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Home My WebLink About2687 Madison St; ; CBR2018-1503; Permit(city of Carlsbad Print Date: 06/28/2018 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: ·#Dwelling Units: Bedrooms: Project Title: 2687 Madison St BLDG-Residential 2031021400 $5,621.12 Residential Permit Work Class: Re roof Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Description: TREJO: RE-ROOF 32 SQ COMP SHINGLES Owner: Status: Applied: Issued: Permit Finaled: Inspector: Final Inspection: Contractor: Permit No: CBR2018-1503 Closed -Finaled 06/25/2018 06/25/2018 PBurn 6/28/2018 2:04:39PM TRUST TREJO FAMILY TRUST 2687 Madison St APODACA ROOF SERVICES BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG) $B1473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-RESIDENTIAL Total Fees: $136.85 CARLSBAD, CA 92008 Total Payments To Date: $136.85 3265 Valley St Carlsbad, CA 92008-1158 760-518-1259 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 pla~ning, 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. $0.00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov $79.48 $55.64 $1.00 $0.73 ---_ ·c·cityof Building Permit Application Plan Check No~of& _ /,SQJ 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~A-. , '\ I I .., Carlsbad Ph: 780-802-271.9 Fax: 760-602-8558 Plan Ck. Deposit 1 ~ , email: bulldlng@carlsbadca.gov www.1:;;arl~bgigc~.gQv ;ls--I~ -~- Date ,,.- JOB ADDRESS 2.. r,,,, er 7 /tA-JJ ,Jo;w .sr SUITE#/SPACE#/UNIT# APN --- CT/l'ROJE1,;1 # ILOT# PH~E# I# OF UNITS I# BEDROOMS # 8AIHR00MS I TENANT BUS1NESS NAME 1 CONSTR. TYPE 1 occ. GR<)ljj, DESCRlr, ,ON OF WORK: Include Square Feet of A1 lJCted Area(s) VC___,...rL orP Cl) C!.. o,,-, '-7 ,rt....001: -.-Z-.s,-r-I/ JO.:;:r-r,-/r - J;.._,s v~ II JD;,,-,rt. .Vt...,.7e-.,...,Jto,-J--7/ <!.c>-"7kl EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE IAIR COND1TIONING I FIRE SPRINKLERS YES □#_ NOD YES □ NOD YES O NOD APPLICANT NAME (Prlma~+~ _,,,-'"-7 t /C:: C e-~ I,.._ -, ,--o -~PERTY OWNER NAME I.,{ 1:1 C ,..., .,,_ /i,,,. J) ... I I ,,..., C. V-A ""-; 0 ADDRESS , ADDRESS ,_J z.__ ~ .J 1-,,'A. //e y <5· r 2-~8"7 /J.....,J),J<,,.., -sr CITY STATE ZIP c~ Sc ,-1 ZIP "?"'_.,-1 rt..-Ir _,.,, --4-, > C.,.,-J 9-z_c-o Ii-, /1-,..,_ /j -__. J.) 9" z_ooP--- PHONE IFAX ---PHONE ! FAX 7'-0 ~f-25'"-ZP''/.P-76,o-'70,f' -2-'fr~ r - EMAi~ c vZ. A...oo P <'.!!. .-"7' ,r, I. C' c-r EMAIL )er;:: IT~"'-; o IJ €' = ---,--1-. /_ C! 0 ~ DESIGN PROFESSIONAL NAME,-.-CO~ACTOR BUS. NAME r -,, ..._ C I /coo( ... Se,,_ ... :: --ADDRESS ADDRESS 9 y C,, /", .-1-.-L l/1J ,--,,.,. Yr'l. . CITY STATE ZIP STATE ZIP C\TYV, JJ (.A-.i>r1... C!_"--4 '12.-o,P-( PHONE I FAX --PHONE !FAX 760 °-S-/0· I 2-r-z ~ EMAIL EMAIL /41 rL001:'.__sc A. V, c!-<' r e.. q----, -,., / . ,, . l STATE LlC. # STATELIC#9 r '7 I Z-? / c(!s_ ST · / CITY eus. uc.N (Sec. 7031.5 Business and Professions Code: Arr; 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 ls 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 exem_i;it therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). WORKERS' COMPENSATION WorkerS' Compensation Declaration: I hereby affgm under penalty of perjury one of the following declarations: □ I have and will maintain a certificate of consent to self-insure fOf workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. -~ ~I have and wUI maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfamance of the work for which this permit ls issued. My workers' compensation insurance carrier and policy number are: Insurance Co. _____________________ Policy No. ______________ Expiralion Date _________ _ This section need not be completed if the permit is for one hundred dollars ($100) or less. □ Certificate of Exemption: I certify that in the performance of the work for which this permit ls issued, I shall not employ any person in any manner so as to becOme subject to the Wort<ers' Compensation L!M'S 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 thousand dollars {&100,000), In addition to the cost of compensation, damages as provided Section 3706 of the Labor code, interest and attorney's fees. ,IS CONTRACTOR SIGNATURE _____ _,,,,,=,,, -E::-- I hereby aff,rm that I am