HomeMy WebLinkAbout2712 Olympia Dr; ; CBR2020-0161; PermitResidential Permit
Print Date: 02/07/2020
Job Address:
Permit Type:
2712 Olympia Dr
BLDG-Residential
1674322600
$8,937.20
Work Class: Reroof
Parcel No: Lot#:
Valuation: Reference #:
Occupancy Group: Construction Type:
# Dwelling Units: Bathrooms:
Bedrooms: Orig. Plan Check#:
Plan Check#:
Project Title:
Description: MINEGAR: LIFT AND RE-LAY 20 SQ CONCRETE TILE
BUILDING PERMIT FEE ($2000+)
BUILDING PLAN CHECK FEE (BLDG)
Owner:
TRUST MINEGAR FAMILY
2712 Olympia Dr
CARLSBAD,CA 92010
SB1473 GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION-RESIDENTIAL
Total Fees: $182.51 Total Payments To Date: $182.51
(City of
Carlsbad
Permit No: CBR2020-0161
Status:
Applied:
Issued:
Closed -Finaled
01/21/2020
01/21/2020
Permit
Fina led:
Inspector: PBurn
Final
Inspection: 2/7/2020 9:00:29AM
Contractor:
TWM ROOFING INC
4157 Valle Del Sol
Bonsall, CA 92003-4907
760-731-0777
Balance Due: $0.00
$106.09
$74.26
$1.00
$1.16
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." 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 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 you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
( City of
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan CheckCfBae.:;lD -6(/o I
Est. Value ,;Pl 61 q 3 J. ;;)6
PC Deposit
Date
JobAddress 2..112 O\tJMPi()... br. Suite: ____ APN: ll.D1 4-;-z_ ZloDO
CT/Project #: _________________ Lot#: ___ _
Fire Sprinklers: yes/ no Air Conditioning:
BRIEF DESCRIPTION OF WORK: .:.¥~:rl:ir}Q_::-~T_l.j·L]\d;-e..~l\ i!_±IU,~~~-l.~~tl.!~.J:.JQ!::\::..i~~~>L
0 Addition/New: ______ Living SF, ____ Deck SF, ____ Patio SF, ____ Garage SF
Is this to create an Accessory Dwelling Unit? Yes/ No New Fireplace? Yes/ No, if yes how many? __
0 Remodel: _____ SF of affected area Is the area a conversion or change of use? Yes/ No
0 Pool/Spa: ____ SF Additional Gas or Electrical Features? ____________ _
□ Solar: ___ KW, ___ Modules, Mounted: Roof/ Ground, Tilt: Yes/ No, RMA: Yes/ No, Battery: Yes/ No
Panel Upgrade: Yes/ No
~eroof: 21DC>c Sq•.£± -\i \e. \i++ (¥:e\Cl:4;:I
D Plumbing/Mechanical/Electrical Only: ________________________ _
D Other: _______________________________ _
APPLICANT (PRIMARY CONTACT)
Name:~~
Address: • L '3>(\ P::d ·
City:'P.,o)'.'ISo,..ll State:Cf\ Zip:C\'i?:{XS?
Phone:':Jl,QO 7?,I · ()717
Email: '1 t1-fu @:rw O)(p(;:m~.(bYY'
DESIGN PROFESSIONAL
Name: _________________ _
Address: _______________ _
City: _______ State: ___ ,Zip: ___ _
Phone: _________________ _
Email: _________________ _
Architect State License: ___________ _
PROPERTY OWNER
Name: 1Jvn Mi V\-€.Ef':C
Address: 2.112 l)l'jYY'pig... 'De.
City: C..a.v::1:,k70 d State: CJ\
Phone: 7l40· l.\O\to · 92.\.IL\
Zip:°tl.0\O
Email: ___________________ _
CONTRACTOR BUSINESS
Name: I IN M J2.l)c:.~ r\.9
Address: l;'Z.'5lo S. l-'\i5-;,\o'O :Bd· %-\e ""\Co
City: ~orlSO.I I State: CA Zip: q-2.1:)c:6
Phone:JloC>·7ol· ~l""\:J
Email: i n:ft> @-t w M r cb£j r'.18· c,,ono
State License: !51qe,4S-Bus. License: li.-S,3 \'2-
(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/she 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/she is 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}).
