HomeMy WebLinkAbout2720 ATHENS AVE; ; CB112490; Permit11-28-2011
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Miscellaneous Permit Permit No: CBl 12490
Building Inspection Request Line (760) 602-2725
Job Address:
Pennit Type:
Parcel No:
Valuation:
Reference #:
PC#:
Project Title:
2720 ATHENS AV CBAD
MISC
1673922700
$0.00
Subtype: REROOF
Lot #: 0
WILSON RES- REMOVE SHAKE AND
REPLACE WITH GAF COIVIP SHINGLE 2,000 SF
Applicant:
ADAN CRUZ ROOFING
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
WILSON HUGH IVI JR&NANCY A
ISSUED
11/28/2011
LSM
11/28/2011
11/28/2011
3005 LUANA DR 92056
760 726-6440
2720 ATHENS AVE
CARLSBAD CA 92010
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
PERMIT FEE $101.00
$0.00
$0.00
$101.00
Total Fees: $101.00 Total Payments To Date: $101.00 Balance Due: $0.00
Inspector: 4n
uJ FINAL APPROVAL
Hate- l^lS/'^^' Clearance-
NOTICE: Please talthnSl'ill
refen'ed to as lees/exactioni
follow the protest procedures
processing in accordance wit
review, set aside, void, or anr
You are hereby FURTHER N
changes, nor planning, zonin
fees/exactions of which vou h
E that approval of your project includes the Imposition" of fees, dedications, resen/ations, or other exactions hereafter collectively
" You Save 90 days from the date this pemiit was issued to protest imposition of these fees/exactions. If you protest them, you must
set foitn In Goven'iment Code Section 66020(a), and file the protest and any other required information with the City Manager for
1 Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
lul their imposition.
OTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
3, grading or other similar application processing or sewice fees in connection with this project. NOR DOES IT APPLY to any
ave oreviouslv been aiven a NOTICE similar to this, or as to which the statute of limitations has oreviouslv othenvise exoired.
^ CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718/2719
Fax: 760-602-8558
vwvw.carlsbadca.gov
Plan Check No. 66> / I aM<?0
Est. Value
Plan Ck. Deposit
Oaten I < SWPP
JOB ADDRESS )
IJ£CT# LOT# ^ (("HASE* |#OF UNITS |#
SUITE#/SPACE#/UNIT#
# BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC GROUP
DESCRIPTION OF WORK: fncfiKfa Square Feet of Affected Area(s; j
77^
DCISTING USE I PROPOSED USE I GARAGE (SF) j PATIOS (SF) I DECKS (SF) | FIREPLACE fAiRi FIREPLACE
YES • #_ NOD
AIR CONDITIONING
YES • NOD
FIRE SPRINKLERS
YES •NOD
APPUCANT NAME (Primary Contact) APPLICANT NAME {Stcondary Contact)
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE
EMAIL
FAX PHONE FAX
PROPERTY OWNER NAME . . , , 1
JS^'^i "Hurjh \IU\^OKI
CONTRACTOR BU
ADDRESS
BUS. NAME
in<: LOAN a ipr
CITY STATE ZIP
PHONE FAX
' CITY ^ / STATE ZIP
PHONE ^ MX , FAX 4 ,
EMAIL
ARCH/DESIGNER NAME & ADDRESS
r, Innprove, demolish o:
.Lnoo CITY BUS. UC#
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, Innprove, demolish or repair any structure, prior to its Issuance, also requires the applicantfor such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License LawfCnapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicantfor a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)).
WOI?KEi?S' COMPENSATION
mm. Workers' ComfmsilllonO»c\trtllioii. I hereby g/finnundw penalty of peijury one the following declarations:
O I have and will maintain a certificate of consent to self-lnaure for workers' compensation as pnjvided by Section 3700 of the Labor Code, for the perfomiance of the work for which this permit is Issue^r CJffT .
O I have and will maintain workers' compensation, as reguired by Section 3700 of the Labor Code, for the perfonnancegf the woryp^whidi this penult Is issued. My workers' compensationlnsurance canier and policy
number are: Insurance Co.
s' compensation, as reguired by Sactio
JqA^ fun Of Policy No.
mance^the workjpiwhidi this pei
Expiration Date. /2> /.
Ttiis section need not be completed if the permit Is for one hundred dollars ($100) or less.
