HomeMy WebLinkAbout2854 LEVANTE ST; ; CB143067; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
11-07-2014 Miscellaneous Permit Permit No: CB143067
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
2854 LEVANTE ST CBAD
MISC
2162300900
$9,157.00
Subtype: REROOF Status:
Lot#: 0 Applied:
Entered By:
Reference #: Plan Approved:
PC#: Issued:
Inspect Area:
Project Title: RAYMOND RES-REMOVE EXISTING
STD WEIGHT CONCRETE TILE & REPLACE W/ 220 SF OF
Applicant: Owner:
EXCALIBUR ROOFING SERVICES
1750 W. CITRACADO
RAYMOND KENNETH N
#135
ESCONDIDO 92029
760-7 43-8803
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees: $200.00
PERMIT FEE
2854 LEV ANTE ST
CARLSBAD CA 92009
Total Payments To Date: $200.00
Date:
Balance Due:
Clearance:
ISSUED
11/07/2014
RMA
11/07/2014
11/07/2014
$200.00
$0.00
$0.00
$200.00
$0.00
NOTICE: Please take NOTICE a appr v l of your project includes the "lm sition" of 1'es, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have days from the date this pennit was issued fu ~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 \T APPLY to any
fe I xact\ons f which o h ve revi I n \ven a NO I imilar to t is a t i h the ta t of limitations h s r \ sl t i d.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: QPLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMAT/APCD
Ccityof
Carlsbad
JOB ADDRESS
~S't
CT/PROJECT#
,~.
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
SULTEf /SPACEf /UNITI
Plan Check No.
Est. Value
Plan Ck. Deposit
PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME ,z -~..I
SWPPP
CONSTR. TYPE OCC. GROUP
EXISTING USE GARAGE (SF} PATIOS (SF) A\R CDND\TIONING
No[J YES (:51,No □
FIRE SPRINKLERS
YES0N°l;3
APPLICANT NAME PROPERTY OWNER ~-ADDRESS
q ZIP ;2,.6 ATATE
'-1:to~
ZIP
FAX
EMAIL EMAlL
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY
PHONE FAX PHONE FAX
EMAIL EMAIL
STATE UC.# CITY BUS. UC#
(Sec~ 7031.5 Business and Professions Code: Any Qty or Coun_ty which requires a permit to.construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such per_mit to file a signed statement that he 1s 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 fs exempt 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' COMPl11\ISATION
Workers' Compensation Declaration: / /Je!eby affirm under penalty of perjury one oft/le following declarations:
□ 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 pertormance of the worll for which this permit is issued,
~I have and will maintain workers' compensation, as reauired bv Section 3700 of the Labor Code, 101 the pertormance of the worll for which this permit IS issued. My workers' compensation insurance carrier and policy
--number are: Insurance Co, (~ ,~J:.., ~ .,Jt . Policy No. Ci.JC. 7A-'t9C>0Lt7 Expiration Date~• ~•~L~-~l~~-----
~sect\on need not be completed if the permifis for one hundred dollars ($100) or less LJ Certificate of Exemption: I certify that in the perlormance of the worll f ich this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
Callfomia. WARNING: Failure to secure workers' compensation e Is unlawful, and shall subject an employer to crlmlnal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damai i!!Jll!~~,-:..,.-,,.,01 the Labor code, Interest and attorney's fees.
8$ CONTRACTOR SIGNATURE
/ hereby affirm that I am exempt from Conttactor's License Law-ffir tile following reason:
□
□
□
\, as owner of the property or my employees with wages as their sole compensation, will do the worll and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's
Lk:ense 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 COrll)letion, the owner-builder will have the bllrden of proving that he did not build or improve for the purpose of sate).
