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Home My WebLink About2693 REGENT RD; ; CB151858; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-19-2015 Miscellaneous Permit Permit No: CB151858 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 2693 REGENT RD CBAD MISC 2081330423 $10,636.00 Subtype: REROOF Status: Lot#: 0 Applied: Entered By: Reference #: Plan Approved: PC#: Issued: Inspect Area: Project Title: TOMMACK PNT -6500SF COMPOSITI MUL Tl UNIT TOWN HOME BLDG-2693-2699 REGENT RD Applicant: Owner: ROOFING SERVICES KOHLER FAMILY TRUST 08-13-97 8176 COMMERCIAL ST LA MESA CA 91942 618 4647500 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE 2637 REGENT RD CARLSBAD CA 92010 ISSUED 06/17/2015 SLE 06/17/2015 06/17/2015 $212.00 $0.00 $0.00 $212.00 Total Fees: $212.00 Total Payments To Date: $212.00 Balance Due: I Inspector: FINAL APPROVAb Date: f✓Zfl-/~ Clearance: $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 ih NTI r hi hi I ·«~> ~ CITY OF Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax 760-602-8558 Plan Check No. Est. Value Plan Ck. Deposit CARLSBAD .carlsbadca.gov Date lJ) • 17 IS° UI #/ A E#/UNIT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: l/lclude Square Feet of Affected Area(s) [trYlOVl ixl')tl'J'111 6N~le0, rnstet~I (1)IOIAjeY ;t_?O{ct-t., ctt'd lit(PI~ .3ayr-. 0Af ti'MWl 111-( net W&t I SWl~ ~1 V'-_jlCb . • 00 ADDRESS CITY STATE PHONE FAX EMAIL ADDRESS CITY STATE ZIP PHONE FAX EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # PATIOS (SF) DECKS (SF) APPLICANT NAME PHONE EMAIL CONTRACTOR BUS. NAME ADDRESS 5ClVYlti CITY ,, PHONE '-I EMAIL ·, I STATE LIC.# 4q1Jlvlt> AIR CONDITIONING YES □No □ FIRE SPRINKLERS v,s□NoO STATE [,,,:A ZIP I I FAX I' :c:fl CITY BUS. UC.# (2. O~'o'l, (Sec, 7031.5 Business and Professions Code: Any City or Coun_ty 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 s~tement that he Is hcensed pursuant to the provIs1ons of t~e Contraytor•~ License ~aw /Cha'fter 9, comme_nding with Sect19n 1qoo of DivIsI0I') 3 of the Business and Professions Code} or fhat he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 703 .5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars {$500)). WORl<ERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Latx>r Code, for the performance of the work for which this permit is issued I have and wlll maintain workers' c mpensati as required by Section 3700 of the lx>r de, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy umber are: Insurance Co -;;~,Vl\,lklb.lJ--"f=!-f't~'f-{rt,'l':)-1/l.ffe-"jc.J.'f---Policy No.=~---~~~~=~--~ Expiration Date_~-------- ~section need not be completed ifthepermitisfororie hundreddollars($100)orless. Ro\JJG-lob l 450 oJ, 7, lo LJ Certificate of Exemption: I certify that in the performance of the work for 'Mlich 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 provided for In Section 3706 of the Labor code, Interest and attorney"s fees. JiS CONTRACTOR SIGNATURE □AGENT DATE OWNER-BUILDER DECLARATION I hereby affirm that I am axempt from Contractor'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 not apply to an owner of property 'Mlo 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 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes 0No 2. I (have I have not} signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address I 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/ phone/ 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/ phone/ type of work): ,6$ PROPERTY OWNER SIGNATURE □AGENT DATE icoMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY ls lhe applicant or Mura building occupant required to submit a business pla,, acutely hazadous materllft registration form or risk management en:! prevention progrMI