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HomeMy WebLinkAbout2709 OBELISCO CT; ; CB121279; Permit07-09-2012 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB121279 Building Inspection Request Line (760) 602-2725 2709 OBELISCO CT CBAD MISC 2154202100 $0.00 HOLTAWAY RES-3,500 SF Subtype: REROOF Lot#: 0 FIBERGLASS SHINGLE REROOF FROM SHAKE Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 07/09/2012 LSM 07/09/2012 07/09/2012 JL ROOFING HOLTAWAY EDWARD&DONNA FAMILY 1999 TRUST 03-03-99 960 MARYLAND DR VISTA CA 92083 760-941 -4571 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $134.00 PERMIT FEE 2709 OBELISCO CT CARLSBAD CA 92009 Total Payments To Date: $134.00 Inspector: ~. ~.) $134.00 $0.00 $0.00 $134.00 Balance Due: Clearance: $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. F E FOLLO~ING APPROVALS REQUIREO PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING 0 BUILOING 0 F1RE 0 HEALTH 0 HAZMAT/APCD «~~ Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Plan Check No. C ~ I 2, l d-l ~ CITY OF Est. Value Plan Ck. Deposit CARLSBAD Fax: 760-602-8558 www.carlsbadca.gov Date ? q /-Z..... SWPP SUJTE•/SPACE#/UNJT# CONSTR. TYP EXISTING USE PROPOSED USE GARAGE (Sf) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES O #_ NOD YES O NO 0 YES O NO 0 APPLICANT NAME (Primary Contact) APPLICANT NAME (Secondary Contacfl ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX ARCfi/OESIGNER NAME & ADDRESS STATE 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 \he applicant for such permit to file a signed statement that he 1s licensed pursuant to \he provisions of \he Contractor's License Law (Chapter 9. commending with Section 7000 or D1v1s1on 3 of \he Business and Professions Code) or that he Is exempt therefrom, and the basis ror the alleged exemption. Any v1olat1on of Section 7031.5 by any applicant ror a permit subJects \he applicant to a civil penalty of not more than five hundred dollars ($500)). Worl\ers' Compensation Declaration: I hereby affirm under penalty of petjury one of the following declara5ons. D I have and will maintain a certificate of consent to self.insure for workers' mpensation as provided by Section 3700 of the Labor Code. for the performance of the work for which tlus permit is issued ave and will maintain workers' nsati requi Section 00 of the Labor Code, for lhe perform_aii,e ~'.-19' :h~jse~t Is l~~d. My workers' compensation In ranee c · umber are Insurance Co. Poficy No ~,1,lL_ ~t.f;2~0 LJ. Explral!On Date -J-.l-'..,._~/.1, ... ,:e_- This section need nol be complet · permit Is for one hundred dollars ($100) or less D Certificate of Exemption: I certify that 1n the performance of 1h work for which lh1s perrmt Is Issued, I shall not employ any person In any manner so as to become subject to lhe Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensa • coverage Is unlawful, and shall subject an employer to criminal P, alUes and civil nnes up to one hundred thousand dollars (&100,000), In addition to the cost of compens mages as provided Ion 370 of the Labor c e, interest and attorney's lees. _25 CONTRACTOR SIGNATU DATE • I hereby affirm that I am exempt from Contractor's Ucense Law for the fol/owing reason· 0 I, as owner ol lhe property or my employees with wages as their sole compensation, will do lhe WOik and the slruCture Is not Intended or offered for sale (Sec 7044, Business and Profess10ns Code: The Contractor's License Law does nol apply to an owner of p<operty who builds or improves lhereon, and who does such work himseff or lhrough his own employees provided lhat such improvements are not intended or offered for sale. II, however, !he building or Improvement Is sold within one year of completion, !he owner-bunder v.,11 have lhe burden of proving that he did not build or improve for the purpose of sale) D I, as owner ol lhe property, am exclusively contracting w,th licensed contiaclors 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 Contrac1or's License Law). 