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HomeMy WebLinkAbout2709 MATEO PL; ; CB141522; Permit06-27-2014 Job Address: Permit Type: Parcel No: Valuation: Reference#: PC#: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB141522 Building Inspection Request Line (760) 602-2725 2709 MATEO PL CBAD MISC 2162513300 $0.00 Subtype: REROOF Lot#: 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/27/2014 LSM 06/27/2014 06/27/2014 Project Title: APPLEGATE RES-3,500 SF REROOF REMOVE OLD STANDARD WT AND REPLACE WITH NEW SAME Applicant: Owner: SANTA FE ROOFING APPLEGATE THOMAS&CARLA REVOCABLE TRUST 03-09-95 STE B 2709 MATEO PL 451 OLIVE ST 92083 CARLSBAD CA 92009 760 630-9415 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $268.00 Inspector: PERMIT FEE Total Payments To Date: $268.00 FINAL ARP OVA Date: /1,, 1o / $268.00 $0.00 $0.00 $268.00 Balance Due: Clearance: $0.00 NOTICE: Please take NOTIC that a proval 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 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 \T APPLY to any n·vnN rhir ihh iinhrvi rwi THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMATIAPCD ~ Building Permit Application Plan Check No. (!,e/LJ, ( 5 °dd--«,,,,, 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 CARLSBAD email: building@carlsbadca.gov Plan Ck. Deposit www.carlsbadca.gov Date wl&-7 / IL/, lswPPP JOB ADDRESS PIA(.t.... co.r/s&.~ SUITEI/SPACEI/UNITI l'"N ~70'l fV\,o..'teo --- CT/PROJECT# I LOT# I PHA.SE # I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) '-' "wla..:,,--,,, .I'.l\s~,, ).. Lee.ye.is of R-el"I" .,,.._ E xis --r-,'t:J co ,i.c: r-e-1"---,..:c.... °"'J ,A!:>1/V\ l:>-.:l.¼ 4Dlb u " .Lrl "'-'7'-~ T , -;r:-..-. s ?"-II f)evv Ea.)... ""t,'f... (0'\C~.t.7~ 't· I..,, . EXISTING USE FIREPLACE I PROPOSED USE I GARAGE (SF) /..(Oo PATIOS (SF) I DECKS (SF) YES~ IA!R CONDITIONING I FIRE SPRINKLERS NcCJ YES0o □ YES□No□ APPLICANT NAME Primary Contact /rJ ()fl 7t. s~rr PROPERTY OWNE"iOIV\ A P oJ e <f ,J-1.:1-e.. ADDRESS .S::,,.-,.._ ~:1. AOORESS ~ / oi:t p/cu,__ ~.) .. _If'{ 5, F..z A-V<--s ..,,)<.. Mt>-,~o CITY 1 E'A-~WB''f c2'cvls8c.J STATE ZIP V, s10-.. Cit PHONE s-7(1?0 -6,30-q'-( I 1'76-o (730· 3'//7 '" 0~w-3 ,o-'3''t9o IFAX EMAIL t., •"f~ · $:v,7z:..&roo · (j/Yl.a, I. co~ EMA'1t,pp[ g e .J"-T<-ceo...ito. <o,.,, DESIGN PROFESSIONAL CONTRACTOR BUS. NAME..5a..,i ~ r...e.. R.oo.r.,''!1 ADDRESS ADDRES~ )h/,-1 G, Sa.,.,~ p-e_ 4~ CITY STATE ZIP Cl\/ t STATE ZIP q J._o8''-f .s~ Cir PHONE IFAX P~NE 'bo--6 3o -1'tlS l'~o 43o~ "3'fl'7 EMAIL EMAIL fiz.~ ~?c.. "" <Z. c;;~. I ( • <b"-, I STATE LIC. # STATE UC.# y,3~5S7 -l."ASS c.--3"! I Ti'.'3'& 3ss (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 ttiat he is licensed pursuant to the provrs,ons of the Contractor's License Law /Chapter ·g, commending with Section 7000 of Dtvision 3 of the Business and Professions Code} or {hat he 1s 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 Workers' Compensation Declaratlon: I hereby affirm under penalty of perjury one of the following declarations: . D I have and wm 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 wMch this pem,it is issued. Rj have and wm maintain worfl.e~• compensati~ recijrad bv Section 3700 of the Labo/ Code, for the perfonnance of tht7°& ~~is p_ynit is issued. My workers' compensation in~rance carrier and policy ""mbera~clnsuranceCo. s~,· f-V" (bfV1pillS4-7", """I Pol<,No. qo 1'7 Expiration Date 3 , _ I.S- ~section need not be completed if the permit Is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the perfomiance 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 olZ'.:\ \ California. WARNING: Failure to secure worfl.ers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars {&100,000JC!!! addition to the cost of compensation, damages as provided foJ in~~~! of the Labor code, interest and attorney's fees. ,15 CONTRACTOR SIGNATURE~ ~ □AGENT DATE (, -~ / -( '--/ 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 wtth wages as their so~ compensation, will do the work and the structure is not intended or offerad for sale (Sec. 7044, Business and Professions Code: The Contractor's LICE!nse 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 Iha! such improvements are not intended or offered for sale. If, however, the building or improvement ls 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 Contracto(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. 