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Home My WebLink About2774 Olympia Dr; ; CBR2017-1592; PermitPrint Date: 12/08/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2774 Olympia Dr BLDG-Residential 1674315700 $12,065.22 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit www.carlsbadca.gov Work Class: Re roof Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Description: GRODSKY: REPLACE UNDERLAYMENT AND CONCRETE TILE FOR 27 SQUARES Owner: Status: Applied: Issued: Finaled: Inspector: Contractor: Permit No: CBR2017-1592 Closed -Finaled 07/14/2017 07/14/2017 CRenf TRUST GRODSKY EDWARD FAMILY TRUST 11-22-06 CHRISTIANSON ROOFING INC BUILDING PERMIT FEE $2000+ BUILDING PLAN CHECK FEE (BLDG) 5B1473 BUILDING STANDARDS FEE STRONG MOTION-RESIDENTIAL Total Fees: $243.24 4025 Canario St, 139 CARLSBAD, CA 92008 Total Payments To Date: $243.24 1566 7Th St Riverside, CA 92507-4421 9Sl-786-7663 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 IT 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 $141.57 $99.10 $1.00 $1.S7 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH OHAZMAT/APCD ··{'city of Building Permit Application Plan Check No-l11 '!Jf<2o I I -1;:?q 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ IC I Ol9l:;. d-/0-- Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 ' email: building@carlsbadca.gov Plan Ck. Deposit . J www.carlsbadca.gov Date 7//Ll/// JOB ADDRESS/ ~,? y ~ ~ - SUITE#/SPACE#/UNIT# IAPN , -7"'-7 ,r' ~---- CT/PROJECT# ILOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ~/" &?~ ;::,-;:::;-// /" ~~ ...... ,:'."'"~ .A,/,,,;,-,.,_,, ...-<"/.-;,.,,,,,..,er.,,.,,,::,~. ,.AO"'~ /,.e,~ c ..::"' y....-AP" o',,,C-~::zY ~F: 2. ,;z( EXISTING USE I PROPOSED USE 'GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YESD NO□ YES □No □ YES□No□ APPLICANT NAME #~..e-,:::?A/,£';(/~--.¢'.;;,,,✓ PROPERTYOWNE~ /~.;>/,,<'~ Primary Contact ADDRESS /~6 7 ,7.V ~ -. -AODRY 7';:7 9" ~ij".-,o/,,q,,,:Z _L?L CITY STATE CITY r ZIP ,,,,,1'1?1/ ;V~.,e-J/.,? f ,::4'-4 h ,_ ,,,,:--.P' ~/ .,,.-~.#C:, ~-4 ~/d PH~ ~-:??/-?/..zf' I'~-~-~// PHO~/?-a,{-I FAX -. -Pff EMAIL EMAIL ~ / ~ ,&? ~,.,-/ ,;>'/,-. -.fL" ,/ ,,-,-.£,-..-<A!!:'.,::'/,.. ~ DESIGN PROFESSIONAL CONmACTOR BUS. NAME.::::'~ ~1/_.7,7,; ~,r ,,-;; -v,f" /.'. / """,v-_,.,"" .,._.,, ADDRESS ADDRESS -:7~ /y?./ ..,-.,;:- CITY STATE ZIP CITY STATE ZIP ~ Y ?.R J/ ..ve c.::.c 9'/..-4.,;;, PHONE IFAX PHONE IFAX ~ -g"'j' -ff/,.-" ~ /-p / -/4" £ / EMAIL EMAIL £,/ / < .,.-,Z ~ c4.+-,.,·✓~ .. -/~~ ,..,.....,,.......,..,.,,.--::;--_.....,,...✓fi I STATE LIC. # STATE LIC.# l?fa CITY BUA LI~:';, ,pJI f / 7 f/ tf'" (Sec, 7031.5 Business ~nd Profes~ions Code: Any City or Coun_ty which requires a permit to_construct, alter, improve, demolish or re air an structure, p_rior to its issuance,'alto requires the applicant for such per_m1t to file a signed statement tnat he 1s licensed pursuant to the prov1s1ons of the Contractor's License LawJC~apter;, commending with Section 7000 of D1v1s1on 3 of the B_usiness and Professions Code} or [hat he 1s exempt therefrom, and the basis for the alleged exemption. Any violation of Section 03~5 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 affirm under penalty of perjury one of the following declarations: Qi 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. 0 I have and wlll maintain workers'~l!.e.nsaJi';• as reQuired by Section 3700 of the Labor Code, for the performan~ of the work for which this permit is issued, My workers' compensation insu ce rrier and policy numberare:lnsuranceCo.~~=~~ '-;?2#--;r'~ ~~,?? fo~f ExpiraLionDate / ",ti' ~section need not be completed if the permit is for one hundred dollars {$100) or less. / ~✓ ;-""""✓.7?/ LJ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ ar.(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 crimlnal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition ID the cost of compensation, damages as provided for in Section 3706 of the labor code, interest and attorney's fees . ..