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Home My WebLink About250 PACIFIC AVE; ; CBR2021-1539; PermitPrint Date: 06/07/2021 Permit No: CBR2021-1539 Building Permit Finaled Residential Permit Job Address: Permit Type: Parcel #: Valuation: Occupancy Group: 250 PACIFIC AVE, CARLSBAD, CA 92008-2274 BLDG-Residential 2030231400 $7,149.76 Work Class: Lot #: Project #: Reroof Status: Applied: Issued: 05/27/2021 05/27/2021 Finaled Close Out: #of Dwelling Units: Track #: Plan #: Closed - Finaled TKers Plan Check #: Inspector:Orig. Plan Check #:Bathrooms: Final Inspection:06/07/2021 Bedrooms:Construction Type: Occupant Load: Code Edition: Sprinkled: 16 SQUARE REROOF, ASPHALT SHINGLE TO ASPHALT SHINGLE (E-REVIEW)Description: Project Title: Property Owner: EASLAND FAMILY TRUST 5120 LOS ROBLES DR CARLSBAD, CA 92008 Contractor: URBACH ROOFING INC 445 PRODUCTION ST SAN MARCOS, CA 92078-4357(760) 471-5065 AMOUNTFEE BUILDING PERMIT FEE ($2000+)$97.22 BUILDING PLAN CHECK FEE (BLDG)$68.05 SB1473 GREEN BUILDING STATE STANDARDS FEE $1.00 STRONG MOTION-RESIDENTIAL $0.93 Total Fees:$167.20 Total Payments To Date:$167.20 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 CBR2021-15395/27/2021$7,149.76(Cityof Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION Plan Check ---------Est. Value PC Deposit ---------Date---------e .. 1 Job Address 250 Pacific Avenue, Carlsbad, CA 92008 Suite: APN: 2030231400 -----CT/Project#:. __________________ Lot#: ___ _ Fire Sprinklers: 0 YES Q NO Air Conditioning: Q YES Q NO Electrical Panel Upgrade: Q YES O NO BRIEF DESCRIPTION OF WORK: Reroof 0 Addition/New: _____ Living SF, ___ Deck SF, ___ Patio SF, ___ Garage SF Is this to create an Accessory Dwelling Unit? 0 YON New Fireplace? 0 YON, if yes how many? __ 0 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:0Roof0Ground, Tilt:O YON, RMA:OYON, Battery: OY ON, Panel Upgrade: OY ON 0 Reroof: Remove existing roofing, install 16 Squares if new GAF Timberline Shingles over Tiger Paw underlayment D Plumbing/Mechanical/Electrical Only: _________________________ _ D Other: __________________________ _ APPLICANT (PRIMARY CONTACT) Name: Urbach Roofing, Inc. Address: 445 Production Street City: San Diego State: CA Zip: 92078 Phone: 760.471.5065 Email: urbach@urbachroofing.com DESIGN PR0FESSi0NAL Name: NIA ------------------Address: ________________ _ City: ________ State: __ ....,;Zip: ____ _ Phone: ________________ _ Email: _________________ _ Architect State License: ___________ _ PROPERTY OWNER Name: Bostick-Jim & Rosemary Address: 4711 Sun Valley Road City: Del Mar State: CA Zip: _9_20_1_4 __ _ Phone: 858.449.6299 Email: jimenebostick@yahoo.com CONTRACTOR BUSINESS Name: Urbach Roofing, Inc. Address: 445 Production Street City: San Marcos State: CA Zip: _9_20_7_8 ___ _ Phone: 760.471.5065 Email: urbach@urbachroofing.com State license: 602378 Bus. License: 1200289 -------(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 for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}1. 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov B-1 Page 1 of 2 Rev. 06/18 ( OPTION A}: WORKERS'COMPENSATION DEClARATION: I hearby affirm under penalty of perjury Q!1g, of the following declarations: Dr 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. @1 have and will maintain worker's compensation, as required 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: _ST_AT_E_c_o_M_P_IN_S_F_u_No ______________ _ Policy No. 9229502 Expiration Date: _04!0 __ 11_20_22 _______ _ D 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 be come subject to the workers' compensation Laws of California. WARNING: Fallure to secure workers oompensation ooverage Is unlawful, and shall subject an employer to criminal penaltles and civil fines up to $100,000.00, in addition the to the oost of compensation, damages as provided for in Section 3706 of the Labor Code, l,M...,,.,..._,,fH,. C ~-~ CONTRACTOR SIGNATURE: ___,,,_:._'1._~r--~----==-:._-:_.