HomeMy WebLinkAbout2717 GLASGOW DR; ; CB141888; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-31-2014 Miscellaneous Permit Permit No: CB141888
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
PC#:
Project Title:
Applicant:
2717 GLASGOW DR CBAD
MISC
2081125000
$3,550.00
Subtype: REROOF
Lot#: 0
LUESCHEN RES-RE-ROOF 2600 SF
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
APODACA ROOF SERVICES LUESCHEN FAMILY TRUST 07-21-04
PO BOX 2591
VISTA CA 92085
760 518-1259
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees: $118.00
Inspector:
2717 GLASGOW DR
CARLSBAD CA 92010
PERMIT FEE
Total Payments To Date: $118.00
FINAL APPROVAL
Date: f-12 ~1'/
Balance Due:
Clearance:
ISSUED
07/31/2014
RMA
07/31/2014
07/31/2014
$118.00
$0.00
$0.00
$118.00
$0.00
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 pem,it 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.
THE.i<lLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: •PLANNING •ENGINEERING
~
<_(~
~ CITY OF
CARLSBAD
, ......... 2 r I r 6 /,,..s
CT/PROJECT# LOT#
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
ow V/1.... SUITEI/SPACEJ/UNITJ
PHA.SE # # OF UNITS # BEDROOMS # BATHROOMS
•BUILDING •FIRE
SWPPP
CONSTR. TYPE OGG. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
'yC-f-/1--or?(!) = ,\"" I .J' r1-'1 c,o__...,/'7 "1 oor-= -,f-,.z-,..._,,_, p----,-// (2) 30-iT Fe-/,-..
./-Ci /I I::: .J o "/ ,.,_ C D--1 ,P . ;)_Cwl/J
EXISTING USE PROPOSED USE
APPLICANT NAME
Primary Contact ~1/<..c
ADDRESS I ./ // 3 '2..~5 VArt~
Cl~/.J STATE ct,,,,,
PHONE FAX 7bo-8-'Ltf"-Z.7',I;-' ,---.
EMAIL/ n-1 -1-'J er h Aoor t!2. ___.,,..., ,/-
DESIGN PROFESSIONAL
ADDRESS
CITY STATE
PHONE FAX
ZIP ~or
ZIP
PATIOS (SF) DECKS (SF)
ADDRESS 271?
Cllyy ~/4 ,:r-
PHDNE
FIREPLACE
YESO
"71,,c -7zo-O'-,J/
PHONE
?'Co-6"Z.,,_-Z ?y,r
AIR CONDITIONING
No0 YES•No• FIRE SPRINKLERS
YES0N00
ZIP
z.._oo»-
___, ,..,. , I -~
ZIP 9-2.c>O r
EMAIL EMAIL/ h C p-1. ,.,_" " r= e...,--,--+ I f . ~., ......
STATE UC.# CLASS C--3
(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 iss e, also req ire the applicant for such per_mit to file a signed statement that he is licensed pursuant to the provIsIons of the Contractor's License Law /Chapter 9, commending with Sec on 000 of Division 3 of the Business and Professions Code) or that he Is exemP.t therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a per 11 subjects the applicant to a civil penalty of not more than five hundred dollars {$500)).
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: ~ 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. 0 I have and will maintain workers' 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: Insurance Co. '5:: r A r C-E 4 .......,, J} Policy No. 9 (J f '{ ef:J-0 Expfratkm Date " ..... J--"/ J-
~section need not be completed if the permit is for one hundred dollars ($100) or less. LJ 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 lo the Workers' Compensation Laws of
California. WARNING: Failure to secure worker,;' compensation coverage It unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney"s fees,
LS CONTRACTOR SIGNATURE
I hereby affirm /hat I am exempt from Contracfor'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) Hcensed pursuant to the Contractor's License Law).
I am exempt under Section _____ Business and Professions Code for this reason:
1. J personally plan to provide the major labor and materials for construction of the proposed property improvement. OYes ONo
2. I (have/ have not) signed an application for a building permit for the proposed work.
3. \ have contracted w;th the following person (firm) to provide the proposed construction (include name address/ phone I 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 I address I phone I contractors' license number):
5, I will provide some of the work, but I have contracted (hired) the foI1ow;ng persons to provide the work indicated (include name/ address/ phone/ type of work):
JiS PROPERTY OWNER SIGNATURE •AGENT 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? Yes No
Is the applicant or future building occupant required to obta"n a permit from the air pollution control district or air quality management district? 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 SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
1 certify that I have read the application and state that the above information Is correct and that the lnfonnation 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 Carlsbad to enter u~n 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: AA OSHA pennlt is required for excavations over 5'0' deep and demolition or construction of structures over 3 stones in heght.
EXPIRATION: Every pemiit issued by the BuiKjing Offidal under the prov1sions of this Code shall expire by limitation and become null and vokl ~ the building ormrk authorized by such permit is not commenred >Mthin
180 days from the date of such permit or if the building orv.ork authorized by such permit IS suspended or abandoned at any time after the v.ork is commenred for a period of 180 days (Sect.ion 106.4.4 UnifooTI Building Code).
~ APPLICANT'S SIGNATURE DATE
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
Fax (760) 602-.8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Cartsbad, California 92008.
CO#: (Office use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE
Car1$bad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On pg, 1)
MAIL TO: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
OCCUPANT (listed above)
MAIL/ FAX TO OTHER: _______________ _
,65 APPLICANT'S SIGNATURE
ASSOCIATED CB#------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
Inspection List
Permit#: CB141888 Type: MISC REROOF LUESCHEN RES-RE-ROOF 2600 SF
Date Inspection Jt_em Inspector Act Comments --___ ,_ ------
08/11/2014 15 Roof/Reroof RI
08/11/2014 19 Final Structural RI
08/11/2014 19 Final Structural PB AP
08105/2014 15 Roof/Reroof RI PM PLS
08/0512014 15 Roof/Reroof PD AP
Tuesday,August12, 2014 Page 1 of 1
.. , .
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
1. JOBADDRESS:_'2._~7_/~?-'--_4__,_:.:cl,._:__::_'-'"~?<-=o=v-J-=j)~r<-----'-,------
2. TYPE OF BUILDING: RESIDENTIAL __ ..,,---__ ·_ COMMERCIAL ___ _
3. ROOF SLOPE: RISE 3/ INCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) (D 2 3
5. TYPE OF EXISTING ROOF COVERING C o ,----, M , SHEATHING ?/-y,_,_,
*6. NEW ROOF MATERIAL C!_o,,--,p CLASS .,-1 WEIGHT PER SQ. 2. 't"J-
'
7. NUMBER OF SQUARES z ~ r,,,..., "3.,, ,.__ /,,,.., <C__
8. TRADE NAME C /I /~ MANUFACTURER G---1-/-=
9. ROOF SYSTEM LISTING:
UL NO. ______ I.C.C.E.S. Report# ______ _
ASTM ____ _
10.IS THE EXISTING STRUC~L 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.
Signature ----~ · C
Contractor ~ C2n: _____ Contractor
Nam~ To L, .,._., /7,&<>t2d: ~d' f-7/"<> r,>.--r-C!.-1-/f ""/"--5 -<",.__ v ,e ~.r)
*6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other
B-10 Page 4 of 4 Rev. 02/11