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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