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HomeMy WebLinkAbout2772 JEFFERSON ST; A; CBR2021-0774; PermitPrint Date: 03/31/2021 Permit No: CBR2021-0774 Building Permit Finaled Residential Permit Job Address: Permit Type: Parcel #: Valuation: Occupancy Group: 2772 JEFFERSON ST, # A, CARLSBAD, CA 92008-1772 BLDG-Residential 2032010300 $3,688.86 Work Class: Lot #: Project #: Reroof Status: Applied: Issued: 03/18/2021 03/18/2021 Finaled Close Out: #of Dwelling Units: Track #: Plan #: Closed - Finaled TKers Plan Check #: Inspector:Orig. Plan Check #:Bathrooms: Final Inspection:03/31/2021 Bedrooms:Construction Type: Occupant Load: Code Edition: Sprinkled: 21 SQ COMP SHINGLE REROOF (E-REVIEW)Description: Project Title: Contractor: A-1 BUDGET ROOFING INC PO BOX 473 VISTA, CA 92085-0473(760) 707-8644 AMOUNTFEE BUILDING PERMIT FEE ($2000+)$61.74 BUILDING PLAN CHECK FEE (BLDG)$43.22 SB1473 GREEN BUILDING STATE STANDARDS FEE $1.00 STRONG MOTION-RESIDENTIAL $0.50 Total Fees:$106.46 Total Payments To Date:$106.46 Balance Due:$0.00 Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. 1635 Faraday Avenue, Carlsbad CA 92008-7314 ï 760-602-2700 ï 760-602-8560 f ï www.carlsbadca.gov Building Division Page 1 of 1 {"Cityof Carlsbad CBR2021-0774 3688 3/18/21 (_ Cicyof Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION 8-1 Plan Check ________ _ Est. Value PC Deposit _______ _ Date Job Address 2772 JEFFERSON ST CARLSBAD, CA 92008 Suite: APN: 203-2010-300 ·----- CT/Project #: _________________ Lot #: ____ Year Built: ________ _ Fire Sprinklers: O vEsQ NO Air Conditioning:O YES O NO Electrical Panel Upgrade: Q vEs Q NO BRIEF DESCRIPTION OF WORK: REMOVE EXISTING 2 LAYERS OF ROOFING MATERIAL, INSTALL 7/16" 088 SOLID SHEETING, INSTALL 30 YEAR OWENS CORNINS ASPHALT SHINGLES 21 SQ (MAIN HOUSE ONLY)$ 8,800 0 Addition/New:. _____ Living SF, ____ Deck SF, ____ Patio SF, ____ Garage SF __ _ Is this to create an Accessory Dwelling Unit? O v O N New Fireplace? Q Y O N, if yes how many? __ D Remodel: SF of affected area Is the area a conversion or change of use ? Q y O N ----- □ Pool/Spa: ____ SF Additional Gas or Electrical Features? ___________ _ O Solar: ___ KW, ___ Modules, Mounted:0 Roof 0 Ground, Tilt: 0 vO N, RMA: O v O N, Battery: Ov ON, Panel Upgrade: Ov ON @ Re roof: ------------------------------------□ Plumbing/Mechanical/Electrical 0 Only: Other: This permit is to be issued in the name of the Property Owner as Owner-Builder, licensed contractor or Authorized Agent of the owner or contractor. The person listed as the Applicant below will be the main point of contact throughout the permit process. PROPERTY OWNER APPLICANT O PROPERTY OWNERS AUTHORIZED AGENT Name: SUSAN BURKE Name: A-1 BUDGET ROOFING , INC., APPLICANT_)( Address: 2772 JEFFERSON STREET Address: PO BOX 473 City: CARLSBAD State: CA Zip: 92008 City: VISTA State:_C_A_zip: 92085 Phone: 760-213-7 466 Phone: 760-522-2572 Email: _________________ Email: a1 budgetroofing @cox.net DESIGN PROFESSIONAL APPLICANT 0 Name: A-1 BUDGET ROOFING, INC ., CONTRACTOR OF RECORD Name: A-1 BUDGET ROOFING, INC., APPLICANT-~ Address:. _______________ _ Address: PO BOX 473 City: _______ State:. __ ....;Zip:. ___ _ City: VISTA State:_C_A __ Zip: 92085 Phone: ________________ _ Phone: 760-707-8644 Email: ________________ _ Email: a1 budgetroofing@cox.net Architect State License: __________ _ State License/class:_8_1C_39 ____ Bus. License: BLOS1237828 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov REV. 08/20 IDENTIFY WHO WILL PERFORM THE WORK BY COMPLETING (OPTION A) OR (OPTION B) BELOW: (OPTION A): LICENSED CONTRACTOR DECLARATION: I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in fu ll force and effect. I also affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the work which this permit is issued. Policy No. ______________________________________ _ [Zg.1 have and