HomeMy WebLinkAbout2719 TIBURON AVE; ; CB141613; Permit• City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-07-2014 Miscellaneous Permit Permit No: CB141613
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
2719 TIBURON AV CBAD
MISC
1675124700
$9,203.00
Subtype: REROOF Status:
Lot#: 0 Applied:
Entered By:
Reference #: Plan Approved:
PC#: Issued:
Inspect Area:
Project Title: PIGUILLEM RES-RE-ROOF-2650 SF
REMOVE EXISTING STANDARD WEIGHT CONCRETE TILES,
Applicant:
TWM ROOFING
4445 ESTATE DR
FALLBROOK CA
92028-9311
731-0777
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Owner:
PIGUILLEM FAMILY TRUST 03-12-08
2719 TIBURON AVE
CARLSBAD CA 92010
PRMIT FEE
ISSUED
07/07/2014
RMA
07/07/2014
07/07/2014
$218.00
$0.00
$0.00
$218.00
Total Fees: $218.00 Total Payments To Date: $218.00 Balance Due:
Inspector:
FINAL APPROVAL
Date: 2-Z /-/'( Clearance:
$0,00
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 pe1111it 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 u have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: l]PLANNING □ENGINEERING □BUILDING □FIRE
JOB ADDRESS ,,
CT/PROJECT# LOT#
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
SUITE# /SPACE#/UNIT#
PHASE# # OF UNITS # BEDROOMS # BATHROOMS
Plan Check No.
Est. Value
Plan Ck. Deposit
DESCRIPTION OF WORK: Include Square Feet of Affected Area(~
?,6 \Z-~ -(1,_E, --r:o -..-, ,,6. ""';:,N\::>-IG --nus. ~,--, 1Ar,11::,~11t,c,J\.
1J T Wi> 1-""'f Gfl.S II-40 \J)) l-V-"'~A--f IY)G,J(' '..,>~ ~Gvu
2 (;, So 5,f', ~i-k';,s.. A"
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF)
~10~\~
APPLICANT NAME
Primary Contact
ADDRESS
CITY
PHONE
EMAIL
DESIGN PROFESSIONAL
ADDRESS
CITY
PHONE
EMAIL
~
PROPERTY OWNER
ADDRESS
STATE ZIP CITY
FAX
CONTRACTOR BUS. NAME
ADDRESS
STATE ZIP CITY
FAX
STATE LIC. U STATE LIC.U
I:;/
STATE
STATE
ct>,-
FAX
CLASS
C
SWPPP
CONSTR. TYPE OCC. GROUP
FIRE SPRINKLERS
YES □Noo
ZIP
ZIP
GI
(Sec. 7031.5 Business and P_rofessions Code: Any City or County which requires a permit to_corstruct, alter, improve, demolish or repair any structure, p_nor to its issuance. also requires the applicant for such permit to file a signed statement that he Is licensed pursuant to the provIsIons of the Contractor's License Law {Chapter 9, commending with Section 7000 of DIv1s1on 3 of the Bus111ess and Professions Code} or that he Is exempt therefrom, and the basis for the alleged exemption. Any vIolat1on of section 1031.5 by any applicant for a permit sub1ects the applicant to a CIVIi penalty of not more than five hundred dollars {$500)).
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations· D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued, Si" have and will maintain workers' compensation, as required bv Section 3700 of the LaDOr Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. ~~~e;:,e: :S~\.L.£, G ~ p Policy No. \Ni:.. 4:"1$~JtH:o'~ Expiration Dale i..:,{ \ / 2-<21 S:
"pi!§,section need not be completed if the permit is for one hundred dollars ($100) or less, LJ Certificate of Exemption: I certify that in the pertormance 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 one hundred thousand dollars (& 100,000), in
addition to the cost of compensation, damages as provided for in s,o,-,,-"1)3 of the Labor code, interest and attorney's fees.
