HomeMy WebLinkAbout2765 SOUTHAMPTON RD; ; CB102242; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
11-23-2010 Miscellaneous Permit Permit No: CB102242
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
PC#:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
2765 SOUTHAMPTON RD CBAD
MISC Subtype:
2081402600 Lot #:
$3,150.00
GUNDRE:Y 2500 SF COMP TO COMP
REROOF
REROOF
0
Owner;
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
11/23/2010
JMA
11/23/2010
11/23/2010
PIVA ROOFING, BOB GUNDREY ROY W 1998 TRUST 01-22-98
1192 INDUSTRIAL AV
ESCONDIDO, CA 92029
619-7 45-4 700
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees: $106.00
Inspector:
2765 SOUTHAMPTON RD
CARLSBAD CA 92010
PERMIT FEE
Total Payments To Date: $106.00
FINAL APPROVAL
Date: /1,-'/ · (0
Balance Due:
Clearance:
$106.00
$0.00
$0.00
$106.00
$0.00
NOTICE: Please take NOTICE Iha: 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
fees/exactions of which ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired
City of Carlsbad
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718 / 2719 / 2721
Fax: 760-602-8558
Building Permit Application
JOB ADDRliSS
Plan Check No.
Est. Value
Plan Ck. Deposit
Date
CT/PROJECT I TENANT BUSINESS NAME COtlSTR. TYPE 0CC ClflOUP
DESCRIPTION OJ" WORK:
R~--f2ooF: T&°t12-DF(::, 0t..t:::> I~ l'-&c,v
WMP
O:ISTING USE PROPOSED USli GARAGE (SF) PATIOS (SF) DECKS (SF)
CONTACT NAME
ADDRESS
cnv STATE
PHONE "" PHONE
EMAIL EMAIL
ARCH/DESIGNER NAME I ADDRESS STATE LIC. I STATE UC f
WORKERS' COMPENSATION
Worker11' ComptnMdon Dac11ratlon: I h!1lllby mfim1 un<IM penaify of pe,jury one of the toi1omn9 dedani1J1Nn,.
FIRE SPRINKLERS
YES□ NO □
CJ .!Jll¥Hnd will malntfllll I certlllcale of con-,t kl Hlf-lnsure for won<:ers' compensation as provided by Section 3700 of the Labor Code, for the perlorm8fl08 of lhe W<lfk for which this pem,it is issued
lJli hne. Ind wlll mllni.ln •orbni' com,-nutjon, as ~~y ~tioo 3700 of lhe labor Code, for the perfam~n~ ~~hich this pem)d is issued. My workers' compensation lsur-yi carrier and ~icy o,mb,mlow,ao~"'Si Me' h)lVt) "'""·tl,.U.l~l-'2otO ,,.,.,oo, .. '1 11 ~o\l
,!!!if section need riot bo completed H the pem-Mt is for one hundred dol~ ($100) or less LJ CertfflCN ol Extmpdon: I Cllrtify that in the perloonance of the WOOi for which this pem,it is issued. I shall not employ a,y person in any manner so as to become subject to the W<rters' Compensation Laws of
California WARNING: Failure lo HC:Ura worklrs' compenHllon cowr.11 unlawful, and tllall 1Ltl]ect an 1111plo~r lo crlmlnal ptn•ltl" Md clvll linN up ID one humlr.d 1hou11nd doll•" (&100,000), In
addition lo lh• co.to! compentfltlon, dlm"9N~MI for In s.ctl 1Ge of lht Labor code, lnt.rett and a11Dmey'1 ,-.
_,g CONTRACTOR SIGNATURE. __ ., ~
I hereby affirm that I 1111'! exempt from Contractor's License Lsw for the /i)/l(lwmg "'8SOII:
□ I, as own« of the property or my employees with wages as their sole compensation, wil do the work and the structure is not intended or offa-ed for sale (Sec. 70«, Business and Prolassions Code: The ConlrilC!or's
License Law does not apply to an OWllllf of property who builds or improves lher900, aid who does such WOO himself or lhri:iugh his own employees, provided !Mt such imp,"O'>'Ell'l1ents are not intended or offered !of
sale. H. however, the building or improvement is sold within one year of completion, the OW1181'.J!uilder will have the burden of proving that he did not build or imprcve !Of the purpose of sale)
□
□
I, as owner of the property, a-n exdusively oonlracting with licensed oontractors to oonslruct the project (Sec. 7044, Business and Professions Code: The Conlractor's License Law does not apply to an owner cl
property who builds or impl'tllles thereon, 111d oontracls for such projects with cootractorjs) licensed pursuant to the Contractor's License Law)
I am exempt under SecUon Business a,d Professions Code for this rt18SOII:
1.1 personalty plan to l)f'O'lide the majl.lr labor and materials for oonstruclioo cl the proposed property improvement. Oves 0No
2. I (have/ have not) signed an application for a buildin11 permit!or the proposed work
3. I hilYII contracted with the following person (firm) to prwide the proposed oonstruction (include name address I poone I oonlractOfS' license number):
4. I pla:i lo pl'Ollide portions cl the work, but I haW! hired the following person to coordinate, s"'°er.ise ill1d pl'Ollicle the major work (include name I address I phone I oontractors' licaise number)
5. I will l)f'O'lide some cl the work. but I h11Y9 contracted (hired) the lollowin-g persons lo provide the work indicated (Include name I address /phone/ type of work)
~ PROPERTY OWNERSIGNAT\JRE DATE
(OMPLiTE THIS S:E('rlON FOR NON•RESIO£NTIA&. BUfLDfNG PIRMJTS ONLY
Is the ll!)plicant or future building occup,mt fl!QUired to subm~ a business plan, acutely hazardoos material$ regislration lam 01 risk management and pr11Yenlion program uod« Sections 25505, 25533 01 25534 of the
Presley-T 111ner Hazardous Substaice Account Act? D Yes □No
Is the appl_icant or future building occupant fl!QUired lo obtain a permilfrom the air pollution control district or ai~alily management d~ct? [}es 0No
Is thefacil1ty tobeoonslructed within 1,000 feat of the outer bolindsy cl a school siw? []Yes LJNo IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED Utl.ESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFACE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I cerllfytbatl llawread the appllcallon and stlltethat tlleablMI lnformallon iscon-ecllfld that.the lnfl>nn.Uon on the plans Is accurate. I aan,elD eompiJ'llltll at OIY'ordinancesand State laws relallng" b~ldlngccnstnictlon.
