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Home My WebLink About2775 CARLSBAD BLVD; ; CB130325; Permit02-06-2013 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No CB130325 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # PC# Project Title 2775 CARLSBAD BL CBAD MISC 2031430700 $0 00 Subtype Lot# REROOF 0 ST MICHAEL'S 5600 SF COMP/ TORCH DOWN RE ROOF status Applied Entered By Plan Approved Issued fnspect Area Applicant GREAT WESTERN ROOFING 1418 LESLIE CT SAN MARCOS CA 92069 760 712 7525 ISSUED 02/06/2013 jma 02/06/2013 02/06/2013 Owner ST MICHAELS-BY-THE-SEA EPISCOPAL CHURCH P O BOX 127 CARLSBAD CA 92018 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $202 00 $0 00 $0 00 $202 00 Total Fees $202 00 Total Payments To Date $202 00 Balance Due $0 00 Inspector FINAL APPROVAL Date Clearance NOTICE Please take NOTICE that approval of your project includes the Imposition' of fees, dedications, reservations, or other exactions hereafter collectively refen"ed to as lees/exactions ° You have 90 days from the date this pemiit was issued to protest imposition of these fees/exactions If you protest them, you must follow the protest procedures set forth in Govemment Code Section 66020(a), and file the pnDtest and any other required information with the City Manager for processing m 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 nght 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 sen/ice fees in connection with this project NOR DOES IT APPLY to any fees/exactions nf whir^h vou hare previously t;ifien given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired THE FOLLOWitiG APPROVALS REQUIRED PRIORTO PERMIT ISSUANCE • PLASfJING • ENGIKEERifiG • BUimUG • FIRE • HEALTH • HAZMAT/APCD CITY Building Permit Application 1635 FaradayAve , Carlsbad CA 92008 Ph 760-602-2719 Fax 760-602-8558 email buidling@carlsbadca gov www carlsbadca gov Plan Check No. (^(f5 l3- 03'ZS~ Est Value Plan Ck. Deposit Date SWPP JOB ADDRESS SUITE#/SPACE#/UNIT# CT/PROJECT « PHASE # # OF UNITS # BEDROOIWS # BATHROOIWS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP DESCRtPTION OF WORK Include Square Fe^ of AfSerAed Ama(s) . ' —7^ J.^j_^ ( i '7~^ / , ^ ''^>^ ^ .r \ ^ ^ ^ ^,r-<^4^ ^;<i5r/S /zZof-fA.^. J-K^yni] r^ck^^c^^ r° cLnuccr'^'' EXISTING USE PROPOSED USE GARAGE iSF| PATIOS (SF) DECKS (SF) FIREPLACE YESD # NO • AIR CONDITIONING YES • NOD FIRE SPRINKLERS YES D NO D >PLICANT NAME,(PrimHry Contact) /) /* , APPLICANT NAME (Secondary Contact) ADDRESS ADDRESS CITY CITY STATE ZIP PHONE PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME # —/ - \ , ^ CONTRACTO^BU^IAM^^^^^^^^^^^^^^^^^^^^^^^^ ADDRESS ADDRESS CITY STATE ZIP CITY ZIP PHONE PHONE FAX EMAfL . T""" EMAIL ARCH/DESIGIMER NAME & ADDRESS STATE UC # 1 "STATE Li C,# J— i,iirDus ui. s _„ . CITY BUS Lies (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 permit to file a sisned statement that he is licensed pursuant to the provisions ofthe Contractor s License Law {Chapter 9 commending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom and the basis forthe alleged exemption Any violation of Section 7031 5 Dy any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500]) Workers' Compensation Declaration I hereby affinv under penalty ot perjury one of the following dedaraiions d 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 trte performanceof the work for which this permit ts issued J_haveand will maintain workers' compensation, aerequireftby Secton 3700 ol the Labor Code lor the performance of lh§_work for wt]i£h this pennit is issued My workers compensation in^rance ^me^^nd policy number are insurance Co .J'^tiT'^ jo Policy No ^Oij Expiraton Dale. mce ^metai This section need not be completed if the permit is for one hundred dollars ($100) or less d Certificate of Exemption I certify that in the perfomiance of the work for which Uiis perriTiUs issued, 1 shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California WARNING Faiiureto secure workers'compensation coverage is uniawfu^nd shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,00[l), in addition to the cost of compensation,^ iiiiiijui •lupiuiiiJi'U fPrifi-Sertjpn ^TW^^le Labor code, interest and attorney's fees ^ CONTRACTOR SIGNATURE •AGENT DATE I hereby affirm that I am exempt from Contactor s License Law for the following reason a I, as owner of the property or my employees with wages as their sole compensation will do the work and the sloiclure is not intended or offered for sale (Sec 7041, Business and Professions Code The Contractor's License Law does not apply to an owner of praperty 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 wilhin one year of completion, the owner-builder will have ihe burden of proving that he did nol build or improve for the purpose cf sale) • 1, as owner of the property, am exclusively