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