0Yes 0No 2. I (have/ have not) signed an application for a building pennltfor the proposed work. 3. I have contracted with the following person (fim,) to provide the proposed construction (include name address I phone I contractors' license number): 4. I plan to provide portions of the wol1C, but I have hirad the following person to coordinate, supeMse and provide the major wol1C (illciude name/ 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/ phone I type of work): _6$ PROPERTY OWNER SIGNATURE □AGENT DATE I 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 al'\d 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 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. I hereby affirm that there 1s a construction lending agency for the performance of the work ttus permit 1s issued (Sec 3097 (1) C1v1I Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the appllcatlon and state that the above inbrmation Is conectand that the lnfonnatlon on the plans Is accurate. I agree to comply'Mth all Cilyordlnances and State law.; relating 1D building construction. I hereby authorize rep-esentative of the City of Cartsbad to enterulX)l'l the aOOve mentioned property br inspection purpJSeS. I ALSO AGREE TO SAVE, INDEMNIFY .AND KEEP HARMLESS THE CITY OF CAALSBAD AGAINST All UAfllUTIES, JUOOMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA M OSHA permit is requred t:>r excavations over 5'0' deep and demoli!On or ronstruction of strucb.Jres over 3 sk>ries i1 heght. EXPIRATION: Every i;ermit issued by the Building Offoa! under the provisbns of this Code shall expire by limltaoon and become null and wid iflhe building or'Mlrk authorized by sudl i;ermlt is not commenced 'MIilin 180 days from the date of such pem11t or if the building or'o\Ork authorized by such pe_nnlt i$ susi;ended or abanOOned at any time after the 'Mlrk is oommenood U a peood of 180 days (Section 106.4.4 Uniform Building Code). ,@S° APPLICANT'S SIGNATURE ,~-__ .. .. DATE 0--~ ? -/ • 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 building@car1sbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CONTACT NAME ADDRESS CITY STATE PHONE EMAIL DELIVERY OPTlONS PICK UP: MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) CONTACT (Listed above) CONTRACTOR (On Pg. 1) ZIP FAX OCCUPANT (Listed above) OCCUPANT (Listed above) MAIL/ FAX TO OTHER: _______________ _ ,.65 APPLICANT'S SIGNATURE CO#: (Office use Only) OCCUPANT NAME BUILDING ADDRESS CITY STATE Carlsbad CA OCCUPANT'S BUS. UC. No. ASSOCIATED CB#·------------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB141522 Date Inspection Item 07/21/2014 19 Final Structural 07/21/2014 19 Final Structural 07/01/2014 15 Roof/Reroof Monday, December 15, 2014 Type: MISC REROOF Inspector Act PY AP PY AP PY AP APPLEGATE RES-3,500 SF REROOF REMOVE OLD STANDARD WT AND REPL Comments existing sheathing Page 1 of 1 REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOBADDRESS:_~_._7_o_9_~~-~-7~e_o~~~(~A_u_~C~a~r_l=s~fu=J __ 2. TYPE OF BUILDING: RESIDENTIAL ,,.\-COMMERCIAL ___ _ 3. ROOF SLOPE: RISE Lf INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE)u) 2 3 5. TYPE OF EXISTING ROOF COVERINGlCY\Ct't,lC. ,:t..... SHEATHING wooJ *6. NEW ROOF MATERIAL (Of\.Cn~ 'f,C..... CLASS /f WEIGHT PER SQ. ( 000 7. NUMBER OF SQUARES. _ _:3S~=----- 8. TRADE NAMES:t.n7e>.. Fe R.ooJ:.·~ MANUFACTURER £q.qk. ~oo~-"~ P,uci..,e,.,'t.:, =-- 9. ROOF SYSTEM LISTING: UL NO. ~bhO ASTM t-)).0 I.C.C.E.S. Report #_4'-'6_6_o __ _ 1 O. IS THE EXISTING STRUC~ 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~ ~ Date ~ b -<l ) -/ I./ Contractor_A--___ Owner ____ Contractor *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other 8-10 Page 4 014 Rev. 02/11