The URL can be used to link to this page

Home My WebLink About2880 HIGHLAND DR; ; CB020156; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-14-2002 Miscellaneous Permit Permit No:CB020156 Building Inspection Request Line (760) 602-2725 Job Address: 2880 HIGHLAND DR CBAD Permit Type: MISC Subtype: REROOF Status: ISSUED 01/14/2002 JM 01/14/2002 01/14/2002 Parcel No: 1562001800 Lot #: 0 Applied: Valuation: Reference #: Project Title: Applicant: $8,992.00 BREMER -REROOF LITE TILE 3200 SF ICBO#2656 PIVA ROOFING, BOB 1192 INDUSTRIALAV ESCONDIDO, CA 92029 619-745-4700 Entered By: Plan Approved: Issued: Inspect Area: Owner: BREMER FAMILY SURVIVORS TRUST 11-16-92 2880 HIGHLAND DR CARLSBAD CA 92008 8732 01/14/02 0002 01 02 CGP 153-00 Total Fees: $153.00 Total Payments To Date: $0.00 Balance Due: $153.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT $153.00 $0.00 $0.00 $153.00 PERMIT APPLICATION FOR OFFICE USE ONLY C:-! PLAN CHECK NO. {flZ -(J6_ EST. VAL. B, Cf'{.,_ CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 Plan Ck. Deposit -4-----,1---+-- Validated By __ __,.""'o<.-t---f+rr-:H""7."r- Date ________ -1--1-=--..v1-,...,._u..~ Business Name tat this address) Subdivision Namo/Numbor Unit No. Phase No. Total # of units Assessor's ParCJII I } 8e-1tvdf· S'/.tJl,/te I _/ Existing Use ~d,_c/,'7e r /le Proposed Use Description of Work SO. FT. :=?'L ~ lot St~ I of Bedrooms. , of Bathrooms Name Fax II Name Address City State/Zip Telephone II . . ,~ •' .. }••·••,•~,.,...,,=,,:;:,,,r.;,;,.-~.,.,...,"_.,1'.._,;l;!:-·••.......,,..,.,.t.£'~~ •~v.'l•r."'.J>P"' .,. i•-....-.--•-,~.~-•-•••·• .,,,· ... ,_. •-, • 11$,:: -:-;;PE~~O'l(NER'·.~·. ,:., ·~-, •c-i~.';:;;1,.,..,.-,r~ .. ;,_ :.-3..s::;-.:~~:l.!.,,:.-;,.~~~•r.:2>!':•-="-'~~~~)'~'p~" -. ~ . ;•.~~--.-"• . , :-.. _, · · Name Address City State/Zip Tolophono I :_5~~coNTR.(cTOR:~·coMPANY,1NAM~~~1'.e,m~~~ildm..~~d.l~~~~~ji~._~~i.~,'~,;~7,:t~~::-J:~~~~-~•~·:~~:;..:;:_7:L:i::~<~~-... !Soc. 7031.5 Business and Professions Coda: Any City or County which requires a permit to constn.,ct, alter, improve, demolish or repair ony structure, pnor to its issuance, also requires tho applicant for such permit to file a signed statement that he Is licensed pursuant to the provisions of tho Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of tho Business and Profes,ions Codol or that he Is oxempt therefrom, end tho bosrs for tho alleged exem tion. Any violation of Section 7031 .5 by any applicant for a permit subjects the applicant to • civil p,n•ttv of not more than hve hundred dollars I$ 5001). ' Od ,'Al // 1,1_ /,1111/,;_ /.r,',./ t' fc.a,v /(;(u r'A. f'..l~,l.f 7tf<l-7't'.5'· 7tJ<J City Stote/Zip Telephone II State License II tX / '6 9 J 3:: License Cius It: :J 1 I!: S: City Business License II /:;J G 'JI f 1 _ Designer Name Addre11 City State/Zip Telephone Slate License II __________ _ ·a>-~ -WORKERS': COMP£NSAT10N,~:;'~\i:::~£;r.1;~,~:~!JffiT~~V.::~.1~;'?.t;;.G;.~~~~~,~·~J1;-.;,.~~1~~!.~~~;~~~~::;:..·r>-:-: ~~~: 4 ; .... ~· ~~'. :-";.;.~ ·.:;:• :·:•:. :·:· 1:·":7 ·:: ,..!_. Workers' Compenaation Declaration: I heraby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consonl to nit-insure for workers' compensation as provided by Section 3700 of tho Labor Codo, tor tho portormanco or tho work tor which this permit is issued. ~ I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for tho performance ot tho work tor which this permit is issued. My worker's componsIt10n insurance carrier and policy number ■re: Insurance Company 5 7'A-J-b ,C-b ,rl /? Policy No. ~ I:, "1 7 .5 t[ '-1,. 0 ) Expiration Date_.,~,_ __ ,< ___ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) 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 tho Workers' Compensation Laws of California. WARNING: FeUuni to aecur. workara' compenHtion coverage la unlawful, and ahall aubject an employer to criminal penaltlaa and clvll linea up to one hundred thouaand dollar■ ($1 ,0 l. In dltlon to the coat of compenaatlon, damages aa provided fo• In Section 3706 of the Labor coda, Interest end attomey'a feaa. SIGNATURE__,,4,-~:.E:...J::'.l:.:::E::I::;,,.:;~=----------------DATE /-/~,.. 0.i,< 7. ·:::~OWNEJ\.. ILDER·DECLARATioN:_;~-:~~;-::S-f~!';~:~;;.:.:~:;:;;;,;;7:r-.~~~~~_;~~!,~~;.~~:::·~~ ... ;;~~~:;~:f:,.~:,.;:i~ ~ ~:~;.: .~;--,~~~:: :.·_:-~:~·~,:-i{:;f;·f.7~.~ I hereby atlirm that I am exempt from the Contractor's License Law for the following reason: 0 I, as owner of tho 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, Bus,nesa and Professions Code: Tha Contractor's Ucon■• Law doe, not apply to an owner ot property who builds or improves thereon, and who doea such work himself or through his own employeu, provided that such improvements are not intended or offered for sale. It, however. tho building or improvement is sold w ithin ono year of completion, tho owner-builder will have tho burden of proving that ho 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 !Sac. 