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HomeMy WebLinkAbout1005 CARLSBAD VILLAGE DR; ; CB081526; Permit08-07-2008 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No CB081526 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # PC# Project Title 1005 CARLSBAD VILLAGE DR CBAD MISC Subtype REROOF 2033202900 Lot# 0 $000 DENAULT HARDWARE BLDG- 22,000 SF BUILT UP Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 08/07/2008 LSM 08/07/2008 08/07/2008 Applicant GREAT WESTERN ROOFING 981 ROBIN CT SAN MARCOS 92078 7607127525 Owner CARROLL GLENN S&E GLORIA TRUST A 06-29-81 ET AL 17725BELLECHASECIR SAN DIEGO CA 92128 Miscelaneous Fee #1 PERMIT FEE Miscelaneous Fee #2 Additional Fees $444 00 $000 $000 TOTAL PERMIT FEES $444 00 Total Fees $444 00 Total Payments To Date $444 00 Balance Due $000 Inspector Clearance 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 feeo'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 limitations has previously otherwise expired City of Carlsbad ' 1635 Faraday Ave, Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax 760-602-8558 Building Permit Application Plan Check No. Est. Value Plan Ck. Deposit JOB ADDRESS SUITE#/SPACE#/UNIT# CT/PROJECT #PHASE # I # OF WIITS I * BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP DESCRIPTION OF WORK. Include Square Feet of Affected Areafs) r'c XW- EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE YESQf AIR CONDITIONING FIRE SPRINKLERS YES | |NO| I CONTACT NAI tRmi - 7*** ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME CONTRACTOR BUS NAME ADDI ADDRESS CITY __STATE CITY STATE ZIP PHONE EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS CITY BUS LIC# (Sec 70315 Business and Professions Code Any City or County which requires a permit to construct alter, improve, demolish or repair any structure, pnor 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 exemption Any violation of Section 70315 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)) Workers' Compensation Declaration / hereby affirm under penalty of perjury one of the following deda/affans Lj I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, tor the performance of the work for which this permit Is Issued l£l I "we and will maintain workere^compensatlon as required by Section 3700 ol the Labor Code for the performances'toe work for wrttehthls pemffl is Issued My workers compensation Insyfanceycarrterand policy number are Insurance Co "OTHrVrC- ^-C<f*O Policy No f-J a "~&€U 7 %L\to ~&"? Expiration Date t"L/ I / C& This section need not be completed if the penult Is for one hundred dollars ($1001 or less I I Certificate of Exemption lisrlifytf^inthepenYimianceoftheworklbrwhlrtlhisrjeniiftlslssued, I shaBrart employ any person In any manrer so as to become subject to tre^rkers'C^ California WARNING Failure to secure workers' compensation coverage Is unlawful, and/Shall subject an employer to criminal penalties and chill fines up to one hundred thousand dollars (&100,ODO), In addition to the cost of compensation, damanai 10 pi uvliluU IUI Ut£ecj)»rrt7o% ofjtejtapor code, Interest and attorney's fees. <~y> f~~7 / e-y' JS£ CONTRACTOR SIGNATURBL . I /:^ -~± °*TE ^ // /&£> © B g 0=/^\S A T7 0 © CS /nereoy aflfrm that I am exempt from Confrector's Unwise Law for the follmring reason [ | 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, ard wfo does such work hlniself or though his own err^loyees, provided ttat such improvem^ 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 dkl not build or Improve for the purpose of sale) I I 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 tor such projects with contractors) licensed pursuant to the Contractor's License Law) I | I am exempt under Section Business and Professions Code tor this reason 1 I personally plan to provide the major labor and materials for construction of the proposed property Improvement l~lYes | frto 2.1 (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 / 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/ contractors license number) 5 I will provide some of the work, but I have contracted (hired) the following persons to provide the work Indicated prelude name /address / phone / type of work) ^PROPERTY OWNER SIGNATURE DATE \ OGDOQ>E)OG3® PSEEJO'u'S \s 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 Pnsstey-Tarmer Hazardous Substance Account Act? I I Yes L_JNo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or alrojjality management district? LJYes I I No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? I lYes FlNo IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS BET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT <S©GSSV!SWiSVO©Sl & B CO E) 0 G3 (3 A@BE)(gg _ 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 I he^autrorize represented of tteCty of Ca^ OSHA. An OSHAperrrfls require! fa excavatere EXPIRATION Every perrfrt issued by the Buildir^Offiaalur^ the pjovsiors of te Code «• abandoned at any time after Ihe work Is commenced for a period of 1 §Bdays(Sec^ 106 4 4 Uniform Building Code) DATE^APPLICANT'SSIGNATURE <REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1 . JOB ADDRESS:J V/W> f){ 2. TYPE OF BUILDING: RESIDENTIAL COMMERCIAL. 3. ROOF SLOPE: RISE \/l*- INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 1 2 5. TYPE OF EXISTING ROOF COVERING lTtf /Sock. SHEATHING *6. NEW ROOF MATERIAL F.krgks* C&t? CLASS A WEIGHT PER v 7. NUMBER OF SQUARES Z 8. TRADE NAME o^ <> MANUFACTURER 9. ROOF SYSTEM LISTING: ^ _x -T'T'/*' (i ' UL NO. 5JT& r I.C.C.E.S. Report # ASTM 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? f'YES^ 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-lnspection prior to install new roof covering 2. Final Inspection I agree to provide^aJaddGr extending at Ieasf2 rungs above the roof for inspection. Contractor 7^ Owner Contractor Name *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass. Built Up, Other City of Carlsbad Bldg Inspection Request For 09/03/2008 Permit* CB081526 Inspector Assignment PC Title DENAULT HARDWARE BLDG- Descnption 22,000 SF BUILT UP Type MISC Sub Type REROOF Phone 7607127525 Job Address 1005 