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HomeMy WebLinkAbout2710 ARLAND RD; ; CB133128; Permit12-17-2013 City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Miscellaneous Permit Permit No: CBI33128 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: 2710 ARLAND RDCBAD MISC 1561303300 $0.00 Subtype: Lot#: REROOF 0 LOOSEN RES-1,400 SF REROOF DETACHED GARAGE FIBERGLASS SHINGLE Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 12/17/2013 LSM 12/17/2013 12/17/2013 MC Applicant: SCHOTT ROOFING INC STE 1 225 E CARMEL ST SAN MARCOS CA 92078 760-744-6450 Owner: LOOSEN RON&BARBARA 1340 OAK AVE CARLSBAD CA 92008 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $84.00 $0.00 $0.00 $84.00 Total Fees: $84.00 Total Payments To Date: $84.00 Balance Due: $0.00 Inspector: FINAL APPROVAL Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively refen'ed to as "tees/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 Govemment Code Section 66020(a), and file the protest and any other required infomiation with the City l^anager for processing in accordance with Carlsbad ti/lunicipal Code Section 3.32.030. Faiiure to timely foiiow that procedure wiii bar any subsequent legal action to attacli, 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 fees/exactions of which vou have oreviouslv been given a NOTiCE simiiar to this, or as to which the statute of limitations has oreviouslv othenwise expired. NJ^ CITY OF CARLSBAD Building Permit Application 1635 faraday Awe., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-S558 www.carlsbadca.gov Plan Check No Est Vaiue Plan Ck. Deposit Date 12. I"? l3 SWPP JOB ADDRESS SUfTE»/SPACE*/UNrr« APN CT/PROJECT (t LOT« PHASE* # OF UNITS « BEDROOMS « BATHROOMS TE^W«T BUSINESS NAME CONSTR. TVPE oca GROUF DESCRIPnONOFWORK: IndinteSquaraFMtof AO (wtedAraafs. r }r ^) 6USE j TJ EXISTING PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESO #_ NOO AIR CONDITIONING YES D NO • RRE SPRINKLERS YES O NOD CONTACT NAME (UDUfennlFOm ADDRESS O AppUcant) APPUCANT NAME ADDRESS arv STATE ZU CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME (IDA 4 L'tiA^^ Loo^(f r\ (WNTRACTOR BUS-MAKUk fV- ^ _ STATE, ^ZiP ADDRESS ADDRESS CITY STATE ZIP CITY PHONE FAX PHONE EMAIL EMAIL 6^ _ __ V— loulss ~ • ir\^ i ARCH/DESIGNER NAME & ADDRESS STATE Ua# SIATE L1C,# OTyBus.ua* (Sec. 7031.5 Business and Prafessions Code: Any City or County wttich requires a permitto construct, alter, knpiove, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a sIBned statement that he Is licensed pursuant to the provisions ofthe Contractor's License Law ICnapter 9, commeriding with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefirom, and the liasis for the alleged exemption. Any violation of Section 70315 by any applicantfor a pemiit subjects the applicant to a dvil penalty of not more than five hundred dollais ($500)). WOriTKERS COMPENSATION Worliers' Compensstion Dedaration: I fisiedy affirm under penally of peijuiy one of Sie IbUbwfng dscbradons: • I have and will maintain a cMifieata of content to self-insure for woikers' compensaton as provided by Section 3700 of the Labor Code, for the peifomiance of Ihe wak for whnh this pemiit is Issued. I have and WiH maintain woiktrs'compentatiM, as reqi^^ compensalion insuiance cainer and policy /"number are; Insurance Co. "i^/txJ^ y-iZ XV Policy No. (p3l ' i<o(^' 3P^3 Expiration Date \ - I - C-) This sectton need not be oompletBd if the pemtit Is for one hundred dollais ($100) or less. O Certificate of Exemption: I certify that in ttie perfonnance of the woik fbr which this pemiit Is Issued, I sha CalifDmia. WARNING: Failure to secure woiken' compensation coverage is unlawful, and shall wliieei an employer to criminal penaWes and dvH fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensatton, damag^ as provided for in Section 3706 of the Labor code, interest and attomay's laes. ^fiS" CONTRACTOR SIGNATURE JZ-^^l--\^ CcAy'^y^'r-.yZ}—- OAGENT