HomeMy WebLinkAbout1510 SANDALWOOD LN; ; CB160175; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
01-19-2016 Miscellaneous Permit Permit No:CB160175
Building Inspection Request Line (760) 602-2725
Job Address: 1510 SANDALWOOD LN CBAD
Permit Type: MISC Subtype: REROOF Status:
Parcel No: 2051304600 Lot#: 0 Applied:
Valuation: $4,495.00
Reference #:
PC#:
Project Title: KIRCH RES-RE-ROOF 2600 SF WITH
COMPOSITION
Applicant:
KNITTER CONTRACTING INC
STEA3
175 BALBOA ST
SAN MARCOS CA 92069-1349
760 749-7448
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
PERMIT FEE
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
SUSAN KIRCH
1510 SANDLEWOOD LN
CARLSBAD CA 92008
310 397-5751
ISSUED
01/19/2016
RMA
01/19/2016
01/19/2016
$121.00
$0.00
$0.00
$121.00
Total Fees: $121.00 Total Payments To Date: $121.00 Balance Due:
Inspector:
FINAL APPROVAL
Date /-Zj~/U Clearance:
$0.00
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processing in oc=da-rewth Ca1sbro M..rid~ Cooe Section 3.32.(ll(). FalcretotirrelyfdlC>Ntra pu:airewll ta-,nySlb;eq.Jert 10!!' a:tionto~
reviem, set aside, vdd, er anJ tt-er irrp::sticn
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chcrgas, ra pla-Tlrg, zoirg, gcrlrg er c:iharsinila-~ica:i01 p-o::msrg er savicefees in cx:rredi01Wth tns ptjEd:. I'm OCES IT AFfl... Yto fnf
fees"exa:iims vJidl ·cx.s1 sinila-totlis cr towidltre ctlinitaiooshas ·cus1 ctherv\i 'red.
,~---'-----------------------------------------------------~ THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT JSSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH OHAZMAT/APCD
Ccicyof
Carlsbad
JOB ADDRESS 10
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
SUITEt/SPACEt/UNITf
Plan Check No.
Est. Value
CT/PROJECT# LOT# # BEDROOMS # BATHROOMS TENANT BUSINESS NAME
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) --r~,,-S:J: owt s 14
FAX
EMAIL
DESIGN PROFESSIONAL
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
STATE LIC. #
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issu applicant for such per_mit to file a stgned statement that he is licensed pursuant to the provisions of the Contractor's License Law /Chapter 9, comme_ndingwith Secti Business and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a perm civil penalty of not more than five hundred dollars {$500)).
WORKERS' COMPENSATION
W rk 'Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations:
SWPPP
FIRE SPRINKLERS
YES□No□
ve and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the pertormance of the work for which this permit is issued.
ve and will maintain workers' co,nw:satlon, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. e Q \ \'.~'1 '""'' a t" ,..s t.. <l'O,. V...( -I Ci O Policy No.\..\ l, .. &lo,;, 3 '):,. .. 0 \-0 5 Expiration Date d. -\. g -l la
~section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the 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: Fallure 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, es as provi ed for i 706 of the Labor code, interest and attorney's fees .
.65 CONTRACTOR SIGNATURE
I hereby affirm that I am exempt 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 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 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. OYes ONo
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 I 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 I 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 I phone I type of work)
6$ PROPERTY OWNER SIGNATURE □AGENT DATE
COMPLETE 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 AcF/ Yes No
Is the appl\cant or future building occupant required to obtain a pennit from the air pollution control district or air quality management district? Yes No
Is the facility to be constructed within 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 AND THE AIR POLLUTION CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there Is a construction lending agency for the performance of the work this permit Is issued (Sec 3097 (1) Civil Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I have read the application and state that the abcMI lnfum,atlon Is correct and that the information on the plans is accun. I agroe ID complyYltth all City ordinances and State laws relating ID building construction.
I hereby authorize representative of the City of Cartsbad to enter up:m the aoove mentioned property tir inspection p,flXlses. I ALSO AGREE TO SAVE, INDEMNIFY .AND KEEP HARMLESS THE CITY OF C.ARLSBA.D
AGAINST ALL LIA81LITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CrTY IN CONSEOJENCE OF THE GRANTING OF THIS PERMIT.
OSHA: M OSHA permit is required for excavations over 5'0' deep and demolltk:m orcoostrudion of structures over 3 stories in height
EXPIRATION: Every ~rmlt issuoo by the Building Offi:::ial under the provisions of this Cooe shall expire by lrTlitation and become null and vod ~the building orv.ork authorized by such pemiit is notOJ111menc:ed within
180 days fi'om the date of such pemiit or if the buildi,g or v.ork authorized by such ~milt is suspended or abandoned at any lime after the Y.OIX is commenced for a period of 180 days (Section 100.4 .4 Unifonn Building C.ode).
,i:! APPLICANT'S SIGNATURE DATE
• 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 (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Gar1sbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CONTACT NAME
ADDRESS
CITY STATE
PHONE
EMAIL
DELNERY OPTIONS
PICKUP:
MAIL TO:
CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
ZIP
FAX
OCCUPANT (Listed above)
OCCUPANT (Listed above)
MAIL/ FAX TO OTHER: _______________ _
A$ APPLICANT'S SIGNATURE
CO#: (Office Use Only)
OCCUPANT NAME
BUILDING ADDRESS
CITY STATE
Carlsbad CA
OCCUPANT'S BUS. LIC. No.
ASSOCIATED CB#------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
8-10
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
1. JOB ADDRESS: l ,s:: )O .s: s Y1 J 1-R tygry) l... }'I, (_ v1. 1 lsrW c. A
2. TYPE OF BUILDING: RESIDENTIAL ½ COMMERCIAL. __ _
3. ROOF SLOPE: RISE '-J INCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) (D 2 3
5. TYPE OF EXISTING ROOF COVERING Cp4"!fS N-1;1AA SHEATHING SL> p
Al) p A ~1 t-s; vi I l~ 1,.., s f=T ~~
*6. NEW ROOF MATERIAL 3D y.ecitz... CLASS ,A: wi::1GHT PER sa:~o
✓
7. NUMBER OF SQUARES_;).""-'6=---~-
8. TRADENAME/}111 ~11 ~ +t,QNUFACTURER 6 A r:-
9. ROOF SYSTEM LISTING:
UL NO. ES (2_ It., )S I.C.C.E.S. Report#
ASTM _____ _
'7",J.o 08
1&s
10. IS THE EXISTING STRUC~ DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE
PROPOSED ROOF? C'.:1/ 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.
*6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other
Page 4 of 4 Rev. 02/11
Inspection List
Permit#: CB160175
Date ___ lrispection Item
01/28/2016 19 Final Structural
01/28/2016 19 Final Structural
01/22/2016 15 Roof/Reroof
01/22/2016 15 Roof/Reroof
Thursday, January 28, 2016
Type: MISC REROOF
Inspector Act
PB
PB
RI
AP
RI
AP
KIRCH RES-RE-ROOF 2600 SF WITH
COMPOSITION
Comments
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