Jt5 CONTRACTOR SIGNATURE •
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
□
□
□
I, as owner oi the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered fur 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 himseli 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 oi proving that he did not build or improve for the purpose of sale)
I, as owner oi the property, am exclusively contracting with licensed contractors lo 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).
I am exempt under Section _____ Business and Professions Code for this reason
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. OYes 0No
2. I (have I have not} signed an application for a building permit for the proposed work.
3, I have contracted with the following person (iirm) to provide \he proposed construction (include name address/ phone I contractors' license 11umber):
4. I plan to provide portions of \he work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone I contractors' license number)
5, I will provide some of the work, but I have contracted (hired} the following persons to provide the work indicated (include name I address/ phone / type of work}
.Jt5 PROPERTY OWNER SIGNATURE □AGENT DATE
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? Yes No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality mana;iement district? Yes No
Is the facility to be constructed within 1,000 ieet 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.
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
1 I certify that I have read the application and state that the above info!TTlation is correct and that the infommtion on the plans is accurate. I agree to comply with all City ordinances and State laws relatlngtJ building construction.
I hereby authorize representative of the City ofCartsbad to enteruJXln 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: NI OSHA permit is required for excavations over 5'0' deep and demolition or construction of strucrures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limi1ation and become null and void if the building or wr'K authorized by such permit is not rommenced 'Mthin
180days from the date of such perm1tor1fth~oork au!~y sucrnsuspended or abandoned at anytime after the oork is commenced for a penod of 180days (Section 10644 Uniform Bu1ld1ng Code)
,_,i'.) APPLICANT'S SIGNATURE ___ oJ_ /}{'('-. ~ . ____________ □ATE iL')-4 __
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
CERTIFICATE OF OCCUPANCY (Commercial Pro1ects 0 n I y I
Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008
CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE I FAX
EMAIL OCCUPANT'S BUS. UC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
ASSOCIATED CB# ------·· MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1) NO CHANGE IN USE/ NO CONSTRUCTION
MAIL/ FAX TO OTHER: CHANGE OF USE/ NO CONSTRUCTION
,N5 APPLICANT'S SIGNATURE DATE
B-10
•
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
1. JOB ADDRESS: 2-1 I q ·,, Burz-oc-l ~ue
2. TYPE OF BUILDING: RESIDENTIAL_Y __ _ COMMERCIAL ___ _
3. ROOF SLOPE: RISE lj INCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE)0 2 3
5. TYPE OF EXISTING ROOF COVERING [,o,-; l.. 'T1 \..6, SHEATHING fl,l,f!J-lcaD
*6. NEW ROOF MATERIAL {u,;c,, --(j ':/S
7. NUMBER OF SQUARES 74 •/2-
CLASS A WEIGHT PER SQ. t>ioo
1
8. TRADE NAME 'Gl'.\z1 L-E; }t,.,toe.hA: MANUFACTURER __ ~-"-· i...G _____ _
9. ROOF SYSTEM LISTING:
UL NO. _V\~Q~I~--I.C.C.E.S. Report# Gsf,-l°ioO
ASTM C \4G"o-
1 O. IS THE EXISTING STRUC~ESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE
PROPOSED ROOF? C ~ 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 ~O'r,A ~ Date rh/1 J./ -~--1,~~-----
Contractor v· Owner Contractor -----
Name ~M M NZ-'z~t..v
*6. Rolled Roofing, Standard/Lite Tile, AsphalUComp fiberglass, Built Up, Other
Page 4 of 4 Rev. 02/11
Inspection List
Permit#: CB141613 Type: MISC
Date Inspection Item
07/17/2014 19 Final Structural
07/17/2014 19 Final Structural
07/08/2014 13 Shear Panels/HD's
07/08/2014 15 Roof/Reroof
Friday, July 18, 2014
REROOF
Inspector Act
RI
PB AP
RI
PB AP
PIGUILLEM RES-RE-ROOF-2650 SF
REMOVE EXISTING STANDARD WEIGHT
Comments
1-3 PLS (SHEATING)
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