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Home My WebLink About1165 CAPE AIRE LN; ; CB143263; Permit11-21-2014 City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Miscellaneous Permit Permit No: CB143263 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: 1165 CAPE AIRE LN CBAD MISC 2061402900 $0.00 Subtype: Lot#: REROOF 0 HOLLINGSWORTH RES- 2,100 SF COMP REROOF status Applied Entered By: Plan Approved Issued Inspect Area ISSUED 11/21/2014 LSM 11/21/2014 11/21/2014 Applicant: SEQUOIA ROOFING INC STE 106 5933 SEA LION PL CARLSBAD GA 92010 760 739-7663 Owner: HOLLINGSWORTH FAMILY TRUST 03-04-05 1165 CAPE AIRE LN CARLSBADCA 92008 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEES $106.00 $0.00 $0.00 $106.00 Total Fees: $106.00 Total Payments To Date: $106.00 Balance Due: $0.00 Inspector: FINAL APPROVA Date: f 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 dafe 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 vou have previously been aiven a NOTICE similar to this, or as to which the statute of limitations has previously othen/vise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMmSSUANCE: • PLANNING • ENGINEERING •BUILDING QFIRE nHEALTH • HAZMAT/APCD CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax:760-602-8558 email: building@carlsbadca.gov www.carisbadca.gov P\an Check No. Est. Value Plan Ck. Deposit Date K ( S-L I SWPPP JOB ADDRESS 1165 Cape Aire Lane SUITE*/SPACE*/UNIT* CT/PROJECT# PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Inc/ude Square Feet of Affected Area(s) Remove Existing Roofand Instali 21 sqs GAF Shingles EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESQ# NOl I AIR CONDITIONING YES I I NO I I FIRESPRINKLERS YES I |NO| I APPLICANTNAME (Primary Contact) Sequoia Roofing APPLICANT NAME (Secondary Contact; Jennifer/Randy Cole ADDRESS 5933 SEA LION PLACE STE 106 ADDRESS 9880 Maqnoiia Ave #119 CITY CARLSBAD, CA STATE ZIP 92010 CITY Santee STATE CA 92071 PHONE (760) 739-7663 FAX PHONE 619-405-2648 FAX 619-330-4796 EMAIL EMAIL jennifer@permitrunner.net PROPERTYOWNER NAME Russ Hollingsworth CONTRACTOR BUS. NAME Seauoia Roofina ADDRESS 1165 Cape Aire Lane ADDRESS 5933 SEA LION PLACE STE 106 CITY STATE ZIP CITY CARLSBAD, CA STATE 92010 PHONE (760) 730-3080 PHONE (760) 739-7663 FAX EMAIL ARCH/DESIGNER NAME & ADDRESS 897098 39 CIW BUS. LIC.# (Sec. 7031.5 Business and Professions Code: Any City or County whioh requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicantfor such permitto file a signed statement that he is licensed pursuantto the provisions ofthe Contractor's License Law {Chapter 9, commendingwlth Section 7000 of Division 3 ofthe Business and Professions Code) or that he is exempt theref rom, and the basis forthe alleged exemption. Any violation of Section 7031.5 by any applicantfor a permitsubjects the appiioant to a civil penalty of not more than five hundred dollars {$500)). Wortiers' Compensation Declaration: / herebyafSmi under penalty of peijury one ofthe following declarations: ^ 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 perfomiance of the wori< for which this permit is issued. ^ 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 pemit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. ^" employee service group holds the workers compensation insurance, p^n^y fjj, WC900084303 Expiration Date 12/31/2014 This section need not be completed if the permit is for one hundred dollars ($100) or less. I I Certificate of Exemption: I certify that in the perfonnance of the work fbr which this pennit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Califomia. WARNING: Failure to secure workers' compensation covep^e 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 iprovided for 3706 of the Labor code, interest and attomey's fees. CONTRACTOR SIGNATURE yi//l/jt j-^l'^^^J^.^ j [AGENT DATE 11/21/14 .ARATIO r / hereby affirm fha( / am exempt from (Contractor's Ucense Law for the foiiowing reason: I I I, as owner of the property or my employees with wages as their sole compensation, will do the woik and the stnicture is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner ot 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 buiWing 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). • • I, as owner of the pnaperty, am exclusively contracting with licensed contractors to constnjct 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 contrxts 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: 1.1 personally plan to provide the major labor and materials for constmction of the proposed property improvement, QYes I iNo 2.1 (have / have not) signed an application for a building pemiit for the proposed wori<. 3.1 have contracted with the following person (finn) to pravide the proposed constniction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major wort< (indude name / address / phone / contractors' license number): 5.1 will provide some of the wort<, but 1 have contracted (hired) the following persons to provide the work Indicated (include name / address / phone / type of viork): PROPERTY OWNER SIGNATURE •AGENT DATE Is the applicant or future building occupant requined to submit a business plan, acutely hazardous materials registration fomi or risk management and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? O Yes • No Is fhe applicant or future building occupant required to obtain a pemiit fram fhe air pollution confrol district or air quality management district? in Yes O No Is the fxility to be constmcted within 1,000 feet 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 ttiat 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 certily ttiat I have lead the applkatkin and state ttiat the above infoimation is conectand thatthe infbrmati^^ I hereby authorize repnssentative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESSTHE CITY OF CARLSBAD AGAINST Aa UABILmES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMfT. OSHA: An OSHA permit is requined for excavations over 5'0' deep and demolition or constmctfon of stnjctures over 3 stories in height. EXPIRATION: Every petmit issued by the Building Ofiicial under the provisions of this^^Dde shall expire by limitation and become null and void if the building or wik authorized by such permit is not commenced within 180dayslianthedateofsuchpermitoriflhebuildingor work .authorized by su^^lemi is suspended or abandoned atanytimeafterthe wak is commenoed for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE 11/21/14 Inspection List Permit*: CB143263 Date Inspectionjtem 11/26/2014 15 Roof/Reroof 11/26/2014 19 FinalStructural 11/25/2014 15 Roof/Reroof 11/25/2014 15 Roof/Reroof Type: IVIISC REROOF Inspector Act Rl PD AP Rl PD AP HOLLINGSWORTH RES- 2,100 SF COIVIP REROOF Comments LATE PM Tuesday, December 02, 2014 Page 1 of 1 City of Carlsbac! REROOFING SUPPLEMENTAL BUiLDING PERMIT APPLICATION 1. JOBADDRESS: 1 llfS £ Apt^ ft ir<^ UnC 2. TYPEOFBUILDING: RESIDENTIAL i COMMERCIAL 3. ROOF SLOPE: RISE INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) ^0 3 5. TYPE OF EXISTING ROOF COVERING to^F SHEATHING OSB *6. NEW ROOF MATERIAL 6A F CLASS_B__WEIGHT PER SQ. 7. NUMBER OF SQUARES t j 8. TRADE NAME iTmbtrhnt, t> MANUFACTURER 9. ROOF SYSTEM LISTING; UL NO. I.C.C.E.S. Report # ASTM 10. IS THE EXISTING STRUCTURAL DESiGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? (YE§.^ 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 t agree to provide a ladder extending at least 2 rungs above the roof fbr inspection. \ki . Date Confractor Signature Contractor h^ifd^ Owner Name (Ji;nY\\|ir 6U *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass. Built Up, Other B-10 Page 5 of 5 Htht.iam