HomeMy WebLinkAbout2844 LEVANTE ST; ; CB150020; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
01-05-2015 Miscellaneous Permit Permit No: CB150020
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
2844 LEVANTE ST CBAD
MISC
2162300800
$0.00
Subtype: REROOF Status:
Lot#: 0 Applied:
Entered By:
Reference #: Plan Approved:
PC#:
Project Title: FRIEDL: 2400 SF CONCRETE TILE
REROOF
Applicant:
PREMIUM ROOF SERVICES
864 34TH ST 92102
619 239-8880
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
PERMIT FEE
Owner:
KEIDL
2844 LEV ANTE ST
CARLSBAD CA 92009
Issued:
Inspect Area:
ISSUED
01/05/2015
JMA
01/05/2015
01/05/2015
$197.00
$0.00
$0.00
$197.00
Total Fees: $197.00 Total Payments To Date: $197.00 Balance Due:
Inspector:
FINAL APPROVA~
Date: / -.J. l r/:, Clearance:
$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 wllh 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 sel'Vlce fees in connection with this project. NOR DOES IT APPLY to any
fees/ xactions f whi h v r viou I n iVen a N TIC imi r hi or a to which f limitati ns has r v· I h rwis e ired.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMATIAPCD
Ccityof
Carlsbad
JOB ADDRESS
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
SUITEf/SPACEf/UNITI
ST.
Plan Check No.
Est. Value
Plan Ck. Deposit
Date /
APN
CT/PROJECT# LOT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS KAME
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
(2 "i:-rv1 o v '£__ 'z---X I s,,, ,, .. x:, ,r LlE
ftrJ.D I fiJST1-LL. /V ~~ Tt L~
SWPPP
CONSTR. TYPE OCC. GROUP
EXISTING USE PROPOSED USE GARAGE (Sf) PATIOS (SF) DECKS (SF) AIR CONDITIONING
YES □No □
FIRE SPRINKLERS
YES□No□
APPLICANT NAME \ C-C
Primary Contact 0 C'S..:> e,_.,,
DESIGN PROFESSIONAL
ADDRESS
CITY
PHONE
EMAIL
STATE
FAX
PROPERTY OWNER
ADDRESS
CITY STATE ZIP
PHONE FAX
ZIP
STATE LIC. #
(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 issuan e, 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 the Business and Professions Code} or that he is exemQt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}).
WORKERS' cor.,PENSATION
Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations:
DI have and will maintain a certificate of con&ent to self-insure for worllers' 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 per1ormance of the worll for which this permit is issued. My workers' compensation insurance carrier an~icy
nomberare Insurance eo Ctjl.-/ poR.!V)lj 1,-,svf/..AIJC'i.-~, Polley No. 41,,. 'iN ~, 3-6 /-61 Expiration Dale '3 -( -Zo/ ~
~sectio11 need not be completed if the perm" is for one hur.dred dollars ($100) or less. LJ Certificate of Exemptlo11: I certify that in the per1ormance of the worll for which this perm~ is issued, I shall not employ any person in any manner so as to become subject lo the Worllers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage ls unlawful, and shall subject a11 employer to criminal penalties and clvll fl11es up to one hundred thousand dollars (&100,000), i11
addition to the cost of compensation, damages as provided for in Section 3706 of bor code, l~rest and attorney's fees.
_.N5 CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's License 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, 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 provir,g that he did not build or improve for the purpose of sale).
I, as owner of the property, am exclusively contractir,g 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 contraclor{s) licensed pursuant lo 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. 0Yes 0No
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 constn;clion (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/ address/ phone/ contractors' license number):
5. I will provide some of the worll, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone/ type of work):
ft5 PROPERTY OWNER SIGNATURE □AGENT DATE
COMPLETli THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
ls 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
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? 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there 1s a construction lending agency for the performance of the work this permit 1s 1ssued (Sec 3097 (1) C1v1I Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I have read the application and state that the above infmmatlon Is conectand that the lnfonnatlon oo the plans Is aa:urate. I agree to complyMth all City oldinances and State laws relatlng to bulldng construction.
I hereby authorize ref)'eSentative of the Qty of Car1sbacl to enter uJX)l"l lhe alx>ve mentioned p-operty tlr inspeclbn purp.:,ses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CAALSBAD
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: AA OSHA permit is required tJr excavations over 5'0' deep and demolitbn Of constructon of structures over 3 stories i1 height.
EXPIRATION: Every permrt issued by the Buik:ling Offdal under the provisbns of this Code shall expire by limltatbn and become null and voKl Wthe buikling Of oork authorized by such permit is oot commenced 'Mthin
180 days from the date of sllll permit or if the building or oork authorized by sudl permrt is suspended or abandoned at any time after the oork is commenced for a peood of 180 days (~n 100.4.4 Uniform Building Code).
6$ 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 STATE
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL TO: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
OCCUPANT (Listed Eibove)
MAIL/ FAX TO OTHER: _______________ _
LS APPLICANT'S SIGNATURE
ASSOCIATED CB#-------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
1. JOBADDRESS:._Z=...:;i_y"-y__,___L_~..;::_;;_V_;_A.L-'.t-J_T--'-':;,_---==9J:=...J-_. _____ _
2. TYPE OF BUILDING: RESIDENTIAL. __ V __ COMMERCIAL. ___ _
3. ROOF SLOPE: RISE '] INCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) LI:) 2 3
·• 5. TYPE OF EXISTING ROOF COVERING Tl\...,£ SHEATHING P GY l,._.)ac 0
B-10
*6. NEW ROOF MATERIAL _'C~I_L_-°8 ___ CLASS_.8:_WEIGHT PER SQ. croO
7. NUMBER OF SQUARES __ ~_'cf...cc..,_ __ _
8. TRADE NAME CT\ft~O "'11~~UFACTURER SA-4LJc; • ___ ___..a.c:;_.;:;c__ __ _
9. ROOF SYSTEM LISTING:
UL NO. Cl.--z..S £SI<., 11°?.c.C.E.S. Report# f<.f2.. 2 S"02,/
ASTM Cvl\-5S A--
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.
Contract Contractor ----
Name _____ -:::;::::::;:::----
*6. Rolled Roofing, Standard/ ite Tile, AsphalVComp fiberglass, Built Up, Other
Page 4 of 4 Rev. 02/11
• . .
Inspection List
Permit#: CB150020
Date Inspection Item
01/22/2015 19 Final Structural
01/22/2015 19 Final Structural
01/06/2015 15 Roof/Reroof
Friday, January 23, 2015
Type: MISC REROOF
Inspector Act
PD
PD
RI
AP
AP
FRIEDL: 2400 SF CONCRETE TILE
REROOF
Comments
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