The URL can be used to link to this page

Home My WebLink About2761 SOUTHAMPTON RD; ; CB160398; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-02-2016 Miscellaneous Permit Permit No: CB160398 Building Inspection Request Line (760) 602-2725 Job Address: 2761 SOUTHAMPTON RD CBAD Permit Type: MISC Subtype: REROOF _Status: Parcel No: 2081402800 Lot#: 0 Applied: Valuation: $3,630.00 Reference #: PC#: Project Title: NELSON RES-RE-ROOF 2100 SF NEW COMPOSITION Applicant: MARK ANTHONY CONSTRUCTION PO BOX 1434 VISTA CA 92085 760-803-7534 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE Entered By: Plan Approved: Issued: Inspect Area: Owner: NELSON VICTOR D&NICOLE V 2761 SOUTHAMPTON RD CARLSBAD CA 92010 ISSUED 02/02/2016 RMA 02/02/2016 02/02/2016 $106.00 $0.00 $0.00 $106.00 Total Fees: $106.00 Total Payments To Date: $106.00 Balance Due: Inspector: /¥ · ~<, Clearance: $0.00 NOTICE: Aease ta<e NOTICE that~ ci )OX r,tject irdt.des th, "lnµ:stiorl' ci fees, declcaticrs, rese,vaticrs, cx ctrer exa::Ucrs -cdledivay refemd toe,; 'fees'exa::ocrs." Yru rave 00 da)s troo, tJ-e dale It-is perrrit""' iSSJed to prctest irrposition ci thase fees'exa::UO"S. If )OJ prctest !tan )OJ rn.st fdlootre prctest JJ1Xl3(ires set lath in G:,,,errmrt Cede Section 68J20(a), a-d file tJ-e prctest a-<l mt drer reqjred irtonralion 'llith tJ-e aty ~ fa IJ'CIC85Sng in ax:uda a,'llith a.tsboo M.nd~ Cede Section 3.32.CID. FallJ'Blotirrayfdlc,,vthat p-oo,cire'llill ta-mf SUbseq.mt IO!JI don toattal<, reviev,.,, SEi cSOO, vcid, a c:rru their irrp:stion. Yru ,re ra-et,y F\RTl-ERNOTIFIEDthat )OJ rig-t to prctest tJ-e spedfiedfees'exarncrs = I\KJf /!PPLYto'M'ta-a-<J .,,,,.-a:maction feesa-<l ~ cra,gas, ncx p,mng, zonng ga:lng cx drer sinril!I' Wicaion IJ'CIC85Sng r:r 5'!1\<oe fees in connection 'llith Ins ,rtject. N:R [XES IT /!PPL Y to mt f ' rJ · ~~~-I,.~...:.__,,<>• 'nilorfntlic: O-<¥:.tnffll"h"'--,.1,,.1,,~-...&lj ' ' ' ,....;&..-.J~-...:__j THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING C_cityof Carlsbad CT/PROJECT# Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITEI/SPACEI/UNITI PHASE# # OF UNITS # BEOROOMS # BATHROOMS DESCRIPTION OF WORK: Include Square Feet of Affected Area{s) □BUILDING □FIRE Plan Check No. Est. Value If,,. • ...,.. ?.\C?OstP'-... ,L.IJ-sL,"Slu. i..,~ .. II lie,,<, v,.,,lcr '-y /\,...._l ~ ,1,; ,_,1,., _ ~ad-/~ SWPPP CONSTR. TYPE OCC. GROUP EXISTINO USE PROPOSED USE GARAGE (SF) PATIOS (SF} FIREPLACE YES[), AIR CONDITIONING Nc(J ves0No0 FIRE SPRINKLERS YESONoO APPLICANT NAME Primary Contact DESIGN PROFESSIONAL ADDRESS CITY PHONE EMAIL L STATE Ir FAX STATE ZIP FAX STATE LIC. # STATE ZIP '12010 c. CITY ZIP ~ ...... flt. "!:Lo PHONE 1<,()J EMAIL STATE LIC.# CITY BUS. LIC.# ;S£/~f t 'l l SI 't) (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 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 ($500}). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjUT'f one of the following declarations: ~ I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 7' I have and will maintain wot1ters' compensation, as required bv Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy nombe,a~,losucam:eCo S.).e..k. 1'-•.H PolicyNo. fof >$!1-/J &picationDate L//f'f/1' ~section need not be completed if the permit is for one hundred dollars {$1{)0) 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: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damag~vided for In Section 3706 of the Labor code, interest and attorney's fees. A!S'cONTRACTORSIGNATURE // ~ lI]AGENT DATE 2 t==<-'b 21,/LJ OWNER~BUILDER DECLARATION I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ □ D \, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not inter,cted 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, hO"'Never, 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 ar,ct 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/ 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/ 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 provide the work indicated (include name I address I phone/ 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 preven~on 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. I certify that I have read the application and state that the above Jnfunnatlon is correct and that the lnfunnatlon on the plans ls accurate. I agree to comply with all Cilyordlnances and Smte lav.s relating to building construction. I hereby authorize representaUveof the City of Ca~sbad to enterulX)l'l lhe alxlve menooned ~rty klr inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY .AND KEEP HARMLESS THE CITY OF CARLSBA.D AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CrTY IN CONSEG!JENCE OF THE GRANTING OF THIS PERMIT. OSHA: M OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories i1 height EXPIRATION: Every permit issued by the BJilding Ofocial under the provisions of this Code shall expre by linitation and beoome null and vod if the builcling or v.ork authorized by such permit is not commenced 'Mthin 180 days from the date of such i:emiltor if the builcling oroork authorized by such permit is suspended or abandoned at any time after the v.ork is commenced for a i:erbd of 180 days (Sed:On 100.4.4 Uniform Building Code). ,,5 APPLICANT'S S,GNATURE 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 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. UC. 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: _______________ _ A5 APPLICANT'S SIGNATURE ASSOCIATED CB#•------------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB160398 Date __ Inspection Item __ _ 02/16/2016 19 Final Structural 02/16/2016 19 Final Structural 02/05/2016 15 Roof/Reroof 02/05/2016 15 Roof/Reroof Wednesday, February 17, 2016 Type: MISC REROOF Inspector Act MC PY RI Fl RI AP NELSON RES-RE-ROOF 2100 SF NEW COMPOSITION Comments Page 1 of 1