HomeMy WebLinkAbout2112 SERENO CT; ; CB022002; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-03-2002 Miscellaneous Permit Permit No: cso22002
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
Building Inspection Request Line (760) 602-2725
2112 SERENO CT CBAD
MISC
2164850900
$2,664.00
Subtype: REROOF
Lot#: 0
COLE -REROOF 2400 SF COMP
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
07/03/2002
JM
07/03/2002
07/03/2002
Applicant: Owner:
'J618 '.'.)7/03/02 J002 )1
CGF"
ROOF SYSTEMS
PO BOX 1688
SAN MARCOS CA 92079
760 744-1144
Total Fees: $77.00
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
COLE JOHN A&JENNIFER
2112 SERENO CT
CARLSBAD CA 92009
Total Payments To Date: $0.00
PERMIT
Balance Due:
$77.00
$0.00
$0.00
$77.00
Inspector:~ Clearance:
$77.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reseNations, 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
. I whi h flimi i v· I i
FOR OFFICE USE ONL V
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
PLAN CHECK NO. c/}6v2,{J)2--,
EST. VAL. Ute(
Plan Ck . Dep~
Validat ed B~---+4-.... /-----
Date 7(3/L>k
1, PROJECT l!!J;ORl'dATlON 2 I I Z. ~£·ge:,~ 0
Business Name (at this address) Ad~ (include Bldg/S4j_te #) . -s 0Gt:PD4L
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use
~,O
Proposed Use
~
D~iption of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms
~ ~LS:7 ,-& ~ ~ .. ~(...(._
~-CONTACT PERSON (If dlff!!rent (rom fppllcant) (
4spAAcf"srti~J
Name Address
3. APPLIC~NT ,B-ciintractor
-Geu., :::r ◊:tN S?-1
0 Pillenr for Contractor O Owner
City
0 Agent for Owner
Name Address City
Name Address City
6. CONTRACTOR • COMPANY NAME
State/Zip
State/Zip
S.tate/Zip
Telephone# Fax#
Telephone#
Telephone#
(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
issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law
(Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged
tion. 'olation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hun2d dollars ($500)).
• 0~ ~ S, S: . u '(:?o,c:::; wfkec,,o.S ~ Zo 7 e~ ~-
Name
State License # _,_{Ag,c....<..;;_c..::f_7~----
City State/Zip Telephone #
City Business License # / Z: / Z l!J 91, License Class __,C-"""-_-_5_'7,__ ____ _
Designer Name Address City State/Zip Telephone
State License # _________ _
6. WORKERS' 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 Labor Code, for the performance
of the work for which this permit is issued.
O I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My worker's co~pensation i"/ance carrier and policy number are:
lnsuranceCompany '.:2~ ~r:{) PolicyNo. ;ze~-c)of3-< ExpirationDate /-/-{}-:?
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS)
0 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 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.
DATE:--:;::;;:;:::;;::;::::=:=::::;;:::;;:::::;::..~-...,~--~~
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 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 w ho builds or improves thereon, and w ho 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).
0 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).
0 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. 0 YES O 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 number / 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 I phone
number / 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 / address / phone number / type of work):. ____________________________________________________________ _
PROPERTY OWNER SIGNATURE ______________________ _ DATE __________ _
COMPLETE n us SEC,:ION_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 Act? 0 YES O NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district ? 0 YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 0 YES O 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.
8. CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME ______________ _ LENDER'S ADDRESS ________________________ _
9. APPLICANT CERTIFICATION
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit\! of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES,
JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the uilding Official under the provisions of this Code shall expire by limitation and become null and void if the building or work
authorized by such permit is not com within 180 days from the d 1:\-permit or if the building or work authorized by such permit is suspended or abandoned
at any time after the work is comm or · s ection 106.4.4 Uniform Building Code). ~!-z
APPLICANT'S SIGNATURE .,...;;..cc..-------------------------DATE ~t,,
WHITE: File YELLOW: Applicant PINK: Finance
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
I. JOB ADDRESS: ;2, I/ Z---S:~o C,,1,
2. TYPE OF BUILDING: RESIDENTIAL >< COMMERCIAL. __ _,
3. ROOF SLOPE: RISE 4 inches in 12 Inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) (V 2 3
5. TYPE OF EXISTING ROOF COVERING &14--t'.t:-SHEATHING SOl-1 b .
*6. NEW ROOF MATERIAL/4:sf~~sA--wEIGHT PER SQUARE .27c.J
7. -NUMBER OF SQUARES 24::
8. TRADE NAME f:;(...,k °P,<6S,7c7✓t:-MANUFACTURER --8c;e: UCO~
9. ROOF SYSTEM LISTING UL No. ___ ~,ICBO No .. ____ ___,
IO. IS THE EXISTING STRUCTURAL DESIG;:-31ENT TO SUSTAIN THE
WEIGHT OF THE PROPOSED ROOF? ES 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. lear Off/Pre-inspection prior to instali
0
~ew roof covering.
<Jrz_L_yinal Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for
inspection.
Signature &-:----------Date __ 7'__,_½f-'~c;--6_·~ __ _
Contractorpwner ____ Contractor Narrie ______ _
*6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up,
Other.
---, .. -·--·---·-.
-r
4\ • City of Carlsbad Bldg Inspection Request
For: 07/10/2002
Permit# CB022002
Title: COLE -REROOF 2400 SF COMP
Description:
Type:MISC Sub Type: REROOF
Job Address:
Suite:
Location:
2112 SERENO CT
Lot
APPLICANT ROOF SYSTEMS
Owner: COLE JOHN A&JENNIFER
Remarks:
Total Time:
0
CD Description Act Comments
Inspector Assignment: RF ---
Phone: 7608029832
Inspector: /( F
Requested By: ERIC
Entered By: CHRISTINE
19 Final Structural .Af_ )Jo Ca1-•c/ af
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments
07/05/2002 15 Roof/Reroof AP RF FELT LAID. SAMPLE SECTIONS OK. ERIC CONSTRUCTION.
/It./ 7 -F-z-