O Certificate of Exmption: I certify that In the performance of the work for whk;h this pennit 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 coinpensation, damages as provldM for In Section 3706 of the Labor code. Interest and attomey's fees.
ygfceWIBACTOR SIGNATURE
O W N E R-B U I L D E R DECLARATION
•AGENT DATE
I hereby affirm that i am exempt from Confraclor's Ucense Law for the foltowing reason:
O I, as owner of the property or my employees with wages as their sole compensatkin, will do the work and the structure is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's
Ucense Law does not apply to an owner of property who buikls or improves thereon, and who does such work himself or tfirough his own employees, provided that such improvements are not intended or offered for
sale. If, however, the building or impmvement 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).
Cl I, as owner of the property, am exclusively contracting with licensed contractors to constnjct the pmject (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 Lteense Law).
O I am exempt under Sectton 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 • 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' Itoense number):
4.1 plan to provide portions of the work, but I have hired the toltowing person to coordinate, supervise and provkle the major work (include name / address / phone / contractors' license number):
5.1 will provide some of the work, but I have contracted (hired) the foiiowing persons to provide the work indicated (Include name / address / phone / type of work):
ydTpROPERTY OWNER SIGNATURE •AGENT DATE
COMPLETE THIS SECTION FOR N O N - R E S I D E N T I A L BUILDING PERMITS ONLV
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration forni or risk management and prevention program under Secttons 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? OYes ONo
Is the applicant or future building occupant required to obtain 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? OYes ONo
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a constmction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code).
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certl^ that I have read the applkatkin and state thatthe above infbimatton is conect and that the Informatkm on the plans Is aocuiate. I agiae to comply with all Clly ordinanoes and State laws relating to building constmction.
I hereby authorize representative of the City of Cartsbad to enter upon the above mentbned property for inspection puiposes. I ALSO AGREE TO SAVE, INDEIVINIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST AU. 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 pennit is requifed Ibr excavations over SO deep and demolitbn or constructbn of stnJCtures over 3 stories in height.
EXPIRATION: Every pennit issued by the Building Oflicial under the provisbns of this Code shall expire by tmitatbn and become nul and vokl if the building or work authorized by such permit is not oommenoed VMlhin
180 days from Ihe date of such pemiit or if Ihe buiding or work authorized by such permit is suspended or abandoned at any time after the v«ik is commenced for a period of 180 days (Section 106.4.4 Unifonn Buikling Code).
ygTAPPUCANT'S SIGNATURE (^(^C/jQ C DATE
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
1. JOB ADDRESS: Zl ZC flrA^ J>
2. TYPE OF BUILDING: RESIDENTIAL fZ COMMERCIAL
3. ROOF SLOPE: RISE /V INCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE)^ 2 3
5. TYPE OF EXISTING ROOF COVERING A SHEATHING i\jn
*6. NEW ROOF MATERIALsArog/^ CLASS >a WEIGHT PER SQ.^^^:^
7. NUMBER OF SQUARES_,2i:2
8. TRADE NAME (^(^1^. MANUFACTURER ^
9. ROOF SYSTEM LISTING:
ULNO. I.C.C.E.S. Report# / Q-S^
ASTM j92^/<g'
10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE
PROPOSED ROOF? GES J 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.
Signature P^(^^ r\ C XLTZ Date l/JP p/y/
ContractOE^^(2^/^ fKi/TOwner Coflfractor
Name f^Q/^jQ Q VIH^
*6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other
B-10 Page 4 of 4 Rev. 02/11
City of Carlsbad BIdg Inspection Request
For: 12/01/2011
Permit# CB112490
Title: WILSON RES- REIMOVE SHAKE AND
Description: REPLACE WITH GAF COMP SHINGLE 2,000 SF
Inspector Assignment: PY
Sub Type: REROOF
2720 ATHENS AV
Lot:
Type: MISC
Job Address:
Suite:
Location:
OWNER WILSON HUGH M JR&NANCY A
Owner: WILSON HUGH M JR&NANCY A
Remarks:
Phone: 7608022126
Inspector:
Total Time:
CD Description
19 Final Structural
Act mments
Requested By: ADAM CRUZ
Entered By: CHRISTINE
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection Historv
Date Description Act Insp Comments
11/29/2011 15 Roof/Reroof AP PY