@S' CONTRACTOR SIGNATURE ~ • □AGENT DATE ~~ 1/-7' OWNER-BUILDER DECLARATION 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•builderwill 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. OYes Do 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) lo provide the proposed construction (include name address I phone I 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 I address I 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 I phone I type of work): ,fE5 PROPERTY OWNER SIGNATURE □AGENT DATE 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 Prealey-Tanner Hazardous Substance Account Act? □ Yes D No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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. I certify that I have read the application and state that the above information Is correct and that the Information on the plans Is acx:urate. I agree to comply with all Clfyordinances and State laws relating to buildingoonstructlon. I hereby au~olize rep"'5elllative of ~e City of Carlsbad ID enter upon ~e above rr<!lltioned properly for Olspecion purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY 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 demolitial or construction of slrucb.Jres <:Nef 3 stooes in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void rr the building or work authorized by such permit is not commenced within 180 days from the date of such pem,it or IT the butling or work authorized by such permit is suspeoded or abandoned at anytime after the work is commenced for a pericx:l of 180 days (Section 106.4.4 Unifoml Building Code). ,f!5 APPLICANT'S SIGNATURE 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, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY Carlsbad STATE ZIP CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS D PICK UP: □ CONTACT (Listed above) o OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) □ ASSOCIATED CB#•------------ D MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) □ NO CHANGE IN USE/ NO CONSTRUCTION 0 MAIL/ FAX TO OTHER: ________________ _ □ CHANGE OF USE/ NO CONSTRUCTION A$ APPLICANT'S SIGNATURE DATE REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESS: /'1/"';:?'~ ~L2o/,,0-.4 P7..,£. ? 2. TYPE OF BUILDING: RESIDENTIAL .__.---COMMERCIAL ___ _ 3. ROOF SLOPE: RISE ~ INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONEt:D 2 3 5. TYPE OF EXISTING ROOF COVERING c0..--;;:,:-;;-_..,,--SHEATHING ,.,,qp/v,,:,.o *6. NEW ROOF MATERIAL ~.c..£' 7. NUMBER OF SQUARES /~ CLASS P--WEIGHT PER SQ. '1/'?& 7 8. TRADE NAME _______ MANUFACTURER /,4?'-f 9. ROOF SYSTEM LISTING: ,:::?.L',"".-.e-e. UL NO. _____ I.G.G.E.8. Report#~ -,::::Jtf?$ ASTM _____ _ 10. IS THE EXISTING STRUCTURAL DESIG~IENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? YES ~ 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 ~~~ Date~ Contractor ___ .-----, __ Owner Contractor Na me ~ .,///7 _;;;;;, v" cJ.,,./ ~~-v9 *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other B-10 Page 6 of6 Rev. 04/14 -f'ERMIT INSPECTION HISTORY REPORT (CBR2017-1592) Permit Type: BLDG-Residential Application Date: 07/1412017 Owner: Work Class: Reroof Issue Date: 0711412017 Subdivision: Status: Closed -Finaled Expiration Date: 0111512018 Address: IVR Number: 5018 Actual Scheduled Date Start Date Inspection Type Inspection No. 07/17/2017 07/17/2017 12/08/2017 12/08/2017 December 08, 2017 BLDG-15 RooffReRoof (Patio) 028924-2017 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 042870-2017 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final Inspection Status Primary Inspector Passed Chris Renfro COMMENTS Replace rotted starter boards at entry way val!ey and small section on back valley area. Passed Chris Renfro COMMENTS TRUST GRODSKY EDWARD FAMILY TRUST 11-22-06 CARLSBAD TCT#74-04 2774 Olympia Dr Carlsbad, CA 92010-2143 Re inspection Passed Yes Passed Yes Yes Yes Yes Yes Complete Complete Complete Page 1 of 1