under Sections 25505, 25533 or 25534 of lhe Presley-Tanner Hazardous Substance Account Acf1 Yes No Is the il!JPlcant or fuhlre building occupant required to obtain a permit from the air pollution control dlslrlcl or air quality man81jement district? Yes No Is the faclHty to be constructed within 1,00'.l feet of the outer bounday of a school site? Yes No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY IIAY NOT BE ISSUED UNLESS THE APPllCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm lhat !here is a cooslructioo lending agency for lhe perlorm1r1ce of lhe work lhis permit• ,ssued (Sec. 3097 (i) Civi Code). Lender's Name lender's Address f'APPLICANT CERTIFICATION IC8111fflhatl'-•lheappllcallonand-lhatlhea-lnbma11ono.,._andlhatlhelnfomla11ononlheplanso..,,..,.1-"comp1y"""a11C11yo-andS1nta-"bulldln1.,..,,._,, I hereby auflorim represen1ative of lhe City of Cansbad t> en\ef upon lhe above menlilned poporty b' nspec1io11 purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CAALSBAll AGAINST ALL LIABILITIES, JUDGMENTS, COSTSANC EXPENSES WHICH MAY IN ANY WAY ACCRUEAG/>JNST SAl'.l CITY IN COOSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA AA OSHA pem1K is n,quied b' excavations CNet 5CT deep and-or C"1SIIUdion of •"""res over 3 sllries n heijll. EXPIRATION: Ew!ypennil lssued bylhe Ell~ Olll:ial ur<ler Ile . . of !his Code shaU e,pire by.,,_, and become nul and vok! llhe bui~ng orV<llk aul'<lrized by such pem,t is ootcommenced ""1n 100 days tom lhe dam of such pem1lor I · ng,rw!l' a~ifu,jby,oct, pem1i ssusperoedor ablrldooed at "1'/iiT'e allerlhe V<llk is CXlflll1'0l1QOd b' a of 1 days (Sediln m,.4.4 u,-Elli<ilg Code). ~ APPLICANT'S SIGNATURE , DATE {;f(jJ (t, {9 STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (76D) 6D2-a56D, Email buildinq@cadsbadca.gov or Malf lhe completed form to City of Ca~sbad, Bui~ing Divisioo 1635 Faraday Avenue, Carlsbad, Caifan~ 92008. cot: ,.,_ u .. °""> CONTACT NAME ADDRESS CITY STATE PHONE EMAIL DB.IVERY OPl10NS PICKUP: CONTACf (Listed above) CONTRACTOR (On Pf, 1) MAIL TO: CONTACT(Usted above) CONTRACTOR (On Pg. 1.) ZIP FAX OCCUPANT (Listed above) OCCUPANT (Listed above) MAIL/ FAX TO OTHER: _______________ _ AS .APPLICANT'S SIGNATURE OCCUPANT NAME BUILDING ADDRESS CITY STATE ZIP Carlsbad CA OCCUPANT'S BUS. LIC. No. ASSOCIATED ca,,_ __________ _ NO CHANGE IN USE/ NO CONSlRUCTION CHANGE OF USE/ NO CONSlRUCTION DATE REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. Jos ADoRess, [/,',}-Z&4B R=ts Rd f 1./fji,~ -4 51'1 £ 65C-x U 2. TYPE OF BUILDING: RESIDENTIAL_....,./_'----COMMERCIAL ___ _ 3. ROOF SLOPE: RISE 9 INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 0 2 3 5. TYPE OF EXISTING ROOF COVERING(,Oh1 p,0h1V\~\f; SHEATHING pl~wwJ,, *6. NEW ROOF MATERIAL s\'\1nqlt0 CLASS fr WEIGHT PER sa.5vtm6' 1. NUMBER oF sauAREs Rege,rtr.0-1ovJ J E%tX -105 8. TRADE NAME &A.f" MANUFACTURERtim bervrn-c, Nl7ttVWtii j Sl;lt1dow. B-10 9. ROOF SYSTEM LISTING: UL NO. ____ I.C.C.E.S. Report# f"S~ ~ \ Y ff3 ASTM ____ _ 10. IS THE EXISTING STRUCTURAL ~.N SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? YES 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~ ~,m ~ I l Contractor I Owner ____ Contractor Date OIP/17--/:>D10 Name RSt Ftx:fi n_1. *6. Rolled Roofing, Stan~d/Lite Tile, AsphalUComp fiberglass, Built Up, Other Page 5 of 5 Rev. 03/09 Inspection List Pennit#: CB151858 Date Inspection Item_ 08/19/2015 19 Final Structural 08/19/2015 19 Final Structural 08/07/2015 15 Roof/Reroof 08/07/2015 19 Final Structural 08/06/2015 19 Final Structural 08/04/2015 15 Roof/Reroof Thursday, August 20, 2015 Type: MISC REROOF Inspector Act RI PB AP PB PB PB RI NR NR AP TOMMACK PNT -6500SF COMPOSITI MULTI UNIT TOWNHOME BLDG-2693-269 Comments Page 1 of 1