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HomeMy WebLinkAbout2057 PLAYA RD; ; CB101724; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-05-2011 Miscellaneous Permit Permit No: CB101724 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: Applicant: 2057 PLAYA RD CBAD MISC 2151400700 $2,700.00 Subtype: REROOF Lot#: 0 ANDERSON: 2000 SF HOT MOP RE- ROOF Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ANDERSSON LENNART S&MAYRA D ANDERSSON LENNART S&MAYRA D 2057 PLA YA RD CARLSBAD CA 92009 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: Inspector: $91.00 2057 PLA YA RD CARLSBAD CA 92009 PERMIT FEE Total Payments To Date: $91.00 Balance Due: FINAL APPROVAL Date: Clearance: ISSUED 09/20/2010 JMA 09/20/2010 09/20/2010 TP $91.00 $0.00 $0.00 $91.00 $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.' 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 f f whi h r vi I T E imil i h h f lim" i vi I h i «~'t> ~ CITY OF Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Plan Check No. BtO 172'-f Est. Value Plan Ck. Deposit CARLSBAD Fax: 760-602-8558 www.carlsbadca.gov Date "I -z.a I cc) SWPP JOB ADDRESS -, --, --405 ,- APN CT/PROJECT# LOT# CONSTR. TYPE OCC. GROUP PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES □#_ NO □ YES □ NO □ YES □ NOD CONTACT NAME (ff Different Fom Applicant) APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL CONTRACTOR BUS. NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL ARCH/DESIGNER NAME & ADDRESS IC.# STATE LIC.# CLASS CITY BUS. LIC,# (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 ttiat 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 that he is exempt 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' COMPl!NSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I heve and will maintain a certificate of consent to self-insure for worllers' compensation as provided by Section 3700 of the Labor Code, for the performance or the work for which lhis permit is issued. 0 I have and will maintain workers' compensation, as required by Section 3700 of the labor Code, for the performance of lhe work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co .. ______________________ Policy No. ______________ Expiration Date _________ _ This section need not be completed ii the permit is for one hundred dollars {$100) or less. D Certificate of Exemption: I certify that in the performance of lhe work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penatties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees. ,6$ CONTRACTOR SIGNATURE □AGENT DATE OWNER•BUILDl!R DECLARATION I herj)Y affi,m that I am exempt from Contractor's License Law for the following reason: tv. 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 wm have the burden of proving that he did not build or improve for the purpose of sale). □ • I, as owner of the property, am exdusively contracting with licensed contractors to conslruct the project (Sec. 7044, BusiAess 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 p.irsuant to the Conlractor'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. □ Yes □ No 2. I (have I have not) signed ari application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed conslruction (include name address I phone I 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 I 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 I address I phone I type of work): .,6$ PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON•RESIDENTIAL BUILDING PERMITS ONLY ts 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 perm~ from the air pollution control district or air quality management disbict? □ 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. CONSTRUCTION LENDING AGEN.(Y I hereby affirm that there 1s a construction lending agency for the performance of the work this perrmt 1s issued (Sec 3097 (1) C1vll Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the appllcatlon and state that the above Information Is correct and that the lnfonnatlon on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representaM oflhe City of Carlsbad ti enter u!X)ll lhe above rnenOOned property for i'lspecoo!1 purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLES.S THE CITY Of CARLSBAD AGAJNST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: kl OSH.ti. permM is required b excavatioos OVEf 5'0' deep and demolitm or constructbn of strucb.tres over 3 stlries i'l hei;;!ht. EXPIRATION: Eveiy permit issued by lhe Bulk::ling Offrial under the provisms of this Code shall expire by liTiitation and become nuM and vctl if lhe buildi'lg or work authorized by such pemil is not conmenced 'Mthin 180 days from lhe date of such pem,it or iflhe buidi'lg or work aulhcmed by such permit is suspended or abandoned at any time after lhe work is commenced for a period of 180 days (Secti::ln 106.4.4 Uribm Building Code). APPLICANT'S SIGNATURE --...-DATE 9 (.;;Jo/,;;;. 0 I 0 B-10 REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESS: 20 5 T ?/ aya. '2-cfL U~ol 9' ,;ioo J 2. TYPE OF BUILDING: RESIDENTIAL ~ COMMERCIAL. ___ _ IV O $-f.o fU--· I 3. ROOF SLOPE: RISE ___ INCHES IN 12 INCHES F( Qq-~ 4. NUMBER OF EXISTING ROOF COVERING (CIRCl,E ONE) 1 2 . :} ~/1..-,0 F/e<-f~ f /c.u--,.,u=a~ t' /2..,c,--d..____ 5. TYPE OF EXISTING ROOF COVERING ---v ( SHEATHING ' --- *6. NEW ROOF MATERIAL 2;~ CLASS __ WEIGHT PER SQ. __ 7. NUMBER OF SQUARES /L, ;;2000 8. TRADE NAME _______ MANUFACTURER ~-Lk-(2cil- 9. ROOF SYSTEM LISTING: UL NO. ______ I.C.C.E.S. Report# ______ _ ASTM _____ _ 1 O. IS THE EXISTING S.TRUC. TUR~L D SUFFICIENT TO SUSTAIN THE WEIGHT OF TH~ PROPOSED ROOF? YES NO J Q~ ~~ ,,-;;z,~ ~ I~ All roof coverings are required to be CLASS A Combustible rilof coveHn.gs 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 0. t(:_ 0./c__ 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signature ---?'1?~ M ?In~ Date_--';'--'-/4_;;;.~~,_&D_· _/_iJ_ -4 "'>~1 Contractor ___ -1~,-Owner,,..~ ___ Contractor Q~-Name '--; *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other Page 5 of5 Rev. 03109 City of Carlsbad Bldg Inspection Request For: 09/14/2011 Permit# CB101724 Title: ANDERSON: 2000 SF HOT MOP RE- Descriplion: ROOF Type:MISC Sub Type: REROOF Job Address: Suite: Location: 2057 PLAYA RD Lot: 0 OWNER ANDERSSON LENNART S&MAYRA D Owner: ANDERSSON LENNART S&MAYRA D Remarks: Total Time: CD Description Act Comments Inspector Assignment: TP --- Phone: 8585313433 Inspector: L Requested By: NA Entered By: CHRISTINE 19 Final Structural ,tr{_ ______ _ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description 06/29/2011 15 Roof/Reroof 04/12/2011 19 Final Structural Act lnsp Comments AP TP CO TP NO WORK DONE