HomeMy WebLinkAbout2142 SERENO CT; ; CB023053; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-09-2002 Miscellaneous Permit Permit No: CB023053
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
Building Inspection Request Line (760) 602-2725
2142 SERENO CT CBAD
MISC
2164850600
$2,756.00
FISH RESIDENCE
Subtype: REROOF
Lot#: 0
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
10/09/2002
MDP
10/09/2002
10/09/2002
26 SQUARES OF COMP REROOF
Applicant: Owner:
8353 10/09/02 0002 01
CGP
FISH JOHN M&ELIZABETH A
2142 SERENO CT
CARLSBAD CA 92009
Total Fees: $77.00
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Inspector·
FISH JOHN M&ELIZABETH A
2142 SERENO CT
CARLSBAD CA 92009
Total Payments To Date:
PERMIT
FINAL APPROVAL
Date: 1 ~ 3,..... 0 2
$0.00 Balance Due:
Clearance:
$77.00
$0.00
$0.00
$77.00
$77.00
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.
02 n.oo
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONLY
PLAN CHECK NO. 62.. .... _3 0$3
EST. VAL. L(7~ l:i 7
Plan Ck. Deposit ___ __,_l ____ _
Validated By __________ _
Date. ______________ _
Cf 9zoo'1
Address (include Bldg/Suite #) 'susinesrName (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use Proposed Use
SQ. FT. #of Stories # of Bedrooms # of Bathrooms
l.bOO
Name State/Zip Telephone# Fax#
Name Address City State/Zip 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
exemption. Any ~iolation 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)).
Name Address City State/Zip Telephone#
State License # _________ _ License Class _________ _ City Business License # _______ _
Address City State/Zip Telephone
I hereby affirm under penalty of perjury one of the fol_lowing declarations:
O 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.
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 compensation insurance carrier and policy number are:
Insurance Company _____________________ Policy No.____________ Expiration Date _______ _
SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 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
t come subject to the Workers' Compensation Laws of California.
O 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 ONO
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 I address I 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 hav ing persons to provide the work indicated (include name / address / phone number / type
of work): _________ -::,-..,J---,~-----,,...9,+7"''--------------------,--=---------------~ PROPERTY OWNER SIGNATUR '-=~~L..J..._..::.:=-i..--::-7'!:::.=-.::,..-=:----------
(@_MPLll!hlt:IIS SECTION F _ R N
Is the applicant or future b ii · g occupant required 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 Act7 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? 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.
CONSTRUCTION LENDING AG~CY
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).
rs.
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 Citt 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 buil ·ng Official under the provlsi of this Code shall expire by limitation and become null and void if the building or work
authorized by such permit is not com enced 11 in 180 days from the o ch permit or if the building or work authorized by such permit is suspended or abandoned
~I any time after the work is comma ad for. a riod of 180 da c o 06.4.4 Uniform Building Code).
\
APPLICANT'S SIGNATURE/ _-,,LLL---=.~---=---:fL.--l..C...::::...._==-----------
YELLOW: Applicant PINK: Finance
DA TE --1-,/'--0=-,--=0.__,_f_---=.c)_,,L __
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDRESS: 21'/'z S:€RE.µo C-r:. (fill/~.l}J
2. TYPE OF BUILDING: RESIDENTIAL _?( COMMERCIAL, __ _.
3. ROOF SLOPE: RISE S-5 inches in 12 Inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) 1 2 3
5. TYPE OF EXISTING ROOF COVERING ___ SHEATHING ___ __,
*6. NEW ROOF MATERIAL, ____ CLASS __ WEIGHT PER SQUARE
7. 'NUMBER OF SQUARES___,,--Z.'-'(r,"'--_ _.
8. TRADE NAME.__,E-=-'--'/k'--___ M~NUFACTURER .Pt?-bb/4_ ;
9. ROOF SYSTEM LISTING UL No. ___ ~ICBO No. ____ __.
10. IS THE EXISTING STRUCTURAL DESIGN 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: -,-,
f'o
1. Tear Off/Pre-inspection prior to instalinew roof covering.
2. Final Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for
inspection.
___ Owner
7
'.?( Contractor Naf!le ______ _
*6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up,
Other.
City of Carlsbad Bldg Inspection Request
For: 10/10/2002
Permit# CB023053
Title: FISH RESIDENCE
Description: 26 SQUARES OF COMP REROOF
Type:MISC Sub Type: REROOF
Job Address: 2142 SERENO CT
Suite: Lot 0
Location:
APPLICANT FISH JOHN M&ELIZABETH A
Owner: FISH JOHN M&ELIZABETH A
Remarks:
Total Time:
CD Description Act Comments
Inspector Assignment:
Phone: 7606346838
Inspect&.__
Requested By: JOHN FISH
Entered By: CHRISTINE
15 Roof/Reroof ¥ ~~~~'l..Jl...l::::.
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments