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Home My WebLink About2745 LA GRAN VIA; ; CB102029; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-02-2010 Miscellaneous Permit Permit No: CB102029 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 2745 LA GRAN VIA CBAD MISC 2163200400 $3,042.00 Subtype: REROOF Status: Lot#: 0 Applied: Entered By: Reference #: Plan Approved: PC#: Project Title: Applicant: SAL TERNIK: 2400 SF SHAKE TO COMP SHINGLE Issued: Inspect Area: Owner: KACHINA BUILDERS AND CONTRACTORS INC. SAL TERNIK DORIS B TR 241 WOODLAND DR 92083 535-8925 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE 27 45 LA GRAN VIA CARLSBAD CA 92009 Total Fees: $106.00 Total Payments To Date: $106.00 Inspector: /11-~ .. FINAL AfPROVAL Date: Llfi../,,. Balance Due: Clearance: ISSUED 11/02/2010 JMA 11/02/2010 11/02/2010 $106.00 $0.00 $0.00 $106.00 $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 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 right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection lees 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 nreviouslv been niven a NOTICE similar to this or as to which the statute of limitations has nreviousl11 otherwise exnired, ( «1~ ¥ CITY OF Building Permit Application 1635 Faraday Ave., carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Plan Check No. C 0 Est. Value Plan Ck. Deposit CARLSBAD Fax: 760-602-8558 www.carlsbadca.gov Date / z_.{ ,o SWPP JOB PROPOSED USE (H Different Fom Appl/cant) ADDRESS CITY STATE PHONE FAX EMAIL ARCH/DESIGNER NAME & ADDRESS F UNITS # BEDROOMS GARAGE (SF) ZIP STATE UC.# SUITE#/SPACE#/UNIT# APN #BATHROOMS TENANT BUSINESS NAME 2-'-foo sF CONSTR. TYPE OCC. GROUP FIRE SPRINKLERS YES D NO □ {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 its issuance, also requires the applicant for such permit to file a sl~ned statement that he is licensed pursuant to the provisions of the Contractor's license Law /Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or [hat he is exem~t therefrom. and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicanffor a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). WORKERS' COMPENSATION Wor~pensaUon Declaration: / hereby affllm under penalty of perjury one of the folJO'Mng declarations: ~ have end will maintain a certificate of consent to self-insure for work8f'S' compensation as provided by Section 3700 of the Labo, Code, for the pe,formance of the work for which lhis permit Is Issued. 0 I have and wlll maintain workers,mpen~!'• as r'lred 1ljlioo 3700 of the Labor Code, for the performance of n~'ts perm~ssoed. My workers' =a: Insurance 7.. r policy number are: Insurance Co. s IJ ! s::.. l,J O Policy No. 00 -• r Expiration Date I I ,, This section need not be competed iflhe permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the performance of the woril. for which this permit is Issued, I shall not employ any person in any manner so as to become suti,ect to the Workars' Compensation laws of california. WARNING: Failure to secure workera' compensation coverage Is unlawful, and shall subject an employer to criminal penaltles and civil finn up to ant hundred thousand dollara (&100,000). In addHlon to the cost of compensation, da ages as pro eel for in ion 706 of the Labor code, Interest and attorney's fen.