0 I am exempt under Secll0n Business and Professions Code for lhis reason: 1. I personally plan to provide lhe major labor and materials for conslruCtion of the proposed property improvement. 0 Yes D No 2. I (have I have not) signed an applicalJOn for a building permit for 1he proposed WOik 3. I have contracted wilh lhe following person (firm) to provide lhe proposed construction (include name address I phone I contractors' license number). 4. I plan lo provide portions of the work. but I have hired lhe following person to coordinate, supervise and provide lhe major work (include name I address I phone I conlractors' license number): 5. I will provide some ol lhe work, but I have contracted (hired) the lollOWJng persons to provide lhe work indicated (include name I address I phone I type of work) _25 PROPERTY OWNER SIGNATURE 0 AGENT DATE . . ""°"''"'"'°""m:--,-. --.,,-,=.-,,_..,---VY.C\-"" ">< -<::;=,"""""""""""" -"°"ta!°'"'"°"'=/ »>>-•.,%"':'i=~"'tq;7~~-=~<" ._.,,: ,:CW ~-~«~~wm,...,.,., <(~W"'&~-..--z:~r:rm=>'W~..l'/20-""'"'"'<-•< "'f'S"<' <,; ~~ """=,--,-,=~-= ,'f' . COMPLETE THIS SECTION FOR NON-RESIOENTIAL''"BUiLOING'"penMITS ONl>Y>, :; ©.«Xx O{< ,,-,,--,, 0 ~ .;/i -·' N.Y <"«Af<-;. ~,'"-'~;,,«-.'<:"(;«n< 4>' ,<~~.:v&:%'-OS ... ,"«<, «««= ,;O:,/rr.;&tt;;,._,~,,f;_.._-, VN00~ 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-Tann'llr Hazardous Substance Account Acri Cl Yes Cl No Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or air quality management district? CJ Yes CJ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Cl Yes Cl 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 certify that I have read the application and state that the above infonmation is oonect and that the lnfonmation on the plans is accurate. I agree to comply with all Ctty ordinances and State ~ relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLS!WJ AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA penmit is required for excavations over 5'0' deep and demolition or ronstruction of structures over 3 stories in height. EXPIRATION: Every penmit issued by the Building Official under the pro · · ns of this Code shall expire by limitation and berome nuH and void if the building or v.ork authorized by such penmit is not oommenced l'.ithin 180 days from the date of such pe · if the building orv.ork autho · such pennit is suspended or abandoned at any time after the v.ork is oommenced br period of 180days (Section 106.4.4 Unifonm Building Code). A$ APPLICANT'S SIGNATUR 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. CEJ?TIFICATE OF OCCUPANCY fComrncr c ial ProJCcts 0 n I y J Fax (760) 602-8560, Email www.building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. I CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE I FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS CJ PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o ASSOCIATED CB#--------.... , __ ,, .. ___ , .. _ ... _. ___ ,, ___ .... _ Cl MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION Cl MAIL/ FAX TO OTHER: o CHANGE OF USE/ NO CONSTIRUCTION A5 APPLICANT'S SIGNATURE DATE REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESS o(_ 1 oCf {) Q(t ~ Gt: 2. TYPE OF BUILDING: RESIDENTIAL COMMERCIAL. ___ _ 3. ROOF SLOPE: RISE_.!i_j_2mcHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE(l)2 3 5. TYPE OF EXISTING ROOF COVERING /.JtJo:t~~ SHEATHING §fa,C.,J *6. NEW ROOF MATERIA~}tss; S ~sll_wEIGHT PER s~ 7. NUMBER OF SQUARES 3.S-865 · 8. TRADE NAME~~ IJL. MANUFACTURER 07f r 9. ROOF SYSTEM L~TING: UL NO. ______ I.C.C.E.S. Report# ASTM _____ _ 10. IS THE EXISTING STR~ 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. Contracto Owner -:-Contrac;or Name " }at. in I ~ &ro r/ ~ -- *6. Rolled Roofing , Standard/Lite Tile, Asphalt/C s, Built Up, Other B-10 Page 4 of 4 Rev. 02/11 Inspection List Permit#: CB121279 Date Inspection Item 07/26/2012 19 Final Structural 07/26/201 2 19 Final Structural 07/18/2012 15 Roof/Reroof 07/18/2012 15 Roof/Reroof Type: MISC RE ROOF HOLTAWAY RES-3,500 SF FIBERGLASS SHINGLE REROOF FROM S Inspector Act Comments RI MC Fl RI AM PLS MC PA Friday, July 27, 2012 Page 1 of 1