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Home My WebLink About2716 ANTA CT; ; CB112205; Permit10-13-2011 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB112205 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: 2716ANTACTCBAD MISC 2153104202 $0,00 Subtype: REROOF Lot #: 0 SERVIN RES-1,500 SF SHAKE TO ASPHALT SHINGLE REROOF Status: ISSUED Applied: 10/13/2011 Entered By: LSM Plan Approved: 10/13/2011 Issued: 10/13/2011 Inspect Area: Applicant: PACIFIC HOME WORKS STE 150 20725 S WESTERN AVE TORRANCE CA 90501 310781-3012 Owner: SERVIN NICK S&ROSALIA 2716ANTACT CARLSBAD CA 92009 Miscelaneous Fee #1 PERMIT FEE Miscelaneous Fee #2 Additional Fees $101.00 $0.00 $0.00 TOTAL PERMIT FEES,$101.00 Total Fees:$101.00 Total Payments To Date:$101.00 Balance Due:$0.00 Inspector:Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute ot limitations has previously otherwise expired. Building Permit Appli. ^g^ 1635 Faraday Ave., Carlsbad, CA W CITY OF 760-602-2717/2718/27 I*"* A ft! ^kRAin Fax:760-602-8558V_>/^lki\L.OD/ALi/ www.ca rlsbadca.gov JOB ADDRESS (— > \ (o f~T-V\\f\ ^ CT/PROJECT # LOT # PHASE # V # OF UNITS # BEDROOMS ... Plan Check No. CJCQtion 92008 Est. Value iy Plan Ck. Deposit Dateto(t5>/ti SUITE#/SPACE#/UNIT# APN # BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) e> \ i ^3-05 SWPP - CONSTR. TYPE OCC. GROUP 1 f- uoo^L sVwk^ sk^W.9-<kcUom^oclo u.\\ <;W4 **„,«_ -;^ oifl, cw^WWll <Uok «k(W CX**vo C EXISTING USE ' PROPOSED US APPLICANT NAME (Primary Contact) ^\ .. ,arv\Vtt --'D "yee^r Co rvjf &,t>f*v^.lr 5*^ E X GARAGE (SF) .ArtSoT ADDRESS CITY STATE <L „ (~^v f inJXKA YAa*\o ^rr PHONE ^ FAX ZIP &7H~k~)t4$ EMAIL J PROPERTY OWNER NAME . , , (\J ,' i. Id *• K O^ev i C\ _$ <irv>* ADDRESS T"? 1 fe /^frv <f~0v <^r ' CITY STATE PHONE FAX EMAIL ARCH/DESIGNER NAME & ADDRESS ZIP STATE LIC. # PATIOS (SF) DECKS (SF) FIREPLACE AIR YES D # NO D APPLICANT NAME (Secondary Contact) •>^/e-. CONDITIONING FIRE SPRINKLERS YES D NOD YES D NO d ADDRESS CITY STATE PHONE FAX ZIP EMAIL CONTRACTOR BUS. NAME ^~* . /"> i i ,r, .yiT> GA*Jdi ft -J ADDRESS * ^o*1? /?O'v3i>^ CA~< cS'r*' *i CITY STATE PHONE . FAX AIL STATE LIC.# CLASS . ZIP g?W-o7^^ CITY BUS. LIC.# ,_ _.i i ooJt^ ^>0 0 (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 theapplicant 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 theBusiness and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Sect on 7031.5 by any applicant for a permit subjects the applicant to acivil penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: 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 issue* Sal hal have and will maintain workers' compensation, as requiredb^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 / )l number are: Insurance Co. SCXrVoy -pvSO JWCL. Policy No. &V 1- <~> rCt> / 6 f fft> Expiration Date 3>/3&//^- This section need not be completed if the permit is for one hundred dollars ($1 00) or less. n 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 coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages a^prov(ded for m\ection/$7ft$ of the Labor code, interest and attorney's fees. JS$ CONTRACTOR SIGNATURE / hereby affirm that I am exempt from 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 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). D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors 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). D I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. O Yes O No 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 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): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address I phone / type of work): >£fpROPERTY OWNER SIGNATURE DAGENT DATE Is 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? O Yes Q No Is the applicant or future building occupant required to obtain a 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 of a school site? DYes CJNo IF ANY OF THE ANSWERS ARE YES, t EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address s relating to building construction. I hereby authorize representative of the City of Carlsbad 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 fcr excavations over 50' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Offoy 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 180 days from the date of such permit or if the gilding jinyork authorized by^tidHjermit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). >£f APPLICANT'S SIGNATURE DATE /0//3/// REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESS:, 2. TYPE OF BUILDING: RESIDENTIAL v/ COMMERCIAL 3. ROOF SLOPE: RISE Ll INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE)(jU> 2 3 5. TYPE OF EXISTING ROOF COVERING 1°°^ 3U*j<X SHEATHING *6. NEW ROOF MATERIAL (JWAi/Cof*^. CLASS A WEIGHT PER SQ, 7. NUMBER OF SQUARES /5 8. TRADE NAME o^ Q MANUFACTURER 9. ROOF SYSTEM LISTING: UL NO. I.C.C.E.S. Report# && /3 ?^ ASTM 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? CYES^ 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 install new roof covering 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. V A Signature /\>^ fV^--^ Date~~ Contractor Name *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other B-10 Page 4 of 4 Rev. 02/11 City of Carlsbad Bldg Inspection Request For: 11/14/2011 Permit* CB112205 Title: SERVIN RES-1,500 SF SHAKE TO Description: ASPHALT SHINGLE REROOF Type:MISC Sub Type: REROOF Job Address: 2716ANTACT Suite: Lot: 0 Location: OWNER SERVIN NICK S&ROSALIA Owner: SERVIN NICK S&ROSALIA Remarks: Total Time: CD Description 19 Final Structural Act Comments Inspector Assignment: JM Phone: 8585310720 Inspector- Requested By: NICK Entered By: CHRISTINE Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act Insp Comments 11/08/2011 15 Roof/Reroof AP JM