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Home My WebLink About2725 JEFFERSON ST; MULTI-PERMIT FILE; CB101999; Permit10-28-2010 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB101999 Building Inspection Request Line (760) 602-2725 2725 JEFFERSON ST CBAD MISC Subtype: REROOF 2031104500 Lot#: 0 $15,795.00 RE-ROOF PROFESSIONAL BLDG 11,700 SF BUil T UP ROOFING ASTM # M4AHA Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/28/2010 RMA 10/28/2010 10/28/2010 VISTA ROOFING CO. INC. HYSPAN PRECISION PRODUCTS INC EMPLOYEE BENEFITS C/0 CMG INC 145 W BROADWAY VISTA,, CA 92083 619-726-6460 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOT AL PERMIT FEES Total Fees: $288.00 PO BOX 636 VISTA CA 92085 PERMIT FEE Total Payments To Date: $288.00 FINAL APPROVAL Date: "'2.,,9 ~ ol>{ #()U $288.00 $0.00 $0.00 $288.00 Balance Due: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your pro1ect 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 Ille 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 NOTIFlcD that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, gral11ng or other similar application processing or se1vice fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which vou have o,eviouslv been oiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exDlred. «1~ ~ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www.carlsbadca.gov JOB ADDRESS ,i ) ') ;--J--_.i"' • a1-ot .:::> -fl/ P,f .Jo /v CT/PR 1ECT# EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) CONTACT NAME (If Different Fom App/leant) APPLICANT NAME ADDRESS Est. Value Plan Ck. Deposit NESS NAM FIREPlACE YESD #_ NO D /J,·vn :}/ J 7 SWPP AIR CONDITIONING YES O NOD FIRE SPRINKLERS YESD NOD CITY STATE ZIP CITY STATE (14. ZIP PHONE FAX PHONE FAX EMAIL EMAIL PR PERTY OWNER N E L j .J ~l,ve./r(vtfth) OC l,.vOO'f c,~J CONTRACTOR BUS. NAME l/i ;ts Co. In,, ADDRESS -,Lr J. );). 5 J • 1/ p,< Sot-' DDRESS (?o. /Jox 1/J) ZIP ITV V.d/,f STATl ZIP 'JdOj) A. CITY STATE PHONE 71,0-,;o -'/5 J 0 FAX ONE 7(0 • /;l ,-/,Lj (0 FAX 7, 0 "};JI,-6ijt6 EMAIL MAIL 11/ffaroo/;"r, € COY., 11-4.r ARCH/DESIGNER NAME & AOORESS STATE UC.# STATE UC.# 31~'7'-II (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair 811}1 structure, to its issuance, requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contracto(s License Law (Chapter 9, cornme ing with Section 7000 of Division 3 of the Business and Professions Code) or !hat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). ! VII ORK ER S • COMP ENS AT ION ~"' ' . ',·"+4·~·· '.• • 'I '~' ~Rf ~ Workers' Compensation Declaration: I herllby affirm under penalty of peljuty ona of the folowing dedalalions: 0 I have and wll maintain a certificate of consent to Hff-insul'9 for workers' compensation as provided by Section 3700 of lhe Labor Code, for the performance of the work lor which this penn it is issued. 0 I have and wlH maintain workers' compensation, as requir,d by Section 3700 of the Labor Codi, for the performance of the work for which this penntt is issued. My workers' oompensalion inslnnce carrier and policy ~ llll!lberare:lnsuranceCo. /"1}4/e £uY1J PolicyNo. J90'(/;). J-:2()/0 ExpirationDale o/-0/-.J.O/I · This section need not be completed if the permit is for one hundred dolla111 ($100) °' less. 0 Certificate of Exemption: I certify that in the performance of lhe work for which this petmit is issued, I shall not em~ any person in l1IT'/ manner so as lo become subject to the Workers' Compensation Laws of California. WARNING: Failu,. to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and cMI finl1 up to one hundrld thousand dolln (&100,000), in addition