HomeMy WebLinkAbout2873 Highland Dr; ; CBR2017-2073; PermitPrint Oat~: 10/12/2017
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
II Dwelling Units:
Bedrooms:
Project Title:
2873 Highland Dr
BLDG-Residential
1561904700
$9,485.64
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Residential Permit
www.carlsbadca.gov
Work Class: Reroof
Lot II:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check #:
Plan Check#;
Description: SINGLETON: RE-ROOF S4 SQUARES// MINOR NON-STRUCTURAL TERMITE REPAIR
BUILDING PERMIT FEE ($2000+)
BUILDING PLAN CHECK FEE (BLDG)
SB1473 GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION-RESIDENTIAL
Total Fees: $197.66
Owner:
JOY SINGLETON
1S40 Gascony
ENCINTIAS, CA
619-778-0041
Total Payments To Date: $197.66
Status:
Applied:
Issued:
Finaled:
Inspector:
Contractor:
CHRISTENSEN ROOFING
2974 Mountain View Drive
ESCONDIDO, CA 92027
760-741-1600
Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
Permit No: CBR2017-2073
Closed -Finaled
09/06/2017
09/06/2017
MColl
$0.00
$114.96
$80.47
$1.00
$1.23
Tl-!.E FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING
{'City of
Carlsbad
JOB ADDRESS
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: bullding@carlsbadca.gov
www.carlsbadca.gov
SUITE#/SPACE#/UNIT#
□BUILDING □FIRE □HEALTH 0 HAZMAT/APCD
Plan Check No.
Est. Value .J
Plan Ck. Deposit-
Date
CT/PROJECT# LOTH H OF UNITS H BEDROOMS H BATHROOMS TENANT BUSINESS NAME CONSTR TYPE occ" GROUP
L( .1
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) [
f.eA-l" e>-tf e¥.lst~, Sh.<.\l.e Shi~l~ ~~ (-t:.f"'-~ 4 ~ f-(:{"y.,,\.e
EXISTING USE
APPLICANT NAME
Prlna Contact
ADDRESS q
CITY
EMAIL
DESIGN PROFESSIONAL
ADDRESS
CITY
PHONE
EMAIL
of '-'~ <0+. / ',I\~-<:\ ru,w Co-"'"f· <='-'.-....1'• r~ ~~ ·
'5Lf St:\· b~;:~i 1--tf l~c~ ~
PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING elit.r1 YES 15i:]#,Z. NO□ YES~NO □
Se,\\ «'01
PROPERTY OWNER NAME-. <--+o 'A 0
ADDRESS \Sl{O ""' f...M E:-l t.. S C. 0 I"-
STATE ZIP '\'207,1 CITY ~ \'\.C ,h\~ i::.s STATE ZIP C1... Ct:,...
FAX PHONE
()OL.f \
FAX -11g
EMAIL
vi
ADDRESS M. ov n +a.,~ v-.
STATE ZIP CITY STATE ZIP
C.P\
FAX \~00 FAX
EMAIL 1?-oo
STATE LIC. # STATE LIC"#
FIRE SPRINKLERS YES□No!KI
(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 . 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 {hat he is exem~t therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars ($500}).
WORKERS' COMPENSATION
Worilers' Compensation Declaration: f hereby affirm under penally of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-Insure for workers' compensation as pro~ided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued
~ I have and will maintain wor11ers' compensation, as required bv s._;ction 37QO of \he Labor ~de, for \he performance of the work far which~is,_Permit is issued. My workers' compensation insurance carrier and policy
number are Insurance Co we>-lcocl Cootn.cttr.5 \ffi. $e<\/t<.eS Policy No 90C.G, G.Lf1-l-011 Expiration Date ( ' I I :z.016
This section need not be completed if the permit is for one hundred dollars ($100) or less. t.J..C • D Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' CompBnsation Laws of
California. WARNING: Failure to secure worilers' compensation coverage unlawful, ands II subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition t,;, the cost of compensation, damages as provided for in Section 3 0 of the Labor o e, interest and attorney's fees.
