HomeMy WebLinkAbout270 REDWOOD AVE; ; CB072561; Permit·, City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-03-2007 Miscellaneous Permit Permit No: CB072561
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
PC#
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
270 REDWOOD AV CBAD
MISC
2042701800
$2,772.00
SE I DERMAN
Subtype:
Lot#:
REROOF
0
22 SQUARES OF COMP RE-ROOF
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
10/03/2007
MOP
10/03/2007
10/03/2007
HETHERINGTON ROOFING CO SEIDERMAN BRIAN&JOYCE TRUST 04-21-00
3265 VALLEY ST
CARLSBAD, CA 92008
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees:
Inspector:
$84.00
1415 FOREST AVE
CARLSBAD CA 92008
PERMIT
Total Payments To Date: $84.00
FIN
Balance Due:
Clearance:
$84.00
$0.00
$0.00
$84.00
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of ees, d ications, reservations, or other exactions hereafter collectively
refe1red 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.
City of Carlsbad
1635 Faraday Ave .. Carlsbad, CA 92008
760-60,?-2717 / 2718 / 2719
Fax: 760-602-8558
Building Permit Application
JOB ADDRESS "7 ;--;;:J
<--? o , J c_t) '-'..Joo!.)
Est. Value
Plan Ck. Deposit
Date
SUITE#/SPACE# /UNIT# APN
CT/PROJECT# LOT#
DESCRIPTION OF WORK:
# OF uN_"_'_1_'_"_0_,_o_o_"_' _ __J_•_•_A_THROOMS -~'-EN_A_N_,_•_u_"_N_"_'_N_A_M_'---------~-co_,_,_,_•_1'YPE l occ GROUP
rc-~ 0/_::c/= e:---X / J V/ -
1-S
EXISTING USE
/f"~J ,,t,c-v;__,_/
CONTACT NAME (If Dlt'ferent Fom App/leant)
ADDRESS
CITY
PHONE
I,'
PROPOSED USE
.5-----,_~ <-
STATE
FAX
C!. 0 _____,
GARAGE (SF)
ZIP
PATIOS (SF) DECKS (SF) FIREPLACE
YES)(#_/_ NO 0
APPLICANT NAME ~,,/Cc._
ADDRESS
.J .,_ c:.J-VA //c
~ c_·~
STATE
AIR CONDITIONING YES □ N~
ZIP
9Lo<
FIRE SPRINKLERS
YES O NO □
PHONE '-f J'-{ -7GJ , ___________ _,_ __________ _,?&a -?Go -? 21-.::,-y ;;,_;-
EMA1L EMAIL
/2cv2-, r<,ooF 0___ /:,,._,V,-
PROPERTY OWNER NAME CONfflACTOR BUS. NA
,A __, /'?001=:; -
ADDRESS
CIJ:)S --· STATE
c__:, ~ /,., a -?-,;; c --9-
PHONE FAX ?_'P -If 2-L -e, 'ry-i__
EMAIL
ARCH/DESIGNER NAME & ADDRESS
ZIP
z.._oo ,:f-
STATE UC.#
ADDRESS
'/
PHONE
'7(,,.0-721-J-12..
EMAIL S--;,-_--, -<-.__
STATE UC.#
'-I 9 b .J '3 9
ZIP o/ Los-
CLASS c-37
/Sec. 7031.5 Business and Profeuions Code: Any City or Counr,: which requires a permit to construct. alter/ improve, demolish or rtP.air any nruc111re1 prior to its issuance, aho requires the applicant for such permit to file a sigi,ed stattment that he ii: ticen1ed p_unuant to the provisions of the Contractor's License Law {Chapter 9, commending with Section 000 of D,vision 3 of the Businen and Prolfflions Code} or that he is exempt thereli'om, and the bam for the alle~d exemption. Any violation of Section 7031.5 by any applicant for a permit subjects tbe applicant to a civil pe11alty of not more than five hundred dollars {S500}).
Worll:ers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
□ I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
~ have and will maintain workers' compensation, as requj~ section 3700 of the Labor Code, for the performance of the work for which this permit is~ued. My workers' compensation insurance carrier and policy
number are: Insurance Co. ( :s:: r A 2::" C" ~ ,,..._ JJ Policy No. \ > / 2. 2 2 tT' .J Expiration Date ;) -/ -0 r
This section need not be completed if the permit is for one hundred dollars ($100) or less.
