HomeMy WebLinkAbout2205 RECODO CT; ; CB021357; Permit'a#o/G!
City of Carlsbad ,:, ff'\
u... 05-03-2002
1635 Faraday Av Carlsbad, CA 92008
Miscellaneous Permit Permit No: CB021357
ir-Building Inspection Request Line (760) 602-2725
(;c Job Address:
,, Permit Type:
Parcel No:
if, Valuation:
· Reference #:
} · Project Title:
:O.
{fi.~pplicant:
;\);;;:'f'IVA ROOFING, BOB
2205 RECODO CT CBAD
MISC
2164931900
$6,175.00
STEDMAN RESIDENCE
19 SQUARES OF STD. TILE
1192 INDUSTRIAL AV
l::ii,l=SCONDIDO, CA 92029
. : 619-745-4700
Subtype: REROOF
Lot#: 0
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
05/03/2002
MDP
05/03/2002
05/03/2002
Owner:
STEDMAN WILLIAM R&JANE E6425 05/03/02 0002 01 02
CGP 128-00
2205 RECODO CT
CARLSBAD CA 92009
t.---=---=------------=---=----------------------------Total Fees: $128.00 Total Payments To Date: $0.00 Balance Due: $128.00
~t;....: --------------------------------
.,.
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Inspector:
PERMIT
FINAL APPROVAL
Date: 5 -2/ -oz_, Clearance:
$128.00
$0.00
$0.00
$128.00
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 lT APPLY to any
i n · I n i hi h · ir
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
FOR OFFICE USE ONLY ~
PLAN CHECK NO. 6 2r1 '1 ~ /
EST. VAL. C, /7? 7;-z,,,~
Plan Ck. Deposit /
Validated By ___________ _
Date ______________ _
Address (include Bldg/Suitll I) Businou Name (at this address)
Log1I Oescnpuon Lot No, Subdivi,ion Name/Number
,t;ss;rJ psh4/(e--lo f ile.,
Description of Work lot Storias
Unit No. Phase No.
Proposed Use
")
II of Bedrooms.
Total II ot units
II of Bathrooms
5;~~NT~~sg~~ti~tt-t;'t:1:j:t:::=x;~::~~~"ZtA~~~;,1uv~~\To~;~~';~~iJ~·:~t,J;~;,:J600
Name Addreu ===-City State/Zip Talaphona II Fax II A~~~~:;;;;;~eom1~~r~~1:,~rvzm,~=J~~~~£W-:::~·~~r~•~~9~-;;;~:;;tJo
Name Address City State/Zip T 11l11phone #
~~c;;:RTY··OWNER''i<.~~:·!:1i£23/f :t~iif~~~~~~s~;.~£r'~~~~-,r,~:gff;;;;~';;;~·?;b~·:•i~~},'7·' .. •'a~ 7
Name Address City S.tata/Zip Telephone I
:&~~ .. -.CONTRACTOFi:~COMPANY+iAM~~""~l.~~~·~~·;lt~~~~.._,:ait-.tJ.,JR~t;~~~~ft""5a..~~~.:_~~;!~,m:~:::E~:·.:.~.:,:.:~~..,.:;':;:l..:,:~<~;: ...
(Sec. 7031.5 Business and Professions Code: Ally City or County which requjras • permit to construct, attar, improve, demolish or repair any structure, pnor to its
iuuance. also reQuires the applicant for such permit to file a signed statement that he Is licensed purauant to the provisions of tha Contractor's License Law
!Chapter 9, commending with Section 7000 of Division 3 of tho Business and Professions Code) or that ho Is exempt therefrom, ond tho basis for the alleged
a11omption. Ar:iy violation of Section 7031.5 by~ ap licant for a permit subjects the applicant to• civil penalty of n t more than hvo hundrod dollars ($500)).
