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Home My WebLink About2775 CARLSBAD BLVD; ; CB130962; Permit04-12-2013 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No. CB130962 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # PC# Project Title 2775 CARLSBAD BL CBAD MISC 2031430700 $2,730 00 Subtype REROOF Lot# 0 ST MICHAELS CHURCH- 2000 SF COMPOSITION ON CHAPEL ROOF Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 04/12/2013 RMA 04/12/2013 04/12/2013 Applicant GREAT WESTERN ROOFING Owner ST MICHAELS-BY-THE-SEA EPISCOPAL CHURCH 1418 LESLIE CT SAN MARCOS CA 92069 760 712 7525 PO BOX 127 CARLSBADCA 92018 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees PERMIT FEE $101 00 $0 00 $0 00 TOTAL PERMIT FEES $101 00 Total Fees $101 00 Total Payments To Date $101 00 Balance Due: $0.00 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 "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 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 of which vou have previouslv been given a NOTICE similar to this, or as to which the statute of limitations has previously othena/ise expired THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: • PLANNING • ENGINEERING • BUILDING DriRE • HEALTH • HAZMAT/APCD CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Pti: 760-602-2719 Fax: 760-602-8558 email: buldling@carlsbadca.gov www carlsbadca.gov Plan Check No, :B«/UNIT# Plan Ck. jPep^sit SWPP JOB ADDRESS. ^7 79- ^^sW/^i^ SUITE#/SPACB«/UNIT# CT/PR0JECT# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP DESCRIPTION OF WORK' /nc/ude Square Feet of Affected Areafs) ~ I ~I ^ J. / kZ^ h\ ii 1 )-^J/j^. <i. ' T -n^dff O^.^riAj. ^^vfA^^ !. T/ySnU <=^ D,y^^^)04f>.L^r^^^ EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES a # NOD AIR CONDITIONING YES • NOD FIRE SPRINKLERS YES • NO • r NAME IPrlmnrv nnntaat] . , , APPLICANT NAME {Secondary Contact) ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP . FAX PHONE PROPERTY OWNER NAME , , , CONTRACTOR BUS NAME ADDRESS A STATE ADDRESS CITY PHONE I I FAX , T PH0N€_^ EMAIL AIL. ARCH/DESIGNER NAME & ADDRESS -icj V y ,^ CLASS . CITY BUS LIC# 9r, improve, demolish or repair any structure, pnor to its issuance,"Blso requires the (Sec 70315 Business and Professions Code Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, pnor to its issuance,"9lso requires the applicant for such permit to file a signed statementlhat he is Iicensed pursuant to the provisions ofthe Contractor's License Law (Chapter 9, commending vKith Section 7000 of Division 3 ofthe Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption Any violation of Section 7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)) ^{4 Workers' Compensation Declaration / heretiy affirm under penalty ofper/ury one ofthe following declarations ni 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 perm it is issued and policy ffl^ I have and will maintain worker^_cpmpensation, asrs<}uired bySection 3700 of the Labor Code, for the perfomiancepfth^^iOjt for which this perniit is issued My workers' compensation msu£noe cmei B numberare InsuranceCo 3 7^-^^ p<^/v^ Policy No HOl~l "^^^(t. Expiration Date /'?/// f ^ This section need not be completed if the permit is for one hundred dollars ($100) or less n 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, apd'shall subject an employer to cnminal penalties and civil fines up to one hu^red tho^isand dollars (&100,000), in addition to the cost of compensation, damaouu an yi uulUuU fUl' In tjSctioA 37JlSorth^l!^or code, interest and attomey's fees / JB^ CONTRACTOR SIGNATURE \ A^^^^(^/^!^^^^l_ r—OAGENT DATE ^( / / < / herefcy affirm ttef / am exempt from Contractor's License Law for the following reason n 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 wori( 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 Iicensed 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) Iicensed pursuant to the Contractor's License Law) • I am exempt under Section Business and Professions Code tor this reason 1 I personally plan to provide the major labor and matenals for construction of the proposed property improvement • Yes • No 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 / phone /contractors' license number) 4 I 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 I have contracted (hired) the following persons to 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 materials registration form or nsk management and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account AcP • Yes 'Silo Is the applicant or future building occupant required to obtain a perniit from the air pollution control distnct or air quality management distncf • Yes jS>.No Is the facility to be constmcted within 1,000 feet of the outer boundary of a school site'' • Yes p^o 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 hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code) Lender's Name Lender's Address mm/' m 1 certify ttiat 1 have read the application and state ttiat the above infomiation Is correct and that ttie inforniation on tlie plans is accurate. 1 agiee to comply witli all City ordinances and State laws relating to building constnicbon. I hereby authonze representative ot the City of Carlsbad to enter upon the above mentoned property for inspection purposes I ALSO ACRE E TO SAVE, INDEMNII^Y AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIA8ILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA /\n OSHA penmit is required for excavations over 5'0' deep and demolition or constmction of structures over 3 stores in height EXPIRATION Every permit issued by the Building Official under the provisions of thisCJMe shall expire by limitation and become null and void if the building or work authonzed by such permit is not commenced within 180 days from the date of such pennit pf IHQ r^^tai>^^^^^pi\v^^^^^i is suspended or abandoned at any time after the voik is commenced Ibr a penod ot^80 days^Section 106 4 4 Uniform Building Code) y^TAPPLlCANT'S SIGNATURE /l^!^^S^&^^^'^^i=—^S=—- 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. CERTIFICATE! OF OCCUPANCY (Commercial Project: Fax (760) 602-8560, Email www buildinq(S)carlsbadca qov or Mall the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008 C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY ZIP CITY ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS LIC No DELIVERY OPTIONS • PICKUP: • CONTACT (Listed above) • OCCUPANT (Listed above) • CONTRACTOR (On Pg 1) • MAIL TO: • CONTACT (Listed above) • OCCUPANT (Listed above) • CONTRACTOR (On Pg 1) • MAIL / FAX TO OTHER: • 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: C-1 1S' ^fe?*^^?^^ 2. TYPE OF BUILDING: RESIDENTIAL COMMERCIAL 3. ROOF SLOPE: RISE f(7^ INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE)0 2 3 5. TYPE OF EXISTING ROOF COVERING '3^iihtAr SHEATHING -^Ci'<^ *6. NEW ROOF MATERIAL<^ dc^yW^ CLASS^ ^WEIGHT PER SQ. Z^<0 7. NUMBER OF SQUARES Zo 8. TRADE NAME "^^^^ ^j^ANUFACTURER <^ A ^~ 9. ROOF SYSTEM LISTING: ULNO. I.C.C.E.S. Report # ASTM 10. IS THE EXISTING STRUCJURAt^DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? , ( YEJS^ 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 I agree to provide a ladder extendina at least 2 rungs above the roof for inspection. Signature / Date_ Contractor _Own^r Contractor Name T^AV AJ<^LI^^^ *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other B-10 Page 4 Of 4 Rev 02/11 Inspection List Permit#: CB130962 Date Inspection Item 04/24/2013 15 Roof/Reroof 04/24/2013 19 Final Structural 04/17/2013 15 Roof/Reroof Type: MISC REROOF Inspector Act Rl PD AP PD AP ST MICHAELS CHURCH- 2000 SF COMPOSITION ON CHAPEL ROOF Comments Thursday, April 25, 2013 Page 1 of 1