HomeMy WebLinkAbout2713 LUCIERNAGA ST; ; CB021911; Permitr'· ,--: t .. ~-,, City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
06-~6-2002 Miscellaneous Permit Permit No: CB021911
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
Applicant:
PIVA ROOFING, BOB
2713 LUCIERNAGA ST CBAD
MISC
2153103SOJ2.
$9,472.00
PERRY RESIDENCE
Subtype: REROOF
Lot#: 0
32 SQUARES OF MONIER ICBO 2656
Owner:
PERRY WILLIAM J
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
06/26/2002
MDP
06/26/2002
06/26/2002
0162 )6/26/n2 :'.)002 '.)l
CGF:,.
1192 INDUSTRIALAV
ESCONDIDO, CA 92029
619-745-4700
3700 BRIGANTINE CIR
WESTLAKE VILLAGE CA 91361
Total Fees: $166.00
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Inspector: s~ •
Total Payments To Date: $0.00
PERMIT
FINAL APP.EQVAL
Date: 1 I~/@
Balance Due:
Clearance:
$166.00
$0.00
$0.00
$166.00
$166.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. II you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
. T imil r hi r hi h fl' i i h
.166. (,:')
FOR OFFICE USE ONLY
PERMIT APPLICATION 2-..-Lt=tl
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161 Validated By ___________ _
Date ______________ _
Bus1naS$ Nama tat this address)
Subdivision NamaJNumbar Umt No. Phase No. Total II of units
Anassor's Parcel I Existing Use Proposed Use
SQ. FT. 32 lof Stories
Nama Address City S.tata/Zip Tol11phon11 I
(Sac. 7031.5 Bu.sinus and Profassioru Coda: Any City or County which requires• permit to construct, altar, improve, demolish or repair any structure, pnor to its
iuuance, also requires tho applicant for such permit to file a aigned statement that ha Is licensed pursuant to the provisions of the Contractor's L1canso law
!Chapter 9, commanding with Soctlon 7000 of Division 3 at tho Business and Prolasslons Coda) or that ha Is exempt therefrom, and tho buts for the alleged
Sectio 031.5 by any • pllcant for a ormit ubj.octf t opphcant to a civil p n.al of not,,rrwro than live hundrod dollars I $5001). · ~ ~ w~ -o
Stoto Licon,o , _rz=:i.l .1,8c.9.J.....3..a:3'~--License Class __ C=~3.J...'J<-------
City Stato/Z~ Talophono •
Citv Businaas Lic•nse I 12 0 <;1qg
Designer Noma Addroas Clty Sta to/Zip Telephone
S1110 LiconH I _.,,;::2-=[_,,8.L..J'ic.3..u.$..__ __
e~-·' ·"WORKERS-;COMPENSATJON·~~r;.t;i,;;f!',r.::;i?~.~!7i;';;_:.:_~-~~.l~;'~~~;-.;_:;,--~~f!":Y!::S;:,~!::1~lff:J;j1;~~~~~'.~::;~:i;,-~".'.'.~: •;"-'· :'. '. ~-~:_·.:: ~ ':;-·,. :
W?-rs' Componaation Oaclarat1on: I her•bY affirm under penalty of perjury on~ of tho following declarations:
'el I have and will maintain a conificate of conaont to ult-insure for workors' componuuon as provided by Section 3700 of tho Labor Codo, for tho performance
ol)PO"work tor which this pormlt is issued.
~ I have and will maintain workers' compensation, 11s required by Section 3700 of tho Labor Code,
issued. My worker's compensation !qsuranco carrier and policy num r are:
Insurance Company 0
for tho partormanco of tho work for wh1~ this pormit,...lii (,,~1-0:s
Expirauon OateV 2G, =()
!THIS SECTION NEED NOT BE COMPLETE
0 CERTIFICATE OF EXEMPTION: I conify that in the performance of tho work lor which this permit is 1s:.ued, I r;heU not employ any person in any manner so as
to become subject to tho Workers' Compensation Laws of California,
WARNING: Failurt1 to sacun workan' cofflPeM,■tion cover■g• ia unlawful, and ah•II aubjec-t wi amployar 10 criminal penlUtlH and civil linH Up to ono hundred
thou■and dollar• (• 100,000J, In addition to the coat at companuUon, damage• u provkiad for In Section 3706 of the Labor coda, lntareat and attomay·a fa.a.
SIGNATURE.________________________________ DATE _________ _
7. ·;;:}C)WNEH•BUILDER oEcLA RATJON::;..;~~~~~!f~-.;;i~ia::;:;-.;.; ~~Zit'::;~,;~!,: 1.;~~~ ~;:.=;~~--~:.-::~~ [{;;::".'~ ;;::Zi;~::;'".i~;t~:~~:::;.;-: ~~ ;'. :.~-,~;.7_.~_::: :_; ·:· ·. ·.:~:::.::~. ~ ~.~:fjj-~~.
I horeby allirm that I am oxompt Item tho Contractor's License Law for tho following reason:
0 I, as owner of tho property or my omployoos with wages as their &ale compensation, will do tho work and tho atructuro is not intended or offered for ulo
{Sec. 7044, Busmus and Profeuions Coda: The Contractor's License Law does not apply to an owner of propeny who builds or improves thereon, end who do••
such work himsoJI or through his own employoos, provided that auch improvements are not intondod or olforad for sale. If, however, tho building or improvement ia
sold w1th1n one year al completion, tho owner-builder will have tho burden of proving that ho did not build or improve for tho purpou ol sole).