'13oB P,V11 DOF! &-/It/. n • +o I v~ csco d; q&o;;i 160-7L/S-tJO
Nema
State License I d//8938
City tote/Zip T alophona II
'"?9 Licansa Class --''-"-'f!...__.._ _____ _ City Businaas License , 1 ao 3 /Cf B
Cosigner Name Addraaa City State/Zip Telephone
State License# __________ _
e:-..: 'WORKERS•: C0MPENSATJ0N,i;';:=~~i~~ir;::~,f~~J1!?;;.:.~~j-~~;~.~~~•i~1~·~t~~~~~~~f~~.,~~~"!::;::_;.-:~:~: •.~ ~'· : :! :'".:..;~·-.:;: : :: .. :-:~':·"'.'; ·~: ,..!_.
Workers' Companaatoon Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 I hava and will maintain a certificate of consent to aalf•insura for workers' compensation as provided by Section 3700 of tho Lober Codo, for tho porformanco
of the work for which this permit is issued.
~ I have and will maintain workars' compensation, es required by Section 3700 of the Labor Code, for tho parformanco of tho work for which this permit is
issued. My worker's compensation insurance comer and policy number are:
lnsuranceCompany,5fqfc Comp Fund Policy No. 4~7 '758 Expiration Date E,-/-;;J,.190.;)-• !THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED OOUARS ($100) OR LESS)
0 CERTIFICATE OF EXEMPTION: I certify that in the performance of tha work for which this permit is issued, I ahall not employ any parson In any manner so es
to become subject to the Workers' Compensation Laws of Califomia.
WARNING: Fallur. to aac:ura worilen' compenaatlon coverage la unlawful, and shell aubjec1 an employer to criminal penaltl11 11t1d civil !Inoa up to one hundred
thouaend dollau ($100,000), In addition to the coat of compenaatlon, damagu u provldad tor In Section 3706 of tha Lal>or coda, lnteraat and attomay'a faH.
SIGNATURE _______________________________ DATE _________ _
7. ·;;:~0WNER•BUIL:DER·DECL:ARAT10N:~;~~~~~ir,~;~~;r;,:~~;;;;:._~~~kf._.;~~~~;.-::·i~::~~~~-;~~~~;~£~~~~~;:~~~~~~~;.:·.~;.~-.-;:.•_:-~.~~-:--~;:1;:~a .~
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 I, as owner of the property or my employees with wages as their sole compensation, will do the work and the atructura is not intended or offered for sale
!Sec. 7044, Bus,nau and Profusions Code: The Contractor's Ucarue Law does not apply to an owner of property who builds or improves t hereon, and who doH
such work himself or through hos own employees. provided that such improvements are not intended or offered for sale. If, however, tho building or improvement ia
sold within one year of complot1on, the owner•buildor will have the burden of proving that ha 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 (Sac. 7044, Business and Professions Coda: 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
pu"uant to the Contractor's License Law).
D I am exempt under Section ______ Buainus 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 IBNO
2. I (have / have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following parson (firm) to provide the proposed construction (include name / address / phone number / contractors hconso numbarl:
4. I plan to provide portions of tho work, but I have hired the following parson to coordinate, supervise and provide tho major work lincludo name / address / phone number / contractors liconsa number): __________________________________________________ _
5. I will provide soma of the work, but I hove contracted (hired) the following parsons to provide the work indicated (Include name / addross / phone number / type of work): _____________________________________________________________ _
DATE ------------PROPERTY OWNER SIGNATURE ________________________ _
COM Pl:Etl: THIS SECTION·FciR.NON-l{ESIDD(1iAi. llUIU>INO'.PERM(T~;Qm,y~~~t:~~°Cft.~~~s::".:'.:::~.::'., :·:. -.:·::":,~:--.:~;~;_3'._7.'.;~".°.i'Z?:::
Is the applicant or future building occupant required to submit a businua plan, acutely hazardous materials registration form or risk managomont and pravent,on
program under Sections 25505, 25533 or 25534 of the Presley• Tanner Hazardous Substance Account Act?-EJ---¥S---Q-. NO .
