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HomeMy WebLinkAbout2701 HIGHLAND DR; ; CB110208; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-31-2011 Miscellaneous Permit Permit No: CB110208 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 2701 HIGHLAND DR CBAD MISC 1561109400 $683.00 Subtype: REROOF Status: Lot#: 0 Applied: Entered By: Reference #: Plan Approved: PC#: Project Title: DOUGLAS RES-500 SF COMPOSITIO RE-ROOF ONLY PORTION OF HOME Applicant: Owner: SMITH DOUGLAS K SMITH DOUGLAS K 2701 HIGHLAND DR CARLSBAD CA 92008 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: Inspector: $35.00 PERMIT FEE 2701 HIGHLAND DR CARLSBAD CA 92008 Total Payments To Date: $35.00 FINAL APPROVAL Date: 2 -7' i I Issued: Inspect Area: Balance Due: Clearance: ISSUED 01/31/2011 RMA 01/31/2011 01/31/2011 $35.00 $0.00 $0.00 $35.00 $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 Car!~bad 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, gra1iing or other similar application processing or service tees in connection with this project. NOR DOES IT APPLY to any tees.I xactions of which uh v viousl been iven a N Tl E similar o his r as to which th t limi i n has reviousl therwis x ir ~ (')) r r 1J Jof • ~~,'t'> Building Permit Application Plan Check No. ... 'v -V 1635 Faraday Ave., Garlsbad, CA 92008 Est. Value ~ CITY OF 760-602-2717 / 2718/ 2719 A CARLSBAD Fax: 760-602-8558 I{; J )- Plan Ck. Deposit WWW.Q!;'!rl~baQQ§.gQv Date/ 2//(1 lswPP JOB ADDRESS J.. 7 D H l t, HL I'! 1'1 D, (l'.lf L5 Bf'ID q?oo~ SUITE#/SPA..., #/U~tT# APN I --- 11,1/PROJECT # rOT# I PHA::>E # I # OF UNITS ' # BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. '" E I acc. 1.1Rv.,P DESCRl5~;w;:~ lb{Squa'Jeeto':J:i•) ✓ /'KC.-, ~ u V • V 0 EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) DECKS (SF) l FIREPLACE IAIR CONDITIONING 1 FIRE SPRINKLERS YESO#~N0 □ YES □ NOD YES □ NOD CONTACT NAME (If Different Fom Applicant) APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE IFAX PHONE IFAX EMAIL EMAIL PROPERTY OWNER NAME t•~) . it1----S ~1TH CONTRACTOR BUS. NAME , ()O (;L ADDRESS \-\1~t--1UI\N'i'l J)Q. ADDRESS 21 DI CITY cSTftE ZIP r~ f LS tvV'\ D "j't.O() 8 CITY STATE ZIP PHONE IFAX PHONE IFAX 11'1 350-&1 •1 :s? EM ~f,\.)<11<>..5. 5...,_. 'il-. @__(_o~. II\'< f EMAIL / ARCH1D£SIGNE,., AME & ADDRESS I STATE LIC. # STATE LIC.# I CLASS I CITY BUS. UC.# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, pnor to Its issuance, also requires the 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 Section 7000 of Division 3 of the Business and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 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 Dtclaratlon: I hereby Bffirm under penalty of petjury one of the following declarations: 0 I have and wil maintain a certificate of consent to 1aff-in1ure for workers' compensation es provided by Section 3700 of the labor Code, for the performance of the work for which this permit is issued. □ I have and wil maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workets' compensation insurance carrier arxl policy number are: Insurance Co. ____________________ Policy No. _____________ Expiration Date ________ _ This sectioo need not be completed if lhe 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 pennit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of CaWfornia. