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Home My WebLink About135 JUNIPER AVE; ; CB161813; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-10-2016 Miscellaneous Permit Permit No: CB161813 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 135 JUNIPER AV CBAD MISC 2042511700 $4,322.00 Subtype: REROOF Lot#: 0 GORMAN RES-RE-ROOF 2500 SF OF COMPOSITION Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 05/10/2016 RMA 05/10/2016 05/10/2016 URBACH ROOFING INC GORMAN THOMAS J JR&LOIS B REVOCABLE TRUST 445 PRODUCTION ST SAN MARCOS CA 92078 760 471-5065 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $121.00 Inspector: 5824 S COLLEGE AVE TEMPE AZ 85283 PERMIT FEE Total Payments To Date: $121.00 FINAL APPROV)¾. Date: ,f·;l...O·(b $121.00 $0.00 $0.00 $121.00 Balance Due: Clearance: $0,00 I\OTICE: Aease ta<e l\OTICE Ila~ d )OJI' f(tjed irdl.das tt-e "lrrpositicn' d fees, declcaticns, rese,v.iicns, ex cth3r exa:iicns rereetla' cdledivefy raerrad to as "fees/8JOOials-" Yoo ra,,e OO<ia),;frcmtt-e-lhs JBTTit >MaS issuedto i:,ctest irrposition dthesefees'8JOOials-If )OJ i:,ctest It-em )OJ rrust fdlC>Nlt-e i:,ctest procal.res 931 lath in Go.enrert Cede Section 60020(a), and file tt-e i:,ctest and a,ycth3r req.ired infooralion wtl1 tt-e Oty Mng,rfex proa,ssir\l i,, amda o,wtt, Ca1stm Mridpa Cede Section 3.32.CID. FaluetotirrayfdlC>Nlta µoca:irewll lH a,ys.ta,q.,Erl leg, action to~ re.Aew, sa: aside, vcid, er cmJ their irf\'.Xliitioo. Yoo ae herel:ty F\.RTl-ER I\OTIFIED lh,t )OJ rig"I to i:,ctest tt-e specified fees'exadicns OCES r-1'.Jr APA-Y to'Mt..-and setB cx:madion fees and "l)OOty dH-ges, ncx phrrirlJ, IDirg galrlJ ex cth3r sinil..-apijicaion proa,ssirlJ ex sa,,;ce fees in o:m,dion wtl1 lhs f(tjed. I\CR OCES IT APA-Y to a,y t 'cn,ctwi · sirrila-totti er vJi trn lini has · ·se 'red THf FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING «1 ~ CITY OF CARLSBAD JOB ADDRESS CT/PROJECT# Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.cartsbadca.gov SlKFH/SPACEI/UN PHASE# #OFUNIS #BED # BATHROOMS □BUILDING □FIRE SWPPP \7 -co CONSTR. TYPE OCC. GROUP DE~:;;"deij";~~~ -ey._l~V, y-co-RV\ . "S,u_pp i GA.N\.a iV\?tru.lr ::i. c::.:,. ~~s of ow£-ns eo.--~tca-a:,._~r ~~ ~ -:;:ph:L.t t Shi ~-1 APPLICANT NAME (Primary Contact) Se:\. ADDRESS CITY PHONE FAX EMAIL PATIOS (SF) DECKS (SF) FIREPLACE YESO NcQ APPLICANT NAME (Secondary Contact) ADDRESS CITY STATE PHONE FAX EMAIL AIR CONO!TIONING v,s □NoO ZIP FIRE SPRINKLERS YES□No□ CONTRACTOR BUS. NAME Urbach Roofina, Inc. ADDRESS ADDRESS 445 Production Street CITY CITY STATE ZIP San Marcos CA 92078 PHONE FAX 760-471-5065 760-471-9610 EMAIL urbach@urbachroofing.com STATELI/ STATE LIC.# 602378 ClASS C39 CITY BUS. LIC,# 1200289 (Sec. 7031.5 Business _ nd Professions Code: Any City or Coun_tywhich 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 1s licensed pursuant to the provisions of the Contractor's License Law JChapter 9, comme_ndmg with Section 7000 of Division 3 of the B_usiness and Professions Code} or fhat he 1s exempt therefrom, and the basis for the alleged exemption. Any v1o!at1on of Section 031.5 by any applicant for a permit subjects the appilcant to a civil penalty of not more than five hundred dollars {$500}). WORKIERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I hive and will maintain a celtificat, of consent to 1eff-ln1ure for 'Mlrkers' compensation as provided by Section 3700 of the Labor Code, for lhe performance of the work for which this permit is issued. [Z] 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 workers' comper1Sation insurance carrier and policy number are: Insurance Co. Zurich American Insurance Comp~~Y _____ Policy No. WC 47-58-635~----Expiration Date 06/01/Q.o I~~ J',tl§.sect1on need not be completed if the permit is for one hundred dollars ($100) or !ess. LJ Certificate of Exemption: I certify that in the performance of the work for which this permi1 is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California WARNING: Failure to secure w rkers' compensa i coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, d ma es vided for in S ·on 3706 of the Labor code, Interest and attorney's fees . ..6$ CONTRACTOR SIGNATU'"'---1-i+-' I hereby affirm that I am exempt from Contractor's Ucense 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 the structure is tended 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 