HomeMy WebLinkAbout2454 TORREJON PL; ; CB161815; PermitCity of Carlsbad
• 1635 Faraday Av Carlsbad, CA 92008
05-10-2016 Miscellaneous Permit Permit No: CB161815
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
2454 TORREJON PL CBAD
MISC
2162401401
$16,272.00
Subtype: REROOF Status:
Lot#: 0 Applied:
Entered By:
Reference #: Plan Approved:
PC#:
Project Title: VERGARI RES-RE-ROOF 3700 SF
REMOVE EXISTING STD WEIGHT CONCRETE TILES &
Applicant:
URBACH ROOFING INC
445 PRODUCTION ST
SAN MARCOS CA 92078
760 471-5065
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees: $304.00
Inspector:
PERMIT FEE
Owner:
DOUG VERGARI
2454 TORREJON PL
CARLSBAD CA 92009
858 242-2194
Total Payments To Date: $304.00
FINAL APPROVAL
Date IP-..J -/t,
Issued:
Inspect Area:
Balance Due:
Clearance:
ISSUED
05/10/2016
RMA
05/10/2016
05/10/2016
$304.00
$0.00
$0.00
$304.00
$0.00
NOTICE: P~ase 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 file the protest and any other required information with the City Manager for
processing in accordance with Garlsbad Municipal Ccx:le 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
~ xird.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING D ENGINEERING
«~ ~ CITY Of
CARLSBAD
JOB ADDRESS Mt;
CT/PROJECT# LOT#
ADDRESS
CITY
PHONE
EMAIL
Building Permit Application
1635 Faraday Ave , Carlsbad, CA 92008
Ph: 760-602-2719 Fax 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
surtE•/SPACU/UNfT•
# BATHfWOMS
~-e...
ADDRESS
STATE ZIP CITY
FAX PHONE
EMAIL
□BUILDING □FIRE 0 HEALTH
Plan Check No.
Est. Value
FIREPLACE
YES[J,
AIR CONDITIONING
NO vcsONoD
STATE ZIP
FAX
0 HAZMATIAPCD
FIRE SPRINKLERS
YES□NO□
PROPERTY OWNER NAME CONTRACTOR BUS. NAME Urbach Roofina. Inc.
ADDRESS
1? 445 Production Street
CITY STATE ZIP San Marcos CA 92078
FAX PHONE FAX
760-471-5065 760-471-9610
EMAIL
urbach@urbachroofing.com
Ar<CH/Df SIGNER NAME STAU LIC. # STAH I IC.# CLASS CllY BUS l IC#
r-l 602378 C39 1200289
(Sec. 7031.5 Business and Professions Code: Any City or Coun_ty 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 LawJChapter 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 exemption. Any vIolat1on of Section 031.5 by any applicant for a permit subJects the applicant to a cIv1I penalty of not more than five hundred dollars ($500)].
Workers' Compensation Declaration: I hereby affirm under penalty of per,ury one of the following declarations D 1 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 0 I have and will maintain workers' compensation, as required bv Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worllers' compensation insurance carrier and policy
number are: Insurance Co__ Zurich A'!le~can_lnsurance Compa.!2'___ Policy No. WC _47-58~35-.tf ".fJ' Expiration Date_____ 05101/~ 20/fp_
~section need not be completed 11 the permit Is for one hundred dollars ($100) or less LJ Certificate of Exemption: I certify that in the performance ol the work forwh1ch this permit Is issued, I shall not employ any person in any manner so as to become subjecl to the Workers· Compensation laws ol
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, da all";o,,m.,.,..~r in Section 3706 of the Labor code, interest and attorney's fees
Jt5 CONTRACTOR SIGNAT,..,-½-1-',. •
I hereby affirm that I am exempt from Contractor's License Law for the following reason
□
□
D
I, as owner of the property or my employees with wages as their sole compensation. will do the work and struc1Ure is not intended or offered for sale (Sec 7044. Business and Professions Code The Contractor's
License Law does not apply to an owner oi property who builds or improves thereon, and who does work himself or through his own employees, provided that such improvements are not l'ltended or offered for
sale Ii. however. the building or improvement Is sold w:thin one year oi completion, the owner-er will have the burden of proving thal he did not build or improve lor the purpose of sale)
I, as owner oi the property, am exclusively contracting with licensed contractors to cons the project (Sec 7044, Business and Professmns Code: The Contractor's License Law does not apply to an owner of
