HomeMy WebLinkAbout2724 ATHENS AVE; ; CB040060; Permitr\"" 1
01 -07-2004
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Building Inspection Request Line (760) 602-2725
Miscellaneous Permit Permit No: CB040060
Job Address:
Permit Type: MlSC Subtype: REROOF Status: ISSUED Parcel No: 1673922500 Lot#: 0 Applied: 01/07/2004 Valuation: $2.220.00 Entered By: KMT
Reference #: Plan Approved: 01/07/2004
Issued: 01/07/2004
2724 ATHENS AV CBAD
Project Title: JOHNSON RES- REROOF 20 SQRS REPLACE SHAKE W/ COMP.
Applicant:
PlVA ROOFING, BOB
1192 INDUSTRIALAV
ESCONDIDO, CA 92029
61 9-745-4700
~~~~~ Inspect Area:
Owner:
2479 01/07/04 0002 02 JOHNSON MARK s
CGF' 77 ,, 2724 ATHENS AVE
CARLSBAD CA 92008
Miscelaneous Fee #I
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
PERMIT FEE $77.00
$0.00
$0.00
$77.00
Total Fees: $77.00 Total Payments To Date: $0.00 Balance Due: $77.00
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
Phase No. Total X of units Legal oarcription Lot No. Subdivision NamalNumbet Unit No.
AsSeSSoI's Parcel X Existing Use Proposed Urs
FOR OFFICE USE ONLY
PLAN CHECK NO. LkbYootO
EST. VAL a+ 20.
Plan Ck Deposit
Sa. FT. X of Bedrooms U of Bathrooms
Name Address City StatalZip Telephone U Fax f
Name Address city Teleohone U
issuance, also requires the applicant for such permit to file a signed statement that he is licmssd pursuant to the provieioni Of the Contractor's License Law
[Chapter 9. commanding with Section 7000 Of Division 3 Of the Business and Professions Cadel 01 that he is exempt therefrom. and the bask tor the alleged
five hundred dollars 1150011. * - w5- 47w
Name Address City StstelZip Telephone f
Licsnra class (39
Designer Name Address City StatelZip Telephone
State License X
Worked
I have and will maintain B certificate of con6ml to self-insure for workers' campenration as provided by Section 3100 of the Labor Coda. for the performance
of the work for Which this permit is issued.
E 1 have and will maintain Workers' compensation. as required by Section 3100 of the Labor Coda. for the performance of the work for which this permit is
city Business ~iienie f l203lW
!e?@mis
Expiration Date J/7 JOY issued. My worker's co
I".",."CB company Policy No.
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 111001 OR LESS
ier and policy number are:
& CERTIFICATE OF EXEMPTION: I Certify that in the psrformsnca of the work for Which this permit is issued, I shall not employ any person in my manner so 8s
to become subject to the Workers' CampanJstion Laws of California.
WARNING: s up to one hundred thousand d
SIGNATUR , WN
af
I. as owner of the pi~peny or my emplayeer with wages as their sols compensation, wiil do the work and the structure is not intended or offered for 1.1.
ISec. 7044. Business and Professions Coda: The Contractor's License Law doer not apply to an owner ot property Who builds or improver thereon. and who doer
such wbrk 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 ralel.
0 I. 8s owner of the property. am exclusively contracting with licensed conuoctors to CanRrUCl the pmject 1Sec. 1044, Business and Professions Coda: Ths
Contractor's Liesnrs Law doer not apply to an owner of property who builds or improves thereon. and Contracts for such projects with COntractoilSI licensed
pursuant to the Contractor's License Law).
1.
2.
3.
I am exempt under Section
1 personally plan to provide the major labor and materials for.canstrUctian of the Proposed property improvement. D YES ON0
I (have I haw not) signed an application for a building permit for the proposed work.
