HomeMy WebLinkAbout2776 LOKER AVE W; ; CB080965; Permit.01 NOM OW .•••
•City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
05-21 -2008 Miscellaneous Permit Permit No: CB080965
Building Inspection Request Line (760) 602-2725
Job Address:2776 LOKER AV WEST CBAD
Permit Type:MISC Subtype:REROOF Status:ISSUED
Parcel No:2091001400 Lot #:0 Applied:05/21/2008
Valuation:$27,945.00 Entered By:MDP
Reference #:Plan Approved:05/21/2008
PC#:Issued:05/21/2008
Inspect Area:
Project Title:HAY HOUSE
207 SQUARES OF SINGLE PLY W/ FOAM SEPERATOR
Applicant:Owner:
ROOFING SERVICES HAY LOUISE L 1988 REVOC TRUST 11 -17-1999
8176 COMMERCIAL ST 2776 LOKER AVE W
LA MESA CA 91942 CARLSBAD CA 92010
618 4647500
Miscelaneous Fee #1 PERMIT $424.00
Miscelaneous Fee #2 $0.00
Additional Fees $0.00
TOTAL PERMIT FEES $424.00
Total Fees:$424.00 Total Payments To Date:$0.00 Balance Due:$424.00
Ali FINAL APP OV L
Li 2'YInspector:1 Date:°Clearance:
NOTICE:Please take NOTIC hat approval of your project includes the Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred 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 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 aiven a NOTICE similar to this. or as to which the statute of limitations has oreviouslv otherwise expired.
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11 Plan Check No.0 t •-cf.
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1635 Faraday Ave., Carlsbad,CA 92008 k--.ii Est. Value760-602-2717 /2718 /2719 /7541 L.)
Fax:760-602-8558 CT;
.1t/FOCk*Plan Ck. Deposit
Building Permit Application Date
JOB ADDRESS 21 -
1 te v‘f .Lo rtr A vt.SUITE#/SPACE#/UNIT#APN
2.011 -I 00 -I Li -Ci°
CT/PROJECT #LOT #PHASE ##OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
+10 y it01/1e.
DESCRIPTION OF WORK:Include Square Feet of Affected Area(s)
1 rifoill y2"foorn c.p/rovi-or Board ance (O nli I TPO 6111.,01.ply root
LP 2C/7
EXISTING USE ,PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
C Gni If 01 I YES Oft.NOD YES ONO El YES p NOEI
CONTACT NAME (if Different Fom Applicant)APPLICANT NAME gi Re a fi n Cy
ADDRESS ADDRESS
s zs5 5 bv act\ow Gt.
CITY STATE ZIP CITY
01/11 Difb 0
STATE cik ZIP q 2.11 I
PHONE FAX lijiliONE3.)2...6 _1240 FAX(
-
65e)2_78 _12.43
EMAIL .kAAIL
PROPETIVIR tro6e IL 1018S Reocktb it iivt.5t CONTRACTOR BUS. NAME gGI Roo-Fin
ADDRESS 21%w .1.0Ner Poit-
ADDRESS
0.7..5 Bwathom „ct.
CITY GoriGi3otot STATE
C A ZIPq 2.0 I o CITY covn Diej6.0 STATE cif ZIP q 21'
PHONE00i4 5 i . 1 boo FAX
PHONN5
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)1.1 t -1200 'Tf).58) 21 a "3 20 -5
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE LIC. #STATE LIC.#q 016 (9(01 CLASS
G39
CITY
I
BUS LIC.#
22-5 3 U0
(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 signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of theBusiness 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 acivil penalty of not more than five hundred dollars ($500)).
WORKERS'COMPENSATION
Workers' Compensation Declaration:I hereby affirm under penaltyof perjury one ofthe following declarations:
ave 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.
I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the workfolwhich this permit is issued. My workers' compensation in,surancq carrier and policydE).11
number are: Insurance Co 01 r)Iu 11114.r0 11 (/&Policy No.77:3)000 521-10(p -OSI Expiration Date afia1/0q
This section need not be completed if the permit isfor one hundred dollars ($100) or less.
ElCertificate ofExemption: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, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
..le CONTRACTOR SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
O 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).
O 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).0 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 EINo
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.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 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 / address I phone / type of work):
RcPROPERTYOWNER SIGNATURE DATE
—......iNUMOMINOMMI MiliiiiiiMOMIll ...
A lor
f
COMPLETE THIS SECTION FOR NON -RESIDENTIAL BUILDING PERMITS ONLY
fitrdeu
Is the applicant or future building occupant required to submit a business I n tely 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
Is the applicant or future building occupant required to obtain a permit m the air pollution control district or air management district?Ekes /23<oIsthe facility to be constructed within 1,000 feet of the outer boundary of a school site?Ekes No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED NLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
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).
Lenders Name Lender's Address
APPLICANT CERTIFICATION
I certify thatI have read the application and state that the above information is correct and that the information on the plans is accurate.Iagree to comply with all City ordinances and State laws relating to building construction.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes.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: An OSHA permit is required for excavations over 50' deepaiddemolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Offidal 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 budding or work authoriz y such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
.AeAPPLICANT'S SIGNATURE DATE 0 /.2.1 108
.•,...................=
4
A REROOFING
SUPPLEMENTAL BUILDING PERMIT APPLICATION
II
1.JOB ADDRESS:0760 W.1.0 er Ve/
2.TYPE OF BUILDING:RESIDENTIAL COMMERCIAL I
3.ROOF SLOPE:RISEg /12 INCHES IN 12 INCHES
._
4.NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE)C9 2 3
V,,,t_5.TYPE OF EXISTING ROOF OVERT NK bYld6-SHEATHING
1110 Sift 1421Y .e)/SG(t.*6.NEW ROOF MATERIAL CAnA 1/CLASS AWEIGHT PER SQ.•
7.NUMBER OF SQUARES 2.01
rl --
8.TRADE NAME MANUFACTURER Ca iG1
9.ROOF SYSTEM LISTING:
UL NO.LC.C.E.S.Report #
ASTM
10.IS THE EXISTING STRUCTU IGN SUFFICIENT TO SUSTAIN THE WEIGHT OFnTHE PROPOSED ROOF?YE
RA
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 e nding at least 2 rungs above the roof for inspection.
Signature '.Date 12.1 I C8
Contractor \i Owner Contractor Name 1C 1
IRa()
*6.Rolled Roofing, Standard/Lite Tile, AsphaWComp fiberglass, Built Up, Other
c.C A.o e,c.City of Carlsbad Bldg Inspection Request
1(21 For:06/16/20081:11
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Permit# CB080965 Inspector Assignment:
Title:HAY HOUSE
Description:207 SQUARES OF SINGLE PLY W/ FOAM SEPERATOR
Type: MISC Sub Type:REROOF Phone:8582787200
Job Address:2776 LOKER AV WEST
Suite:Lot:0
Location:Inspector:
APPLICANT ROOFING SERVICES
Owner:HAY LOUISE L 1988 REVOC TRUST 11-17-1999
Remarks:
Total Time:Requested By:RACHELE
Entered By:CHRISTINE
CD Description Act /Comments
19 Final Structural
Comments/Notices/Holds
•Associated PCRs/CVs Original PC#
Inspection History
Date Description Act Insp Comments