HomeMy WebLinkAbout2870 HIGHLAND DR; ; CB102027; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008 \
11-01-2010 Miscellaneous Permit Permit No: CB102027
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
2870 HIGHLAND DR CBAD
MISC
1562001900
$3,375.00
Subtype: REROOF Status:
Lot#: 0 Applied:
Entered By:
Reference #: Plan Approved:
PC#:
Project Title: KLEIN: 2500 SF -REMOVE BUil T
UP AND INSTALL TORCH DOWN
Applicant:
KLEIN FLORENCE
2870 HIGHLAND DR
CARLSBAD CA 92008
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
PERMIT FEE
Owner:
KLEIN FLORENCE
2870 HIGHLAND DR
CARLSBAD CA 92008
Issued:
Inspect Area:
ISSUED
11/01/2010
JMA
11/01/2010
11/01/2010
$106.00
$0.00
$0.00
$106.00
Total Fees: $106.00 Total Payments To Date: $106.00 Balance Due:
Inspector:
FINAL Af PRCJ,VAL
Date: I I __,, ',,-' ~ / 0 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." Yol..i 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 inlormation 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 11ou have nreviouslv been niven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise exnired.
«''j> Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718/ 2719
Plan Check No. (' 0202
~ CITY OF
CARLSBAD
I)
PHASE#
Fax: 760-602-8558
www.carlsbadca.gov
# OF UNITS # BEDROOMS
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
EXISTING USE PROPOSED USE GARAGE (SF)
CONTACT NAME (ff Different Fom Applicant)
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
PROPERTY OWNER NAME
I>
STATE ZIP
C
FAX
ARCH/DESIGNER NAME & ADDRESS STATE LIC. #
Est. Value
Plan Ck. Deposit
Date11 [1 SWPP
SUITE#/SPACE#/UNIT# APN
# BATHROOMS TENANT BUSINESS NAME NSTR. TYP£ OCC. GROUP
PATIOS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES □#_ NOD YES □ NO □ YES □ NOD
,;ti
v.r ltl(N (ltE /V
CITY ZIP
F.fC11NI,', i? Zif:) 7
7-) 'l'I I
CONTRACTOR BUS. NAME
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
STATE LIC.# CLASS CITY BUS. UC.#
(Sec. 7031.5 Business and Professions Cod_e: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also r~uires the applicant for such permit to file a sigi,ed statement that he is licensed pursuant to the provisions of the Contractor's License Law JChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or fhat he is exempt 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 {$5001).
WORKERS' COMPl!NSATll:!i\l ,, -, _
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
□ I have and will maintain a certificate of consent to self-Insure fof workera' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this pennll Is issued.
□ 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 pennit is issued. My wDlkers' compensation insurance earner and policy
number are: Insurance Co. ______________________ Policy No. ______________ Expiration Date _________ _
This section need not be completed If the pennit is for one hundred dollars ($100) or less. □ Certificate of Exemption: I certify that in the perfonnance of the work for which this pennlt is issued, I shall not employ any person in any manner so as to become subject lo the Worker.!' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage Is unlawfu~ and shall subject an employer to criminal penaHies and clvfl 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.
~ CONTRACTOR SIGNATURE DATE
I h618by affirm that I am exempt from Contractor's License Law for the following reason:
l!f""' 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, BllSiness and Professions Code: The Contracto(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 offen:td for
sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have lhe burden of proving Iha! he did not buikl 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 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).
□ I am exempt under Section _____ ,Business and Professions Code for this reason:
1. I personally plan to provide the ma}or labor and materials for construction of the proposed property improvement. □ Yes □ No
2. I (have/ have not) signed an applicalion for a building' pennit for the proposed work.
3. I have contracted Ylilh the following person (finn) to provide the proposed construction (include na~e address I phone/ contractors' license numl>er):
4.1 plan to provide portions of the wotk, but I have hired the following person to coordinate, sup8Mse and provide the major work (include name I address/ phone/ contracbrs' license number):
5. I wiH provide some of the work, but I have contracted (hired) the followlng persons to provide the worl( Indicated (include name I address/ phone I type of WOik):
_65 PROPERTY OWNER SIGNATURE □AGENT DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is lhe applicant or future building occupant required to submit a business plan, acutely hazardous materials registra~on form or risk management and prevention program under Sections 25505, 25533 OI' 25534 of the
Presley-Ta"°er 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 quallly management district? □ Yes □ No
Is the facility to be constructed within 1,000 feel of the outer boundary of a school site? □ Yes D 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 hereby affirm that there IS a oonstruction lending agency for the performance of the work this permit 1s issued (Sec 3097 (1) C1vll Code).
Lender's Name Lender's Address
I certify that I have read the appUcatlon and state that the aboYe infonnatioo is correct and that the infomiatlon on the plans Is accurate. I agree to comply with all Cify on:llnances and state laws relating to building construction.
I hereby aullorize representawe of the City of Carlsbad to enter upcw1 the above menooned property for hspecthn p..1rposes. I AL.SO AGREE TO SAVE, lf'{)EMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN Am WAY ACCRUE AGAJNST SAID CrTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: AA OSH.JI. permit is required for excavations (!,let 5'0' deep and deroolioon or construcoon of structures over 3 stores i1 heght.
PIRA TK)N: Eve,y permit issued by the Buik:ling Official under the provisions of thi.s Code shall expire by linitation and become null and void if Ile OOldhg or 'Mllk aul'lorued by such ~ is not corrmencsd 'Mm
BO days from the date of such pennit or if the buldi'lg oc'MXk authorized by such permit i.s suspended or abandoned at any time after the work is rommenced for a peood of 180 days (Secoon 106.4.4 l.lnibm Building Code).
DATE
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
1. JOB ADDRESS: 'J../r?ll I/,' &?-111./V,'~
2. TYPE OF BUILDING: RESIDENTIAL._t,,/"~--COMMERCIAL ___ _
3. ROOF SLOPE: RISE ..Z, INCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 1 2 0
5. TYPE OF EXISTING ROOF COVERING /~1LT-V/7 SHEATHING ZXcl': Trtfr-
V0/111'1 ,.,H/)l,"t,,'l 1.-
*6. NEW ROOF MATERIAL Toi c I • 111n,/ CLASS ft WEIGHT PER SQ. :<_ '/ll t.1/FA' "'9~,,1£
7. NUMBER OF SQUARES---'-2.-'-S-___ _
8. TRADE NAME Tr>JC4 -/tJlrt,/ MANUFACTURER .J"";f/11 •J /lt/bYAfV,'L£
B-10
9. ROOF SYSTEM LISTING:
UL NO. ______ I.C.C.E.S. Report# _____ _
ASTM _____ _
1 O. 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 F· --;?q'? cl,, Cz: 1~ Date --------
Contractor ____ Owner_V ___ C.ontractor
Name _________ _
*6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other
Page 5 of 5 Rev. 03/09
. m City of Carlsbad Bldg Inspection Request
. .
Permit# CB102027
For: 11/08/2010
Title: KLEIN: 2500 SF· REMOVE BUILT
Description: UP AND INSTALL TORCH DOWN
Type:MISC Sub Type: REROOF
Job Address:
Suite:
2870 HIGHLAND DR
Lot: 0
Inspector Assignment: RB ---
Phone: 7604193808
Location: Inspector:
OWNER KLEIN FLORENCE
Owner: KLEIN FLORENCE
Remarks:
Total Time:
CD Description
19 Final Structural
----
Requested By: PAT
Entered By: CHRISTINE
Act Comments H_ ______ _
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act lnsp Comments
11/02/2010 15 Roof/Reroof AP RB CAME BACK 2 TIMES