exempt from Comractor'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 oot 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. lf, however, the building or improvement is sold within one year of completion, the owner-bullderwill 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 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. l personally plan to provide the major labor and materials for construction of the proposed property Improvement. □ Yes □ No 2. I {have/ have not) signed an application for a building permit for the proposed wor\l. 3. l have conlracted with the following person (firm) to provide the proposed construction (include name address /phone/ contractors' license number): 4. I plan to provide portions of the wor\l, but I have hired the following person to coordinate, supe,vise and provide the major work {include name I address/ phone/ contractors' license number): 5. I will provide some of the work, but 1 have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone I type of work): ,IS PROPERTY OWNER SIGNATURE □AGENT DATE Af:OMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY 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 !s the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the fa::ility to be constructed wilhin 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 ANO THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lend mg agency for the performance of the work this penmt is i~ued (Sec 3097 (i) C1v11 Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the applicatlon and state that the above lnfoonation Is colT0Ctand that the lnfonnation on the plans is aooJrate. I agree to comply with all City ordinances and State lmw relating ID bulldlng constructioo. I hereby auttiooze rep-oflhe City of Carlsbad to enter upon !he above mentioned property for mspeclion purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY i>J ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations ewer 5'0' deep and demofioon or conslruction of structures over 3 stories in height EXPIRATION: Eve~ pennit issued by lhe Building Official under lhe provisions of lhis Code shaU exp,e by imilation am! become 11\JI and void I lhe bui~ing or~ aulhO<ized by such permit is not coo,menred wiltin 180 days from lhe dale of such pem;t or rrlhe buidng or~ aulholized by such pennl is suspended or-dooed at any time after lhe ~ is """""1<:ll for a pe<iod of 180 days (section 106.4.4 Unifoon Building Code). ,..S APPLICANT'S SIGNATURE B-10 • RE ROOFING SUPPLEMENT AL BUILDING PERMIT APPLICATION 1. JoB ADDREss: __ z __ & __ 8"_?-,___--"-~----''-......,.~-"-J.)_/c.c....s=-o_.A--' _ _____., .... :s'---r_-__ _ 2. TYPE OF BUILDING: RESIDENTIAL ~ COMMERCIAL. ___ _ 3. ROOF SLOPE: RISE J INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) Q) 2 3 5. TYPE OF EXISTING ROOF COVERING C O,--,p SHEATHING I 7'--f?- *6. NEW ROOF MATERIAL C D _,..,c-? , CLAss/'1 WEIGHT PER SQ. cP-1/ .r 7. NUMBER OF SQUARES J 2.... 8. TRADE NAMEV ---rere,,,_ Ir~ L MANUFACTURER. __ G;-'-_/"J-__ t-= ___ _ 9. ROOF SYSTEM LISTING: UL NO. _____ 1.C.C.E.S. Report # __ l_lf_r_..r __ ASTM _____ _ 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? @_9 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. ____ ~~"-----1-..:;__-_c,..:c... _______ Date b ~ z.r-, r Contractor ~-~ _____ Contractor Name ~ / /LL. /<:;:{ cc. Vh C-•"-I -/ y O ~ *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other Page 4 of 4 Rev. 02111 ---------·-·········. Permit Type: BLOG-Residential Application Date: 06/25/2018 Work Class: Reroof Issue Date: 06/25/2018 Status: Closed -Finaled Expiration Date: 12/24/2018 Scheduled Date Actual Start Date 06/26/2018 06/26/2018 06/28/2018 06/28/2018 IVR Number: 12124 Inspection Type Inspection No. BLDG-15 Roof/ReRoof (Patio) 062126-2018 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final Inspection Status Passed COMMENTS Passed COMMENTS Owner: Subdivision: Address: Primary Inspector Paul Burnette Paul Burnette TRUST TREJO FAMILY TRUST SEASIDE LANDS 2687 Madison St Carlsbad, CA 92008-1722 Re inspection Passed Yes Passed No No No Yes No Complete Complete Complete -----··--··-··------------------------------------- June 28, 2018 Page1of1