HomeMy WebLinkAbout2696 GLASGOW DR; ; CB153138; Permit, ' City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
09-24-2015 Miscellaneous Permit Permit No: CB153138
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference#:
PC#:
2696 GLASGOW DR CBAD
MISC
2081125600
$5,014.00
Subtype: REROOF Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Project Title: BRAZEAU: RE-ROOF 29 SQ COMP
Applicant:
APODACA ROOF SERVICES
PO BOX 2591
VISTA CA 92085
760 518-1259
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Owner:
BRAZEAU WILLIAM&SUSAN
2696 GLASGOW DR
CARLSBAD CA 92010
PERMIT/INSPECTION
ISSUED
09/24/2015
SLE
09/24/2015
09/24/2015
$137.00
$0.00
$0.00
$137.00
Total Fees: $137.00 Total Payments To Date: $137.00 Balance Due:
Inspector:
FINA~PPROV_t.L
Date: . [0 ·/) Clearance:
$0.00
NOTICE: Please ta«, NOTICE: Iha~ ri yax ptjed irdudes Ire "lrrpositiori' ri fees, decicaiCllS, reeavati0f'6, <r ether exa:tiCllS -cdlectivay
referred to as 'fees'exa:licra" Yw re,e 00 days froo,the-ths pemit ""'8 iSSC<ld to i:,ctest irrpositia, ri ti>ase fees'exa:tia,s. If yw i:,ctest them yw rrust
fcilo.vthe i:,ctest p-ocecires s,t lath in Q:werrmrt Cooe &dim OOJ21J(a), ard file tre i:,ctest ard any ether req.ired infrnratia, wth the Qty Mrager fer
p-oc,,ssrg in axximau,v.ith catstoo Mridpa Cooe &dim 3.32.CID. Falueto tirrayfcilo.vtha ptted.rewll t.,, anysut,;eq.,ert lega actia, to atta:k
1"6\iiew-, set aside, vtid, a aTI.J their in,:osition.
Yw ,re hereby FlR1l-ER NOTIFIED th,( )OS rig'I to i:,ctest the specified fees'exa:tia,s cx:es NOT APPl y \ow,I.<,; ard """"'~a, fees ard ~
oherlges, n<r plimrg, zorirg, gaclrg <r cthersnil,r ,wicaia, p-oc,,ssrg <r""1oefees in ~a, wthths ptjed. l\rntx:ES IT APPLY to any
i vJi have ·ve, ·1 th cr as t tte Lte a linita:i has ·se
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BUILDING DFIRE DHEALTH 0HAZMATIAPCD
Ccicyof Building Permit Application Plan Check No.Ct) 15 ~I~~
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov
www.carlsbadca.gov Date'-4-2.L\-\5 lsWPPP
JOB ADDRESS db r:::;; I.-+ < .,, o v..J Dr1... SUITH/SPACEf/UNIT# IAPN '11. . . .
CT/PROJECT# I LOT# , IPHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Squ11111 Feet of Aff'ected Area(s)
/(.ooP -J>-,..sr-,. II .:JO ;(/L. C! o---,/°. re.--,.,.__ or,C (I) c:!...o..-r/"
EXISTING USE '1 I PROPOSED USE I GARAGE (SF) PATIOS {SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS
~-s. YES[}, Nc0 ves0No0 vesONoO
APPLICANT NAME / .J p-1;
Primary Contact ./71/<. C-c. ( C'~ J,'-" oi: f'o--' PROPERTY OWNER w. I I. /1 I fA-,n..A "2 cc.AC-(
ADDRESS t/A I I".,, 0 r-/ AOORE;r (,, 9 G, C 1-+v· 9o = t)rL ..3~G.-.J
CITY r STATE ZIP C ,.,,.,..,.._ J..s d ~ " CZ..,.-,. 'f 200 j>-
CITY C ---t-"'-IJ a-+ o
STA1'j:: ZIP c!,,1-. 92.0<:)r
PHONE IFAX 7 {pc, -8-2.. li' -J-? 'f J" ---PHONE I FAX 7'/;,o -'f /a -'8'/S-~ -
EMAIL · e /-7--+, /. c: ,...-, EMAIL f.., C yl,_ rt. C'" r C3 -"~ -z.. .,._ "1-..., ,o, I I c:!!...... -~ 4ao • co----,
DESIGN PROFESSIONAL CONTRA~U~NAME /f .::,.. (' -•,..... r).Al..cfA, (1(1{ ~ T9.-o-L r
ADDRESS ADDRESS CJ 'fl. /"7,-r-,,'-/./,or-,. /?"'-.
