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HomeMy WebLinkAbout1375 BASSWOOD AVE; ; CB090296; Permit02-23-2009 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No CB090296 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # PC# Project Title 1375 BASSWOOD AV CBAD MISC 2051203000 $000 Subtype Lot* REROOF 0 PATERSON RES-2800 SF COMP TO COMP & 400 SF TORCH DOWN Status Applied Entered By Plan Approved Issued Inspect Area Applicant LUIS GASTELUM ROOFING 4030 THOMAS OCEANSIDE, CA 92056 760-458-0239 ISSUED 02/23/2009 LSM 02/23/2009 02/23/2009 Owner PATERSON DOROTHY R SURVIVORS TRUST 1375 BASSWOOD AVE CARLSBAD CA 92008 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $121 00 $000 $000 $121 00 Total Fees $121 00 ' Total Payments To Date $121 00 Balance Due $000 Inspector FINAL APPROVAL Date 3 Clearance NOTICE Please take NOTICE that approval of your project includes the "Imposition1 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 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 7-80-602-2717/2718/2719 Fax 760-602-8558 www carlsbadca gov Building Permit Application Plan Check No. (26 Est. Value I/, Q Plan Ck. Deposit Date JOB ADDRESS "CT/PROJECT # DESCRIPTION OF WORK Include Square Feet of Affected Area(s) C C7>r\g -LU00.P. AJ/EPHASE II ft OF UNITS f« BEDROOMS 1 n BATHROOMS TENANT BUSINESS NAME 1 CONSTR TYPE <&00 JL . \ OCC GROUP 0V\r W 1400 mo /AT ovxfr rar r/y p CE \ \Tt?rclA EXISTING USE PROPOSA) USE dARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLA YES O #NO D AIR CONDITIONING YES D NO D FIRE SPRINKLERS YES D NO D CONTACT NAME (it Different Fom Applicant) ADDRESS CITY APPLICANT NAME ADDRESS PHONE STATE T EMAIL ft CITY PHONE" STATE ~~ FAX" ZIP EMAIL PROPERTVtoWNER NAfilEDOILCLL!ADDRESS CONTRACTOR BUS NAME CITY STATE PHO| E"M" ZIP ADDRESS _.CITY 5 71 FAX PHONE STATE "FAX ZIP ARCH/DESIGNER NAME & ADDRESS STATE LIC (AIL a_STATE LIC # *CITY DUS LJC ff (Sec 70315 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 lor such permit to file a signed statement that he islicensed pursuant to the provisions ol the Contractor s License Law {Chapter 9 commending with Section 7000 of Division J of the Business and Professions Code) or that he is exempt there from and the basis for the alleged exemption Any violation ofSection 7031 5 by any applicant for a permit sublets the applicant to a civil penalty of not more than five hundred dollars {SSOO}) I, Workers Compensation Declaration / hereby affirm under penalty ol perjury one ol the following declarations d 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 Policy No lance of theworkloin Expiration Dale _ I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code for the performance of thework for which this permitjsissued My workers compensation insurance carrier and policy number are Insurance Co £Tr^\r^ rL^KJ(j This section need not be completed if the permit is for one hundred dollars (S100) or less C3 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 sublet 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 (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees ' • I * r I I \CONTRACTOR SIGNATURE \, \S\ $ \~ fy fr ^ Y&" WA» n I hereby affirm that I am exempt from Contractor s License Law for the following reason n 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 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) 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 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 I personally plan to provide the mapr labor and materials for construction of the proposed property improvement n Yes G No 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 / 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 maior 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 (include name / address / phone / type of work) y^PROPERTY OWNER SIGNATURE DATE 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' n Yes D No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district7 n Yes a No Is the facility to be constructed within 1 000 feet of the outer boundary of a school site7 D Yes G No IF ANY OF THE ANSWERS ARE YES. / EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 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 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 authonze representative of the City 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 over 5'0 deep and demolition or construction of structures over 3 stones 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 authonzed by such permit is suspended or abandoned at any time after the work is commenced for a penod of 180 days (Section 106 4 4 Uniform Building Code) ^APPUCANT S SIGNATURE DATE REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1 . JOB ADDRESS: ( "S ? ST 2. TYPE OF BUILDING: RESIDENTIAL COMMERCIAL 3. ROOF SLOPE: RISE ^ INCHES IN 1 2 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) (p 2 3 5. TYPE OF EXISTING ROOF COVERING CpiAfrSniOV SHEATHING *6. NEW ROOF MATERIAL CV?/1 P0.S/77flA/ CLASS V WEIGHT PER SO. 7. NUMBER OF SQUARES T Q. _ 8. TRADE NAME _ MANUFACTURER 9. ROOF SYSTEM LISTING: UL NO. ^3Q _ I.C.C.E.S. Report # ASTM D 1 0. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? (9p) 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 a ladder extending at least 2 rungs above the roof for inspection. Signature Icy I S E fi fl\. V £ L /u, _ Date Contractor ^ Owner _ Contractor Name LA £nfs* ftj-/fl D< 6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass. Built Up, Other City of Carlsbad Bldg Inspection Request For 03/03/2009 Permit* CB090296 Title PATERSON RES-2800 SF COMP TO Description COMP & 400 SF TORCH DOWN Inspector Assignment TP 1375 BASSWOODAV Lot 0 Type MISC Sub Type REROOF Job Address Suite Location APPLICANT LUIS GASTELUM ROOFING Owner PATERSON DOROTHY R SURVIVORS TRUST Remarks Phone 7604580239 Inspector Total Time Requested By LOUIS Entered By JANEAN CD Description 19 Final Structural Act Comments Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 02/25/2009 15 Roof/Reroof AP TP ESISTNG SHTING RE-COVERED W/NEW FELT @ INSP Check a License or Home Improvement Salesperson (HIS) Registration - Contractors Stat Page 1 of 1 (/Sc Department of Consumer Affairs r iGOV Contractors State License^Board Contractor's License Detail - License # 861254 f-\ DISCLAIMER A license status check provides information taken from the CSLB license database Before relying on this information, you should be aware of the following limitations y CSLB complaint disclosure is restricted by law (B_&£_7124.6) If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear below Click on the link or button to obtain complaint and/or legal action information » Per B&P 7071 17, only construction related civil judgments reported to the CSLB are disclosed •* Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration » Due to workload, there may be relevant information that has not yet been entered onto the Board's license database License Number 861254 Extract Date 02/23/2009 Business Information Entity Issue Date LUIS GASTELUM 4189 CHASIN STREET OCEANSIDE, CA 92056 Business Phone Number (760) 458-0239 Soje Ownership ^ 07/09/2005 Expire Date License Status 07/31/2009 This license is current and active All information below should be reviewed Classifications Bonding CLASS DESCRIPTION C39 ROOFING Workers' Compensation CONTRACTOR'S BOND This license filed Contractor's Bond number 259614 in the amount of $12,500 with the bonding company AMERICAN CONTRACTORS INDEMNITY COMPANY Effective Date 01/01/2007 Contractor's Bonding History This license has workers compensation insurance with the STATE COMPENSATION INSURANCE FUND Policy Number 3003283 Effective Date 08/01/2008 Expire Date 08/01/2009 Workers' Compensation History .Personnel List CondjtLQn_s_of_U_s_e | Prjv.acy_P_qJicy_ Copyright © 2009 State of California http //www2 cslb ca gov/OnlmeServices/CheckLicense/LicenseDetail asp 02/23/2009