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality managomont district? O YES O NO
Is the I acility to be constructed within 1,000 foot of the outer boundary of a school 1ita 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 AJR POU.UTION CONTROL DISTRICT.
s.:_;~~co_NSTRUCTI~. LEN01NGrAGENCi:="{~}~~~~1't~:~f;~~~i;__t;i;r,;.~~.;f..fJ.~.G~~F°::1fz.~~--~~-~f~::?Z::~~:.--·~ .. · ·· · ... r·,.,:·;_;· · -·::~ .. • :~ :_ .;7 .~· ·
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued !Sec. 30971il Civil Code).
LENDER'S NAME LENDER•s ADDRESS
::::::::::::::::::::::::::::::;:;:::;:::::;:;;;::;:;::;;;::;;;:;;:::;,_.~:;;.; --------------------s::: t:.., A PPU C ANh 'CERT I A CA TIO N: ~: ~ ;j" ~ ~; ~;;. ~ ~: ~. ~ ~; ~ •,;,; •;;;,, ~ =:-::... ~ .. ~ ~ ~ !.c ~ ":f. :s=-~,; ~ ~ ~ n lli ~ ~ !!, ~ ~: ~:.:.,:.:. r ~ -• • ·~::_::· .. •:·~-:_:=---:-::·~·.·
I certify that I have raid the application and state that the abova information is correct and that the information on the plans is accurate. I agree to comply with all
Coty ordinances and State laws relating to building construction. I hereby authorize representativas of tho Cit" of Carlsbad to enter upon tho above mentioned
property tor inspection purpo,es. f ALSO AGREE TO SAVE. INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU. LIABILITIES,
JUOGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit 1s raQuirad for excavations over 5'0" deep and demolition or construction of structures over 3 stories ,n height.
EXPIRATION: Every permit issued by the l:luilding Otticial under the provisions of this Coda shall expire by limitation and become null and void if the building or
wor~ authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit ,s suspended
or abandoned at any tome attar tho work ·s commanc d for a ari of 180 deys (Section 106.4.4 Uniform Building Coda).
APPLICANT'S SIGNATURE DATE S-3-02...-
YELLOW: Applicant PINK: Finance
. ,, City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDRESS· ,;/205 'Re(!,()dO <!ou rf-
2. TYPE OF BUILDING: RESIDENTIAL ✓ COMMERCIAL ·---'
3. ROOF SLOPE: RISE tf inches In 12 inches
4, NUMBER OF EXISTING ROOF COVERING (circle one) 6) 2 3
5. TYPE OF EXISTING ROOF COVERING :sf/AKE-SHEATHING ---~
•s. NEW ROOF MATERIALV1,1r.r..lik.. CLASS A WEIGHT PER SQUARE 5C/O
7, NUMBER OF SQUARES I'! .
8. TRADE NAME l[}on; er MANUFACTURER Pura /)'.ic. .
9. ROOF SYSTEM LISTING UL No. ____ lCBO No. ~ 6 Sb
10, IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE
WEIGHT OF THE PROPOSED ROOF? e) NO
All roof coverings are required to be (;LASS A. Combustible roof coverings
of any type or classlflcation are prohibited.
I understand the following inspections are required:
1. Tear Off/Pra•lmipection 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.
Slgnature, _________ ..,... ____ D,afe"--------
Contractor Owner ____ C.ontractor Name·-----=-
*6 • Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up,
Other.
City of Carlsbad Bldg Inspection Request
For: 05/20/2002
Permit# CB021357
Title: STEDMAN RESIDENCE
Description: 19 SQUARES OF STD. TILE
Type:MISC Sub Type: REROOF
Job Address: 2205 RECODO CT
Suite: Lot 0
Location:
APPLICANT PIVA ROOFING, BOB
Owner: STEDMAN WILLIAM R&JANE E
Remarks:
Total Time:
CD Description Act Comments
Inspector Assignment: PD ---
Phone: 7607454700
lnspecto£
Requested By: DONNA
Entered By: KAREN
19 Final Structural If-----
-----------
Associated PCRs
Inspection History
Date Description
05/07/2002 15 Roof/Reroof
Act lnsp Comments
AP PD