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HomeMy WebLinkAbout1450 BUENA VISTA WAY; ; CB152438; Permit07-31-2015 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CBI52438 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: 1450 BUENA VISTA WY CBAD MISC Subtype: 1561207600 Lot#: $0.00 CLOWAR RES= 3,700 SF COMP TO COMP FIBERGLASS SHINGLE REROOF 0 Status: Applied: Entered By: Plan Approved: Issued Inspect Area ISSUED 07/31/2015 LSM 07/31/2015 07/31/2015 Applicant: SCHOTT ROOFING INC Owner: CLOWAR CLARK&PAULA D 729 OLIVE AVE VISTA CA 92083-3313 760-744-6450 1450 BUENA VISTA WAY CARLSBAD CA 92008 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $151.00 $0.00 $0.00 $151.00 Total Fees: $151.00 Total Payments To Date: $151.00 Balance Due: $0.00 Inspector: FINAL APPROVAL Date: Z^'^O'/^ Clearance: NOTICE: Please tal<e NOTICE that approval of your project includes the Imposition" of fees, dedications, reservations, or other exactions hereafter collectively refen'ed to as "fees/exactions." You have 90 days from the date this pemiit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Govemment Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carisbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attacl<, 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 oreviouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has oreviouslv othenvise expired. CITY OF CARLSBAD Building Permit Application 1635 faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602 8558 w/ww.carlsbadca.gov Plan Check No. C& I ±> ^ Est. Value Plan Ck. Deposit Date 7|3l ||5 SWPP JOB ADDRESS, LOT# I PHASE # I # OF UNITS |# BEDROOMS SUITE#/SPACE#/UNIT* CT/PROJECT # LOT#' PHASE# # OF UNITS # BEDROOMS tt BATHROOMS TENANT BUSINESS NAME CONSTR. TlTPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet otAtfected Areafs) Rf^mAvO nod tviiil ai.oaLj o/('<^fit^ vryf./\pplij Wri^O^^n,^ 6s (^rvlprhiji Anr9lu CVun^ Crirniv^ti nAYatirO .C\A4/\' Q\\n^ca\a^^ <::h\mUs.D^r hrv:m(A-f,<lr-H •XPT's EXISTIklGUSE PROPOSEDUSE GARAGE (SF) PATIOS (SF) 3ECKS(SF) FIREPLACE AIRCONDITIONING FIRESPRINKLERS YESD # NOD YES • NO O YES • NO • CONTACT NAME (If Different Fom Applicant) ADDRESS ADDRESS , y CITY STATE ZIP CITY ~ STATE ' ZIP OA c\O0^9, PHONE "AX PHONE , ^ EMAIL EMAIL CONTRACTOR BUS. NAME , , i f p. -T-" ADDRESS ^ • ~ , ADDRESS /-M • A • N- - J CITY . STATE ZIP PHONE , ^ „ , -AX EMAIL EMAIL " ARCH/DESIGNER NAME & ADDRESS STATE LICK STATE LIC.# CLASSJ CITY BUS. UC.# (Sec. 7031.5 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 for such permit to file a signed statement that he is licensed pursuantto the provisions of the Contractor's License Law IChapter 9, commenaing with SecUon 7000 of Division 3 ofthe Business and Professions Code) or that he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). WORKERS' COMPENSATION Workers' Compensation Declaration: f hereby afm under penalty of perjuiy one ofthe following declaratbns: O 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 perfonnance of the work for which Ihis penn it is issued. I3''lhave and will maintain worketsjcompensation^s requir^ bySection 3700 of the Labor Cods, for Ihe peifonnance of fti^work^ whichihis pemiJIJs issued. My workers' compensation insurance pinier and policy number are: Insurance Co. rSt"C\Y"-^. Policy No. J^LL^O. Expiration Date 01 | f) I | ) G This section need not be completed if the pennit is fbr one hundred dollars ($100) or less. O Certificate of Exemption: I certify lhat in the perfomiance of the work for which this permit is issued, I shali not employ any person in any manner so as to become subject 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, dapiages as provjded for in Section 3706 of the Labor code, interest and attorney's fees. yfiS"CONTRACTORSIGNATURE ^^^4^0C(/yy^ nAGENT DATE V J ^ " OWNER-BUILOER DECLARATION / hefBby afSmi lhat I am exempt fmm Contractor's License Law for the following reason: a I, as owner of the property or my empioyees with wages as their sole compensation, wili do the work and the stracture is not intended or offered for sale (Sec. 7044, Business and Professions Code; The Conlractor's Ucense 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 buiid or improve for the purpose of sale). O I, as owner of the property, am exclusively contracting with licensed contractors to construct Ihe praject<Sec. 7044, Business and ProfessionsCode: The Contractor's Ucense Law does not apply to an ovmer of property who builds or improves thereon, and contracts for such projects with contractor(sj licensed pursuant to the Contractor's Ucense Law). • lam exempt under Section Business and Professions Code fbr this reason; 1.1 personally plan to pravide the major labor and materials for construction of the proposed property improvemenL • Yes • No 2.1 (have / have not) signed an application for a building pennit for the proposed vrork. 