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Home My WebLink About2756 HIGHLAND DR; ; CB153074; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-17-2015 Miscellaneous Permit Permit No: CB153074 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 2756 HIGHLAND DR CBAD MISC 1561410800 $5,013.00 Subtype: REROOF Status: Lot#: 0 Applied: Entered By: Reference#: Plan Approved: PC#: Project Title: GROSS: RE ROOF 29 SQ ASPHALT SHINGLES Applicant: Owner: Issued: Inspect Area: GLYNN ROOFING 2GROSS4U TRUST 04-30-06 5428 ROCKINGHORSE LN OCEANSIDE CA 92057 760 758-0833 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES 2756 HIGHLAND DR CARLSBAD CA 92008 PERMIT/ INSPECTION ISSUED 09/17/2015 SLE 09/17/2015 09/17/2015 $137.00 $0.00 $0.00 $137.00 Total Fees: $137.00 Total Payments To Date: $137.00 Balance Due: Inspector: FINAL,h,'.PRQ~ Ay- Date: lf J.-'f ( Clearance: $0.00 N.'.JllCE Aease la<e N.'.JllCE tt-at 'W"MI cJ )O.l'!Jtject irdooes Ire "lnµstiorl' cJ fees, declcalicrs, -= er clha' e<a:licr,s -cdlectivay relerrad toas 'Yees'e<a:licrs." Yoo have 00 da)lsfrcmtre-tlis poo,it W!6 issuedto pn:test iTTµStiai cJU--e<a:liCX16 11)00 pn:test tl1err\ )00 rn.sl fdlcmtre pn:test µ-ocecl.ras s<I. lath in <?olaTmrt C.o:le Sectiai 60020(a), and file Ire pn:test and my clha'ra:µred infarraiai wth Ire Oty Mll'{lElf !cr proc:es,;ng in a:xxirdarewth a.lst:al M.ndpa C.o:le Sectiai 3.32.IID. Falueto tin-ely fdlcmtt-at pored.re wll t:<:r my sut>aµ,rt leg, a:tiai to attax re,.,;eN, sa ~00. vtid, a a-ID trer in,:x:s'tion. Yoo ,re herel7y FLRTl-ERt-oTIFIBJttet 'fOJ nif! to pn:test trespecified fees'e<a:licr,s = ~ J'PPL.Yto\\<ier and "'™"cxmectiai fees and~ era-gas, ncr plmng, zaing, g,,clng er ctt.r sml..-,wicaliai proc:es,;ng er se-vioe fees in oomictiai wth tlis !Jtject. r-rn caE IT AFf'L Y to my f wi 'ml Iii Ii . THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMATIAPCD Plan Check No Est. Value Plan Ck. Deposit C'cityof Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SWPPP SUITEt/SPACEt/UNITf CT/PROJECT# # OF UNITS # BEDROOMS # BATHROOMS CONSTR. TYPE OCC. GROUP EXISTING USE PROPOSED USE GARAGE {SF) APPLICANT NAME /'1, ADDRESS CITY STATE PHONE FAX EMAIL STATE UC.# PATIOS (SF) DECKS (SF) FIREPLACE YESD PROPERTY OWNER V J I ,.,_, ....._ 1:1e,,. ADDRESS Cl1Y STAT AIR CONDITIONING Nc0 YES □No □ STATE ZIP FIRE SPRINKLERS YES□No□ (Sec,. 7031.5 Business and Professions Code: Any City or County which requires a permit to_construct, alter, improve, demolish or repair an)'. structure, prior to its issuance, also requires the apphcant for such per_mit to file a signed statement that he 1s licensed pursuant to the provisions of the contractor's llcense Law /Chapter 9, comme_ndin~ with Section 7000 of Division 3 of the Business and Professions Code) or That he is exem9.t therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any apphcanffor a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). WOl!KEl!S' COMPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of perf!l'f one of the following declarations: □ I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by SectlOn 3700 of the Labor Code, for the pertormance of the work for which this pennil is issued, .est I have and will maintain workers~om,;;nsatl~ required bv Section 3700 of the Latx>r Code, for the perfonnance of the wo~ ~ ,;itch is ~rmi! i~ued. My workers' compensation i':rance _:irrier a~ poi:c.y number are: Insurance Co. Si ge P-4 ..., cf Policy No. 0 :J ✓ ✓ ; .,,.,, Expiration oae / ,2 I I J .. ~section need not be completed if the permit is for one hundred dollars ($100) or less LJ Certificate of Exemption: I certify that in the pertormance of the work for which this permit is issued, I shall not employ any person in any manner so as to becOme subject to the Workers' Compensation Laws of California WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to crlmlnal penaltln and clvll fines up to one hundred thousand dollars (&100,0001 in addition