HomeMy WebLinkAbout2856 CACATUA ST; ; CB051548; PermitCity of Carlsbad YP
04-29-2005 '
Job Address:
Permit Type: Parcel No:
Valuation: Reference #:
Project Title:
Applicant: SECURE ROOF INC
1635 Faraday Av Carlsbad, CA 92008
Building Inspection Request Line (760) 602-2725
Miscellaneous Permit Permit No: CB051548
7356 TRADE ST SAN DIEGO CA 92121
800 338-6868
2856 CACATUA ST CBAD
MlSC Subtype: REROOF Status: ISSUED
21 53701 500 Lot #: 0 Applied: 04/29/2005
$1,586.00 Entered By: RMA Plan Approved: 04/29/2005
Issued: 04/29/2005 SARNECKY RES-1 300 SF ROCWTAR Inspect Area:
Owner: SARNECKY GEORGE&MARY TRUST 08-1 9-98
2856 CACATUA ST
CARLSBAD CA 92009
Miscelaneous Fee #1 Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
PERMIT FEE $53.00 $0.00
$0.00
$53.00
Total Fees: $53.00 Total Payments To Date: $0.00 Balance Due: $53.00
Date:
NOTICE: Please take NOTICE that approval of your project indudes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "feeslexactions." You have 90 days from the date this pennit was issued to protest imposition of these feedexactions. 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.
7088 04/3/05 0002 01 02
CGP 53.00
PERMIT APPLICATION
CITY OF CAR~SBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. I
Plan Ck. Deposit -,
Validated By /@-
Date
Sfh
1. PROJECTIN I
Business Name (at this address)
Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total # of units 1
6
Name Address City Statelzip Telephone #
(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 the Business and Professions Codel or that he is exempt therefrom, and the basis for the alleged
exemption. Any violation of Section 7031.5 by any applicant f r a p rmit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001).
Name Address
5€Cu&C Roof 2.25FALJ R C5c.
City C3? City Business License # License Class
Designer Name Address City Statelzip Telephone
State License #
0 of the work for which this permit is issued.
I sued. My worker's compensation insurance carrier and policy number are:
Insurance Company 9 I% T?
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS IS1001 OR LESS)
0 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, and shall subject an employer to criminal penalties and civil fines up to one hundred
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
I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
l=Ua 9 Policy NO. U6 JWG 03 Expiration Date / / - P
n 3706 of the Labor code, interest end attorney's fees.
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 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).
0 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
1.
2.
3.
4.
number I contractors license number):
5.
I am exempt under Section
I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES
I (have I have not) signed an application for a building permit for the proposed work.
I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number 1 contractors license number):
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 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 number I type
Business and Professions Code for this reason:
ON0
of work):
PROPERTY OWNER SIGNATURE DATE
OR NOhWESIL?EN77AL BUILDING PERMITS ONLY
ilding occupant required to submit a business plan, ac management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 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.
0 YES 0 NO
or the performance of the wor h this permit is issued (Sec. 3097(iI Civil Codel.
LENDERS NAME LENDER'S ADDRESS
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citv 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 5'0" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the building Official 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 building or work authorized by such permit is suspended or abandoned
at any time after the work is commenced ection 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE DATE q-27 -os
WHITE: File YELLOW: Applicant PINK: Finance
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDRESS: 2g56 &L& ST a9
2. TYPE OF BUILDING: RESIDENTIAL % COMMERCIAL
3. ROOFSLOPE: RISE
4. NUMBER OF EXISTING ROOF COVERING (circle one) @ 2 3
5. TYPE OF EXISTING ROOF COVERING k!! SHEATHING ,oV .
*6. NEW ROOF MATERIAL CLASS0 WEIGHT PER SQUARE
4 inches in 12 inches
7. NUMBER OF SQUARES 1.3
8. TRADENAME /m~m #fCd MANUFACTURER fls / h7ii .
9. ROOF SYSTEM LISTJNG UL NO.^ ICBO No. 352.3
io. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE
WEIGHT OF THE PROPOSED ROOF? e’ 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: I -- ?
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 f-2 9 -05
Contractor ,@ Owner
*6 - Rolled Roofing, Standard/Lite Tile, AsphaltlComp Fiberglass, Built up,
Other.
Contractor Nape CUR€ RwF
City of Carlsbad Bldg Inspection Request
For: 05/25/2005
Permit# CB051548 Inspector Assignment: PD
Title: SARNECKY RES-1300 SF ROCWTAR
Description:
Type: MlSC Sub Type: REROOF
Job Address: 2856 CACATUA ST
Suite: Lot 0
Location:
OWNER SARNECKY GEORGE&MARY TRUST 08-19-98
Owner: SARNECKY GEORGE&MARY TRUST 08-1 9-98
Remarks:
lnspecto
Total Time: Requested By: CHARLA
Entered By: JANEAN
CD Description PComment 19 Final Structural
Associated PCRs/CVs
Inspection Histow
Date Description Act lnsp Comments
05/23/2005 19 Final Structural CO PD NO ONE HOME 1:30PM
05/1 a2005 13 Shear PaneWHD's AP PD FLTROOFONLY
05/03/2005 15 RooWReroof CA PD
05/19/2005 19 Final Structural CO PD CALLED CHARLA - BVENT CAP