HomeMy WebLinkAbout2750 INVERNESS DR; ; CB140169; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
01-22-2014 Miscellaneous Permit Permit No: CB140169
Building Inspection Request Line (760) 602-2725
Job Address: 2750 INVERNESS DR CBAD
Permit Type:
Parcel No:
MISC Subtype: REROOF
2081111400 Lot#: 0
Status:
Applied:
Valuation: $0.00 Entered By:
Reference #: Plan Approved:
PC#:
Project Title: RUNNESTRAND RES= 2,300 SF
ASPHALT SHINGLE REROOF
Issued:
Inspect Area:
Applicant: Owner:
KNOX ROOFING CO RUNNESTRAND DANIEL J&SUSAN J
359 SAN DIMAS AV
OCEANSIDE CA 92057
760-4 73-4545
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
PERMIT FEE
2750 INVERNESS DR
CARLSBAD CA 92010
ISSUED
01/22/2014
LSM
01/22/2014
01/22/2014
$118.00
$0.00
$0.00
$118.00
Total Fees: $118.00 Total Payments To Date: $118.00 Balance Due:
Inspector:
FINAL APPROVAL
Date f-t(-lf' Clearance:
$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 132.030. 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
f f hi h h v vi I imil r hi r whi h h f limi i vi I
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BUILD1NG DF1RE DHEALTH 0HAZMAT/APCD ~. Building Permit Application Plan Check No. U1uo10q «1~, 1635 Faraday Ave., Ca~sbad, CA 92008 Est. Value ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov
www.carlsbadca.gov Date I / ;;~:;;1..,11-c,; ISWPPP
JOB ADDRESS
--.le.f'J' P£. r: ..... .A. ,I}, -
SUfTEt/SPACEt/UNITf IAPN
':? 7~/'J /~-. ---
CT/PROJ._,.,, # LOT# TPHASE# l# Of UNITS # BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE OGG. GROUP
DESCRIPTION OF WORK: Include Square Feet of Aft'ected Arell(s) _j) ~ Jl
~cfl"rlJ .,., 6,c,J'n/Vfi-.,f O',()f-~ CJr ;:.?/~/o,,y'4~ w. "/ Do Wooo ,,,.&,:;,A!/,llf /.'4"..c7
• /,:::_//iltle. ~ aJ,-n13() y,ll(J. ~-dr;n,tf/P..,,Y.<11-s,..,,,,4"'(µ..6J,
d-Q D Pf:f~* ~le
EXISTING USE GARAGE (SF) FIREPLACE I PROPOSED USE PATIOS (SF) I DECKS (SF)
YES[},
IAIR CONDITIONING I FIRE SPRINKLERS
No[] YesONoO YesONoO
AP~~ NAME (Prl'!9__Y Contact) r~ APPLICANT NAME (Secondary Contact)
'V -~ .... -~-' ADDRESS ADDRESS
'if'T?I (." .A~ /J, -~ ,,4.,,.,..
CITY~-s~ q_.2-05"7 CITY STATE ZIP . ·--
p~~ ~.r~; IFAX PHONE IFAX t17Y
EMAIL EMAIL
PRO~~TY OWNE~AME CONTRACTOR BUS. NAME
--, . -A---w......-7
ADDRESS
(';-'
ADDRESS
'J :7f't'J hh/c.,,nlJe..r_r
ci,, s~ ZIP CITY STATE ZIP ·r~~.,,,,. ...,~-
PHONE IFAX PHONE IFAX 7/~-<2Q 'tf'(JJ
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE LIC4:).'fD &, '3 I CLASS I Cit'~ 'o'"' <.f ~
(Sec, 7031.5 Business and Professions Code: Any City or Coun.ty which requires a permit to.construct, alter, improve, demolish or repair any structure, i:mor to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law JChapter 9, commending with Section 7000 of Division 3 of the B_usiness and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars {$500)).
WORIUiRS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penal!}' of perjury one of the foJ/owing declarations: D l.114'e and wm maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfonnance of the work for which this pennit is Issued.