I am exempt under Section__ Business and Prolessi ns
1 I personally plan lo provide the major labor and material
2 I (have I have not} signed an application for a bu1l::Hng
or(s) licensed pursuant lo the Con\ractor's License Law)
r this reason
\ruction of the proposed property improvement OYes
3 I have contracted with the following person jiirm) rovide the proposed construction (include name address/ phone i contractors license number)
4 I plan 10 provide IX)rlions o1 the wori<. but I h hired the 1oI:ow1ng person to coord1na1e, supervise and provide the maior work (include name/ address/ phone I contractors· license number)
_5_1 ._,_" '_'°_"'_'_'°_rn_,_,1_1_he_w_,_'~-,.b~c1_1 _h c~_'"_ac.te_d_(h_,ce_c~-th_e_t,_llo=~rsons lo provide the work in:_"_""'_ (1~:ude na_rn_,_i oo_dres_s_/ p_hcoe __ ,_1,_pe_,1_._,_•_1__ ___ __ ----·-· ---_ J
Ji5 PROPERTY OWNER SIGNATURE □AGENT DATE
-~-----~~~
Is the applicant or future building occupant required to submit a business plan, acutely hazar s materials registration form or risk management arid prevention program under Sectons 25505, 25533 or 25534 of the
Presley-Ta·nner Hazardous Substance Account At,t? □ Yes □ No
Is the applicant or future building occupant required to obtain a permit from the air !ion control district or air quality management district? □ Yes □ No
Is the facility to be constructed within 1,000 feet of the outer bourldary of a sc site? O Yes IJ No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OC ANCY 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 RICT.
• g agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
I certify that I have read the application and state that the above information is oorrectand that the infomlation on the plans isaccurale.1 agreetocomply'Mth all City ordinances and State laws relating to buildingoonstructlon.
I hereby authorize representabve of the Crtyof Carlsbad to enter upon the atxive mentioned property tir ins~n purp:)SC:S 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 PERMrT
OSHA M OSHA permit is required for excavatons over 5'0' deep and demolrtkm or construction of structures over 3 stories in height.
EXPIRATION· Every perm rt issued by the ilding Official under the provisions of this Code shall expire by Hmitation and realme null and void if the OOik'ing or mrk authorized by such permit is not rommenced v.,th1n
180 days from 111e date of such perm rt or if e building or rized by such permit is sus~ded or abandcmed at any time after the w:irk is rommenced for a period of 180days (SectKln 106.4.4 Uniform Bu1kJ1ng Code)
0
RE'ROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
1.1. JOB ADDRESS :._;c:2--45__._-=--4_,_' ---'-I =D_,_C---'C'-C=;Jc...l' l-"D"-V\_,_;=e __ \._a...=C=U=------
2. TYPE OF BUILDING: RESIDENTIAL. __ / __ COMMERCIAL. __ _
3. ROOF SLOPE: RISE 4 INCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE)@ 2 3
s. TYPE OF EXISTING ROOF covERING Cov:ic7"TI-e2 SHEATHING:f>\'}IJ\!Dod
*6. NEW ROOF MATERIAL Covwek.e..=TI}eou,ss_jr_wEIGHT PER S0.'10O
7. NUMBER OF SQUARES~~~1-+-----
8. TRADE NAME CJq)is:±ro.no MANUFACTURER Eo..~ /
9. ROOF SYSTEM LISTING:
ULNO. JCj0
ASTM {)\4qV
1.C.C.E.S. Report# 1¼j2...,. \qt,Q
1 O. IS THE EXISTING S1RUCTURA~UFFICIENT 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:
1. Tear Off/Pre-Inspection prior to install new roof covering
2. Final Inspection
/ agree to provide a ladder extending at least 2 rungs above the roof for inspection.
I~.
Signatur=e-+1 -!'~~
Contractor~Owner ____ Contractor
Name \Jx-tsA-dr\ ~D--~>'j, jY\C-,
'6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other
Page 5 of 5 Rev. 03109
Inspection List
Permit#: CB161815
Date Inspection Item
10/03/2016 19 Final Structural
10/03/2016 19 Final Structural
09/15/2016 15 Roof/Reroof
Tuesday, October 04, 2016
Type: MISC REROOF
Inspector Act
PB
PB
RI
AP
AP
VERGARI RES-RE-ROOF 3700 SF
REMOVE EXISTING STD WEIGHT CONCR
Comments
AM PLEASE
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