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Home My WebLink About150 HEMLOCK AVE; # A; CBR2022-1457; PermitPrint Date: 12/28/2022 Permit No: CBR2022-1457 Building Permit Finaled Residential Permit Job Address: Permit Type: Parcel #: Valuation: Occupancy Group: 150 HEMLOCK AVE, # A, CARLSBAD, CA 92008-8233 BLDG-Residential 2042511800 $15,000.00 Work Class: Lot #: Project #: Reroof Status: Applied: Issued: 04/27/2022 05/29/2022 Finaled Close Out:12/28/2022 #of Dwelling Units: Track #: Plan #: Closed - Finaled Plan Check #: Orig. Plan Check #:Bathrooms: Final Inspection:06/14/2022Bedrooms:Construction Type: Occupant Load: Code Edition: Sprinkled: INSPECTOR:Alvarado, Tony 30 SQ COMP SHINGLE REROOF (E-REVIEW)Description: Project Title: Applicant: AMERICAN PRO-COATING LLC JOSEPH MARTINEZ 3681 CAMINO DE LAS LOMAS VISTA, CA 92084-6640(760) 845-2999 Contractor: JOSEPH MARTINEZ -DO NOT USE 3681 CAMINO DE LAS LOMAS VISTA, CA 92084-6640 (760) 845-2999 AMOUNTFEE REROOFING – RESIDENTIAL $89.00 SB1473 – GREEN BUILDING STATE STANDARDS FEE $1.00 STRONG MOTION – RESIDENTIAL (SMIP)$1.95 Total Fees:$91.95 Total Payments To Date:$91.95 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 442-339-2719 ï 760-602-8560 f ï www.carlsbadca.gov Building Division Page 1 of 1 {"Cityof Carlsbad (cityof Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION 8-1 Plan Check _______ _ Est. Value PC Deposit Date JobAddress /-5D ./+-e,CM/ocfL A-v·E Unit: A-APN: 7.-0<-/ '2.5 I f g"oo CT/Project #:. _________________ Lot #: ____ Year Built: /9 7 7 Fire Sprinklers:QvEsQNo Air Conditioning:QYESQNO BRIEF DESCRIPTION OF WORK: Electrical Panel Upgrade:QYESQNO 0 New SF : _____ Living SF,~~-Deck SF,. ____ Patio SF, ____ Garage SF __ _ Is this to create an Accessory Dwelling Unit? QvQN New Fireplace? QvQN, if yes how many? __ _ D Remodel:. _____ SF of affected area Is the area a conversion or change of use? Ov QN Additional Gas or Electrical Features? 0 Pool/Spa: ____ SF ------------ OSolar:. ___ KW, ___ Modules, MountedOoof~round, Tilt:OvON, RMA:QvQN, Battery: Qv 0-J, Panel Upgrade: Ov ~ _ ~ Reroof: ¼~ ~ cf: ~ ~ ~ D Plumbing/Mechanical/Electrical 0 Only: Other: PRIMARY APPLICANT PROPERTY OWNER Name: Jo-;;.E-Pf-{ t1Al2-t-LN~2..... Name:. _________________ _ Address: :¼&f CA-tviuvo 0C lA:<; L.CW'W~ddress:. _________________ _ City: U,l~fr° State: CA-Zip: 'f'2.o<t-Cf City:. _________ State: ___ Zip:. ____ _ Phone:/7GZJ) f<J/5-2-e? 9 9 Phone: _________________ _ Email:_'--_______________ Email: __________________ _ DESIGN PROFESSIONAL CONTRACTOR OF RECORD Name: ________________ Business Name: f\ME'R.l(fttv 1'llD-C ~ (\..)q Llf_ Address: Address: 3&51 CA-wttlVO l>E UK Loh,"\-$ City: _______ State: ___ Zip: ____ City: te->,1l2J:A State: CA Zip: J2a!:.Lf Phone: Phone: (7J?_l)/ gq.5-2-"lt::r-'7 Email: Email : ----=:-:-:::---------------Architect State License: CSLB License #:_7 _____ 'tq~· 3_t>.,..5 ___ Class: B, Carlsbad Business License # (Required):...._ _____ _ APPLICANT CERT/FICA TION: 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. /agree to comply with all City ordinances and State laws relating to building construction. · ~..,. NAME (PRINT): Jo$~ p '1 Ma r'+rw z SIGN:¢ ~ --.. D;~E: 0 if <J..._6 d-.d- 1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Fax: 760·602-8558 Email: Building@carlsbadca.gov REV. 07/21 THIS PAGE REQUIRED AT PERMIT ISSUANCE PLAN CHECK NUMBER: ______ _ A BUILDING PERMIT CAN BE ISSUED TO EITHER