CARLSBAD VILLAGE DR Suite Lot 0 Location Inspector _ OWNER CARROLL GLENN S&E GLORIA TRUST A 06-29-81 ET AL Owner Remarks LADDER IS IN REAR Total Time Requested By TONY Entered By CHRISTINE CD Description Act Comments 15 Roof/Reroof \ + Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 08/18/2008 15 Roof/Reroof AP PC Check A License Contractor's License Detail Page 1 of 2 Skip to CSLB Home | Content | Footer | Accessibility , Search Department of Consumer Affairs iGOV Contractors State 01 CONSUMERS 02 CONTRACTORS 03 APPLCCAHTS 04 JOURNEYMEN 05 PUB1IG WORKS 06 I EU1LDIKG OFFICIALS 07 GENERAL INFO AboutCSLB CSLB Newsroom Board and Committee Meetings Disaster Information Center CSLB Library Frequently Asked Questions Online Services o Check A License or HIS Registration o Filing d Construction Complaint o Processing Times o Ciieck Application Status o Search for a Surety Bond Insurance Company o Search for a Workers Compensation Company How to Participate /'\ DISCLAIMER A license status check provides information taken from the CSLB license database Before relying on this information, you should be awar the following limitations • CSLB complaint disclosure is restricted by law (B&P 7124 6) If this entity is subject to pu complaint disclosure, a link for complaint disclosure will appear below Click on the link oi obtain complaint and/or legal action information • Per B&P 7071 17, only construction related civil judgments reported to the CSLB are disc • Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitr. • Due to workload, there may be relevant information that has not yet been entered onto th license database License Number Business Information Entity Issue Date Reissue Date Expire Date License Status Classifications Bonding 656509 Extract Date 08/07/2I GREAT WESTERN ROOFING 981 ROBIN CT SAN MARCOS, CA 92078 Business Phone Number (760) 712-7525 Sole Ownership 10/15/1992 01/10/2008 01/31/2010 This license is current and active All information below should b' reviewed --.__ H CLASS ,fT \ DESCRIPTION "'f^'-^.i ••^-. ^ ;:*,.- A? '»'**•' I C39 BQQfJNG " • CONTRACTOR'S BOND^M : • ^: .-g®-::^:- '•^-••'*>->i^*X;:<*Kl This license filed Contractor's Bond number 100036252 in the ami of $12,500 with the bonding company AMERICAN CONTRACTORS INDEMNITY COMPANY Effective Date 11/05/2007 CpntractQr's..BoDoing History Workers' This license has workers compensation insurance with the Compensation STATE COMPENSATION INSURANCE FUND Policy Number 238-0004346 Effective Date 12/14/2007 Expire Date 12/01/2008 http //www2 cslb ca gov/General-Inforniation/interactive-tools/check-a-license/License+ 08/07/2008 Storm Water Compliance Exemption Form I am applying to the City of Carlsbad for the following type(s) of construction permit D Building Permit D Right-of-Way Permit ^QjVly project is categorically EXEMPT from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it only requires issuance of one or more of the following permit types Electrical Fire Additional Fire Alarm Fixed Systems Mechanical Mobile Home Plumbing Patio/Deck Re-Roofing Sign Spa-Factory Sprinkler Water Discharge Project Storm Water Threat Assessment Criteria4 Wo Threat Assessment Criteria | | My project qualifies as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it meets the "no threat" assessment criteria on the City's Project Threat Assessment Worksheet for Determination of Construction SWPPP Tier Level My project does not meet any of the High, Moderate or Low Threat criteria descnbed below Tterl - Low Threat Assessment Criteria (""] My project does not meet any of the Significant or Moderate Threat criteria, is nol an exempt permit type (See list above) and the project meets one or more of the following cntena • Results in some soil disturbance, and/or • Includes outdoor construction activities (such as roofing, saw cutting, equipment washing, material stockpiling, vehicle fueling, waste stockpiling) Tier 2 - Moderate Threat Assessment Criteria I""] My project does not meet any of the Significant Threat assessment Criteria descnbed below and meets one or more of the following cntena • Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 1516 of the Carlsbad Municipal Code), or, • Project will result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement removal, equipment storage, refueling and maintenance areas and project meets one or more of the additional following criteria • Located within 200 feet of an environmentally sensitive area or the Pacific Ocean, and/or • Disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical, and/or • Disturbed area is located along or within 30 feet of a storm dram inlet, an open drainage channel or watercourse, and/or • Construction will be initiated during the rainy season or will extend into the rainy season (Oct 1 through April 30) Tier 3 • Significant Threat Assessment Cntena \~~] My project includes clearing, grading or other disturbances to the ground resulting in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas and/or | | My project is part of a phased development plan that will cumulatively result in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, refueling and maintenance areas or, [~"l My project is located inside or within 200 feet of an environmentally sensitive area (see City ESA Proximity map) and has a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s) / certify to the best of my knowledge that the above checked statements are true and correct I understand and acknowledge that even though this project does not require preparation of a construction SWPP, I must still adhere to, and at all times during construction activities for the permit type(s) check above comply with the storm water best management practices pursuant to Title 15 of me Carlsbad Municipal Code and to City Standards 'The City Engineer may authorize minor vanances from the Storm Water Threat Assessment Cntena in special circumstances where it can be shown that a lesser or highte Construction SWPPP Tier Level is warranted Project Address /oo$r Assessor Parcel No Owner/Owner's Authorized Agent Name City Concurrence QYES QNO Date Title Project ID