I have comacted with the following person ffirml to provide the propared Construction finclude name I address I phone number I ContiaCtOrS licen68 number):
Busimrr and Professions Code for this reason:
4. number I contractos license number):
5.
of work):
I plan to provide portions of tha work. but I have hired the following person lo coordinate. Supewise and provide the major work fincluda name I address I phons
I will provide soma of the Work, but I have contranad lhiredl the following parsons to provids the work indicated finclude name I addrsrr I phone number I type
PROPERTY OWNER SIGNATJRE DATE
~COM~~E~E~HlS$EdTION.FOR'NO~~ESlD~~A~ BUlLOiNQ PERMITS'ONLV z." "
Is the applicant or future building occupant required to submit a business plan, %utdy hazardous materids regirttation form or risk management and prevention
program under Sections 25505. 25533 or 25534 of the Predey-Tanner Hazardous Substance Account Act7 YES NO
1% the applicant or future building occupant required to obtain a permit from the air pDllUtion Control district or air quality management district7 YES NO
Is the facility to be constructed within 1,000 feat of the outer boundary of a school Sitn? YES NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUE0 UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REOUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
C~NST~UC~lON~LENDINGTAGEN~
by affirm that there is a constructio
LENOEKS NAME LENDER'S ADDRESS
~~~~~A~~Wc;i\i3f~c~~~l~ic~TioN
I certify that I have read the application and state that the above information is Correct and that the intormation on the plans is accurate. I agree to comply with all
City ordinances and State laws relating to building Construction. I hereby authorize representatives of the Citp of Carlrbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE, INOEMNIFV AN0 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES,
JUDGMENTS. COSTS AN0 EXPENSES WHICH MAV IN ANY WAV 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 conrtmction of Strwlurei over 3 stories in height.
EXPIRATION Every permit issued by the building OHiclal under the provlsions of lhis Code shall expire by limilalion and become null and void if the building or work
authorized by such permit ays from the date of such permit or if iha building or work authorized by such permil Is suspended or abandoned
al any lime after Ihe work 80 days (Section 106.4.4 Unitorm Building Code).
APPLICANT'S SIGNATUR 2 DATE $f7,h4
WHITE File . . YELLOW Applicant PINK: Finance
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDRESS: d92Y /%&Is he
2. TYPE OF BUILDING: RESIDENTIAL % COMMERCIAL
3. ROOF SLOPE: RISE inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one)
5. TYPE OF EXISTING ROOF COVERING <h?k SHEATHING ''K 4
*6. NEW ROOF MATERIAL CoMP
7. NUMBER OF SQUARES dooo?fl.
9. ROOF SYSTEM LISTING UL No. 790 ICBO No.
10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE
@ 2 3 .
CLASSAWEIGHT PER SQUARE
8. TRADE NAME &vX flkk MANUFACTURER h-wj 6w'q .
WEIGHT OF THE PROPOSED ROOF? e NO
All roof coverings are required to be CLASS A. Combustible roof coverings
of any type or classification are Orohibited.
I understand the following inspections are required: 2,
1. Tear OfflPre-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
2
Date //7/dY
Contractor + Owner Contractor Nap kK & 19
*6 - Rolled Roofing, StandardlLite Tile, AsphalUComp Fiberglass, Built up,
Other.
City of Carlsbad Bldg Inspection Request
For: 01/22/2004
Permit# CB040060 Inspector Assignment: JM
Title: JOHNSON RES- REROOF 20 SQRS
Description: REPLACE SHAKE W1 COMP.
Type: MlSC Sub Type: REROOF
Job Address: 2724 ATHENS AV
Suite: Lot 0
Location:
APPLICANT PlVA ROOFING, BOB
Owner: JOHNSON MARK S
Remarks:
Total Time:
Phone: 7608078350
Inspector: J-M
Requested By: BOB
Entered By: CHRISTINE
CD Description
19 Final Structural
Associated PCRs/CVs
InsDection History
Dale Description Act lnsp Comments
0111 512004 I 5 RoofIReroof AP JM OK TO COVER