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
B-1 Page 1 of 2 Rev. 06/18
( OPTION A): WORKERS'COMPENSATION DECLARATION:
I hearby affirm under penalty of perjury one of the following declarotions:
□ I have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the
work which this permit is issued.
~ have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My workers' compensation insurance carrier and policy number are: lnsurance,company Name: aS.J::+-o.-.u&J1'a.:=t,,___Jtl!=:>4"0.U.dL-----------
Pollcy No. C) ID I '2.';,'2-Expiration Date: U> I-I f z.az 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 be come
subject to the workers' compensation laws of California. WARNING: Failure to secure workers compensation coverage Is unlawful, and shall subject an employer to
criminal penalties and civil fines up to $100,000.00, in addition the to the cost of compensation. damages as provided for in Section 3706 of the Labor Code,
interest and attorney's fees.
CONTRACTOR SIGNATURE:cl,g• 0o T ~ENT DATE: I l:z.1 l2e>2 c
( OPTION B ): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt from Contractor's License law for the following reason:
□ 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 property 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).
□ 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 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:
LI personally plan to provide the major labor and materials for construction of the proposed property Improvement. □ Yes □ No
2. I (have / have not) signed an application for a butlding permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (Include name address/ phone/ contractors' license number):
4. I 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/ phone/
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/ address/ phone /type of work):
OWNER SIGNATURE: _________________ □AGENT DATE: _____ _
CONSTRUCTION LENDING AGENCY, IF ANY:
l hereby affirm that there is a construction tending agency for the performance of the work: this permit is issued {Sec. 3097 {i} Civil Code).
Lender's Name: _____________________ Lender's Address: ____________________ _
ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
ls 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-Tanner Hazardous Substance Account Act? □ 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? 0 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 SERVtCES AND THE AIR POLLUTION CONTROL DISTRICT.
APPLICANT CERTIFICATION:
l certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all
City ordinances and State laws relating to building construction.
I hereby authorize representative of the City of car1sbad to enter upon the above mentioned property for Inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND 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'f1 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 pennit is not commenced within 180 days from the date of such pennit or if the building or work authorfzed by such permit Is suspended or abandoned at anytime
after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code}.
APPLICANT SIGNATURE:~ DATE: I /g_t /zot.o
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
B-1 Page 2 of 2 Rev. 06/18
PERMIT INSPECTION HISTORY REPORT (CBR2020-0161)
Permit Type: BLDG-Residential Application Date: 01/21/2020 Owner:
Work Class: Reroof Issue Date: 01/21/2020 Subdivision:
Status: Closed -Finaled Expiration Date: 07/20/2020 Address:
IVR Number: 24355
Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector
01/22/2020 01/22/2020 BLDG-15
Roof/ReRoof (Patio)
117077-2020
02/07/2020 02/07/2020 BLDG-Final
Inspection
February 07, 2020
Checklist Item
BLDG-Building Deficiency
1187 42-2020
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
Passed Paul Burnette
COMMENTS
Passed Paul Burnette
COMMENTS
TRUST MIN EGAR FAMILY
CARLSBAD TCT#74-04
2712 Olympia Dr
Carlsbad, CA 92010-2179
Reinspection Complete
Complete
Passed
Yes
Complete
Passed
No
No
No
Yes
No
Page 1 of 1
B-10
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
1. JOB ADDRESS: 2112. Dlljmp'io... '])r. Co.1""\$bGLd I C\2.t>ID
2. TYPE OF BUILDING: RESIDENTIAL V COMMERCIAL ___ _
** Please contact HCD for a permit if you will be doing work on a manufactured/mobile home. **
3. ROOF SLOPE: RISE Lt-INCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) Cb 2 3
5. TYPE OF EXISTING ROOF COVERING]?(~U)OOO SHEATHING __ _
6. NEW ROOF MATERIAL Ti l,e, CLASS A
7. NUMBER OF SQUARES 20 WEIGHT PER SQ. I D(:)0
8. TRADE NAME TilL MANUFACTURER Litt-h\-e....
9. ROOF SYSTEM LISTING: Lif-t-~ µ\CL~
UL NO. ______ I.C.C.E.S. Report# ______ ASTM _____ _
10. IS THE EXISTING STRUC~AL 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.
Name Ljne:t'£. W~
Signature~~
(CIRCLE ONE)~
Date I (ZPI 2D7.D
Owner
*6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other
Page 6 of 6 Rev. 04/14