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Home My WebLink About2762 Southampton Rd; ; CBR2017-2808; Permit(City of Carlsbad Residential Permit Print Date: 03/21/2018 Permit No: CBR2017-2808 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 2762 Southampton Rd BLDG-Residential 2081403200 $3,688.86 Work Class: Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Reroof Status: Applied: Issued: Permit Fina led: Inspector: Closed -Finaled 11/22/2017 11/22/2017 MColl Plan Check #: Final Inspection: 3/21/2018 9:09:47AM Project Title: Description: HASTINGS: RE-ROOF 21 SQUARES COMP SHINGLES Owner: SHARON G HASTINGS 2762 Southampton Rd CARLSBAD, CA 92010-2898 Contractor: PREMIUM ROOF SERVICES 659 Grand Ave SPRING VALLEY, CA 91977-5010 619-239-8880 BUILDING PERMIT FEE ($2000+) BUILOING PLAN CHECK FEE (BLDG) 561473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-RESIDENTIAL Total Fees: $106.46 Total Payments To Date: $106.46 Balance Due: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." 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 fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES lT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. $0.00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov $61.74 $43.22 $1.00 $0.50 ' .' { Cicyof Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 780-6024719 Fax: 760-602-8558 email: bulldlng@carlsbadca.gov www.carlsbadca.gov Plan Check No. L.. ,r!JLJDI 1-;)3Cf? Est. Value Carlsbad Date JOB ADDRESS fl.d. SUITE#/SPACE#/UNIT# CT/PROJECT# LOT# # OF UNITS # BEDROOMS # BATHROOMS CONSTR. TYPE -OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESD #_ NOD YES O NOD YES O NOD PROPERTY OWNER NAME ADDRESS ADDRESS (i,<;'1 (qfld ~ 2"71o2 ZIP et2.010 DESIGN PROFESSIONAL NAME STATE ZIP --,-C~l~TY~--STATE I FAX PHO§tr.',d --~\)~"'~1~U+-/-~~AX f---------------~-------------+~(Q(_q~, 7..3'1-8~80 [ EMAIL PHONE ZIP ,rrr7 CITY EMAIL STATE UC.# STATE LIC.# ~ 9'( '7 8 {) (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 per.mit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License LawJChapter 9, commending with Section 7000 of D1v1sion 3 of the B_usiness and Professions Code} or [hat he is exem_Rt therefrom, and the basis for the alleged exemption. Any v1olat1on 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)). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby afflrm under penalty of perjury one of the following declarations· l:l I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 153 r have and will main lain workers' compe salion, as required 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 number are: Insurance Co. ' Policy No. ~Q.IAJL. 'i \l S'-( q Expiration Date '3s r' /j' This section need not be completed if the permit is for one hundred dollars ($100) or less. l:l Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Galifornia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred lhousand dollars (&100,000), in addition to the cost of compensation, damages as ed for in Section 3706 of the Labor code, interest and auorney's fees. ,,6$ CONTRACTOR SIGNATURE I hereby afflrm that I am exempt from Contractor's License Law for the following reason: ['.] 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 projects with contrac\or(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. ['.] Yes C'.l No 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 I contractors' license number): 4. \ plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide 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 I type of work): ,.,/1$ PROPERTY OWNER SIGNATURE OAGENT DATE .t:OMPLETE THIS SECTION FOR NON-R-ESIDENTIAL BUILDING PERMITS ONLY 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 Act? 0 Yes O No Is the applicant or future building occupant required lo obtain a permit from the air pollution control district or air quality management district? 0 Yes O No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes O 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. I certify that l have read the application and state that the above infomlation lsoorrectand that the information on the plans is accurate. I agree to oomplywith an City ordinances and State laws relating to buildingoonstruction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection puposes. 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: AIi OSHA permfi is required for excavations over 5'0' deep and demolitbn or construction of structures over 3 stories in height. EXPIRATION: Eveiy permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the Wilding or rk authorized IJt such permit is suspended or abandoned at any time after the work is oommenced for a period of 180 days (Section 106.4.4 Unifoon Building Code). .A:$ APPLICANT'S SIGNATURE DATE 11 lzz. 17 PERMIT INSPECTION HISTORY REPORT (CBR2017-2808) Permit Type: BLDG-Residential Application Date: 11/22/2017 Owner: SHARON HASTINGS Work Class: Reroof Issue Date: 11/22/2017 Subdivision: CARLSBAD TCT#84-14 UNIT#02 Status: Closed -Finaled Expiration Date: 05/28/2018 Address: 2762 Southampton Rd Carlsbad, CA 92010-2898 IVR Number: 7905 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete 11129/2017 11129/2017 BLDG-15 041633-2017 Passed Michael Collins Complete Roof/ReRoof (Patio) Checklist Item COMMENTS Passed BLDG-Building Deficiency Existing sheathing ok Yes 03/21/2018 03/21/2018 BLDG-Final 052329-2018 Passed Chris Renfro Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Mechanical Final Yes BLDG~Structural Final Yes March 21, 2018 Page 1 of1 REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESS: '2t"-J&2 S0u-ft..o,-,,p../o,r1 2. TYPE OF BUILDING: RESIDENTIAL X:: COMMERCIAL ___ ~ ;.: ,z. 3. ROOF SLOPE: RISE 10:,2. INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) G) 2 3 C..o•''{ .S.ii•7'1.,. B-10 5. TYPE OF EXISTING ROOF COVERING -f / 7 ;.,..;,,• SHEATHING pfywooJ *6. NEW ROOF MATERIAL to'11 Y,,11!4> CLASS A WEIGHT PER SQ. 270 7. NUMBER OF SQUARES_----'2.=->-\ __ _ 8. TRADE NAME O w~I'!> (or n,p MANUFACTURER \)ur ..,.J-,u /1 9. ROOF SYSTEM LISTING: UL NO. Ef. 2.YS~-V/ 1.C.C.E.S. Report# ,4C'-/6 6 ASTM _____ _ 1 O. IS THE EXISTING STRUC~L DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? e 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 __ ~L.__~,-.,"----·· __________ Date __ r1,_/_z_z._._C_1_7 ___ _ Contractor_"-',<'--__ Owner _____ Contractor *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other Page 6 of 6 Rev. 04/14