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 controctor(s) licensed purouant to tho Contractor's License Lawl. 0 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. 0 YES ONO 2. I !have / have not) signed an applicatlon for a building permit tor the proposed work. 3. I have contracted with tho following person Uirml to provide tho proposed construction (include name / address / phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired tho following parson to coordinate, supervise and provide tho major work (include name / address / phone number/ contractors license number): __________________________________________________ _ 5. I will provide some of tho work, but I have contracted !hired) the following persons to provide the work indicated !include name / address / phone number / typo of work): _____________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ _ DATE _________ _ COMPrnl: 11115 SECTION'FOR NON-/iall>.ElY_liAL:~UltDING'~RMtri.;QN(.t£~~~~;l:;fSi.:=~!'[!':!!E_~~~~:::".::'.".:.:f~J-;:';~ ~:·: ;:.~:.-·.:·•;.:zs:_:::'.:'.::::~Q .~ Is tho applicant or future building occupant required to submit a businaaa plan, acutely haurdous materials registration form or rosk management and p,evont,on program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Actr D •-¥S-G-NO . Is tho applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES O NO Is tha facility to bo constructed w ithin 1,000 feet of the outer boundary of a school aite 7 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A ANAL 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. a.:~~CQNSTRUCTI~ tfN0ING(AGENC~f~R..}~~-~~;~:tf;~~~i~·!7.)l~:0r~~~t~~1~1~¥:r~r~~i~?.}._T~I::~~ :: ·::z~·:~;:~::::-w ~-~~ ... :>..;.::~--~· i -·::~ •• ~ ·~ ~ '.: .p_.~. : I hereby affirm that tharo is • constn.,ction lending agency for the performance of the work for which this permit is issued (Sec. 3097(il Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS _________________________ _ s:~:~·:.-.APPUCANT--'CERTIACATION~~if,;::~~~~~~:~~~~-,.;:,;.:,,..•~~-!~1t;~ffif~~~ .. z:--x..~~,;~1~!!.~l:i~~~::_;:~~.:.:_~.~:··. ·~::_:::-·: _-::_=--::;:~·.· I certify that I have road the application and state that the above information is correct and that the information on tho plans is accuroto. I agroo to comply woth all Coty ordinances and State laws relating to building construction. I horoby authorize representatives of tho Cit,-of Carlsbad to enter upon tho above mentioned propartv tor inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU. 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 tor excavations over 5'0" doop and demolition or construction of structures over 3 stenos ,n hooght. EXPIRATION: Every permit issu_od by tho Building Otfi7ial under the provisions ot this Code shall expire by limitation and become null and void if the buoldong or work authorozod by such permit 1s not commenced within 365 days from tho dote of such permit or it tho building or work authorozod by such pormot ,s suspended or abandoned at any time attor the ork i comm cod for a ponod of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE /-/tJ-o;z WHITE: Filo YELLOW: Applicant PINK: Finance . ,, City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS; . :Z 13: 'i5 ll /I: ,; I 4al I?-', ;;> 2. TYPE OF BUILDING: RESIDENTIAL X COMMERCIAL.__ _ _, 3. ROOF SLOPE: RISE S inches In 12 Inches 4, NUMBER OF EXISTING ROOF COVERING (circle one) d)' 2 3 5. TYPE OF EXISTING ROOF COVERING 5k f~ SHEATHING 5 /:, '.,f • ' *6. NEW ROOF MATERIAL /t:wz,1,'lcCLASS_A_WEIGHT PER.SQUARE . s-6 .s-- 7, NUMBER OF SQUARES 3 ,;l s. TRADE NAME bk/,' I e • P1I ,\). MANUFACTURER ~,,_,, -t' /c• 9. ROOF SYSTEM LISTING UL No., ____ ICBO No. ;l 6 s b 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 coverlng5 of any type or classification are prohibited. I understand the following inspections are required: 1. Tear Off/Prc1•lnipection prior to install new roof covering. :z. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for Inspection. Signature ·P ~ Dafe /-/tJ-4,2 Contractor X Owner ____ C,ontractor Name /4j, /f'.,,,.. ,Ro" f-p *6 • Rolled Roofing, Standard/Lite Tile, AsphallfComp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 01/29/2002 Permit# CB020156 Inspector Assignment: GG Title: BREMER • REROOF LITE TILE Description: 3200 SF ICBO#2656 Type:MISC Sub Type: REROOF Job Address: 2880 HIGHLAND DR Suite: Lot 0 Location: APPLICANT PIVA ROOFING, BOB Owner: BREMER FAMILY SURVIVORS TRUST 11-16-92 Remarks: Total Time: CD Description Act Comments --- Phone: 7607454700 Inspector: ---- Requested By: DONNA Entered By: CHRISTINE 19 Final Structural .Jlf_ __________ _ Associated PCRs Inspection History Date Description 01/15/2002 15 Roof/Reroof Act lnsp Comments AP GG