to the cost of compensation, da in Section 3706 of the Labor code, lnterett and attorney's fffl, A$ CONTRACTOR SIGNATURE I herllby affirm that I am axempt from Contracto(s License Law for the following raason: D I, as owner of the property°' my employees with wages as their sole compensation, will do the WOik and the structure is not inlended °' offered fOf sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply lo an owner of property who builds °' improves thereon, aod who does such work himself °' through his own employees, provided fiat such improvements are not inlended °' offeted for sale. If, however, the buildilg °' improvement is sold within ona yeat of completion, the owner-builder wil have the burden of proving that he did not build°' improve for the plKJ)OS8 of sale). Cl i, as owner of the property, am exclusively contracting with licensed contractors lo construct lhe project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply lo an owner of property who builds°' improves thereon, and contracls for such projects with contractOl(s) licensed pusuant lo the Contraclor's Ucense Law). D I am exempt under Saction Busiless and Professions Code for this reason: 1. I pe!SO!lally p(an to provide lhe major labor aod materials f(l( construction of the proposed property improvement D Yes D No 2. I (have I have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the follov.ing pe!SOll (finn) to provide the proposed construction Unclude name address I phone I contractors' license number): 4. I plan lo provide portions of the work, but I have tired the following person i> ooordinate, super;ise and provide lhe majOf wort (mdude nMle / address I phone I contracin' license llllllber): 5. I wil provide some of the work, but I have contracted (hin,d) the followilg per10llS to provide the work indicated ~nclude name I address I phone / lype of wort): A$ PROPERTY OWNER SIGNATURE ClAGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is lhe applicant°' Mure building occupant required lo submit a business plan, acutely hazaldous materials registration form or risk management and prevention program under Sections 25505, 25533 0( 25534 d hi .Presley-Tanner Hazadous Subslanc::e Accourt Ad? a Yes a No . Is the applicant°' future building occupant required to obtain a pel11lit from lhe air polution conrol district°' air quality management district? a Yes a No Is the facility lo be constructed within 1,000 feet d the outer boundary of a school sile? a Yes a No F 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 ANO THE AIR POLLUTION CONTROL DISTRICT. I certly that I have iead the appication and slate that the abcM! infonnation Is cooect and that the inlonnation on the plans Is acante. I agJee to comply wllh aN City oldlnances and Stale lllws lelatinCID building constnldion. I hereby auflorize represenlawe ol lhe City' ol Carlsbad kl enter upon lhe above menooned property for JlSpedoo p.,poses. I ALSO AGREE TO SA VE, lt-OEMNIFY ANO KEEP HAIM.ESS THE CITY CF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS At-0 EXPENSES WHICH MAY IN mY WAY ACCRUE AGAINST~ CITY IN CONSEQUENCE CF THE GRANTNG CF THIS PERMrT. OSHA: AA OSHA permi is ~ b excavatioos CN« 5'0' deep and demolition °' oonstrucoon ol sbuci.les CN« 3 sbies il ~ EXPIRATION: Every pe!TTlil issued by lhe Blilding Ofli:ial under lhe provisms of this Code shaH expire by limation and become nul and -.tid l lhe buidilg °' work autiortl8d by such permi is not c:ommenced v.fll 180 days iom lhe dale ol such pemil ex ij lhe buidi1g ex work~ by such permi is suspended ex abandoned at atry line after Ile work is c:ommenced b a period ol 