HomeMy WebLinkAbout148 SYCAMORE AVE; ; CB001840; PermitCity of Carlsbad
05/09/2000 Miscellaneous Permit Permit No:CB001840
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference#:
Project Title:
Building Inspection Request Line (760) 602-2725
148 SYCAMORE AV CBAD
MISC Subtype:
2041210500 Lot#:
$1,456.00
REROOF 1400 SF -COMPOSITION
REROOF
0
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
05/09/2000
JM
05/09/2000
05/09/2000
Applicant: 6716 05/09/00 0001 01 02 Owner: 1, ·PRH_..,. ~-, , ---
PIVA ROOFING, BOB
1192 INDUSTRIAL AV
ESCONDIDO, CA 92029
619-745-4700
Total Fees: $57.00
Miscelaneous Fee #1
Miscelaneous Fee #2
TOTAL PERMIT FEES
lnspector:1l t!!,
--HENKINS&SANTANGELO LIVING TRUST 07.:09~981 :;-; ··,v
··· J3757'ENCIJ'f0 AVE
., NORTHRIDGE CA 91325 -
rotai Payments fo Date: $0.00
FINAL APPROVAL
Date: 5"-~ 'O O
· Balance Due:
Clearance:
$57.00
$0.00
$57.00
$57.00
NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reservations, 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 Ille the protest and any other required informa~on 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 capactiy
changes, nor planning, zonin9, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
fees/exactions of whlch vou have oreviouslv been qiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otheiwise exoired.
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
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,:::; A () /.1!€ ~
FOR OFFICE USE ON)--¥['> <" l .
PLAN CHECK NO. LJ) (>f ( 0
EST. VAL. _________ _
Plan Ck. Deposit~----------
Validated By_.....:::...:;...:;~"------.:-,"::""l"'7--
Date, _________ -"~l+"-"1.,"'-
Business Name lat this address)
Legal Description Subdivision Name/Number , 0 y-J,,JI-C>S-le ~-;.,,..,;;. ":;,' ~;.1ee
Description of Work P
Exi ng Use I c;,""P 6! e <.Jr11/J. ~ 'Sa. FT.
/
#of Stories
Unit No. Phase No. Total# of units
Proposed Use
# of Bedroom" # of Bathrooms
Name Address City State/Zip Telephone # F■x #
V cA. ~: ~· 9• ~ i,~t;!~!~:1,~;~0z·
Name Address City .State/Zip Telephone#
~:~$-~~~,!;~:~1''"~;,·, &. ~ ··?;t."'9~·~~~~~~~~;:'~;~~~:~";'.;',~·
Name ' 1 Address City S.tata/Zip Telephone #
;~m!!tti~~~~~!'Mll, ,, . ~ ,.' ~~ll;~;;~w:r;;,
(Sac. 7031.6 Business and Professions Code: Any City or County which requires I permit to con&truct, alter, improve, demolish or repair any structure, prior to its
Issuance, also requires the appllcent for such p11rmtt· to tile a signed stat11ment th■t ha is licensed pursuant to th11 provisions of the Contractor's License Law
(Chapter 9, commending with Section 7000 of Division 3 of tho, Busin11ss and Prof1111sions Code] or that he is exempt therefrom, and the basis for the ell11g11d
exe'!ll'tian. An violation of S11ct):9n 7031.5 by any applican~ for, p11r"}it subject• the applicant to II elvU p,~•IW of not more than five hundre.d dollars ,1$500)1.
[J<;>a_6 IP"a ,f'.rw //~,) bvdfus i. ,;,J . 5,c,;,',,,./t)f,',,1.r1 <:4. 9.,)(1.) fl 7co-7YJ-'t'?uO
, Name Addren City State/Zip Telephone#
State License # ? / 8'· 7 3 ~ Lic11n:111 Class C '3' '7 C .5-, City Businass License # /;; C) 3 I ? lr
Designer Name Address City Stat11/Zip , Telephone
State -License # _________ _
:e:r·•. :<WdKKt~'CbMlil~tA'®'M;1tlilitffi%!~1fJ~~~~~~~'l1:!~~!;'t~t!~fa'k",;;~!~111l"f:
Workers' Compensation Declaration: I hereby affirm under penalty of perjury on11 of the following declarations: ·
0 I have and will maintain a certificate of consent to self-insure for workers' compen11tion. as providad by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
0 I hllve and wilt maintain workers' compensation, ■s required by Section 3700 of the Labor Coda, for the performance of the work for which this permit is
issued. My worker's co.mperiS}ltlon insurance carrier and policy number are: c . , _ " tf-Cl 0 Insurance Company VI I lu.J,.hj ..;c, Policy No. 3 ' 7.S 17 j[ Expiration Date, _______ _
!THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS!
D CERTIFICATE OF EXEMPTION: I certify that in the. performance of the work for which this permit is issued, I shall not ■mJ)loy any person in any manner "o as
to become subject to the Worker,.' Compensation Laws of California.
WARNING: Failure to secure wortars' compenaatlon cov■rage I• unlawful, .,d shall aubject an employw to criminal penaltl■a and civil fin■■ up to one hundred
thousand dollani 1$1 0,0001, In ■dl!Jtlon to the coat of compensation, damages ■s provided fm in Saetlon 3706 of the L11bof' coda, lnt-■t and attorney's fua.