I hereby a.Jthcrize rep'86Elll!alive of 'tie aty of Car1sbal to enlef 1-1'.)00 lhEI above mentioned property b-inspeclicn pLJp0986. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST All LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHIO, MAYIN MN WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: M OSHA J)Effl1it is rec;tnd IOI exea'lationS ov«: 5'0' deep 111d demaition a-oonstrucllon of structures ov«: 3 stories 11 height.
EXPIRATION: Every permit issued by the &ildi1g Official under the pro'lisions of this Code shall ~fll by imitation Md DEIOOffle nul and \Qid illhe buidlng 01 v.ork authorized by such perm~ is ool oorrrnenood l'tithl1
100 days from lhe dat&of such pemlt a-illhe bl,Jildi1g a-WOOi aJlhorized by such PEl!!"it is suspended or al11r,dcr,ed at !fly time after lhEI WOOi i$ C(fll1'1enoed for a period of 100 days (Section 106.4.4 Uniform Buiking Code).
_g APPLICANT'S SIGNATIJRE ~ DATE :;+ ti
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applican1 or future building occupant required to submit a business plan, acutely hazardous materials registration fom, or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Accoont Act? □ Yes □ No
Is the applicant or Mure building OCC1Jpanl required lo obtain a permit from the air pollullon control dislricl or air quality management district? □ Yes □ No
Is the facility to be constructed within 1,000 feet of the outer boundaiy 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 lnfonnatlon Is conect. and that the infonnatlon on the plans Is accurate. I agree to comply with all CII¥ oltllnances and State l8ws relating to building construction.
1 hereby authorize representawe of the City of Carlsbad ti enter upon tie aoove mentooed property for i1specocfl purrxises. 1 AL.SO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
Al?AINST ALL LLlllllLITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN /WYWAY ACCRUE AGPJNST SAID CITY IN CONSEQUENCE OF THE GRANTN'lG OF THIS PERMIT.
OSHA: M OSHA pennlt is required for excavations over 5'0' deep and demolb er coosln.lcoon of slJUclures rNer 3 sbies il heg,t.
EXPIRATION: Every pelTTllt issued by the Building Olfcial under the provisbns of lhis Code shall expire by linitation and become null and void if the buHdilg or ¥,011; au'1orlzed by such pemit is not corrmenced 'Mltwl
180 days Iran tie date of sudl pennil cr if the buidilg or 'NOl'k authorized by sudl pennlt is suspended or abandooed at any time after tie v.ork is commenced for a peood of 180 days (Sec:oon 106.4.4 l.klibnTI Buiking Code).
AfAPPLICANT'SSIGNATURE ~ DATE c)
B-10
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
1. JOB ADDRESS: d 7l£ S' v.,+l ~ R6 ,
2. TYPE OF BUILDING: RESIDENTIAL 0<.. COMMERCIAL __ _
3. ROOF SLOPE: RISE¥-INCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) (1) 2 3
5. TYPE OF EXISTING ROOF,CO'ltfRING Co::f ·· SHEATHING% <'~r ~o f.lL. , (\
*6. NEW ROOF MATERIA~\W,.:;._ CLASS~tt_WEIGHT PER SQ. -Z..00 \
7. NUMBER OF SQUARES __ --z..:~,;-~--
8. TRADE NAME c er-{? MANUFACTURER o(,.,, ~ ~ c~
9. ROOF SYSTEM LISTING:
UL NO. f2. 2LJS °3, 1.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 _s)~& ~
Contractor ~ Owner ____ Contractor
Name ~fl,// 0 ~/2-, '(fi
Date__,/'-'l:....,}.__-z.._3:....,/,'-L../--'D-✓ ,
*6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other
Page 5 of 5 Rev. 03/09
City of Carlsbad Bldg Inspection Request
For: 12/07/2010
Permit# CB102242
Title: GUNDREY: 2500 SF COMP TO COMP
Description: REROOF
Type:MISC Sub Type: REROOF
Job Address: 2765 SOUTHAMPTON RD
Suite: Lot: 0
Location:
APPLICANT PIVA ROOFING, BOB
Owner: GUNDREY ROY W 1998 TRUST 01-22-98
Remarks:
Total Time:
CD Description Act Comments
19 Final Structural
--------------
f__
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act lnsp Comments
Inspector Assignment: PD ---
Phone: 7607454700
lnspector!l_/C
Requested By: SARA
Entered By: CHRISTINE
11/30/2010 15 Roof/Reroof AP PD EXISTING PLYWOOD