-:.,-;,.-;_,==----;..........,.,...--------~GENT DATE: 5 . tc:f .2.D i.-l ( OPTION B ): OWNER-BUILDER DEClARATION: I hereby affirm that I am exempt from Contractor's license Law for the following reason: 0 J, as owner of the property or my employees with wages as their sole compensa!!9nr~ the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does no:,iiplyto an owner of property who builds or Improves thereon, and who does such work himself or through his own employees, provided that such improvement'.i,are not intended or offered for sale. If, however, the building or Improvement is sold within one year of completion, the owner-bullder will have the burden of prOVing that he did not build or improve for the purpose of sale). / DI, 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 own '6f" property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). D1 dm exempt under Section__ _ ____ Business and Professions Code forth is reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property Improvement. QYES QNo 2. I (have/ have not) slg_!!r-!MG application for a building permit for the proposed work. 3. I have contracte~;it'h the following person (firm) to provide the proposed construction (Include name address/ phone/ contractors' license number): 4. I plan to provJd'e portions of the work, but I have hired the following person to coordinate, supervise and provide the major worK (includ~ name/ address/ phone/ contrad~:-i(c';;nse number): S. ~/'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-Tar.ner 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. APPLICANT CERTIFICATION: I certify that r 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 Cl1Y OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINSTSAIDCl1Y JN 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. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 ays from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 1 d s. C 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 B-10 REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESS: 250 Pacific Avenue, Carlsbad, CA 92008 COMMERCIAL 2. TYPE OF BUILDING: RESIDENTIAL ✓ -~------ 3. ROOF SLOPE: RISE 2 INCHES IN 12 lNCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) + y' -a--- 5. TYPE OF EXISTING ROOF COVERING Asphalt Shingle SHEATHING Plywood *6. NEW ROOF MATERIAL Asphalt Shingle CLASS A WEIGHT PER SQ. 256 7. NUMBER OF SQUARES 16 -~----- 8. TRADE NAME Timberline MANUFACTURER GAF --------- 9. ROOF SYSTEM LISTING: UL NO. __ 7_9_0 __ _ l.C.C.E.S. Report# ICC -ESR-1475 ASTM D3018 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? ✓vES 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$ <:::$5 -Oate 5. \q. 2-0~\ Contractor ✓ Owner Contractor ----- Name Heather Sieverding, Agent for Contractor, Urbach Roofing, Inc. ----------- *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other Page 6of 6 Rev. 04/14 Building Permit Inspection History Finaled PERMIT INSPECTION HISTORY for (CBR2021-1539) BLDG-Residential 05/27/2021Application Date:Permit Type:Owner:TRUST EASLAND FAMILY TRUST Reroof 05/27/2021Work Class:Issue Date:Subdivision:GRANVILLE PK 11/30/2021Expiration Date:Status: IVR Number: 33627 Closed - Finaled 250 PACIFIC AVE CARLSBAD, CA 92008-2274 Address: Scheduled Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection InspectionActual Start Date 06/03/2021 06/03/2021 BLDG-15 Roof/ReRoof (Patio) 158800-2021 Passed Tim Kersch Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Virtual inspection Yes 06/07/2021 06/07/2021 BLDG-Final Inspection 159047-2021 Passed Tim Kersch Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes BLDG-Structural Final Yes BLDG-Electrical Final Yes Monday, June 7, 2021 Page 1 of 1 {cityof Carlsbad