180 days (Secbl 106.4.4 lnbm &tilg Code~ ~ APPLICANrs SIGNATURE ~ DATE / O -c),, f · / 0 Jnspection List Permit#: CB101999 Date Inspection Item 07/28/2011 19 Final Structural 07/27/2011 19 Final Structural 07/27/2011 19 Final Structural 07/13/2011 15 Roof/Reroof Type: MISC 07/13/2011 92 Compliance Investigation Friday, July 29, 2011 REROOF Inspector Act MC Fl RI MC co MC PA MC PA RE-ROOF PROFESSIONAL BLDG 11,700 SF BUILT UP ROOFING ASTM # M4 Comments WORK DONE AT EAST 1/3 OF BLDG ONLY. NO WORK AT CENTER AND WEST SIDE PER CONTRACTOR NO SUPER, NO CARD MINOR DECK REPAIR AT EAST SECTION ONLY NO CARD ON SITE Page 1 of 1 B-10 REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESS: ---------------------- 2. TYPE OF BUILDING: RESIDENTIAL COMMERCIAL )( --------I II --3. ROOF SLOPE: RISE l.f INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) ~ 0 5. TYPE OF EXISTING ROOF COVERING jJ~'JJ-e. SHEATHING /JJ'ltv0 <>4 *6. NEW ROOF MATERIAL 1-/-;:J/_,J ;J. rJ.tt' CLASS J4 WEIGHT PER SQ. -- 7. NUMBER OF SQUARES ))) ------- 8. TRADE NAME_(j_. tJ._._lf_. ___ MANUFACTURER (JJ1J/1Jtff<2_.1 9. ROOF SYSTEM LISTING: UL NO. ______ I.C.C.E.S. Report# _____ _ ASTM ------ 1 O. IS THE EXISTING STRUCTURAL 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 ~ ~ Date J0·:2/{·/0 -/ Contractor Owner Contractor Name 1h jfk /foo,c;h, {a.h< · .:> *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglas8 Other Page 5 of 5 Rev. 03/09 LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provi- sions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes- sions Code, and my license Is in full force and ef- fect. ~ OWNER-BUILDER DECLARATION ereby affirm that I am exempt from the Con- or's License Law for the following reason (Sec. 7031.5 Business and Professions Code), Any city or county which requires a permit to con- struct, alter, Improve, demolish, or repair any structure, prior to its Issuance also requires the applicant for such permit to Ille a signed state- ment that he Is licensed pursuant to the provi- sions of the Contractor's License Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that Is ex- empt therefrom and the basis for the alleged ex- emption. Any violation of Section 7031.5 by an ap- plicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 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 of- fered for sale (Sec. 7044, Business and Profes- sions 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 of- fered for sale. if, however, the building or improve- ment 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). '.JI, as owner of the property, am exclusively con- tracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not ap- ply to an owner of property •ho builds or im- proves thereon, and who contracts for such pro- jects with a contractor(s) license pursuant to the contractor's License Law). I am exempt under Sec. , B. & P.C. for this reason _____________ _ Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of con- sent to self-Insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Labor Code). POLICY NO. ____________ _ COMPANY ____________ _ OCopy Is flied with the city. D Certified copy Is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed If the per- mit Is for one hundred dollars ($100) or less). I certify that In the performance of the work for which this permit ls Issued, I shall not employ any person In any manner so as to become subject to the Workers' Compensation Laws of California. NOTICE TO APPLICANT: If, after making this Cer- tificate of Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY t hereby affirm that there Is a construction len- ding agency for the performance of the work for which this permit Is Issued (Sec. 3097, Civil Code). USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 ~?i~1 d~~~~-ffl'-'fTfr1 ~,'1 I I I I I i~//-0¥:Ll~ION JOB ADDRESS I I I I I I I I I O,fER ~ \I • .