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Home My WebLink About2839 LUCIERNAGA ST; ; CB122572; Permit12-03-2012 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB122572 Building Inspection Request Line (760) 602-2725 2839 LUCIERNAGA ST CBAD MISC Subtype: REROOF Status: 2153102102 Lot#: 0 Applied: $2,337.60 Entered By: Plan Approved: Issued: Inspect Area: SILNY: 1600SF BUILT UP TO SAME Owner: ISSUED 12/03/2012 JMA 12/03/2012 12/03/2012 CARDIFF BY THE SEA ROOFING SILNY FREDERICK G SEPARATE PROPERTY TRUST 06-15- 1914 PARIVA DR 92007 760 753-2622 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $101.00 Inspector: 2247 W SILVER LAKE DR LOS ANGELES CA 90039 PERMIT FEE Total Payments To Date: $101.00 FINAL APPROVAL Date: /Z, ·(l-/2- Balance Due: Clearance: $101.00 $0.00 $0.00 $101.00 $0.00 NOTICE: Please take NOTICE that 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 f . n fwhi h r vi I ! E i hi h h .- THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMATIAPCD «1► Building Permit Application Plan Check No. /~P., l 7.. • J_ ~"] z_ 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov Date 1-, I..___ I, z-, lswPPP www.carlsbadca.gov JOBAaa~~CJ L, y ,P (Vl•~'U:j~ SUITE#/SPACEt/UNIT# -lAPN --- CT/PROJECT# LOT# u l PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS 1TENANT BUSINESS NAME l CONSTR. TYPE l occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Residential re-roof / lt> EXISTING USE I PROPOSED USE rARAGE (SF) PATIOS (SF) lDECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS Residential Residential v,so N<O YESONo □ YES□No□ APPLICANT NAME (Primary Contact) Cardiff by the Sea Roofing, Inc. APPLICANT NAME (Secondary Contact) ADDRESS ADDRESS 1914 Pariva Drive CITY STATE ZIP CITY STATE ZIP Cardiff CA 92007 PHONE IFAX PHONE l FAX 760-753-2622 760-753-1867 EMAIL EMAIL cardiffroofing@,cox.net PROPERTY OWNER NAME CONTRACTOR BUS. NAME Fred Selmy Cardiff bv the Sea Roofina. Inc. ADDRESS ADDRESS 2839 Luciernaaa 1914 Pariva Drive CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92009 Cardiff CA 92007 PHONE PHONE 213-219-7135 IFAX 760-753-2622 I FAX 760-753-1867 EMAIL EMAIL cardiffroofing@,cox.net ARCH/DESIGNER NAME & ADDRESS ISTATEUC.# STATE LIC.# I CLASS I CITY ~vr,.J 8,(/ ed. 837543 C-39 (Sec, 7031.5 Business and Professions Code: Any Crty or County which requires a permit to construct, alter, improve, demolish or repair any structure, pnor to its issuance, also requires the applicant for such permit to file a signed statement tt\at he is licensed pursuant to the prO'Jisions of the Contractor's License LawJChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exemP.t therefrom, and the basis for the alleged exemption. Any violation 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 DeclaraUon: / hereby affirm under penalty of perjury one of the fol/owing dedarations: D I have and will maintain a certificate of consent to self-Insure fOr'MJrkers' compensation as provided by Section 3700 of the Labor Code, for the perfonnar.ce of the 'Mlrk for which this pennlt Is Issued. [Z] I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfonnance of the work for whleh this pennit is Issued. My workers' compensation Insurance carrier and policy number are: Insurance co, State Compensation Insurance Fund Policy No. 0005255-2011 Expiration Date 01-01.2013 ~ secfion need not be completed if the permit Is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the perfom,ar.ce of the w:,rk for which this pennlt 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, damag vided for In Sectl 706 of the L bor code, lnlereti and attorney's fees. fE5 CONTRACTOR SIGNATURE I hereby affirm /hat I wn exempt m»n Contractor's Ucense 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, Busloess 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 Of offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-blilderwlll 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 Professklns 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 maj)r labor and materials for construction of !he proposed property Improvement 0Yes 0No 2. I (have/ have not) signed an application for a bu!ldlng pe1mil for the proposed wont 3. I have contracted with the fOllowlng person {flnn) to provide the proposed construction (!nclude name address/ phone I contractors' license number): 4. I plan to provide portions of the worll, but I have hired the folk:Jwing 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/ type of work): fE5 PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future budding occupant required to submit a business plan, ocutely hazardous materials regtStration form or risk management and prevenUon program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ 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. 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). Lender's Name Lender's Address APPLICANT CERTIFICATION 1 I certify that I have read the application aOO state that the alxwe infonnation Is correct and that the infonnatlon on the plans is accurate. I agree to comply\\tth all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad b enter upon the above menooned property t:ir ilspectkn PJJ'J))SeS. I ALSO AGREE TO SA VE, INDEMNIFY AND KEEP HARMLESS THE C!TY 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 NI OSHA pennlt is required tir excavations over 5'0' deep and deroolitbn or constndion of stiu:tures over 3 stories n he,;Jht. EXPIRATION: Eveiy pennlt issued by the Building Olfdal under the provisbns of this Cede shall expire by limitation and become nul and ',00 W the building OPNork aithorized by sl.dl pemil is not oorrrnenced within :::::,:::~A::t~ 8 ui~i~~-z~oo-reJatanyane-tre~::7;:v;;~~i) 106.4.4Unioo ~i~ingCme). 8-10 REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESS: 2 K 39 L11 c,,,.. ( n l'I § c.__ 2. TYPE OF BUILDING: RESIDENTIAL ,/ COMMERCIAL __ _ 3. ROOF SLOPE: RISE¼, INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 1 (y 3 5. TYPE OF EXISTING ROOF COVERING :Bvu .. :r up SHEATHING $oLo1(.) *6. NEW ROOF MATERIAL~i.p1.m'B,,ro,._~ss f). WEIGHT PER SQ. __ 7. NUMBER OF SQUARES IS. i<:::i 8. TRADE NAME'Ollf,l'lti)) fey, '1,S MANUFACTURER Q IBl:OS:N 9. ROOF SYSTEM LISTING: UL NO. 8 l~\lo1 ASTM (:, 2.. '2..2. 1.C.C.E.S. Report# _____ _ 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? ·'@ 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 ~ Date --------- Contractor 'L Owner ____ Contractor Name. _________ _ *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other Page 4 of 4 Rev. 02/11 Inspection List Permit#: CB122572 Date lnspecUo_n_ltem 12/12/2012 19 Final Structural 12/12/2012 19 Final Structural 12/04/2012 15 Roof/Reroof 12/04/2012 15 Roof/Reroof Thursday, December 13, 2012 Type: MISC REROOF SILNY: 1600SF BUILT UP TO SAME Inspector Act Comments RI PB AP RI EARLY PM PLS PB AP Page 1 of 1