a permil from the air pollution conlrol distncl or air quality managemeni dislncP • Yes • No
Is the facility lo be constructed wilhm 1 000 feet ot 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 hereby affirm that Uiere is a construction lending agency for the performance of the work this peimil is issued (Sec 3097 (i) Civil Code)
Lender s Name Lender's Address
I ceitfythati have read the applicabon and statethatlhe above mfoimaDoniscorreclandlfiatthelnfoimabon on the plans IS accura I agree to complywith all Ci^ordinances and State lavrarelatingto buildingconstnrcbon
I hereby authonze represenlatwe cf Ihe City of Gailsbad to enter upon the above mentioned property far inspection purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST yM.L LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMfT
OSHA An OSHA pemut is required for excavations over 5'0' deep and demolition or constnicJon of sttuclures over 3 stones n height
EXRRATION Every permit issued t)y the BuiHing Offiaal under the provisions of this Code shall expire by limitation and become nuB and void if the building or work authonzed by such pemiit s not commenced wilhin
160 days from the date of such pemiit or if the building or work authonzed by such pemiit is suspended or abandoned at any time after the work 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 followmg ONLY if a Certificate of Occupancy will be requested at final inspection.
CERTIFICATE OF OCCUPANCY (Commercial Projects Only|
Fax (760) 602-8560, Email WVAM buildinq(S)carl5badca gov or Mail the completed form to City of Carlsbad, Building Division 1535 Faraday Avenue, Carlsbad, California 92008
C0# (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY
Carlsbad CA
PHONE
EIV1AIL OCCUPANTS BUS LIC No
DELIVERY OPnONS
O PICKUP • CONTACT (Listed above) • OCCUPANT (Listed above)
o CONTRACTOR (On Pg 1)
• MAIL TO • CONTACT (Listed above) • OCCUPANT (Listed above)
• CONTRACTOR (On Pg 1)
• MAIL / FAX TO OTHER
• ASSOCIATED CB#-
• NO CHANGE IN USE/NO CONSTRUCTION
• CHANGE OF USE/NO CONSTRUCTION
^APPLICANT'S SIGNATURE DATE
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
1- JOB ADDRESS. 20 Sl Q^ri^U-^^.
2 TYPE OF BUILDING- RESIDENTIAL COMMERCIAL.
3. ROOF SLOPE. RISE 0 INCHES IN 12 INCHES
4 NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) (T) 2 3
5 TYPE OF EXISTING ROOF COVERING 1x6 Si^Y SHEATHING.
*6. NEW ROOF MATERIAL A^pUlf Sk*\^\tCLASS A WEIGHT PER SQ A^O IVDS.
7. NUMBER OF SQUARES 3S
8 TRADENAME LaFd^t-k. MANUFACTURER C^^lyyT^a <i
9 ROOF SYSTEM LISTING
UL NO. I CCE S. Report # l^g^
ASTM p7f^?^
10. IS THE EXISTING STRUCTUgAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE
PROPOSED ROOF*? (^YES^ NO
AH roof coverings are required to be CLASS A Combustible roof covenngs of any type or
classification are prohibited
I understand the following inspections are required.
1 Tear Off/Pre-lnspection pnor to install new roof covenng
2 Final Inspection
I agree to provide aJadder extending at least 2 rungs above the roof for inspection
Signature X/AKflFY' f jF Date
Contractor
Narne_^25^2^^
*6 Rolled Roofing. Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other
B-10 Page 4 of 4 Rev 02/11
Inspection List
Permtt# CB121552 Type MISC REROOF BAILEY RES-3500 SF COMPOSITIO
PA*?_,- Inspection Item Inspector Act Comments
08/24/2012 19 Final Structural PB AP
08/21/2012 15 Roof/Reroof PB AP
Wednesday, December 26, 2012 Page 1 of 1