//... " ~~ ""/ M~ ~ OWNER' 5 PHONE PRIME CONTRACTOR ,,a.-,A~ o'\lNER,, ..._ I 1 CONTRACTOR'S ADDRESS LOT TsLocK jsusD1v·1s,o·N I AssEssoR's PARCEL No. I t I I I I I DESIGNER I I I I DESCad'lttRK~ ,"'lf~ ~ • DESIGNER'S ADDRESS ~~~ cJ CENSUS TRACT 7 GP LAND USE ZONING APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. BUS. LICENSE STATE LICENSE CONTRACTOR'S PHONE STATE LICENSE DESIGNER'S PHONE PERMIT NUMBER 79-SWJ I a 7 J 'I r: . ' I RES. UNITS 1 PARKING SPACE 1 NUMBER Of STORIES Not Valid Unless Machin, Cartifilld BLDG SQ. fT. BLDG USE QTY.I PLUMBING PERMIT EACH FIXTURE TRAP EACH BUILDING SEWER EACH WATER HEATER AND/OR VENT EACH GAS SYSTEM 1 TO 4 OUTLETS EACH GAS SYSTEM 5 OR MORE EACH INSTAL., ALTER, REPAIR WATER PIPE EACH LAWN SPRINKLER SYSTEM WATER SOFTNER TOTAL PLUMBING CONTRACTOR QTY. ELECTRICAL PERMIT NEW CONST EA AMP/SWT/BKR 1 PH .25 EXIST BLOG EA AMP/SWT/BKR 1 PH .25 REMODEL/ALTER PEA CIRCUIT TEMP PO LE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DAYS) TOTAL ELECTRICAL CONTRACTOR 3 PH 3 PH occ. GP I ST AND ARD PLAN II I PLAN ID II I TYPE CONST AMT. QTY. MECHANICAL PERMIT INSTALL FURN. DUCTS UP TO 100,000 BTU OVER 100,000 BTU BOILER/COMPRESSOR UPTO 3 HP BOILER/COMPRESSOR 3-15 HP BOILER/COMPRESSOR 16-30 HP VENT FAN SINGLE DUCT MECH EXHAUST -HOOD/DUCTS RELOCATION OF EA FURNACE/HEATER TOTAL MECHANICAL CONTRACTOR AMT. QTY. MOBILE HOME PERMIT AWNING PORCH SET-UP RAMADA, CABANA FENCE OVER 6' TOTAL MOBILE HOME AMT. AMT. I occ. LOAD l c,_,ir/ dO ~ ~(!) ~~ BUILDING PERMIT SIGN PERMIT PLAN CHECK ALL INCLUSIVE PERMIT II TOTAL PLUMBING ELECTRICAL MECHANICAL MOBILE HOME --SOLAR -- -- --MICO-FILM TOTAL FEES PAYABLE l l I L L l L L L r~-~: I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, COUNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM- LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER 5'-0" DEEP AND DEMOLITION OR CONSTRUCTION OF ST VER JSTORIES IN~ ( ~ /} OF THE GRANTING OF THIS PERMIT. APPLICANT'SSl~~URE." OWNERO CONTRACTORO rPPROV::w- AGEN~ BY PHONED , ! < 0 ~ ~i ~~ I I · I I I . I I I . I I I . I I I . I I I . I I I . I I I . I I I , I I · I , I I I . I 117.g DATE /A?~~ -SITE ,, .... _. #' I ~' , .. ~ . -,> t' c;. • ,--:..,. ADDRESS: . OWNER: ,,I PERMIT NO: ' . '"' r. _...--:; '-~ .. ''ii<;.""'~ FIELD INSPECTION RECORD • .. --'"·' ,; ~ ... ' INSPECTION DATE INSPECTOR INSPECTOR'S NOTES , . , _} WOOD FLOOR ' FOUNDATION• FORMS• SET BACK• TOILET UNDER FLOOR PLUMBING . --:c • ::: ....... o' --. -;;:. UNDER FLOOR HEATING ~\._ ~_\;j: ~,,~ ,• '~'l,...,-~ . ,;.. :· -··. .... t·, """·· l' I , .»-.. ~ .;....: ..... , . .,) OK TO INSTALL SUB FLOOR .. -. ,.:,· , .. '· I _ __>-I, ..t'".a,-~~~ t~I!-. • Ip :'\_ -;:,-,.\ ~ ,t -~ -'l, __ ,.,.. -· ,· SLAB FLOOR ,, UNDER SLAB PLUMBING FOOTING• FORMS• SETBACK• TOILET OK TO POUR CONCRETE ... -FRAME ROUGH ELECTRICAL ROUGH PLUMB! NG , ROUGH HEATING/VENTILATING FRAME OK• PLACE INSULATION INSULATION OK • PLACE WALLBOARD - WALLBOARD OK• PLACE TAPE ·-..... EXTERIOR LATH OK • PLACE STUCCO .... FIREPLACE . DAMPER & STEEL PLATE Tl Es/HEIGHT OF CHIMNEY OTHER TEMP POWER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING - • PRE DECK • FENCE PREPLASTER SHOWN • FRAME • PAN FINAL INSP BY BLDG DEPT OTHER OEPT'S REQ COMPLETED ELEC METER-PERM-TEMP GAS METER-PERM-TEMP •, '.{' ------::--••• ,,z_ -: i' .L " ' . '"' 1-'i /", CERT OF OCCUPANCY ISSUED ,, • r~-r • , !., ; r _, ..... ., • "':c..-- '