HomeMy WebLinkAbout2473 TORREJON PL; ; CB041458; PermitCity of Carlsbad
Qo()cR,_, 1635 Faraday Av Carlsbad, CA 92008
Miscellaneous Permit Permit No: CB041458
Building Inspection Request Line (760) 602-2725
Job Address: 24 73 TORREJON PL CBAD
Permit Type: MISC Subtype: REROOF Status:
Parcel No: 2162402400 Lot#: 0 Applied:
Valuation: $3,552.00 Entered By:
Reference#: Plan Approved:
Issued:
Project Title: RADICK RES-REPLACE SHAKE W/ Inspect Area:
COMP (1 ROOF -INCLUDES 2475 TORREJON)
Applicant:
PATRIOT ROOFING
1042 EL CAMINO REAL
ENCINITAS, CA 92064
760-577-2935
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
PERMIT FEE
Owner:
RADICK STEPHEN J&JUDITH A
1812 HAWK VIEW DR
LEUCADIA CA 92024
ISSUED
04/29/2004
KMT
04/29/2004
04/29/2004
$89.00
$0.00
$0.00
$89.00
Total Fees: $89.00 Total Payments To Date: $0.00 Balance Due:
FINAL APPROVAL
DATEr.1(/ 1{ii.Lf CLEARANCE. ___ _
SIGNATURE~~_,__-,-----_W'-____ _
$89.00
FOR OFFICE USE ONLY
PERMIT APPLICATION
.CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
PLAN CHECK NO. C BOlj IL/ 58
EST. VAL. $ 0 55c). · DC:,
Plan Ck. Deposit --rt;;-,s"""" ___ _
ValidatF~ By {Jj \[
t; , . ,iRO.iECTINEOBll'IAllOt(.
Date '.-q25 \/)Y
Business Name (at this address)
Unit No. Phase No. Total # of units
Existing Use Proposed Use
# of Bedrooms # of Bathrooms
Name Address City State/Zip Telephone# Fax#
.,._
Name Address City S.tate/Zip Telephone #
!ISrr;i/'CO"IJMOTORf!; COJ\IPAN~i NAl\'111'•1·• t;i•
(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 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 is exempt therefrom, and the basis for the alleged
ex Any viola • n of action 7031.5 by any applicant r a ermit subject the ~~plicant t a civil penjllty of ?Pt more than five hundred dollars [ $500J). L ctr • a_cY , I
City State ZiP. Tel phone #
City Business License # J ::1 / '1 /) q~
Designer Name Address City State/Zip Telephone
State License # _________ _
j!.,.· ;WO~!<.E~~[i¢Q!\IPtNtATIQNcc
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 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.
~ I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My worker's co ier_7nd policy number are:
Insurance Company --"''.j_..,(.,11..L __ ,::;_l"-rr.Llui"'----------Policy No ll0] '1 c7/ f
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS)
Expiration Date, _,_J.:::J~/,.,tJc_;/,_ __ -I
D CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as
to become subject to the Workers' Compensation Laws of California.
WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($ 00 000), In ad n to the cost of compensation, damages as provided for In Section 3706 of the or cod Interest and attorney's fees.
SlGNATURE'_-}~/4,/{.,)W,c'.\..4'cy),~C::!J.~------------------DATE Jf
•7;.q•>,oW~ER•~ IE ER!DECIJl;RATION•·"' .,,;,.;
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
D I, as owner of the property or my employees with wages as their sale 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 ta 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 contractar(s) licensed
pursuant to the Contractor's License law).
D 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. D YES ONO
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 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 / address / phone
number/ contractors license number):. ________________________________________________ _
5. I will provide some of the work, but I have contracted lhired) the following persons to provide the work indicated (include name / address / phone number / type
of work): __________________________________________________________ _
PROPERTY OWNER SIGNATURE ________________________ _ DATE _________ _
'COJ\IPLETfiTHl$-'$ECTiQNiFOR NON41£SIOENT/A£, BI.IILl>INQ'PERM!l~• ONLYv,,c· •
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? 0 YES O NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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.
'1!,,,CCQ.~$JR~CJIO~'W/!!!rl.!!'A!lENCY ,.,.·•
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME _____________ _
'9\'y0i1APPUCAtlT•CERTIFICATION ,,ffo ., •
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 representatives of the Citt 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 aver 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 days 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 co enced for a period of 180 days (Section 106.4.4 Uniform Building Code). . J !
APPLICANT'S SIGNATURE clidl'..01<'.\..LjtJ,4,,""'J..i'----------------DATE -,~'1-1/?_-"'~~c.,,,@..:'c,'/c_ ______ _
WHITE: File YELLOW: Applicant PINK: Finance
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDRESS:.Jtl7 :s J;r yej o: vi
2. TYPE OF BUILDING: RESIDENTIAL Y COMMERCIAL .
3. ROOF SLOPE: RISE-t-inches in,12 inches ;==;')
4. NUMBER OF EXISTING ROOF COVERING (circle one) (_y'2 3
5. TYPE OF EXISTING ROOF COVERING_.sb.ili__SHEATHING .
*6. NEW ROOF MATERIALl;OA"_::P CL~~~EIGHT PER SQUARE
7. -NUMBER OF SQUARES :!k-
8. TRADE NAME Yo yea ,V MANUFACTURER_,._.&"'--A--_,_,_F __ __,
9. ROOF SYS,TEM LISTING UL No.___.12-_1--"-,~I __ ICBO No. _____ _,
IO. IS THE EXISTING STRUCTURAL DESIG~IENT TO SUSTAIN THE
WEIGHT OF THE PROPOSED ROOF? C1/ NO
All roof coverings are required to be CLASS A. Combustible roof coverings
of any type or classification are prohibited.
; 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 Al~.J Date-+i(,_,_t)!j'+-"-~~+----
Contractor Y Owner _____ Contractor Name
*6 -Rolled~. Standard/Lite Tile, Asphalt/Com~ F-ib_e_r_g-la_s_s_, -B-u-il-t -u-p,-
Other.
•City of Carlsbad Bldg Inspection Request
For: 05/19/2004
Permit# CB041458
Title: RADICK RES-REPLACE SHAKE W/
Description: COMP (1 ROOF -INCLUDES 2475 TORREJON)
Type: MISC Sub Type: REROOF
Job Address:
Suite:
Location:
2473 TORREJON PL
Lot
APPLICANT PATRIOT ROOFING
Owner:
Remarks:
Total Time:
CD Description
19 Final Structural
0
Associated PCRs/CVs
lns12ection Histo[Y
Date Description Act lnsp Comments
Inspector Assignment: JM ---
Phone: 7608452489
-....J
Inspector: J W\
Requested By: AILEEN
Entered By: CHRISTINE
05/13/2004 19 Final Structural co PD MISSING CAPS-CALLED
05/11/2004 19 Final Structural NR PD STILL WORKING
05/06/2004 15 Roof/Reroof AP JM OK TO COVER 2473 & 2475