3.1 have contracted with the following person (fimi) to provide the proposed construciion (inciude name address / phone / contractors' license number): 4.1 plan to provide poitions of the wodt, but I have hired the fbllowing person to coordinate, supenrise and provide the major work (include name / address / phone / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) Ihe following persons to provide the work indicated (include name / address / phone / type of vroik): >eS'pROPERTY OWNER SIGNATURE OAGENT DATE COMPLETE THIS SECTION FOR NON-RESIOENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fomi or risk managemenl and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? • Yes • No Is Ihe applicant or future building occupant required to obtain a pemiit from the air pollution control district or air quality management district? • Yes • No Is the facility to be constracted within 1,000 feet of the outer boundaiy 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. CONSTRUCTION LENDING AGENCY I hereby affirni that there is a construction lending agency for the perfomiance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lenders Name Lender's Address APPLICANT CERTIFICATION I ceitify ttiati have read the application and state that the above inlbmiation is conect and that the infbnnabon on ttie plans is accuiate. I agree tocomplywittiallCity^^^ I hereby auihorize representafive of »ie City of Cartebad to enter upon the above mentioned property for rspecfion puiposes. 1 ALSO AGREE TO SAVE, INDEI\/INIFY AND KEEP HARMLESS THE CITY OF (ARLSBAD AGAINST ALL LIABILITiES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfFY IN CONSEQUENCE OF THE GRANTING OF THIS PERMff. OSHA: An OSHA pemiit is required for excavations over 5'0' deep and demolitbn or constractbn of stractures over 3 stories in heighL EXPiRATiON: Eveiy peim'it issued by the Building Offcial under the provisions of this Code shall expire by imitalkxi and become null and voki if Ihe build'ing or wort( aulhorized by such pemiit is not commenced vwifiin 180 days liom the date of such pennit or if the buiding or woric authorized by such peimit is suspended or abandoned at any time after the woric is commenced fbr a period of 180 days (Sectnn 106.4.4 Unifomi Buiiding Code). >eif APPLICANT'S SIGNATURE DATE REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOBADDRESS: ^\Q<\n Vl^ta 2. TYPE OF BUILDING: RESIDENTIAL ^ COIVIIVIERCIAL 3. ROOF SLOPE: RISE ^ INCHES IN 12 INCHES 4. NUIVIBER OF EXISTING ROOF COVERING (CIRCLE ONE) 12 3 5. TYPE OF EXISTING ROOF CQVERINGrnm(y>6(t?^ SHEATHING ^A" Cj)A *6. NEW ROOF IVIATERIAL Cf.n]pi')6ltlOfl CLASS A WEIGHT PER SQ. 3^ lis 7. NUMBER OF SOUARES i^l ° 8. TRADE NAME .(r^tl^^fl MANUFACTURER01X1^05^ f OYYWnCj . 9. ROOF SYSTEM LISTING: UL NO. I.C.C.E.S. Report # &£jL27^__ ASTM 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? CYES) NO All roof coverings are required to be CLASS A. Combustible roof coverings of any type or classification are prohibited. I understand the followmg inspections are required: 1. Tear Off/Pre-lnspection prior to install new roof covering 2. Finai Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signature Ufyr>\/ Date l ^^ ^^S Contractor \y Owner Contractor Name ^ckopi ^oo^^nj /AC *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other Inspection List Permit*: CB152438 Date Inspection Item 08/19/2015 19 Final Structural 08/14/2015 19 Final Structural 08/14/2015 19 Final Structural 08/04/2015 15 Roof/Reroof Type: MISC REROOF Inspector Act PB AP Rl PB NR PB AP CLOWAR RES= 3,700 SF COMP TO COMP FIBERGLASS SHINGLE Comments Thursday, August 20, 2015 Page 1 of 1