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and dvll fines up to one hundred thousand dolars(&100,000), in addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees. Af CONTRACTOR SIGNATURE □AGENT DATE 1 h~rm 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 slruclure 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 vmo 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 • ..)ill&-If, however, the building or improvement is sold within one year of completion, the owner--builcler wiH have the burden of proving that he did not build or improve for the purpose of sale). V 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 lhe111on, and contracts for such pro;ects with contractor{s) licensed pursuant to the Contractor's license Law). I am exempt under Section ____ ,Business arxl Professions Code for lhis reason: 1. irt_onally plan to provide the major labor and materials for construction of the proposed property improvement. ~ D No 2. ~/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):'" ~ 4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide lhe major work1include name/ address/ phone/ contractors' license number): ¼ 5.1 wiH provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone/ type of \Wl'k): ~t( v E' f I~ ~ ' 00 Af PROP€RTY OWNER SIGNATU □AGENT DATE ( . ' • I certify that I have read the application and state that the above lnlonnation Is COffllCt and that the infonnation on the plans Is accurate. I agree to c:omply wlUl an City oltllnances and State laws reletlngto building oonslructlon. I hemlly aullorize rep,esenlalNe of ... aty of~ t> enlsf upon ... aix,,e meolilned property for 11spedlln l'JIP(>SeS. I ALSO AGREE TO SAVE, INDEMNIFY ANO i<EEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL L~ILITIES, JUDGMENTS, COSTS AND EXPENSES WHK:H MAY IN ANYWAY ACCRUE AGAINST SAIDCITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA AA OSHA pemlil o reqt.nd iJr excavations..,, 5'0' deep and den,Jm, e<~ of slruciu,es <mf3 sl?ries 11 haj11. EXPIRATION: Eve~ pennl issued by lhe &ik!ing Olli:ial under lhe pro,isllns o Code shall expie try linilaliln and become nuH and voo I lhe buidi'!I e< \\Olk -try soch pem1i1 o rot omnenced v.ih1 180 days too, ... daleof such pemlil rlhe lx.idilg "-~-I• suspended" abandoned at 111yline ,lier ... _ oomnenced iJr a peood of 180da)' (Section 106.4.4 UlliJrm Buildi1g Code). AS APPLICANrs SIGNATURE L_ DATE REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOBADDRESS:.__;;;'c1....:..l_;_O_· -''--~\'-'-4_1....:..0....:...H'-'L'-'~...:.....J....:NC....,D.._J.<CD_:_'K.,__ ___ _ 2. TYPE OF BUILDING: RESIDENTIAL ✓ COMMERCIAL. ___ _ 3. ROOF SLOPE: RISE (p INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) l9 2 3 5. TYPE OF EXISTING ROOF COVERING C'o'IVI pDSt1 • c'-' SHEATHING p/'f *6. NEW ROOF MATERIAL C.o\M.ieos1 ~ 1 J\l\ CLASS yq WEIGHT PER SQ. __ 7. NUMBER OF SQUARES_~~'----- 8. TRADE NAME ru A4'1 b (<:'., c r MANUFACTURER QV {2 it/ ~1/L-;J._ 0 9. ROOF SYSTEM LISTING: UL NO. /VI -2,(J 11./19 1.C.C.E.S. Report# _____ _ ASTM 03/lq ! 03°1'(5 t-o ~ o--c-<-x<.R.<?dJ 10.IS THE EXISTING STRUCTURAL 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 prr~: a laddoextenQ at least 2 rungs above the roof for inspection. Signature ,,L,) C9-4 (y'~ c)--,_ l k Date / ~ 3 f -f ( Contractor ____ Owner ____ Contractor Name _________ _ *6. Rolled Roofing, Standard/Lite Tile, AsphalUComp fiberglass, Built Up, Other B-10 Page 5 of 5 Rev. 03/09 City of Carlsbad Bldg Inspection Request For 02/04/2011 Permit# CB110208 Title: DOUGLAS RES-500 SF COMPOSITIO Description: RE-ROOF ONLY PORTION OF HOME Type:MISC Sub Type: REROOF Job Address: Suite: Location: 2701 HIGHLAND DR Lot: OWNER SMITH DOUGLAS K Owner: SMITH DOUGLAS K Remarks: Total Time: CD Description 0 Act Comments Inspector Assignment: PD --- Phone: 7143508148 lnspecto~ Requested By: DOUGLAS Entered By: CHRISTINE 19 Final Structural 162----- Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments 02/01/2011 15 Roof/Reroof AP PD EXISTING PLYWOOD