HomeMy WebLinkAbout1002 SHORE CREST RD | 1004 SHORE CREST RD | 1006 SHORE CREST RD | 1008 SHORE CREST RD | 1010 SHORE CREST RD | 1012 SHORE CREST RD | 1014 SHORE CREST RD; ; CB121321; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-13-2012 Miscellaneous Permit Permit No: CB121321
Building Inspection Request Line (760) 602-2725
Job Address: 1002 SHORE CREST RD CBAD
Permit Type: MISC Subtype: REROOF
Parcel No: Lot#: 0
Valuation: $6,826.00
Reference #:
PC#:
Project Title: SEAGATE CONDOS-BLDG# 15
5000 SF COMPOSITION -4 UNIT BLDG INCLUDES
Applicant:
SUPERIOR ROOFING
5120 AVENIDA ENCINAS
CARLSBAD CA 92008
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees: $168.00
Owner:
PERMIT FEE
Total Payments To Date: $168.00
/7/7 _/FINAL APPROVAL
Inspector: ~ Date: 1-l"t:J~ /Z
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Balance Due:
Clearance:
ISSUED
07/12/2012
RMA
07/13/2012
07/13/2012
$168.00
$0.00
$0.00
$168.00
$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 pemiit 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 seivice fees in connection with this project. NOR DOES IT APPLY to any
f x in f hi h I imil r hi r whi h h fli i in h
,
FiE .FOLL~WiNG.A.,:.,ROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: OPIANNING □ENGINEERING □BUILDING □ARE OHEAL1ll OHAZMAT/ APCD
./
<<,~ Building Permit Application Plan Check No. ( -fJ / ,:J I~ ") i
Est. Value l.. 9-~ -' L ,
1635 Faraday Ave., Garlsbad, CA 92008 ¥ CITY OF 760-602-2717 / 2718 / 2719 -,,
CARLS~ Fax: 760-602-8558 \}A
Plan Ck. qeposlt
'WWW.i;;grl§badca.gov nate7 / (A. f ,,, lswPP ) ~ -........ , /. t' t)/,f" fh'dA-E c~sr R.1>. SUITE#/SPACE#/1 IT# :I£. l"N .
t:>C')2 -Bux;.. ,s;----
CT/PROJEl,1 # ILOT # I PHASE# I# OF UNITS I# Bl:.URvvmv # t,A,, mvvm,, I TENANT BIJ::>INE~:j NAMI:. I ...vNSTR. TYPE I 01.,"' unvUP
DESCRIPTION OF WORK: Include Square Feet of Atl'ected Area(s)
-I> c~N/". "T'e/4-R--OFF 7o Cd,,,./'-~ f'PILO>'. !.o<ll
~ f0/,Aj-ed
EXISTINO USE I PROPOSED USE I GARAGE (SF) PATKlS (SF) I DECKS (SF) I FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS
YES □#_ NO □ YES □ NO □ YES O NO □
APPLICANT NAME (Prlm•ry Contact) APPLICANT NAME (Seconda,y Contact)
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE I FAX PHONE IFAX
""'"'" I""'"'"
PROPERTY OWNER NAME .,. ~NTRACTOR BUS. NAME r,,~ Ar'J/1,~AA /)_,..-,,ir "~rA ,-"O< 11,/r..
ADDRESS ADDRESS
.Po 80")( 1-61~
CITY STATE ZIP CITY STATE ZIP Jl'tw /1'11t-~co5 CA 92.079
PHONE PHONE IFAX 7&.o-71/5"-'1so9 IFAX 7t-o -5'1 I -9so<"
EMAIL 1-.mAIL e
EIIAN A-o.S1AFC.fl,,1'6R10£tl.oo~l'A/IS. co,,,,
ARCH/DESIGNER NAME & ADDRESS I STATE UC.# i;TATE LIC.#
" '1-1>9'1-31 lcC .. 3; .t_lTYBUS.UC.#
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construc!l alter, Improve, demolish or repair any structure, prior to Its Issuance, also requires the
applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of me Contractor's License Law /Chapter 9, commending with Section 7000 of Division 3 of the B_uslness 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 permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}).
~WORKERS' COMPENSATION
Workers' Compensation Declaratlon: / hereby affirm under penalty of perjury one of the follr:Nling declarations:
□ I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the pelformance olthe work for which this permit is Issued.