will maintain worker's compensation, as req uired by 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 number are: Insurance Company Name: STATE COMPENSATION INSRUANCE FUND Policy No. 9138244·20 Expiration Date: _1c.::0_·0:c..1_·2:::...1 ___________ _ 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 $100,000.00, in addition the to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. CONSTRUCTION LENDING AGENCY, IF ANY: I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. (i) Civil.Code). Lender's Name: ___________________ _ (OPTION B): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from 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 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 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, Bu siness 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 Business and Professions Code Division 3, Chapter 9, Article 3 for this reason : O"owner Builder acknowledgement and verification form" has been filled out, signed and attached to this application. 0 Owners "Authorized Agent Form" has been filled out, signed and attached to this application giving the agent authority ta obtain the permit an the owner's behalf By my signature below I acknowledge that, except for my personal re sidence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner-builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the fallowing Web site: http://www.leginfa.ca.gov/calaw.html. OWNER PRINT: _________ _ SIGN: _________ DATE: _____ _ APPLICANT CERTIFICATION: SIGNATURE REQUIRED AT THE TIME OF SUBMITTAL By my signature below, I certify that: I am the property owner or State of California Licensed Contractor or authorized to act on the property owner or contractor's behalf 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 representative of the City 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 require r excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. ALBERTAPODACAA-1 BUDGET ROOFING INC 3/17 /21 APPLICANT PRINT: _________ SIGN:...., ..... _ .... _____ DATE: 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov 2 REV. 08/20 B-10 REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOBADDRESS J11A Jf;Eft!fjDN ncMw~~D r~DM 2. TYPE OF BUILDING: RESIDENTIAL ✓ COMMERCIAL __ _ 3. ROOF SLOPE: RISE_j_ INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 1 V3 s. TYPE OF EXISTING ROOF covERINGOJ/-AtE/6Jf-1N6J[(}sHEATH1NG NO •5. NEW ROOF MATERIAL 61+J1J(;,L[{J CLASS_A_WEIGHT PER SQ. cfl_!J..D/J 7. NUMBER OF SQUARES c:J I 8. TRADE NAME DAKR-1-=--DG--'---( E-M-AN-UFACTURER DWBJ5 f!o/JJJN G 9. ROOF SYSTEM LISTING: ULNO. t(/A '7qo I.C.C.E.S. Report# ASTM_½--=-f~~· _ 10. IS THE EXISTING STRUC~L'4ESIGN 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 ~£--Date ,jp1[l/ I Contractor V Owner ______ Contractor Name AJbm /tft2dtC£ti A✓i-M1-f f)p-R''!J 1 }N!, • 1 *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other Page 6 of 6 Rev. 04/14 Building Permit Inspection History Finaled PERMIT INSPECTION HISTORY for (CBR2021-0774) BLDG-Residential 03/18/2021Application Date:Permit Type:Owner: Reroof 03/18/2021Work Class:Issue Date:Subdivision:SCHELL & SITES ADD 09/27/2021Expiration Date:Status: IVR Number: 32218 Closed - Finaled 2772 JEFFERSON ST, # A CARLSBAD, CA 92008-1772 Address: Scheduled Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection InspectionActual Start Date 03/26/2021 03/26/2021 BLDG-15 Roof/ReRoof (Patio) 153623-2021 Partial Pass Tim Kersch Reinspection Incomplete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes 03/31/2021 03/31/2021 BLDG-15 Roof/ReRoof (Patio) 153898-2021 Passed Tim Kersch Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes BLDG-Final Inspection 153897-2021 Passed Tim Kersch Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes BLDG-Structural Final Yes Wednesday, March 31, 2021 Page 1 of 1 {cityof Carlsbad