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HomeMy WebLinkAbout2415 SIERRA MORENA AVE; ; CB160385; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-01-2016 Miscellaneous Permit Permit No: CB160385 Building Inspection Request Line (760) 602-2725 Job Address: 2415 SIERRA MORENA AV CBAD Permit Type: MISC Subtype: REROOF Status: Parcel No: 1671603500 Lot#: 0 Applied: Valuation: $5,014.00 Entered By: Reference #: Plan Approved: PC#: Issued: Inspect Area: Project Title: WONG: 29SQ COMP SHINGLE REROOF Applicant: Owner: LUIS GASTELUM ROOFING 4030 THOMAS ST OCEANSIDE, CA WONG H C 2009 TRUST 06-04-09 92056 760-458-0239 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES 4414 UTE DR SAN DIEGO CA 92117 PERMIT/ INSPECTION ISSUED 02/01/2016 SLE 02/01/2016 02/01/2016 $137.00 $0.00 $0.00 $137.00 Total Fees: $137.00 Total Payments To Date: $137.00 Balance Due: Inspector: Clearance: $0.00 11.0llCE A,.,.. ta<e 11.0llCE that~ ci IOJr ~eel irdudes lh3 "IITjlOSitiorl' ci fees, dedc:aticns, reservaicns, er cit-er """'1icm rereafter aJledivay re'em,d to as '1ees/"""'1icm." Yw haM9 00 days from lh3 dale !tis pemit v.as issued to J)tiest ilTjlOSiticn ci th3se fees/"""'1icm If 10J J)tiest lh3m 10J rru;t fdlCM11h3 J)tiest procedres set lath in G:,,,en-rra,t Oxle Sedicn OOJ20(a), ard file lh3 imest ard any cit-er req.jred infamiicn wlh lh3 Oty Mng,r fer Jr(lCl85Sirg in ao:ada-rewth Calsbal MJidp,j Oxle Sedicn 3.32030. FaluetotirrayfdlCM1tta Jr(X:airewll ta-anys,.b;ecµrt leg,j !Dioo toatta:I<, reviim, set asici3, vtid, er afl.J their in,:osition. Yw aa 1-ereby FlRT1-ER 11.0llFIED It-at )OJ rigt to J)tiest lh3 specified fees/"""'1icm IXES fOT />PPL Y to....i..-ard se,,er OITTl9dia1 fees ard ~ cta,ges, rcr ~.nirg, zcrirg, ga:irg er ctta-sirrila-Wicaion ~rg er service fees in arredia, Wth ttis ptjed. I'm CXES IT APPLY to fn/ I -I ~ ,-THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING I?"' ~ City of Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITE#/SPACEI/UNITI □BUILDING □FIRE Plan Check No. Est. Value Plan Ck. Deposit Date 2.-\-I APN CT/P # BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) 1/off e'!-,-5 +i V\ Cj -fv(t> JVl1-lc;/I Yl/?W c;,7V\1hc,1, (, EXISTING USE APPLICANT NAME Primary Contact ADDRESS CITY PHONE EMAIL DESIGN PROFESSIONAL ADDRESS CITY PHONE EMAIL PROPOSED USE STATE FAX STATE FAX GARAGE (SF) PATIOS (SF) PROPERTY OWNER ADDRESS ZIP CITY ZIP STATE LIC. # STATE LIC.# STATE FAX □HEALTH OHAZMAT/APCD SWPPP CONSTR. TYPE OCC. GROUP ZIP (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 JChapter 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 violation of Section 031.5 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 Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-Insure for 'M'.Jrkers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued ■ I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the w..Qy fol'\ which this permit is issued. My workers' compensation insura ce c ·er and policy number are: Insurance Co. ~ 7 A 7 e ~ t) rl: 0 Policy No. 5 0 tJ ) rt k: J Expiration Date -0--~---1'-"C>.----- This section need not be completed if the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the performance of the work for which this pennit 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 worker1' compensation coverage Is unlawful, and shall subject an employer to criminal penaltres and clvll fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for In Sectlo' 370! Jfthe Labor code, interest and attorney's fees. ,65 CONTRACTOR SIGNATURE L V; { botT 't t □AGENT I hereby affirm that I am exempt from Contractor's Ucense 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 tor 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 buildir,g 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 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 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 / contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to pro~ide the work indicated (include name/ address I phone I type of work): _85 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 manageme11t 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 permit 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 affimi that there Is a construction lending agency for the performance of the work this permit Is issued (Sec 3097 (1) C1v1I Code) lender's Name lender's Address APPLICANT CERTIFICATION I certify that I have mad the application and state that the above lnfonnation is correct and that the infonnation on the plans is accurate. I agree to comply with all City ordinances and State law.; relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection pul'!XJses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN /W'/ WAY ACCRUE AGAINST SAID crrY IN CONSEQJENCE OF THE GRANTING OF THIS PERMIT. OSHA: /vi OSHA permit is requred for excavations over 5'0' deep and demolltion or construction of structures over 3 stories in height EXPIRATION: Every permit issued by the Building Offi::ial under the provisbns of this Code shall expire by limltation and become null and vod if the building or oork. authorized by sudl permit is not oommenced 'Mlhin 180days from the date ofsudl permit or if the building oroork authorized by such permit is suspended or abandoned at any time after the oork is oommenced Klr a pericx:l of 180 days (Sectbn 100.4.4 Uniform Building Code), ,.es' 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, Emall building@carlsbadca.gov or Mail the completed form to City of Carlsbad, 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. LIC. No. DELNERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) MAIL/ FAX TO OTHER: _______________ _ A$ APPLICANT'S SIGNATURE ASSOCIATED CB#'------------ NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP B-10 REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOBADDREss: 24/f s;:,etrei Mr2v:e:J1G Avt 2. TYPE OF BUILDING: RESIDENTIAL 1/ COMMERCIAL. __ _ 3. ROOF SLOPE: RISE 4-,; /() INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 1 ~ 3 5. TYPE OF EXISTING ROOF COVERING $U 'f..,-.,;,HI/J(,I /1SHEATHING ✓ *6. NEW RooF MATERIAL Cornp-2hh1 81tc cLAss A WEIGHT PER so.~ 7. NUMBER OF SQUARES~Q,~9~--- 8. TRADENAME0aKt;d§& MANUFACTURER Ou.,mJ {drn ,'~ 9. ROOF SYSTEM LISTING: UL NO. ;J: q D I.C.C.E.S. Report# tl: C, Lf $ Y ASTM E ltJf 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. Date 'J,-/-/ I Contractor 1/ Owner~ ___ Contractor Name Lv: > E G,) uL *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other Page 4 of 4 Rev. 02/11 Inspection List Permit#: CB160385 Date lns_J)ection Item 02/08/2016 19 Final Structural 02/08/2016 19 Final Structural 02/04/2016 15 Roof/Reroof Tuesday, February 09, 2016 Type: MISC REROOF Inspector PD Act RI AP RI WONG: 29SQ COMP SHINGLE REROOF Comments PM PLEASE Page 1 of 1