contraclng with licensed contractors lo construct the project (Sec 7044, Business and Professions Code The Contractors License Law does nol apply lo an owner of property who builds or improves thereon, and coniracts for such projects with conlraclor(E) licensed pursuant to the Contractor's License Law) D I am exempt under SKlion Business and Professions Code for this reason 1 1 personally plan to provide the major labor and matenals for construction ol the proposed properiy improvement • Yes O No 2 I (have / have not) signed an application for a building permit for the proposed work 3 1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors license number) 4 1 plan to provide portions of the work but I have hired the following person to coordinate, supen/ise and provide the major work (include name / address / phone / contractors' license number) 5 i will provide some of the work, but 1 have contracted (hired) the following persons lo provide the work indicated [include name / address / phone / type of work) PROPERTY OWNER SIGNATURE •AGENT DATE Is the applicant or future building occupant required to submit a business plan acutely hazardous matenals registration form or nsk managemeni and prevention program under SK;tionE 25505 25533 or 25534 of the Presley Tanner Hazardous Subslance Account Acf • Yes • No Is the applicant or fulure building occupant required to obtain a permit from the atr pollution conlnjj distncl or air quality managemeni distrcf • Yes • No Is the facility to be constructed within 1,000 feel of the outer boundary of a school site'' O 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 her^y affirm that there is a constmction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code) Lender's Name Lender's Address I certj^thatl have read ttie application and state thattheaboveii^rniation IS conBctandthattheintorrna^^^ iagmetocomplywith all Crtyordmancesand State laws r^atingto building construction I hereby autfiortze representatve of the City of Carisbad to enter upon tfie above menlioned property for inspecton purposes I ALSO AGREE TO SAVE, INDBuiNIFY AND KEEP HAfRMLESS TVIE CfTY Cf CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS, COSTS -^D EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OF THE (ANTING OF THIS PERMIT OSHA An OSHA peimil is required br excavations over 50' deep and demditon or constaiclion of slnjctures over 3 stones in height EXPIRATION Every pemiii issued by the Building Cffiaal under the piDvisons of this Code £hallei»(JfrB by limitation and become null and vod if the txiiiding or worl^ authonzed by sucfi permit is not commenced within 180 days from the dale of such pprmil or if Ihe building or work authnnTBdhy ^Mf:h ppfmit •^uflfgniteft nr ahanrionpH at any time after the WDit: is commenced fora pejodof180da\i^(Section 106 4 4 Uniform Building Code) yg^APPLICANT'S SIGNATURE / ^.-^ ^ /^(^^f^^ _—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 CERtlVlCATE OF OCCUPANCY (Commercial Projects Onjyj Fax (760} 602-8560, Email www buildinqO)carisbadca gov or Mail the completed form lo City of Carisbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008 C0# (Offlce Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CiTY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE EMAIL OCCUPANTS BUS LIC No DELIVERY OPTIONS • PICK UP • CONTACT (Listed above) • OCCUPANT (Listed al30ve) - • CONTRACTOR (On Pg 1) • MAIL TO • CONTACT (Usted above) • OCCUPANT (Usted above) • CONTRACTOR (On Pg 1) • MAIL/FAXTOOTHER • ASSOCIATED CB#- • NO CHANGE IN USE/NO CONSTRUCTION • CHANGE OF USE/NO CONSTRUCTION ^APPLICANT'S SIGNATURE DATE REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1 JOB ADDRESS 2 TYPE OF BUILDING RESIDENTIAL COMMERCIAL 3 ROOF SLOPE RISE,^^ INCHES IN 12 INCHES 4 NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 1 2 3 5 TYPE OF EXISTING ROOF COVERING ^ '^'^EATHING *6 NEW ROOF MATERIAL ^^6bLASS h WEIGHT PER SQ 3^ 7 NUMBER OF SQUARES ^ ^ Jl 8 TRADE NAME MANUFACTURER /^^^ ' <^^t>y/^^^^ 9 ROOF SYSTEM LISTING UL NO I C C E S Report# ASTM ^OC-p^? y 10 IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? /y^^S^ 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-lnspection prior to install new roof covering 2 Final Inspection agree to provide a ladder extending atJeast 2 rungs above the roof for inspection 7 /c ,h Signature ^ / /^C€d/J J^l^^pr^ ^ — Date Contractor — Owner Contractor Name *6 Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other B-10 Page 4 of 4 Rev 02/11 Inspection List Permit# CB130325 pate Inspection Item 02/20/2013 19 Final Structural 02/20/2013 19 Final Structural 02/12/2013 15 Roof/Reroof 02/12/2013 15 Roof/Reroof Type MISC REROOF Inspector Act ST MICHAEL'S 5600 SF COMP/ TORCH DOWN RE ROOF Comments PD PD R\ AP Rl AP EARLY AM PLS Thursday, February 21, 2013 Page 1 of 1