CITY STATE ZIP CITY./ STATE ZIP t '.J ,.. ....,. C' __,. 7' Z o,f'-f
PHONE IFAX PHONE IFAX -7"0-,5-15--/ 2. j-7
EMAIL EMAIL "'-"?.-?-,I-cc-.,..-( A.. c-.:, r"'--S <"" ,<.. v I (!. "J . C.. I STATE LIC. # STATE LIC.# I CLASS T''.~ci~o0t 9 7 '-// 2-P--c:!-J'r
(Sec. 7031.5 Business and Professions Code: Any City or Coun.ty which requires a permit to construct, alter, improve, demolish or repair any structure, J>riOr to its Issuance, also requires the applicant for such permit to file a signed statement that he 1s hcensed pursuant to the provisions of the Contractor's License Law /Chapter 9, comme.ndmg with Section 7000 of Division 3 of the Business and Professions Code) or ftlat he 1s exemP.t 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
Workers' Compensation Declaration: I hereby affirm under penalty of petjury one of the following declarations:
[:JI 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 perfonnance of the work for which this pennil JS issued. J2fi have and wlll maintain workers' compensation, as required bv Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatio~ insurance carrier and policy
number are: Insurance Co. ( St:T" 4 P:::::(:. F 4 ..-., t,.) Policy No. 9 0 I '-f PY O Expiration Date ~ ,,,,_ ;--/ "-
J]li§.section need not be completed it 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 pennil 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 subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damages as p~ In Section 3706 of the Labor code, interest and attorney's fees .
.lt5 CONTRACTOR SIGNATURE ~ L -
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason:
D
D
D
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 'Mio 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 or,e year of completion, the owr.er-builder will have the burden of proving lf1at he did riot build or improve for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed contractors to construct the protect (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 th JS reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes 0No
2. I (have I have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (finn) to provide the proposed construction (include name address I 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 work (include name I address I phone I 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):
~ PROPERTY OWNER SIGNATURE 0AGENT DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
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 Act? Yes No
ls the applicant or Mure building occupant required to obtain a permit from the air pollution control district or air Quality 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 POLLUTION CONTROL DISTRICT.
I certlf/1hatl have lead the application and state that the abo¥e lnfomlatlon Is coirectand that the infonnation on tha plans Is accurate. I agree 1D comply'llith all City ordinances and State laws relating 1D blilclng construction.
! hereby authorize representative of the City of Car1sbad lo enter Up)fl the above mentioned Jroperly br insp3Clion p..irposes. 1 ALSO AGREE TO SAVE, INDEMNIFY /IND KEEP HARMLESS THE CITY OF CAALSB/iD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN AN'/ WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: AA OSHA permit is requi'ed tr excavations over 5'0' deep and demolioon or constructk>n of structures over 3 stories in height
EXPIRATION: Every P3rmlt lssued by the Building otrcial under the provisOOs of this Code shall expire by linitation and te:x>rne null and VOO H the building or v.ork authorized by sudl permit is not commenced 'Mthin
180 days from the dale of soch permit or H the buitlhg or v,,ork authorized by such permit is susP3nded or abcrlooned at any ijrne after the "MJrk is oornrnenood for a P:lrixl of 180 days (Sectkln 106.4.4 Uniform Building Code) .
..@S° APPLICANT'S SIGNATURE ~ DATE '7--2 'f' -/.)
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 bui1ding@car1sbadca.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
Carlsbad
STATE
CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY 01'110NS
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: _______________ _
A5 APPLICANT'S SIGNATURE
ASSOCIATED CB#•-------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
B-10
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
2. TYPE OF BUILDING: RESIDENTIAL ~ COMMERCIAL ___ _
3. ROOF SLOPE: RISE _s-INCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 0)2 3
5. TYPE OF EXISTING ROOF COVERING c_o./"7/<J SHEATHING c! i>7'-
' >
*6. NEW ROOF MATERIAL C' c,,.......,,._, CLASS /t WEIGHT PER SQ. z. Y.r->
7. · NUMBER OF SQUARES 2 9'
8. TRADE NAME// ,,,....,a.,_,._!,,,._"-MANUFACTURER 4d f""'-
9. ROOF SYSTEM LISTING:
UL NO. _____ 1.C.C.E.S. Report# / lj 7-J
ASTM _____ _
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 -?~ ·c-
Contractor ~ner _____ Contractor
Date ?-2 y-,,o-
Name ~//.Cc. /"-fc f'1, c,.___ 1 ~) f'o ,..._,
*6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other
Page 4 of 4 Rev. 02/11
Inspection List
Permit#: CB153138
Date Inspection Item
09/30/2015 19 Final Structural
09/30/2015 19 Final Structural
09/25/2015 15 Roof/Reroof
09/25/2015 15 Roof/Reroof
Wednesday, September 30, 2015
Type: MISC RE ROOF BRAZEAU: RE-ROOF 29 SQ COMP
Inspector Act Comments
RI
PD AP
RI
PD AP
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