0 I, as owner of the propony, am oxclus1voly contracting with liconsod contractors to construct the project· (Sec. 7044, Business and Proloss1ons Code: Tho
Contractor's License Law does not apply to an owner of property who builds or improves thoroon. and contracts tor such proiocts with controctor(sl llcon&od
pur,uant to tho Contractor's License Law),
0 I am exempt under Section _______ Buainoss and Protas.s1ons Code for this reason:
1. I personally plan to provide tho m•Jor Hlbor and materi1ls (or construction of tho propo::ied propeny improvement. D YES ONO
2, I (have/ havo not) signed an application for a building pormit for tho proposod work.
3. I have contract&d with tho following parson Uirml to provide the proposed construction (include name / oddross / phone number / contractors l1conso number):
4. J plan to provide pon1ons of tho work, but I have hired the toUowmg parson to coordinate, .supervise and provide tho major work (include name/ address/ phone numbar / contractors hconso number):, _____________________________________________________ _
5. I will provide some at tho work, but I have contracted (hired) tho following parsons to provide tho work indicated !include nomo /address/ phone number/ typo of work): ____________________________________________________________ _
PROPERTY OWNER SIGNATURE ______________________ _ DATE ________ _
COMPLETE 11-US SECTION "FOR NdN-l;ESIDE1(IW.;.:au1t01NG']>J;RMtf$".,Q~e~~::..:;;}":Cf-':r:~=r~ee:1 .. ~::..'"'.:.:~:~:;·.,~-~-~:·. :~~'. · -.. ·:;~r.~~'.;~-~-~:·:r7.:"7:::
Is tho applicant or future building occupant required to submit a businau p!an, acutely hazardous materials registration form or nsk manogomont and prevention
progum under Sections 25505, 25533 or 25534 of tho Prosloy-Tann■r Hazardous Substance Account Act?-O· ·-¥£:o.---fJ-NO
ls the applicant or future building occupant required to obtain a pormlt from tho air pollution control district or air quahty managomont district 7 0 YES O NO
Is the fac1lltv to bo const11Jctod within 1,000 feet of tho outer boundary of a schCXM eita? 0 YES O NO
IF ANY OF THE ANSWERS ARE YES. A ANAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POUUTION CONTROL DISTRICT.
o.::::·_cQNSTRUCTION_ lEN0ING\4cENC'i;~~~~-~~~!~~:~~~B1ttt;::(!1;.~~~0!.::'.if•·(}{::.:~l~~i~f:''.;};~~f~'t~~;-~: -~?.~ :;~;:''._~·:.··. , . .-_. __ ·,., :/·
I horabv atlirm that thoro is a construction lending agoncy tor tho performance of the work for which this permit i$ IS$UOd (Sac. 3097U) Civil Code).
LENDER'S NAME _____________ _
•·'····-·•··-·•·•
I cort1fy that I have road tho application and state that tho abo_ve information is co"ect and that the information on tho plans is accurato. I agroo to comply with ell
City ordmanco.s and State 111.ws relating to building construct10n. l haroby 11uthonze raprosantat1vos of the Citt of Carlsbad to enter upon the abovo montioned
propenv for mspoction 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 SAJD CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is roquirod for excavations over s•o• deep and damolition or con:nruction of :structures over J stenos 1n ho1ght.
EXPIRATION: Every permit issued by tha Building OHicial under tho provisions of this Coda shall expire by limitation and become null ond void if the building or
work authorized by such permit i.s not co_mmoncod within 365 days from tho dAto of &uch permit or if tho building or work authorized by such permit 1s $uspcndcd
or abandoned at any t1mo after the work 1s commence f~r a period of 180 days (Section t 06.4.4 Unilorm Building Codol.
APPLICANT'S SIGNATURE OATE __ ..J(,.,.,,,_.:_-.,.Z-<~2_::Q-'-',;.?=--
YELLOW: Applicant PINK: Finonco
' .
. ,, City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1, JOB ADDRESS: z 7 I 3 w,eRTY-§Qt 2hsQef:
2. TYPE OF BUILDING: RESIDENTIAL (_/' COMMERCIAL,_____,;
3. ROOF SLOPE: RISE S inches In 12 inches
4, NUMBER OF EXISTING ROOF COVERING (circle one) (} 2 3
5. TYPE OF EXISTING ROOF COVERING ___ SHEATHING .
•6. NEW ~OF MATERIAL ::6fe CLAss...A_we1GHT PER SQUARE SW
7, NUMBER OF SQUARES 32
s. TRADE NAME MoVt ,eis. MANUFACTURER Monie&
9. ROOF SYSTEM LISTING UL No. ____ lCBO No. ZwS(e
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 requir&d:
1. Tear Off/Pre4mipection prior to install new roof covering.
2, Final Inspection
I agree to provide a ladder extending at least 2 rungs al:love the roof for
inspection.
Signature __ ,./4""""n~'-'4(7/f..t..._./J-"'cu""i.s~11at.1"'-.,....----D,afe'----"Le"-----2,_~_-0;:;__'Z._
Contractor / Owner ____ Contractor Name pch 1Ji,,a
*6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up,
Other.
·;,···· ~--~
City of Carlsbad Bldg Inspection Request
For: 07/19/2002 . . .
Permit# CB021911
Title: PERRY RESIDENCE
Description: 32 SQUARES OF MONIER ICBO 2656
Type:MISC Sub Type: REROOF
Job Address: 2713 LUCIERNAGA ST
Suite: Lot 0
Location:
APPLICANT PIVA ROOFING, BOB
Owner: GREGORY ROBERT A&RUTH W
Remarks:
Total Time:
Act Comments
Inspector Assignment: SR ---
Phone: 7607454700
Inspector: S\<,
Requested By: BOB PIVA ROOFING
Entered By: CHRISTINE
CD
19
Description
Final Structural ('\r, f~ ...m=...---'-~'--------
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments
07/10/2002 15 Roof/Reroof AP SR OK TO COVER