I, as owner of the property, am exclusively contracting with licensed contractors to construct the pro,S:ct {Sec. 7044, Business and Professions Code: The Contractor's license Law does not apply to an owner of
property who builds or improves thereol\ and contracts for such projects with contractor(s) licensed pursuant to the Contractor's license Law),
I am exempt under Seclfon __ ~~-·Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials lor construction of the proposed property improvement. QYes Do
2. I (have I have not) signed an application for a building permit for the proposed work,
1 I have contracted with the following person {firm) to provide ttie proposed construction (include name address I phone I contractors' license number):
4. I plan to provide portions of the worll, but l 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 wrn provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work):
JI$ PROPERTY OWNER SIGNATURE □AGENT DATE
-------------
)
Is 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 AND THE AIR POLLUTION CONTROL DISTRICT.
I certify that I have read the application and state that the above lnfonnation Is correct and that the lnfonnation on the plans is accurate. I agree to comply with all City ordnances and State lcM'S relating tr, building construction.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentk>ned property br inspeciion purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE C\TY Of CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID Cm' IN CONSEC1JENCE OF THE GRANTING OF THIS PERMIT.
OSHA: AA OSHA pennlt is required for excavations over 5'0' deep and demol~ion or construction of structures over 3 stories in height.
EXPIR/fflON: Every pennit issued by the Bui'ding Offda\ underlhe provisW:ms of this Code shall expire by limitation and become null and void n the buikling orv-.ork aulhorized by such permit is not oommenced 'Mthin
180 days from the date of such permit or if the OOik:iin w::ir'K authori y such permit is suspended or abandoned at any time after the 'Mlfk is oommenced for a period of 180 days (Section 106.4.4 Uniform Buildng Code)
_,1$ APPLICANT'S SIGNATURE DATE / r • 7 -f'(
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.gqv or Mail the completed form to City of Carlsbad, BuHding Division 1635 Faraday Avenue, Carlsbad, California 92008.
CONTACT NAME
ADDRESS
CITY STATE
PHONE
EMAIL
OELIVERY OPTIONS
PICKUP:
MAIL TO:
CONTACT (Listed above)
CONTRACTOR {On Pg. 1)
CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
ZIP
FAX
OCCUPANT {Listed above)
OCCUPANT (Listed above)
MAIL/ FAX TO OTHER: ________________ _
,,65 APPLICANT'S SIGNATURE
CO#: (Office Use Only)
OCCUPANT NAME
BUILDING ADDRESS
CITY STATE
Carlsbad CA
OCCUPANT'S BUS. LIC. No.
ASSOCIATEDCB#-------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
Inspection List
Permit#: CB143067
Date lnspectfon_ltem
11/25/2014 15 Roof/Reroof
11/24/2014 15 Roof/Reroof
11/24/2014 19 Final Structural
11/12/2014 15 Roof/Reroof
Wednesday, November 26, 2014
Type: MISC REROOF
Inspector Act
SP
SP
SP
RI
AP
Fl
AP
RAYMOND RES-REMOVE EXISTING
STD WEIGHT CONCRETE TILE & REPLAC
Comments
RESCHEDULED FROM MONDAY
Page 1 of 1
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
1. JOB ADDRESS: ".2'.85'1 Lg ...o.,j-. sr-
2. TYPE OF BUILDING: RESIDENTIAL Q COMMERCIAL ___ _
3. ROOF SLOPE: RISE <::r INCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE)G) 2 3
---1/._ ~ ·• 5. TYPE OF EXISTING ROOF COVERING Ca_ .... c:tCP''-' -t;'/e~ SHEATHING /► -'---
B-10
CLASS ~ WEIGHT PER SQ.'S'CO *6. NEW ROOF MATERIAL C:~.,,1'; T:\.
7. NUMBER OF SQUARES ~ ----'C...C....-----
8. TRADE NAME f:.:s (9, 13,IA~c MANUFACTURER_.G ........ 3~lec...l) ____ _
9. ROOF SYSTEM LISTING:
UL NO. _____ I.C.C.E.S. Report #CS-(2, I 9 oO
ASTM _____ _
10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE
PROPOSED ROOF? {YEs, 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 r r • 7 -f'-1
Q Owner __ \ ___ Contractor Contractor
Name €:.-; k. \.\o llowa-7
*6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other
Page4of4 Rev. 02/11