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Home My WebLink About150 ACACIA AVE; ; CBR2020-1591; PermitPrint Date: 05/21/2021 Permit No: CBR2020-1591 Building Permit Finaled Residential Permit Job Address: Permit Type: Parcel #: Valuation: Occupancy Group: 150 ACACIA AVE, CARLSBAD, CA 92008-3201 BLDG-Residential 2042332201 $6,256.04 Work Class: Lot #: Project #: Reroof Status: Applied: Issued: 07/16/2020 07/16/2020 Finaled Close Out: #of Dwelling Units: Track #: Plan #: Closed - Finaled PBurn Plan Check #: Inspector:Orig. Plan Check #:Bathrooms: Final Inspection:05/21/2021 Bedrooms:Construction Type: Occupant Load: Code Edition: Sprinkled: SHIMON: REROOF 14 SQUARES OF CONCRETE TILE (E-REVIEW)Description: Project Title: Property Owner: MIKE SHIMON 150 ACACIA CARLSBAD, CA 92008 Contractor: JOSEPH TRUCKSESS PO BOX 3688 SAN CLEMENTE, CA 92672-0000(949) 742-2892 AMOUNTFEE BUILDING PERMIT FEE ($2000+)$88.35 BUILDING PLAN CHECK FEE (BLDG)$61.84 SB1473 GREEN BUILDING STATE STANDARDS FEE $1.00 STRONG MOTION-RESIDENTIAL $0.81 Total Fees:$152.00 Total Payments To Date:$152.00 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 CBR2020-1591( City of Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION 8-1 Plan Check--------- Est. Value PC Deposit --------- Date --------- Job Address / ,5:"D /K;,f}C{A I Cfll!:.LSP,Jqu J l-A Suite: ____ APN: ________ _ CT/Project#: __________________ Lot#: ___ _ Fire Sprinklers: 0 YES O NO Air Conditioning: 0 YES O NO Electrical Panel Upgrade: 0 YES O NO BRIEF DESCRIPTION OF WORK: /cB1<.00£ 0 Addition/New: _____ Living SF, ____ Deck SF, ___ Patio SF, ____ Garage SF Is this to create an Accessory Dwelling Unit? 0 YON New Fireplace? O y ON , if yes how many? __ □Remodel: ____ SF of affected area Is the area a conversion or change of use? 0 Y ON 0 Pool/Spa: ____ SF Additional Gas or Electrical Features? ____________ _ □Solar: ___ KW, ___ Modules, Mounted:QRoof QGround, Tilt:O YQ N, RMA: 0 YON, Battery:OY ON, Panel Upgrade: OY ON ~roof: PE:J.1aVG f>USrz,<lt,, C~ Ttl.G •~~ -/AJSpqlL New 'l"'4 D Plumbing/Mechanical/Electrical Only: _________________________ _ D Other: __________________________________ _ APPLICAJT (PRIMARY CONTACT) Name:(e,..Ja,(_ e;l,STON PROPERTY OWNER Name: M,~e St\U-:\ON Address: \ $""() A Ct'\ C,.,1 A-Address: po fboX 3CQ08 Citv~ C~tt="state: c..A- Phone: tt't°I. 2.40. ISo'f Zip: 9¼ ":r '2-City:('nlSWi) State: CA Zip: ___ _ Phone: ¾o · 't0'r · IS =t~ Email J~aL.eLSWH:@.,Cf Mrtl (.... 6'M DESIGN PROFESSIONAL Name: ________________ _ Address: ----------------City: _______ State:. ___ Zip: ___ _ Phone: ________________ _ Email: ________________ _ Architect State License: ----------- Email: H,~e. ~,Hcoe frpl..,COH CONTRACTOR BUSINESS Name: JtT r?.oon t-1"1 Address: 'P9 fl))('. 3~eS CityD@:N Ct~tate: c.A Zip: '1t,c,'".:r2- Phone:~· "1;:J_'2 ' 1,,81 'L Email: JHf°o(fJt."f'r2..oof:lNel . COt:1 State License: /QS,(,pC,S'"° Bus. License: _____ _ (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/she 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/she is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fer a permit subjecls the applicant to a civil penalty of not more than five hundred dollars ($500)). 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov B-1 Paoe 1 of 2 Rev. 06/18 ( OPTION A): WORKERS'COMPENSATION DECLARATION: I hearby affirm under penalty of perjury one of the following declarations: 01 have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Labor Code for th rf f h work which this permit is issued. ' e pe ormance O t e ~ and will maintain worker's compensation, as required by Section 3700 of the Labor Code for the performance of th O k f h' h h' • • • · , e w r or w 1c t 1s permit 1s issued My workers' compensation insurance carrier and policy number are: Insurance !mpr,y Name~/: "'--/1SSOCJffTt:{S · Policy No. 0/ 0001818 $"0 Expiration Date: /() lf_O /_l,~0~--- 0 Certificate of Exemption: I certify that in the performance of the work for which this permit Is Issued I shall not employ any · b . , . . . . , person 1n any manner so as to e come subJect to the workers compensation Laws of Caltfornoa. WARNING: Failure to secure workers compensation coverage I I I I d h 11 b" $ s un aw u , an s a su Ject an employer to criminal penalties and civil fines up to 100,000.00, In addition to e cost of compensation, damages as provided for In Section 3706 of the labor Code, interest and attorney's fees. CONTRACTOR SIGNATUR ( OPTION B ): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law for the following reason: DI, 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, 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). DI am exempt under Section ________ Business and Professions Code for this reason: l. I personally plan to provide the major labor and materials for construction of the proposed property improvement. QYES Q NO 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/ 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/ address/ phone/ contractors' license number): S. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone/ type of work): OWNER SIGNATURE: ___________________ □AGENT DATE: ______ _ 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. 3097 (i) Civil Code). Lender's Name: _______________________ Lender's Address: ______________________ _ ONLY COMPLETE THE FOLLOWING 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 prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? I Yes/ No Is the applicant or future building occupant required to obtain ;i 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 I 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, APPLICANT CERTIFICATION: 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 required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. 1635 Faraday Ave Carlsbad, CA 92008 B-1 Ph: 760-602-2719 Fax: 760-602-8558 Page 2 of 2 Email: Building@carlsbadca.gov Rev. 06/18 8-10 REROOFING SUPPLEM ENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESS· /~Q fJC"1~'!' /\ · -~CT ~ ~lS 6A:i) 2· TYPE OF BUILDING: RESIDENTIAL a..---COMMERCIAL 3. ROOF SLOPE: RISE 4/12.... INCHES IN 12 INCHES --- 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 1 2 3 5. TYPE OF EXISTING ROOF COVERINGCldt( 7? L€" SHEATHING __ _ *6. NEW ROOF MATERIALe7Jt1t£77c?: CLASS __ WEIGHT PER SQ. 90() 7. NUMBER OF SQUARES Ii a. TRADE NAME Bez,., Fhe MANUFACTURER e:e0t-e-. 9. ROOF SYSTEM LISTING: 6S1<._ noo UL NO. ------I.C.C.E.S. Report# ______ _ ASTM ------ 1 O. 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 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 la e extending at least 2 rungs above the roof for inspection. ~~~~~_.....:.~~=----Date_-=J-_/__;I ~'--'--{ 'L_O __ _ Contractor ____ Owner _____ Contractor/H<AeM, *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 (CBR2020-1591) BLDG-Residential 07/16/2020Application Date:Permit Type:Owner:MIKE SHIMON Reroof 07/16/2020Work Class:Issue Date:Subdivision:PARCEL MAP NO 16289 07/16/2021Expiration Date:Status: IVR Number: 27476 Closed - Finaled 150 ACACIA AVE CARLSBAD, CA 92008-3201 Address: Scheduled Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection InspectionActual Start Date 07/29/2020 07/29/2020 BLDG-15 Roof/ReRoof (Patio) 134121-2020 Passed Paul Burnette Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes 05/21/2021 05/21/2021 BLDG-Final Inspection 157882-2021 Passed Peter Dreibelbis Complete COMMENTS PassedChecklist Item BLDG-Structural Final Yes Friday, May 21, 2021 Page 1 of 1 {cityof Carlsbad