h or through his own employees. provided that such improvemen!s are not intended or offered for e !he burden of proving that he did not build or improve for the purpose of sale) I, as owner of the property, am exclusively contracting with licensed _co tr~l'-.e_'. construct_ reject (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 .f~ wr,::,.a ·.licensed pursuant to the Contractor's License Law) I am exempt under Section, _____ Business and Profe~ r this reason 1. I personally plan to pro~ide the major labor and materials f struction of the proposed property improvement OYes 0No 2 I (have I have not) sfgned an application for a bu1I rmit for the proposed work ) to provide the proposed construction (include name address/ phone/ contractors' license number): 4. I plan to provide portions of thew , ut I have hired the following person to coordinate, supervise and pro~ide the major work (include name I address I phone / contractors' license number) , ut I have contracted (hired) !he following persons to provide the work indicated (include name I address /phone/ type of work) ~ PROPERTY OWNER SIGNATURE QAGENT DATE ' ' ' COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY ls the applicant or future building occupant required to submit a bLJSiness plan, acl/lely hazardous materi istration fonn or risk mancrJement and preven~on program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes □ No Is the SPPlicant or future building occupant required to obtain a pennit from the air pollutio □ Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school □ Yes □ No IF ANY OF THE ANSWERS ARE YES,AFINAL CERTIFICATE OF OCCU Y MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OfFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL D CT. CONSTRUCTION LENDl~~G AGENCY I hereby affirm that there is a constructI0 dmg agency for the performance of the work this perrrnl Is issued (Sec 3097 (1) C1v11 Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the application and state that the above information Is oorrec:tand that the information on the plans Is accurate. I agree to complyv.tlh all Clfy o!tllnances and State laws relating tD building construction. I hereby authorize resresenta1ive of the Cityof Carlsbad to enter ul'.X)ll lhe atove mentioned property ilr ins~n pufJX)SeS. I ALSO AGREE TO SAVE., INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU_ LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AG.oJNST 5'-ID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHk Ni OSHA permrt is required for excavations over 5'0' deep and demolfon or o:mstructlon of structures over 3 stories in height. EXPIRATION: Every pem,rt issued by the Building Official under the pr0\1isions of this Code shall expire by imitation and become nu~ and void if the tx.iik1ing or 'M'.lrk authorized by such permit is not oommenood ~in 180days from the date of such pennrt or if building or-...ork orized by such p-;:rmrt is suspended or abandoned at any time after the 'M'.lfk is oommenced for a peood of 180 days (Section 100.4.4 Uniform Building Code) DATE 15.10.2-DI 0 REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION /,1. JOB ADDRESS: \:o~ :J1A.V\fp:t( S:red: 2. TYPE OF BUILDING: RESIDENTIAL X COMMERCIAL __ _ •/ 3. ROOF SLOPE: RISE 4' INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 1 2 (i) v.JooJ.. -S'\.-YAW 5. TYPE OF EXISTING ROOF COVERING -r . SHEATHING $,i( $~ ~ *6. NEW ROOF MATERIAL u-,J,vv. ' ss..:b:_WEIGHT PER S0.2"]O 7. NUMBER OF SQUARES k:Q, IQ a. TRADE NAME &~\k5\t); n~MANUFAcTuRER 0\A!e,vi':) Cnvoi V'.\~ Da~i c\~V 9. ROOF SYSTEM LISTING: UL NO. -zqo I.C.C.E.S. Report# AC4'a8 ASTM :p?JO \ to 1 O. IS THE EXISTING S'rRUCTU~ SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? LV 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. s;go,ture I~~ Date :S,10-20\(p Contractor/ ,II,~ Owner ~ Contractor Name \J,vbae,h ~8! -:t¼v · '6. Rolled Roofing, Standard/Lite Tile, AsphalUComp fiberglass, Built Up, Other Page 5 of 5 Rev. 03109 • Inspection List Permit#: CB161813 Date _lrl~ection Item 05/20/2016 19 Final Structural 05/20/2016 19 Final Structural 05/12/2016 15 Roof/Reroof 05/12/2016 15 Roof/Reroof Type: MISC REROOF Inspector Act RI PD AP RI PD AP GORMAN RES-RE-ROOF 2500 SF OF COMPOSITION Comments ------------------. MISSING INSP CARD LAST PM APPT Friday, May 20, 2016 Page 1 of 1