Loading...
HomeMy WebLinkAbout2710 EL RASTRO LN; ; CB991874; Permit' City of Carlsbad 05/17/1999 Miscellaneous Permit Permit No:CB99187 4 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 2710 EL RASTRO LN CBAD MISC Subtype: 2551070300 Lot#: $7,685.00 BRODSKY RESIDENCE REROOF 0 RE-ROOF,2900 SF-LT WT CONCRETE-ICBO # 2093 Applicant: PIVA ROOFING, BOB 1192 INDUSTRIAL AV ESCONDIDO, CA 92029 619-745-4700 Total Fees: $160.00 Miscelaneous Fee #1 Miscelaneous Fee #2 TOTAL PERMIT FEES lnspector:(']_t __ _ FINAL APPROVAL Date: L· 11 · q J Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 05/17/1999 RMA 05/17/1999 05/17/1999 0.00 0.00 0.00 $160.00 Clearance: ------- NOTICE: Please take NOTICE that approval of your project includes U,e "Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020{a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been aiven a NOTICE similar to this. or as to which the statute of limitations has vreviouslv otherwise exoired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 \ '• PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 FOR OFFICE USE ONLY PLAN CHECK NO. gq) 'i:ZL/ EST. VAL. zto:c Plan Ck. Deposit---,,,-+---- Validated By,,___+--+f..AI----- Date_..,,,,'-I-Hf...l-'4-"'4------- 1. PROJECT INFORMATION :2 710 tf:L A"e1 Ir,:; Address (include Bldg/Suite #) Business Name lat this address) Legal Description Lot No. Unit No. Phase No. Total # of units Proposed Use # of Bedrooms # ot Bathrooms 2. CONTACT PERSON (If different from -,,pllcant) Name Address City 3.!APPUCANT O Contractor &f"",r Lo£"'",(!,,,,, J8I Agent for Contractor O Owner O Agent for~. I /19,;/ ;,.,,J"'•I,,,',,./ 4ve &$,c,ud,'<16 Name Address City 4. PROPEftTY OWNER 731/d d s *" Name 1 Address City 6. CONTRACTOR • COMPANY NAME State/Zip Telephone# Fax# State/Zip Telephone# State/Zip Telephone # (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 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 tor the alleged exemption. Any violation of Section 7031.5 by any applica?t for a permit subjects the applicant to a civij penalty of not more than five hundred dollars !$5001). BoL> /, ua Jfoof'.-c~5 //9,1 INd.,__,/,,.,",./ Q.K Ei;c,:,,-/,/,•,Ja c,1. 9-<d) 9 7'?S'-'t7do Name V Address City State/Zip Telephone # State license # ...t.P::...;l_,S-"--'i''--'3'-'%"---license Class __ C_J::;__9_C.__::5"c... __ _ City Business License # I;;) (l 3 I 'f 8 Designer Name Address City State/Zip Telephone State license # ---------- 6. WORKERS" COMPENSATION Workers' Compensation Declaration; I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ~ I have and will maintain workers' compensation, as requiied by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company ..S r ,A TE ,,C-lA c,-, £J Expiration Date, __ (::._-_,:f....:..f' __ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) D CERTIFICATE OF EXEMPTION: I certify that in the performance 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 of California. WARNING: Failure to secure workers' compensation cow.rage is unlawful, and shell subject en employer to criminal penehles end civil fines up to one hundr11d thousand dollars ($1 )9,00~n add~ to the cost of compensation. damage• as provided tor In Section 3706 of the Labor code, Interest and attorney's fNs. SIGNATURE ::..,,,Z.. ~ DATE .S•/ 7-?f' 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D 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 propeny 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). D 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 comracts for such projects with contractor(&) licensed pursuant to the Contractor's License Law). D I am exempt under Section------Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials tor construction of the proposed property improvement. 0 YES ONO 2. I (have I have not) signed an "pplication for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction {include name I address I phone number I contractors license number): 4. l plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address I phone number 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 I phone number I type of work): ___________________________________________________________ _ PROPERTY OWNER SIGNATURE----------------------- COMPLETE THIS SECTION FOR NON./IESIDEN11AL BUILDING PERMITS ONLY DATE ___ ~------ Is the applicant or future building occupant required to submit a ~usiness plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505. 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 0 YES O NO Is the applicant or future building occupant required to obtain• permit from the air pollution control district or air quality management district? D YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary ot a school site7 D YES O 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 ANO THE AIR POLLUTION CONTROL DISTRICT. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(il Civil Code). LENDER'S NAME-------------- 9. APPLICAN'l'., CERTIFICATION LENDER"S ADDRESS----------------------- I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. t agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize represematives of the Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD 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 permit is required for excavations over 5•0• deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or worK authorized by such permit is suspended or abandoned at any time after th w rk is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'SSIGNATURE ~~ DATE S-/"i-9'F WHITE: File YELLOW: Aoplicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: ;2 710 EL /<Asfra Lµ 2. TYPE OF BUILDING: RESIDENTIAL X COMMERCIAL. __ _,, 3. ROOF SLOPE: RISE i inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) W 2 3 5. TYPE OF EXISTING ROOF COVERING 511Ak£ SHEATHING -51:',y *6. NEW ROOF MATERIAL A CLASSS6'D WEIGHT PER SQUARE 7. NUMBER OF SQUARES___,_';2_.f __ _,, 8. TRADE NAME Oi,,.1u..l. le t/, ti"' MANUFACTURER P1a N, 'e ~ 9. ROOF SYSTEM LISTING UL No. ICBO No. ;l. 6 9 3 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: 6) Tear Off/Pre-inspection prior to install new roof covering. d'JFinal Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signature a~ ' Date .5-:-/ L/-9 .?' X ·? .6 ~~"'-f<dd l,:v ~ Contractor~--'---Owner __ :::==:<.:Contractor Name D 0 /'' P *6 -Rolled Roofing, Standard/ ---~ Other. City of Carlsbad Inspection Request For: 5/26/99 Permit# CB991874 Inspector Assignment: PD --- Title: BRODSKY RESIDENCE Description: RE-ROOF,2900 SF-LT WT CONCRETE-ICBO # 2093 Type:MISC Sub Type: REROOF Job Address: Suite: Location: 2710 EL RASTRO LN Lot APPLICANT PIVA ROOFING, BOB 0 Owner: BRODSKY EDWARD&PATRICIA Remarks: Total Time: CD Description Act Comments 19 Final Structural ~ Phone: 7607454700 Inspector: IP~ Requested By: PETER Entered By: CHRISTINE ---j---- Inspection History Date Description 5/19/99 15 Roof/Reroof Act lnsp Comments AP PD