~ _65 CONTRACTOR SIGNATURE 111-'""'I/'\ ~GENT I, as owner of Iha property or my employees Yoith wages as their sole compensation, wiH do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Conlractors 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 offfld for sale. tf, however, the building or improvement is sold within one yell' of completion, the owner-builder Yoill have the burden of proving Iha! he did not build or improve for the pUf1)018 of sale). □ I, as owner of the property, am exdusive1y contracting with licensed contractors to construct lhe 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 License Law). □ I am exempt under Section ----~,usiness 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 / have not) signed an application for a building permit for lhe proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone/ contractors' license number): 4.1 plan to provide portions ol the work, but I have hired the following person to coordinate, supeNise and provide the maior work (include name/ address/ phone I contracol' license number): 5. I wi" provide some of the work, but I have cootracted (hired) the lolkMing persons to provide the work indicated (include name/ address I phone/ type of work): AS PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY ' Is Ille 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 Of 25534 of the Presley-Tanner Hazardous Substance Account Ad? □ Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quali ly management dislricl? □ Yes □ No Is lhe facility to be constructed within 1,000 feet of lhe 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. co NS T ff UC TIO N. LE III D.J N G\.i-1 G i. N Cf)If I hereby affirm that there 1s a construction lending agency for the performance of the work this pemiit is issued (Sec 3097 (1) Civil Code) Lender's Name Lender's Address APPLICANT •CERTIFICATION I certify that I haYe read the appllcatlon and state that the aboY& infonnatlon Is col1'8Ct and that the lnfolTl'lation on the plans Is accurate. I agree to comply with all City on:linances and State laws relating ID buMdlng c:onstnJclkln, I hel1!by aumize represenlative of '1e City of Carlsbad lo enter upon Ille above trentioned property lo< i1specliJn pcrposes. I ALSO AGREE TO SAVE, l~NIFY #ID KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LLI\BILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN AfNWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required br excavaoons over 5'0' deep and demolition or constructi:ln of sln.lchlres over 3 stJries i'l height. EXPIRATION: Every pennit issued by lhe Buikling Of&:ial under lhe pl'O\'isions of this Code shall expire by tinitalion and become ool and \/00 if flEl buidh;! or 'MXk authorized by sud'1 penrit is not cxmnencecl 'Mtil 180 days tom tie date of sud, pemit a · buldh;! or a · peimlt is suspended or abandooed at any time aflar lhe 'MJfk is rommenced for a peood of 180 days (Secti:>n 106.4.4 lnbm B.Jikilg Code). AS APPLICANT'S SIGNATURE OATIS l/1 B-10 REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESS: f/.,] Lf S-, l lJ= y /2 fHl (JI Jt 2. TYPE OF BUILDING: RESIDENTIAL '/ COMMERCIAL ___ _ 3. ROOF SLOPE: RISE____!j__ INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 'if) 2 . 3 5. TYPE OF EXISTING ROOF COVERING 5 lfl):'f f, SHEATHING ,S/-: / P *6. NEW ROOF MATERIAL L0Hf2G~1 S:1JoµCLASS_lLWEIGHT PER SQ. 1t,lt(} 7. NUMBER OF SQUARES_,fy'---_,f'------ 8. TRADE NAME p J) j? I) 11 41:J MANUFACTURER OW#MS UJf-lNJ{Jq 9. ROOF SYSTEM LISTING: ULNO. J9 0 ASTM jJ 1,L(l.§ (l I.C.C.E.S. Report# _____ _ 10. IS THE EXISTING STRUCTURAL~ 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. s;goarurn h •~ f i, Date JJ, II,· I (l Contractor ¥ Owner ____ Contractor I Name Iv M,H I e l:J *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other Page 5 of 5 Rev. 03/09 •. m City of Carlsbad Bldg Inspection Request . . Permit# CB102029 For 11/09/2010 Title: SAL TERNIK: 2400 SF SHAKE TO Description: COMP SHINGLE Type:MISC Sub Type: REROOF Job Address: Suite: Location: 2745 LA GRAN VIA Lot: OWNER SAL TERNIK DORIS B TR Owner: SAL TERNIK DORIS B TR Remarks: P M PLEASE Total Time: CD Description 0 Act Comments Inspector Assignment: MC --- Phone: 7605183243 Inspector: __ M~1., __ Requested By: JERRY Entered By: CHRISTINE 19 Final Structural ~-------- Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments 11 /03/201 0 15 Roof/Reroof PA MC NEW OSB OVER EXISTING SKIP SHEATHING