to the cost of compensation, damages as ~J-1 for In n 3706 oftha Labor code, interest and attorney's fees. _,6$ CONTRACTOR SIGNATURE ~ I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ □ 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 completion, 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 pro_iecls with contractor(s) licensed pursuant to the Contractor's license Law). I am exempt under Section _____ Busiriess and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. Oves 0No 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 I phone/ contractors' license number): 4. I plan to provide portions of the work, but I have hired the foliowing person to coordinate, supervise and provkle the major work {include name I 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 I phone/ type of work): ,1$ PROPERTY OWNER SIGNATURE □AGENT DATE COMl'Ll!TI! THIS SECTIOI\I FOR 1\101\l•RESIDIII\ITIAI. BUILDIIIIG PIIRMl'tS OI\ILY Is the 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 or 25534 of the Presley-Tanner Hazardous Substance Account ActJ Yes No Is the applicant or future Wilding occupant required to obtain a permit from the air pollution control district or air Quality management district? Yes No Is the f.cillty to be constructed within 1,000 feet of the outer boundary of a school s~? 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 ANO THE AIR POLLUTION CONTROl DISTRICT. I ce,fffythatl have iead the app11catk>n and state that the above infonnatlon ls oonect and that the lnfomlatlon on the plans is accurate. I agree to a>mplywllh all City ordinances and Sta1e laws fefatlng 1D building oonstruction. \ hereby authorize representative of the City of Car1sba:I to enter u~ the aOOve menOOned J)'Operty b" inspedion ~rposes. I .ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CAALSBAD 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: AA OSHA p;innit is required for excavations over SO' deep and demollti:m or roistruction of structures over 3 stories 11 heght. EXPIRATION: Every p;innit issued by lhe Buikl\ng Offcial under the provisbns of this Code shall expire by limitaOCJn and become null and vdd H lhe buikling or v«Jrk authorized by such permit is not rommenced wlhin 100 days from the date ofsWl pannlt or ~the buMl'lQ or\\Ork autho · by such ~nn~ is suspended or abandoned at any time after the 'Mlrk is rommenced for a parkxl of 100days (Section 100.4.4 UnOOITTl Building Ccxle). HS APPLICANT'S S1GNATURE DATE • 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, Califomia 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LlC. No. DELIVERY OPllONS PICK UP: CONTACT (Listed above) OCCUPANT {Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) MAIL/ FAX TO OTHER:----------------~ A$ APPLICANT'S SIGNATURE ASSOCIATEDCB#•------------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESS: .J 7.) (; tfy) /4 YI. Jl Dy" I \.J e_ 2. TYPE OF BUILDING: RESIDENTIAL K_ COMMERCIAL ___ _ 3. ROOF SLOPE: RISE ,f INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 6) 2 3 5. TYPE OF EXISTING ROOF COVERltJG q.pA~/t J,{,~HEATHING (%'L(.,.Jt!Jc)✓ *6. NEW ROOF MATERIAL qJ;/.Jt,r/,,._,( e..cLAss_&_WEIGHT PER SQ. J,_ 7'0 r c7 7. NUMBER OF SQUARES_2_°\~--- 8. TRADE NAME iJvo...l'o_V:,u,... MANUFACTURER O'-'eA 'J Cor-/\./~j 9. ROOF SYSTEM LISTING: UL NO. E'(f .('$'"11/1.c.C.E.S. Report# ASTM _____ _ 10. IS THE EXISTING STRU~ 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. Signatu~d-Date r/4.z4 _r (?ontra~ !x._ Owner ____ Contractor Name J); c /. 4..-f/ C-/ ~-,,., ,..___ ~ I *6. Rolled Roofing, Standard/Lite Tile. Asphalt/Comp fiberglass, Built Up, Other B-10 Page 4 of 4 Rev. 02111 Inspection List Permit#: CB153074 Date lnspectio_n Item 09/29/2015 19 Final Structural 09/29/2015 19 Final Structural 09/23/2015 15 Roof/Reroof 09/23/2015 15 Roof/Reroof Wednesday, September 30, 2015 Type: MISC REROOF GROSS: REROOF 29 SQ ASPHALT SHINGLES Inspector Act Comments PD PD RI AP RI AP PM Page 1 of 1