[g'j'"have and will maintain workers' compensation, as f'e:!:IUired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
nsmberare: lnsucaace Co. O;,n:r ~ Poley No. 7{)(!,2 6 7() -:?0/'/ E,plratioa Date · o L • a 1 -:lQ/£ 7 ~section need not be completed if the permit is for one hundred dollars ($100) or less. LJ 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 criminal penalties and civil fines up to one hundred thousand dolla1'5 (&100,000), In
addition to the cost of compensation, damage a provided for In Section 370 of the Labor code, interest and attorney's fees.
,g CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason:
D
D
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 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 comple~on, 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 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 License Law).
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. QYes 0No
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 f 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 f address I 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 f phone I type of work):
,a$ PROPERTY OWNER SIGNATURE 0AGENT DATE
I
'
, CQMPLET' T,/,'IS SECTION FOR NON•RESIDENTIAL BUILDING PERMITS ONLY
Is the applicaflt or future building occupant required to submit a business plan~ely 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
Is the applicant or future building occupant required to obtain a permit from th · pollubon control district or air quality management district? Yes A:i;\
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes No 0
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 certify that I have read the appllcatlon and state that the above information Is conect and that the infonnatlon on the plans Is accurate. I agree tD comply with all CHy ordinances and State laws relating ID building construction.
I hereby authorize representative of the City of Carlsbad to enteruJ'.X)l1 lhe aOOve mentioned proi:ety tlr inspectkln puflX)SeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST All LIABILITIES, JUOOMENTS, COSTS AND EXPENSES WHICH MAY IN AfN WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: AA OSHA pennil is requred brexcavations over 5'0' deep and demolitKln or coostruction of structures over 3 stories in helJht.
EXPIRATION: Every permit issued by the Buikiing Offk'.ia1 under the pro'visKlns of this Code shall expire by limitatk:Jn and oocome null and void if the t:oikiing orv.ork authorized by such permit is not runmenced v.ithin
180 days from the dale of sl.dl permit or if the building or \\Ork authorized by su permit is suspended or abandoned at any time after the v.ork is oommenced for a !):lriod of HlO days (Section 106.4.4 Uniform Building Code}.
65 APPLICANT'S SIGNATURE
• STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed abov
CONTRACTOR (On P. . 1)
MAIL TO: CONTACT (Listed ·~boveJ
CONTRACTOR (On Pg. 1)
OCCUPANT (Listed above)
OCCUPANT (Listed above)
MAIL/ FAX TO OTHER: _______________ ~
,65 APPLICANT'S SIGNATURE
CO#: (Office Use Only)
OCCUPANT NAME
BUILDING ADDRESS
CITY STATE ZIP
Carlsbad CA
OCCUPANT'S BUS. LIC. No.
ASSOCIATED CB#-------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
2. TYPE OF BUILDING: RESIDENTIAL V COMMERCIAL ___ _
3. ROOF SLOPE: RISE % INCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 1 @ 3
5. TYPE OF EXISTING ROOF COVERING UWfR'/'J SHEATHING~
*6. NEW ROOF MATERIAL Uzm/112 CLASS A WEIGHT PER SQ.;?4-'t?
7. NUMBER OF SQUARES Z?,p-
8. TRADENAME__,v.~/J.~~:;:: ___ ~MANUFACTURER _______ ~
9. ROOF SYSTEM LISTING:
UL NO. ,ef!'.tR lz'.Z( I.C.C.E.S. Report# _____ _
ASTM _____ _
1 O. IS THE EXISTING STRUC~ 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.
B-10
I understand the following inspections are required: (!) 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 fl{,~
Contractor V Owner _____ Contractor
Date I ~ .J.,?-, -/ l'./
*6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other
Page 4 of4 Rev. 02/11
Inspection List
Permit#: CB140169
Date Inspection Item
07/25/2014 19 Final Structural
07/25/2014 19 Final Structural
01/23/2014 15 Roof/Reroof
Thursday, July 31, 2014
Type: MISC RE ROOF
Inspector Act
PB
PB
RI
AP
AP
RUNNESTRAND RES= 2,300 SF
ASPHALT SHINGLE REROOF
Comments
8-10PLS
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