D Certificate of Exemption: I certify that in !he 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' Compensation Laws 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 prov id in Section 3706 of the Labor code, Interest and attorney's fees.
AS CONTRACTOR SIGNATURE ---iiff1c: E='ll --c---
/ hereby affirm that I am exempt from Confrac/or'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 in1ended 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 will have the burden of proving that he did not build or improve for the purpose of sale)
□ I, as owner ol 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 !he Contractor's License Law)
□ I am exemp1 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/ have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) 1o provide the proposed construction (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, bu! I have contracted {hired} the following persons to provide the work indicated (include name / address /phone/ type of work):
_g PROPERTY OWNER SIGNATURE DATE
Is the applicant or fu1ure 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 Ac!? 0 Yes □ No
Is the applican1 or fulure building occupant required to obtain a permit from the air pollution control district or air quality management district? O Yes O No
Is the facility to be constructed within 1,000 feel 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 A1R POLLUTION CONTROL DISTRICT.
I certify that I have read the application and state that the above Information isconectand that the information on the plans Is accurate. I agreetocomplywith all City ordinances and State laws relating to buHdlngoonstruction.
IJlereby authorize representatt,.,e of the Cit'f of Carlsbad to enter upoo the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARfv1LESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA peITTllt is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by !he Buik:ling Official under !he provisions of this Code shall expire by limitatbn and become null and void if the building orw0f1< authorized by such permit is not commenced within
180 days from the date of such permit or if the building or work authorized by such pennlt is suspended or abandoned at any time after the 'M'.111< is commenced for a period of 180 days (Sectioo 106.4.4 Uniform Building Code).
AS APPLICANT'S SIGNATURE ____ c DATE /a -3 -c., ?-
REROOFING
SUPPLEMENTAL BUILDING PERMIT APPLICATION
1. JOB ADDRESS: d--iZo /( e v <-<./ o o £>
2. TYPE OF BUILDING: RESIDENTIAL i-----COMMERCIAL ____ _
3. ROOF SLOPE: RISE '----3 INCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 1 (!)3
5. TYPE OF EXISTING ROOF COVERING Co,.,-,p -i-/<c1c:._ SHEATHING ply <..u O u o
C o---,_,.<i ' L1
1
*6. NEW ROOF MATERIAL 5,, ,~ "ftsP CLASS 'T WEIGHT PER SQ. z_ "I 0 r . -
7. NUMBER OF SQUARES --z__ z_ v-1 ~ C, ~ /, ~ "-,,-----. 8. TRADE NAME =-,7 ~. le MANUFACTURER L--r -----1 le::_
9. ROOF SYSTEM LISTING:
UL NO. ______ I.C.C.E.S. Report# _____ _
ASTM _____ _
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. Combustlble roof
coverings of any type or classlflcatlon are prohibited.
I understand the following Inspections are required:
1. Tear Off/Pre-Inspection prior to Install new roof covering
2. Flnal Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for Inspection.
Signature ~ · C::--Date / 0 ~ -::3 -c, "7
Contractor :=z:?w:er ____ C.ontractor Name..__ ______ _
*6. Rolled Roofing, Standard/Lite Tile, AsphalVComp fiberglass, Built Up, Other
m ' City of Carlsbad Bldg Inspection Request
.
.
Permit# CB072561
Title: SEIDERMAN
For: 10/17/2007
Description: 22 SQUARES OF COMP RE-ROOF
Type:MISC Sub Type: REROOF
Job Address:
Suite:
Location:
270 REDWOOD AV
Lot: 0
OWNER SEIDERMAN BRIAN&JOYCE TRUST 04-21-00
Owner: SEIDERMAN BRIAN&JOYCE TRUST 04-21-00
Remarks:
Total Time:
CD Description
19 Final Structural
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description
10/11/2007 15 Roof/Reroof
Act lnsp Comments
AP PC
Inspector Assignment: PC ---
Phone: 7608282748
Inspector:
Requested By: MIKE
Entered By: CHRISTINE