8$ CONTRACTOR SIGNATURE
I hereby affirm that J 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 nol apply to an owner of property who builds or improves thereon, and who does such work himse~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}"
I, as owner of the property, am exclusively contracting with licensed contractors to const11Jcl lhe 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 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. OYes 0No
2. I (have / have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) lo provide the proposed construclion (include name address / phone/ 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 I address I phone/ 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/ address / phone / type of work):
.fi'5 PROPERTY OWNER SIGNATURE □AGENT DATE
1r .. ... , • -.-·,· • ' ' ~ • ~ • ~ ' -• ·------, -·-""r'" • ",--""'"lr",·-" ••
, 't:OMPLETE THIS s·&'CTION FOR NON-RESIDEN°TIAL BUILDING PER'MIT·s ON"LY.
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 ta obtain a permit from the air pollution control district or air quality management district? □ Yes □ No
Is the facility to be constructed within 1, DOO 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 certlfythatl have read the application and stite lhatlheabove information isconectand that the information on the plans is accuraoo. I agree to wmplywH.h all City ordinances and State laws relating b:l building wnstruction.
I hereby authorize representative of the Ci1y of Carlsbad ro enter upoo the above mentioned property fCf inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLS BAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA pemit is required for excavations over 5'0' deep and demdition or coostruction of struc1ures over 3 srones in height
EXPIRATION: Every pem,it issued by the Building Official under the pl"O'lisions of is Code shall expire by limitation and bewne null and vc«l ff the building or work authorized by such permit is not commenced within
180 days m the dale of such pennit or ff the bui ing or work authorized bys rm~ is suspended or abandoned at any time after 1he wcxk is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code) .
.N$ APPLICANT'S SIGNATURE DATE ·---cr I
B-10
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
1. JOB ADDRESS:
2. TYPE OF BUILDING: RESIDENTIAL (., COMMERCIAL. ___ _
3. ROOF SLOPE: RISE 6 INCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) CD 2 3
5. TYPE OF EXISTING ROOF COVERING SYluJ4 S'hih~l.t SHEATHING fl"! woo& 11-z.
*6. NEW RooF MATERIAL GAF -f,..,wliru.~LAss A WEIGHT PER so. 22-s
7. NUMBER OF SQUARES __ CS_i~--
8. TRADENAME_'yo~ofi~~~ ___ MANUFACTURER_~G:i .............. ~A~.F_. __ _
9. ROOF SYSTEM LISTING:
UL NO. ]'JO E S12--1LJ1S I.C.C.E.S. Report#--"~-----
ASTM b 1'-1(,2.
10. IS THE EXISTING STRU~ 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 __ "}___tt:_7/4_,_,~~~j,~-===j),e_ _____ Date __ u~T-~/o.J.L----/~7 __ _
Contractor c( Owner-----?--Contractor
Name_~M~~~±l_L~.._;~-S~rc~kh~ "'-"'-~··j/
*6. Rolled Roofing, Standard/Lite Tile, AsphalUComp fiberglass, Built Up, Other
Page 6 of6 Rev. 04/14
Permit l4ypo: BLDG-Residential Application Date: 09/06/2017 Owner:
Work Class: Reroof Issue Date: 09/06/2017 Subdivision:
Status: Closed -Finaled Expiration Date: 03/12/2018 Address:
IVR Number: 6181
Actual Scheduled
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector
09/1112017 09111/2017
10/1212017 10112/2017
BLDG-15 034226-2017
Roof/Re Roof (Patio)
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
037415-2017
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
Passed Michael Colllns
COMMENTS
Existing Main lower & upper sheathing only
Passed Paul Burnette
COMMENTS
JOY SINGLETON
PARCEL MAP NO 02418
2873 Highland Dr
Carlsbad, CA 92008-1910
Reinspection
Yes
Passed
Yes
No
No
Yes
No
Complete
Complete
Complete
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October 12, 2017 Page 1 of 1