□ I have and will maintain workers' compensation, as required ~n 3700 of the Labor Code, for the pelformance of the 'Mlrk for which !his permit Is Issued. My workers' compensation insurance carriet and po~cy
numberare:lnsuranceCo. C4,1£dll,M1/II: ;$" Co• PolicyNo. 'fb-tHJJ,75,--(J(-(lJ1 Expiration Date 3 -I -If
This section need not be completed If the permit Is for one hundred dollars ($100) or less. □ 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: Failure to secure workers' compensation coverage Is unlawful, and shall subj eel an employer to criminal penalties and civil fines up to one hundred thousand dollars {&100,000), In
addition to the cost of compensation, d~ a7Ide r In Section 3706 of the labor code, Interest and attorney's fees,
A5 CONTRACTOR SIGNATURE ~I'(,{,/.,. ~.,5. □AGENT
I hereby affirm that I am exempt from Contractor's Ucense LBw 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 offerad 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-builderwitl 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 r,lan 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) to 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/ 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 Onclude name I address I phone/ type of 'Mlrk):
A5 PROPERTY OWNER SIGNATURE □AGENT DATE
•
•
COMPLETE THIS SECTION FOR NON-RESIDENTIAL IIUllDING PERMITS ONLY A
ls the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley. Tanner Hazardous Substance Account Act? □ Yes □ No
Is the applicant or future building occupant required to obtain a pennlt from the air pollution control district or air quality management district? □ Yes □ No
ts 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 ANAL 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.
CONSTRUCTIO!lj LENDING AGENCY
I hereby affirm that there 1s a construction lendmg agency for the performance of the wor1t: ttus penmt 1s issued (Sec 3097 (i) Crv1I Code)
Lender's Name lender's Address
APPLICANT CERTIFICATION
I oertlo/that I have read the application and state that the above lntNmatton Is correct and that the lnfoimatlon on the plans Is aa::urate. I agree to oomplyWltl all City on:llnanoos and S1ate lav.s ielatingto building construction.
I hereby aulhofize represenlalwe of the a~ of Carlsbad to enter upon the above mentioned property ix inspediJn purJX)SEIS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN Aff'/ WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF lliE GRANTING OF THIS PERMIT.
OSHA kl OSHA pennlt is required tir excavations over 5'0' deep and demolition or oonstrucfun of slnrtlres over 3 sbries in height.
EXPIRATION: Ewry pennil issued by the 0Jikling Oflcial under the proW.ions of this Code shal expire by lmltaOO!l arid recome nul and void W the 00ikli1g or Wll1<. authorized by sudl pennit is riot commenced 'Mthi1
180 days from the date of such pennit or if the ing or auth by such permit is suspended or abandoned at any time after the w:rk is oommenced tir a pericxf of 180days (Secoon 106.4.4 Uniform Buik:1i1g Code).
AS APPLICANT'S SIGNATURE DATE '1-I 2--/'2._
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 www byilding@carlsbadca gov or Mail the completed form to City of Cartsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. UC. No.
DELNERY OPTIONS
□ PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
□ MAIL TO: □ CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg.1)
□MAIL/FAX TO OTHER: _______________ _
A$ APPLICANT'S SIGNATURE
o ASSOCIATED CB#------------
□ NO CHANGE IN USE/ NO CONSTRUCTION
o CHANGE OF USE/ NO CONSTRUCTION
DATE
-------·•------.-·-,.
ZIP
B-10
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
1. JOB ADDRESS: ____________________ _
2. TYPE OF BUILDING: RESIDENTIAL._/ __ _ COMMERCIAL ___ _
3. ROOF SLOPE: RISE ( INCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 1 {!) 3
5. TYPE OF EXISTING ROOF COVERING,__::U..:../!J.:.e'?ZtL.tc.:.· ___ SHEATHING flyr..,.,oc/
*6. NEW ROOF MATERIAL ___,G...:t?_...,.. ... 1>'-', ___ CLASS fr WEIGHT PER SQ. :2YcJ •
7. NUMBER OF SQUARES._..,c$_;;5...;;O:;__ __ _
8. TRADE NAME lfidN.tA;Y;?;A.. MANUFACTURER t?/4i,eeK~Y
9. ROOF SYSTEM LISTING:
UL NO. ______ I.C.C.E.S. Report# ______ _
ASTM _____ _
10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE
PROPOSED ROOF? ~ NO
All roof coverings are required to be CLASS A. Combustible roof coverings of any type or
classification are prohibited.
I understand the following inspections are required:
1. Tear Off/Pre-Inspection prior to install new roof covering
2. Final Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for inspection.
Signature. __ 7~@::...L?£/'-".:i.:cc'----"~"""":;r;,::'-"-e<:::::'.===----"'-:;:;=,-:..._ _____ Date 7-12 -1 2....
Contractor___,,<:....,__ __ Owner _____ Contractor
Name f1H4 S~tArvd$
*6. Rolled Roofing, Standard/Lite Tile, AsphalVComp fiberglass, Built Up, Other
Page 4 of4 Rev. 02/11
-~---,·----~··
Inspection List
Permit#: CB121321
Date Inspection Item
09/07/2012 19 Final Structural
08/21/2012 15 Roof/Reroof
08/15/2012 15 Roof/Reroof
Monday, September 10, 2012
Type: MISC REROOF SEAGATE CONDOS-BLDG# 15
5000 SF COMPOSITION -4 UNIT BLDG IN
Inspector Act Comments
PB AP
PB AP
PB AP
Page 1 of 1
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