OATE ~ ( C ^ ( 3 OWNER-BUILDER DECLARATION / fieiaAy aAFrm ffiaf / am exempt ton Contrador's Ucense Law for ttie folkming reason: 0 I, as owner ofthe pmperty or (ny employees with wages as their sole compensalion, w^^ Lteense Law (k>es not to an owver of piopeity who builds or impnsves thereon, and «^ sale. If, however, the building or iinpiweinent is sold within one year of complelion, the owner-buikler wW have the buiden cf proving lhat he dkt not buiM or improve for the puipose of sale). D I, as owner of the property, am exclusively conlracling with licansed contractois to instruct Ihe pi^^ not apply to an owner of property who buids or improves thereon, and contracts fbr stKh projects with conlractor(8) Ucensed pursuant to the Contractor's Lnense Law). O I am exempi under Section Business and Professtons Code for tNs reason: 1.1 personal V plan to provkis the major labor and materials lbr constnxto of lhe praposed propeity m nYas CINo 2.1 (have / have not) signed an applteatkjn for a buUing pennit fbr the proposed woik. 3.1 have contracled with the foiiowing person (finn) to piovide the proposed constniction (include nama address / phone / contractois' license number): 4.1 plan to piovide portions of the woriL but I have hired the folkming person to caonMe, supeivise and provhJe tt^ 5.1 vviU provide some of the vvork, bot I have contracted (hired) the folkming peisons to provkle the vvoik j^PROPEffiT OWNER SIGNATURE •AGENT DATE COIVIPLETE THIS SECTION FOR N O N - R E S I D E N T I A L BUILDING PERMITS ONLY Is the applteant or figure buildaig occupant requiied to submit a buskiess plan, acutely hazanlous materials registiatkxi fbrni or risk management and pieventkm program under Sectkins 25505,25533 or 2SS34 of the Presley-Tanner Hazardous Substance Account Act? OYes OHo Is the applkant or fukire building occupant required to obtain a pennit lim the air poHutkxicontiDl districts OYes ONo Is Ihe faculty to be consmided wilhin 1,000 feet of the outer boundary of a school sits? DYes 6NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I heieby affinn that there Is a oonstruction lending agency for the perfomnance of the work this pemtit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I certiiy that I have lead the application and state that the above inlbmiation is conect I hereby authorize lepieseiilBtive of he Oty (rf Carisbad ta enter upon ttt abow A(3AINST ALL UABIUTIK, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEiaUENCE OF THE GRANTING OF THIS PERMFT. (3SHA: An C)SHA pemiit is required i3r exQN^Mns over 5X)'deep and demoieon or EXPIRATI(3ht Eveiy pemiit Issued by lhe BulUIng (Sffidal under the pnwiskxs of Ih^ 180 days fibm lhe dale of such pemtf w if ttt biddiig or woric aulhorized by such pemkt >£rAPPLICANrS SIGNATURE DATE - r 3 REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOBADDRESS: ^'""^ ftrt^gjl (?,0^i^ 2. TYPE OF BUILDING: RESIDENTIAL ^ COIVIIVIERCIAL 3. ROOF SLOPE: RISE_j£_ INCHES IN 12 INCHES 4. NUIVIBER OF EXISTING ROOF COVERING (CIRCLE ONE)(^ 2 3 5. TYPE OF EXISTING ROOF COVERING ^UJIA^S ^/wy^^HEATHING *6. NEW ROOF MATERIAL (^ ^1^49 ^Uv^^LASS ^WEIGHT PER SQ. 7. NUIVIBER OF SQUARES__Ji!f^ 8. TRADE NAIVIE iltAbtrl\ne (KW'^ IVIANUFACTURER_Gfl£ 9. ROOF SYSTEIVI LISTING: UL NO. I.C.C.E.S. Report # BjlM^lS ASTM 10. IS THE EXISTING STRUCTURAL DESIGN SUFHetENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? CYES_J) 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-lnspection prior to instaii new roof covering 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. /{Mizy^(jjy\ Signature fu/n^U^y^ Date /3- -^^ -r- ^ Contractor Owner ^Contractor Name ^c^M ^t?o'{^'r\^ i^r *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass. Built Up, Other Inspection List Permit*: CB133128 Type: MISC REROOF LOOSEN RES-1,400 SF REROOF DETACHED GARAGE FIBERGLASS SHIN Date Inspection Item Inspector Act Comments 12/18/2013 15 Roof/Reroof MC AP Monday, April 28, 2014 Page 1 of 1