SIGNATURE . 4~ . , · DATE· S-5'~00 ·
·1r.7'!00WNEfl'.iattll~-cLWtAttGH~:Ji£~1-r4t!Sfu~~*lf~~m~~~~~?:~~~?~~~~R1,';ffl
I hereby affirm that I am exempt from the Contractor's License Law for th11 following reason:
D I, as owner of tha property or my employees with wages as their sole compens■tion, will do the work and the structure is not intended or ·ottered for·sala
(Sec. 7044, Bueinass 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 employeea, 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 hive the burd,n of proving that he did not bulld or improve for the purpose or s■lel.
0 I, 11s owner af the property, am exclusively contracting with licen,.ad contractors to construct the project (Sec. 7044, 8usinass and Professions Code: The
Contractor's Licensa Law does not lipply to an owner of p(oparty who builds or improves thereon, ■nd contracts fo·r such projects with contractorlsl licensed
pursuant to the Contractor'• License Law).
0 I am exempt under Section ______ Business and Professions Coda for this reason:
1. I personally plen to provide the major labor and meteriels for construction of the proposed property Improvement. 0 YES ONO
2. I !have I have not) signed an application for I building permit for the proposed· work.
3. I have contractoo with the following person (firm! to provide the proposed construction Onclude name / addrass / phone number / 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 / phone
number I contractors license number):·-----------,------------------------------------
5. I will provide some of the work, but I have contracted (hirad) the following persons to provida the work indicated Onclude name / addreas / phone number / type
of work): _________ ....;.. _______ -'----~-----------------------------------
PROPERTY OWNER SIGNATURE_______________________ OATE _________ _
•coMF"tmtfff!~itE(mofl,flolf~~·~l~·~~l'Ei.~!{~~~57ill'i~1:
Is the applicant or future building occupant required to submit • business plan, acutely hazardous m1t1ri11t1 registration form or risk management and prevention
program under Sections 25605, 25533 or 25534 of the Presley-Tanner Hazardous Substanca Account Act~ 0·--¥ES--0 NO ..
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES O NO
Is the facility to be constructed 1111ithin 1,00D feet of the outer boundary of a school site 7 0 YES O 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.
rl~l:h~~Nmu~·1~rJ ... },~~,;~~mnz,.~~Jil'ilm'atilBIIllltll!~lfli!~~,~•·1rJI~;;q:•.:•,~:;:!?~t( i·•·
I hereby affirm that there is II cons~ruction lending agency for the performance of the work for which this permit is issued (Sac. 3097U, Civil Code).
LENDER'S NAME______________ LENDER'S ADDRESS ,
~~2il'f4ffilc".lurt,lft~~~~~w~·r rt : = • ·· 1JJS!l'.tt~li~:it1i~:~f~S:if@2t/'~Ji4r
I ~ertify ~hat I have read the appllcati~n end st~t~ that th11 •b~ve information i~ correct and that. tha Information on the plans is accurate. I agree to comply with all ·
City ordinances and State lews relating to building construction. I hereby authorize representatives of the Cltt of Carlsbad to anter 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 tor excavations over 5'0" d1111p and demolition or ·construction of structures over.3 stories in height.
EXPIRATIO~: Every permit 1s~ued by the Building O~i~ial under the provisions of this Coda shall expire t,y limitation and become null and void if the building or
work authonzed,by such permit Is not commenced within 366 deys from the date of such permit or If the building or work authorized by such permit is suspendad
or abandon11d at any time after th11 work is ommenced for a pMiod of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE C:::.:-c:.-v I.------_ DATE _s--s~-C)C}
WHITE: file YELLOW: Applicant PINK: ·Finance
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDRESS: / 1/75 5 )n::"-n-,<J,ee, ,Ave.
2. TYPE OF BUILDING: RESIDENTIAL A COMMERCIAL. __ ~
3. ROOF SLOPE: RISE f inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) 1 2 a.)
5. TYPE OF EXISTING ROOF COVERING%,,2$/4 SHEATHING c_,L;,,+<' .
*6. NEW ROOF MATERIAL /t CLA;s.<'~WEIGHT PER SQ~ARE
7. NUMBER OF SQUARES _ __,__/___,_?"_~
8. TRADE NAME E !.IC MANUFACTURER~,e°_L_.·:t:_~-~
9. ROOF SYSTEM LISTING UL No. _____ .lCBO No . .S<y,,-,Y
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:
I. 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/J C----------
Contractor .X Owner_~ ___ Contractor Name po.6 /'v.,, I< ou {'.;;) ·
*6 -Rolled Roofing, -Standara!Lite Til~~-~C-omp F~ Built up,
Other.
City of Carlsbad Bldg Inspection Request
For: 5/25/2000
Permit# CB001840
Title: REROOF 1400 SF -COMPOSITION
Description:
Type:MISC Sub Type: REROOF
Job Address:
Suite:
Location:
148 SYCAMORE AV
Lot
APPLICANT PIVA ROOFING, BOB
0
Inspector Assignment: TL ---
Phone: 7607454700
Inspector: J L
Owner: HENKINS&SANTANGELO LIVING TRUST 07-09-98
Remarks:
Total Time:
CD Description Act Comments
19 Final Structural l!JB_ 1o<oE4
Associated PCRs
Inspection History
Date Description
5/16/2000 13 Shear Panels/HD's
5/16/2000 15 Roof/Reroof
Act lnsp Comments
WC TL
AP TL
Requested By: PETER
Entered By: CHRISTINE
0