A STATE LICENSED CONTRACTOR OR A PROPERTY OWNER. IF THE PERSON SIGNING THIS FORM IS AN AGENT FOR EITHER ENTITY AN AUTHORIZATION FORM OR LETTER IS REQUIRED PRIOR TO PERMIT ISSUANCE. (OPTION A): LICENSED CONTRACTOR DECLARATION: I hereby affirm under penalty of perjurythat I am licensed under provisions of Chapter 9 ( commend ngwi th Section 7000) of Division 3 of the Business and Professions Code, and my license isinfullforceandeffect. /also affirm under penalty of perjury one of the following declarations (CHOOSE ONE): Q1 have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the work which this permit is issued. Policy No., ______________________________________ _ -OR- ~I ~ave and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the ~rk for which this permit is issued. ~orkers' compensation insurance carrier and policy number are: lnsuranceCompany Name: f:AU-S l'..-A-~ P.f/2.J!: e. CA$L,/tL TY Policy No. Vl-A Ol O 75$503 Expiration Date: 0-Z /or/ Zo:Z 3 -OR- Ocertificate 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. 3097 (i) Civil Code). Lender's Name:, ____________________ ,Lender'sAddress: ____________________ _ CONTRACTOR CERTIFICATION: /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. ~ :S NAME (PRINT): J Cz<epb fvl~½(rplGNATURE: ~c: DATE: D tf: d&> ').__<J Note: If the person signing above is an authorized agent for the contractor provide a letter of authorization on contractor letterhead. -OR - (OPTION B): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law for the following reason: Q 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). -OR-O 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). -OR-O I am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason: AND, 0 FORM B-61 "Owner Builder Acknowledgement and Verification Form" is required for any permit issued to a property owner. By my signature below I acknowledge that, except for my personal residence 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 t hat 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 Cade, is available upon request when this application is submitted orat the following Web site: http:/ lwww.leginfo.ca.gov/calaw.html. OWNER CERT/FICA TION: 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. /agree to comply with all City ordinances and State laws relating to building construction. NAME {PRINT): _________ _ SIGN: __________ DATE: ______ _ Note: If the person signing above is an authorized agent for the property owner include form B-62 signed by property owner. 1635 Faraday Ave Carlsbad,CA 92008 Ph: 442-339-2719 Fax: 760-502-8558 Email: Building@carlsbadca.gov 2 REV. 07/21 Building Permit Inspection History Finaled PERMIT INSPECTION HISTORY for (CBR2022-1457) BLDG-Residential 04/27/2022Application Date:Permit Type:Owner: Reroof 05/29/2022Work Class:Issue Date:Subdivision:PALISADES 12/05/2022Expiration Date:Status: IVR Number: 40265 Closed - Finaled 150 HEMLOCK AVE, # A CARLSBAD, CA 92008-8233 Address: Scheduled Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection InspectionActual Start Date 06/06/2022 06/06/2022 BLDG-15 Roof/ReRoof (Patio) 184189-2022 Passed Tony Alvarado Complete 06/14/2022 06/14/2022 BLDG-Final Inspection 184774-2022 Passed Tony Alvarado Complete COMMENTS PassedChecklist Item BLDG-Structural Final June 14, 2022: final single ply, fiberglass composition roofing, installed and approved. Yes Tuesday, June 14, 2022 Page 1 of 1 {cityof Carlsbad