HomeMy WebLinkAbout2722 LA GRAN VIA; ; CB072797; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
11-05-2007 Miscellaneous Permit Permit No: CB072797
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type.
Parcel No
Valuation:
Reference #:
PC#:
Project Title:
Applicant:
2722 LA GRAN VIA CBAD
MISC
2162204300
$8,667.00
Subtype: REROOF
Lot#: 0
FRANK RES-2700 SF STD WEIGHT
CONCRETE TILE-ICCES # ER4660
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
PATRIOT ROOFING FRANK ROSS H&CHIANG G CARINA
1042 EL CAMINO REAL
ENCINITAS, CA 92064
760-577-2935
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees· $167.00
Inspector:
2722 LA GRAN VIA
CARLSBAD CA 92009
PERMIT FEE
Total Payments To Date: $167.00
FINA
Date:
Balance Due:
Clearance:
ISSUED
11/05/2007
RMA
11/05/2007
11/05/2007
$167.00
$0.00
$0.00
$167.00
$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 permit was issued to protest impositign of these fees/exactions. If you protest them, you must
follo111 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/exaction of which o have r vi I en iv n N T simil r I hi r whi h h f limi i n h I h rwi
City of Carlsbad
1635 Faraday Ave., Garlsbad, CA 92008
760-602-2717 / 2718/ 2719
• Fax: 760-602-8558
Building Permit Application
JOB AOO"[JJ_? '2. l-4 I 4_
CT/PROJECT# LOT# # OF UNITS
DESCRIP~ ;;;~ ' le
../, t-r::::. s~U,
EXISTING USE
CONTACT NAME (N Different Fom App/leant)
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
ADDRESS~
CITY
ARCH/DESIGNER NAME & ADDRESS STATE LIC. #
SUITE#/SPACE#/U
# BEDROOMS # BATHROOMS
r~ {_,:;i_ae,._ w,W, S#l n CbRrd.-
27
GARAGE (SF)
YES O NOD
CONTRACTOR BUS. NA nC.
r,
STATE UC.
/Sec. 7031.5 8usinen and Prolmions Cod,: Any City or Countr. which require1 a permit to constl'llct, alcer impl'OYe, demolish or rtP.air any structure prior to its inuance, also requim tilt applicant for such permit to file a signed staterMnt that he is ricensed p_urmnt to the provisions of the Contractor's license law {Chapter 9, commending with Section ~000 of Division 3 of the Business and Proi'es'sions Code} or dlat he is exempt therefrom, and the bas15 for the alleged exemption. Any violation of ~ection 7011.5 by any applican1 for a penni1 subjecu the applicant to a ciYil penalty of 001 more than five hundred dollan {$500}).
,,WO.RKlilU' COMPENSATION
Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations:
D I have and will maintain a certificate of consent to s -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. ,Jl/'i have and will maintain wo
number are: Insurance C
This section need not be completed if the permit is for one hundred dollars ($100) or less.
D Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, l 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 upto one hundred thousand dollars (&100,000), in
addition to the cost of compensation, da s provided for In Section 370 ode, interest and attorney's fees.
LS CONTRACTOR SIGNATURE
I hereby affirm thal I am exempt from Contractor's Ucense 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 s1rucl1.Jre 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 properly, am exclusively contracting with licensed contractors lo construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply lo 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).
t:"I I am exempt under Section _____ Business and Professions Code for this reason
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement □ Yes □ No
2, I {have I have not) signed an application for a building permit for the proposed work.
3, I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license numt>er)
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 I 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 I address I phone/ type of work)
Ji! PROPERTY OWNER SIGNATURE 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 O No
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 feel 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.
I c:ertifythat I have read the application and state that the above information is correct and that the Information on the plans ls accurate. I agree to comply with all City ordinances and State laM. relating to bulldlngconstruction.
l:hereby authorize representatrJe 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 ANO EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by lhe Building Official under the provisions of this Code shall expire by limitation and become null and void if the building orw:,rk authorized by such permit is not commenced within
180 days from the date of such permit or if lhe butling or work authorized by perm~ is suspended or abandoned at anytime after the WOik is commenced for a period of 180 days (section 106.4.4 Uniform Buildilg Code).
_65 APPLICANT'S SIGNATURE DATE
REROOFING
SUPPLEMENTAL BUILDING PERMIT APPLICATION
1. JOB ADDREss: ~ Lg G,an "'' '9
2. TYPE OF BUILDING: RESIDENTIAL ,/ COMMERCIAL, ___ _
3. ROOF SLOPE: RISE r INCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE~ 2 3
5. TYPE OF EXISTING ROOF COVERING {J«1ore.k ftlc SHEATHING ,fl/vl,1.)Cldd
NEW ROOF MATERIALanore-/e fr! C CLASS A-WEIGHT PER~=-*6.
7. NUMBER OF SQUARES ,q1
8. TRADE NAME 0/C-f,'/.e,_ MANUFACTURER ______ _
9. ROOF SYSTEM LISTING: £ ,eL/(c;faO
UL NO. ______ I.C.C.E.S. Report# _____ _
ASTM _____ _
10. IS THE EXISTING STRUCTURAL DESIGN S~T 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 classlflcatlon are prohibited.
I understand the following Inspections are required:
1. Tear Off/Pre-Inspection prior to Install new roof covering
2. Final Inspection
I ag,ee to provide a ladde7F. at= least 2 rungs above the roof for Inspection.
Slgnatur""~·~~--Date //-5--0"7
Contractor ,/ Owner • Contractor Name &/u'r:lf &a-4, / I(] ,
*6. Rolled Roofing, Standard/Lite TIie, AsphalVComp fiberglass, Bullt Up, Other
City of Carlsbad Bldg Inspection Request
For: 11/16/2007
Permit# CB072797
Title: FRANK RES-2700 SF STD WEIGHT
Description: CONCRETE TILE-ICCES # ER4660
Type:MISC Sub Type: REROOF
Job Address:
Suite:
Location:
2722 LA GRAN VIA
Lot
APPLICANT PATRIOT ROOFING
0
Owner: FRANK ROSS H&CHIANG G CARINA
Remarks: FIRST AM PLEASE
Total Time:
CD Description Act Comment
Inspector Assignment: TP ---
Phone: 7604644188
Inspector: -----
Requested By: IVIN
Entered By: JANEAN
19 Final Structural fj:_ ____________ _
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
lns[)ection Histo!Y
Date Description Act lnsp Comments
1111512007 19 Final Structural co JM NOT COMPLETE
1110712007 15 Roof/Reroof AP JM OK TO COVER
1110612007 15 Roof/Reroof CA TP RE-SCHD