HomeMy WebLinkAbout2744 BANFF CT; ; CB132335; Permit09-26-2013
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Miscellaneous Permit Permit No CB132335
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Valuation
Reference #
PC#
Project Title
2744 BANFF CT CBAD
MISC
2081023400
$3,003 00
Subtype REROOF
Lot# 0
BRIERLEY RES- 2200 SF COMPOSIT
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
09/26/2013
RMA
09/26/2013
09/26/2013
Applicant
PIVA ROOFING, BOB
1192 INDUSTRIAL AV
ESCONDIDO, CA 92029
619-745-4700
Owner
BRIERLEY ARVENE MARIE REVOCABLE TRUST 05-24-95
2744 BANFF CT
CARLSBAD CA 92010
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
PERMIT FEE $118 00
$0 00
$0 00
$118 00
Total Fees $118 00 Total Payments To Date $118 00 Balance Due $0 00
Inspecto
FINAL APPROVAL
Date /^-/5"V? Clearance
NOTICE Please take NOTICE ttiat 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 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
You are hereby FURTHER NOTIFIED that your nght 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/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously othenivise expired
yy CITY OF
Building Permit Application
1635 Faraday Ave , Carlsbad, CA 92008
760-602-2717 /2718 /2719
Fax 760-602-8558
www carlsbadca gov
Plan Check No.
Est Value
Plan Ck. Deposit
Date Ct
JOB ADDRESS
|'oT# I PHASE It |#OFL
SUirE«/SPACE#/UNIT#
SWPPP
CT/PROJECT # PHASES # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP
DESCRIPTION OF WORK Include Square Feet of Affected Area(s)
:r^SrAii -i^Zdj F/^^U^^s , Oi^^ 3^c^- ^rcffcr- ^
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YEsj |# Noj 1 YESQNOQ YES| |NO| 1
CONTACT NAIVIE (If Different Fom Applicant) APPLICANT NAME^^^^ .^ ^ /' OlS^
ADDRESS ADDRESS "~ / • yi /
CITY STATE ZIP CITY STATE ZIP _
PHONE FAX PHONE , . , _ .
EMAIL EMAIL
PROPERTVO^NE^NAI^^^ 6^/^^^^ CONTRACTOR BUS NAIV1E_ 1 /5 /* '
ADDRESS _ .
Z-7 W 4 i?,^ff cJr-
ADDRESS . . ^ ' . \J
CITY 1 , STATE ZIP , CITY STATE ^IP ^ Q
FAX PHONE ,^
EMAIL EMAIL
ARCH/DESIGNER NAME* ADDRESS STATE LIC # STATE LIC« _ /-« CLASS CITY BUS LIC#_ /
(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 issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions ofthe Contractor s License Law (Cnapter 9 commending with Section 7000 of Division 3 ofthe 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 applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500})
"si --u
Workers' Compensation Declaration / hereby affirm under penalty of perjury one ofthe following declaiations
• I have and will maintam a certificate of consent to self insure for workers compensation as provided by Section 3700 of the Latior Code for the performance of the work for which this permit is issued
have and will maintain workers^cqmpenEation asieguired by Section 3700 of the Labor Code for the performance ojthe mrk for w[jich tksiiMmJjs issueO^y workers compensatii
''^^ " 0-1^4^ V-W> Policy No to 3 / --^SZ>7/fc>3-'/3 Expiralm Date number are Insurance Co _
;qii instance/earner and poky
This section need not be completed if the permit is for one hundred dollars {$100) or less
I I 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 to the Workers Compensation Laws of
California WARNING Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to cnminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damans as provided for in Section 3706 ^Hh«^abor code, interest and attorney's fees
JS^ CONTRACTOR SIGNATURE • AGENT DATE
I hereby affirm that I am exempt from Contractor's License Law for the following reason
I I I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is nol intended or offered for sale (Sec 7044, Business and Professions Code The Conlraclor'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, Ihe owner builder will have the burden ol 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) licensed pursuant to the Contractor s LK ense Law)
I am exempt under Section Business and Prolessions Code lor this reason
1 I personally plan to provide the major labor and matenals for construction of the proposed property improvement [^Yes I |No
2 I (have / 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 / phone / 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 / address / phone / contractors' license number)
5 I will provide some of the work but I have contracted (hired) the following persons lo provide the work indicated (include name / address / phone / type of work)
•
•
PROPERTY OWNER SIGNATURE QAGENT DATE
Is the applicant or future building occupani required lo submit a business^lari, acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505, 25533 or 25534 of the ss plan
Presley Tanner Hazardous Substance Account AcP | | Yes I iNo
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or airgualilv management distncP
Is Ihe facility to be constructed wittiin 1 000 feet of the outer boundary of a school site'' CUYes I I 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
r~lYes I I No
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code)
Lender's Name Lender's Address
j{>'
I certify thati have read the application and state thatthe above mformaton IS correctandthatthe information on the plans IS accurate I agreeto comply with all City ordinances and State laws relatiiigto building constmction
I hereby authorize representative of the City of Carlsbad lo 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 AND EXPENSES WHICH MAY IN ANY WAY 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 stones in height
EXPIRATION Every permit issued by the Building Offiaai under fhe provisions of this Code shall expire by limitation and become null and void if fhe building or work authorized by such permil is not oommenced wifhin
180 days from the date of such permit or if the building or work authonzed by such permit is suspended or abandoned at any lime after Ihe work is commenced for a penod of 180 days (Section 106 4 4 Uniform Building Code)
^APPLICANT'S SIGNATURE DATE
for a penod of 180 days (9ecti(
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
1 JOB ADDRESS Dl^^ & f f
2 TYPE OF BUILDING RESIDENTIAL COMMERCIAL
3 ROOF SLOPE RISE 5^ INCHES IN 12 INCHES
4 NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) ^23
5 TYPE OF EXISTING ROOF COVERING Cc/^^^ - SHEATHING
*6 NEW ROOF MATERIAL CJ^^^ CLASS A WEIGHT PER SQ Zg>0
7 NUMBER OF SQUARES
8 TRADE NAME Si-y-v^^/^ MANUFACTURER (^n/^K^
9 ROOF SYSTEM LISTING
UL NO I C C E S Repoi1# ^ S/^ / 3 7
ASTM
10 IS THE EXISTING STRUCJUEAUDESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE
PROPOSED ROOF? ("^S ) 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 i
Date
i
Contractor ^ Owner Contractor
Name ^/h/>^^l^afca- ^-'>h P\J^ ^t.^^^
*6 Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other
B-10 Page 4 of 4 Rev 02/11
Inspection List
Permits CBI 32335 Type MISC REROOF BRIERLEY RES-2200 SF COMPOSIT
Date Inspection Item
10/10/2013 19 Final Structural
10/10/2013 19 Final Structural
10/01/2013 15 Roof/Reroof
Inspector
PB
PB
Act
RI
AP
AP
Comments
BRIERLEY RES
Tuesday, October 15, 2013 Page 1 of 1