HomeMy WebLinkAbout2701 LA GRAN VIA; ; CB141241; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
06-04-2014 Miscellaneous Permit Permit No: CB141241
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
2701 LA GRAN VIA CBAD
MISC
2162204800
$1,736.40
Subtype: REROOF Status:
Lot#: 0 Applied:
Entered By:
Reference #: Plan Approved:
PC#: Issued:
Inspect Area:
Project Title: BURNETT RES -500 SF RE-ROOF
REPLACE OSB/FEL T, REUSE EXISTING TILE FOR FUTURE
Owner: Applicant:
A-1 ALL AMERICAN ROOFING CO SAN DIEGO INC
STE B
BURNETT MICHAEL L&CHRISTEEN H
7414 TRADE ST
SAN DIEGO CA 92121-2476
760 753-9066
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees:
Inspector:
$77.00
2701 LA GRAN VIA
CARLSBAD CA 92009
BUILDING PERMIT
Total Payments To Date: $77.00
FINAL APPROVAL
Date: /-/2..,1,£
Balance Due:
Clearance:
ISSUED
06/04/2014
SKS
06/04/2014
06/04/2014
$77,00
$0.00
$0.00
$77.00
$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 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. NOR DOES IT APPLY to any
f sf xactions f whi h uh v r viousl n iv n N Tl E imilar to hi r a to which h st tut f limitati ns h reviousl h rwi e ex ir
C
C
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMATIAPCO
~,~ Building Permit Application Plan Check No. cG IL.fl 7-'--I ( ~,.\
~ CITY OF
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value J '7 ~J l"J • L-{, 0
Ph: 760-602-2719 Fax: 760-602-8558 /1-CARLSBAD email: building@carlsbadca.gov ~ Plan Ck. Deposit ,
www.carlsbadca.gov Date ( tJ { '-1 ( I 'f lswPPP ----
JOB ADDRESS 1.?,,.. 1 L.:-lrc..-0.e-SUITEf/SPACEf/UNlno IAPN ---
CT/PROJECT# ILOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS ~ME ICONSTR.TYPE I DCC.GROUP
•ESCRIPTION OF WORK, lnc/uxq••r•t All'ected ""'1 ,,:.. , ':J _-..::. -\ ,,__ ~ ~ .... l l lJe_ ' S~ l.~ ·. , ;"' .JI 6-:5<i, l lo -'
EXISTING USE I PROPOSED USE IGARAGE (SF) PATIOS (SF) lDECKS (SF) FIREPLACE \AIR CONDITIONING I FIRE SPRINKLERS
YESQ NoCJ YES0No0 v,s□NoD
APPLICANT NAME PROPERTY OWNER (}\ I \GC° (';')U~ Primary Contact
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE IFAX PHONE IFAX
EMAIL EMAIL
/)
DESIGN PROFESSIONAL 9"NTRACToiau,.•·it. A.. \/ c---~ 1--I l ..
ADDRESS ADDRES7 ~ \ .<.\ l\"'1:-~ 4--u
CITY STATE ZIP
CITY ~C...v-\,),;: 'e,_. r~ STATU zie "{z1i I
PHONE IFAX p'W5'Z)-:">-n ~11'1 I'%!>?;"--fJ-Z-3"{ ol
EMAIL EMAIL
I STATE LIC. # ~ELIC.7 t '15 l Zo I cz_ 39 ti-TY BUS. LIC.#
(Sec. 7031.5 Business and Professions Code. Any City or County which requires a permit to_construct alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he rs licensed pursuant to the provisions of the Contractor's License Law )Chapter 9, commending with Section 7000 of Division 3 of the B_usiness 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 {$500}).
WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0J..llave and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Sectk:ln 3700 of the Labor Code, for the pertormance of the work for which this permit is issued.
l2f1 have and WIii maintain woI' comp~satlon, as reaulred bv ~onl3700 of the Labor Code, for the pertormance of the -~Ork for which this pe~I is issued. My workers' compensation 11\srnce ~er and policy
o(.numberare:lnsuianceCo. ,.,..,..,c. ........ -z..._,.._ ,:_.,,..... PoloyNo.wC. ~'910 (,<j:', -et &p;,a1onDate t::.11 l'.')
pii§.section need not be completed if the permit is lo ne hundred dollars 100) or less. LJ Certificate of Exemption: I certify that in the rmance of the for which this permit is issued, I shall not employ any person in any manner so as to t>ecome subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure wo ' compensation c rage ts unlawful, and shall subject an employer to criminal penalties and clvil fines up to one hundred thousand dollars (&100,000), in
dditlon to the cost of compensation, dama a provided for In on 3706 of the Labor code, Interest and attorney's fees. l ,d
,,@$ CONTRACTOR SIGNATURE l ( '-1. I '
I hereby affirm 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 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
sale. 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. \ personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes 0No
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 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/ address I phone/ type of work):
.fl:5 PROPERTY OWNER SIGNATURE □AGENT DATE
COMPLETE THIS SECTION FOR NON•RESIPl!NTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk managemefll and prevention program under Sections 25505, 25533 or 25534 of the
Pres~y-Tanner Hazardous Substance Account Act? Yes No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air Quality management district? Yes No
Is 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.
and that the infonnation on the plans Is accurate. I agme to comply with all Cllyordlnances and S1ate 18\W relating 1D building construction.
nlioned property i:,r inspection P-Jrposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CrTY OF CARLSBAD
AY IN ANY WAY ACCRUE AGAINST SAID CrTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
or construction of structures over 3 stories il height.
this Cooe shall expire by limitation and berome null and -.od i the buiK:ling oroork authorized by such pennit is not commenced 'Mthin
~ APPLICANT'S SIGNATURE
permit;; suspended or abandoned at any time affer ~•--:::-: r:tti ~ (Section 1116.4.4 Uniform Bui~ing Code).
• 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 buildinq@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
CrTY STATE ZIP CITY STATE
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. :I.)
MAIL TO: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
OCCUPANT (Listed above)
MAIL/ FAX TO OTHER: _______________ _
_,g APPLICANT'S SIGNATURE
ASSOCIATEDCB#•-------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
•
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
1. JOB ADDRESS: 21 6 \ L c... G.--o."'-" J · .. Y=
2. TYPE OF BUILDING: RESIDENTIAL .2s-COMMERCIAL. ___ _
3. ROOF SLOPE: RISE -'---( INCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE)(]) 2 3
5. TYPE OF EXISTING ROOF COVERING_\_-,_l=.=e...=._ ___ SHEATHING -5~:. 0
*6. NEW ROOF MATERIAL __ ~ _ _,_/_A __ CLASS __ WEIGHT PER SQ. __
B-10
7. NUMBER OF SQUARES _ ____,_____ \
a. TRADE NAME \, \ e_ MANUFACTURER----"e=->'----',-'--:;'-'~'-'-~--'-r---C.,2),.::,....---
9. ROOF SYSTEM LISTING:
<UL NO. ______ I.C.C.E.S. Report# ______ _
ASTM _____ _
10. IS THE EXISTING STRUCT~L DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE
PROPOSED ROOF? fuJ 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 ending at least 2 rungs above the roof for inspection.
Contractor ✓ Owner Contractor ---------
Name A.-\ Ac,\ As-v,.,__~:c,., ..
*6. Rolled Roofing, Standard/Lite Tile, AsphalVComp fiberglass, Built Up, Other
Page 4 of 4 Rev. 02/11
Inspection List
Permit#: CB141241
Date Inspection Item
01/09/2015 19 Final Structural
06/05/2014 15 Roof/Reroof
Monday, January 12, 2015
Type: MISC REROOF BURNETT RES · 500 SF RE-ROOF
REPLACE OSB/FEL T, REUSE EXISTING Tl
Inspector Act Comments
PB AP
PB AP
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