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Home My WebLink About1665 Basswood Ave; ; CBR2019-2973; PermitPrint Date: 02/21/2020 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 1665 Basswood Ave BLDG-Residential 2051306400 $4,918.48 Residential Permit Work Class: Reroof Lot#: Reference #: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Description: STACHOVIAK: 28 SQ COMP SHINGLES BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG) Owner: TRUST STACHOVIAK FAMILY 1665 Basswood Ave CARLSBAD,CA 92008 SB1473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-RESIDENTIAL Total Fees: $121.68 Total Payments To Date: $121.68 (city of Carlsbad Permit No: CBR2019-2973 Status: Applied: Issued: Closed -Finaled 10/22/2019 10/22/2019 Permit Fina led: Inspector: PBurn Final Inspection: 2/21/2020 2:28:45PM Contractor: KNOX ROOFING CO 359 San Dimas Ave OCEANSIDE, CA 92057-7204 760-4 73-4545 Balance Due: $0.00 $70.61 $49.43 $1.00 $0.64 Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." 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 limitation has previously otherwise expired. 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov {cicyof Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Plan Check c.eP-20 !'3-.e::,73 Est. Value -1:?i~ - PC Deposit --------- Date ~\ \~-~2=2=-~fq __ Job Address /l,,6f /?A:;:.sc.vo~J) A"!";. Suite: _____ APN: __________ _ CT/Project#: _________________ Lot#:, ___ _ Fire Sprinklers: yes/ no Air Conditioning: yes/ no Electrical Panel Upgrade: yes/ no BRIEF DEscRIPTION oF woRK: _R._,_,e_x.....,.o'""tR.L+---------------------- □ Addition/New: ______ Living SF, ____ Deck SF, ____ Patio SF, ____ Garage SF Is this to create an Accessory Dwelling Unit? Yes/ No New Fireplace? Yes/ No, if yes how many? __ D Remodel: ____ SF of affected area Is the area a conversion or change of use? Yes/ No D Pool/Spa: ____ SF Additional Gas or Electrical Features? ------------- □ Solar: ___ KW, ___ Modules, Mounted: Roof/ Ground, Tilt: Yes/ No, RMA: Yes/ No, Battery: Yes/ No Panel Upgrade: Yes/ No ~Reroof: 2f> ::D C.,Omf> ~Lf) 8\(:_ D Plumbing/Mechanical/Electrical Only: ________________________ _ D Other: ___________________________________ _ APPLICANT (PRIMARY CONTACT) Name: t/4 "(('i:N C., ,k"NQ)< W: Address: ?;,q :;Ad Dll?;ld.J Ave . City: 0cPd!Z9'1.12R State:Q Zip: 7&£7 PROPERTY OWNER Name: ::v ,a::z 5cAtlQV'IA',K Address: l/t5L /ZA-SX~Ria 40,; City: (fi~4 State: 0:,, Zip: Phone: Z(O -t-;73-&£~£ • Phone: 76 Q •• 1~ Cl'-J// R. fr' Email: __________________ Email: ____________________ _ DESIGN PROFESSIONAL Name: _________________ _ Address: ________________ _ City: ________ State: ___ .Zip: ____ _ Phone: _________________ _ Email: _________________ _ Architect State License: ___________ _ CONTRACTOR BUSINESS Name: &Yox KM lo/&U--Co, Address: y f"f -~& ;7tm,4J dve City: C>O:Z/1<1/S/4102 State: IB Zip: q~ CZ Phone: r6-t:J -~? Z · o/)~ C "' Email: ___________________ _ State License: L/,s to 6 g Bus. License: ~ o 6 M?' (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/she 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/she 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}). 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov B-1 Page 1 of 2 Rev. 06/18 ( OPTION A): WORKERS'COMPENSATION DECLARATION: I hearby affirm under penalty of perjury one af the fallowing declarations: □ I have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the work which this permit is issued. ~~ve and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Company Name:.~~--------------------- Policy No. ?ft'J0,2 670 -201P Expiration Date: 0 I -(2/ -,6 0 2 D □ 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 be come 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 $100,000.00, in addition the to the cost of compensation, damages as provided for In Section 3706 of the Labor Code, interest and attorney's fees. CONTRACTOR SIGNATURE: ~ef~ ( OPTION B ): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's license Law for the following 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, 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 major labor and materials for construction of the proposed property improvement. □ Yes □ 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 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 (include name/ address/ phone/ type of work): OWNER SIGNATURE: □AGENT ---------------------------DATE: ______ _ CONSTRUCTION LENDING AGENCY. IF ANY: 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: _____________________ _ ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: 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? □ Yes O No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the facility to be constructed 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 ANO THE AIR POLLUTION CONTROL DISTRICT. APPLICANT CERTIFICATION: 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 authorize 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 stories 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 authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT SIGNATURE: ~~~ DATE: /0 -;:J..;J-f?' 1635 Faraday Ave Carlsbad, CA 92008 B-1 Ph: 760-602-2719 Fax: 760-602-8558 Page 2 of 2 Email: Building@carlsbadca.gov Rev. 06/18 PERMIT INSPECTION HISTORY REPORT (CBR2019-2973) Permit Type: BLDG-Residential Application Date: 10/22/2019 Owner: Work Class: Reroof Issue Date: 10/22/2019 Subdivision: Status: Closed -Finaled Expiration Date: 04/20/2020 Address: IVR Number: 22603 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector 10123/2019 10123/2019 BLDG-15 Roof/ReRoof (Patio) 108456-2019 0212112020 02/2112020 BLDG-Final Inspection February 21, 2020 Checklist Item BLDG-Building Deficiency 120066-2020 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final Passed Paul Burnette COMMENTS Passed Paul Burnette COMMENTS TRUST STACHOVIAK FAMILY SANDALWOOD DALE 1665 Basswood Ave Carlsbad, CA 92008-1948 Reinspection Complete Passed Yes Passed Yes No No Yes No Complete Complete Page 1 of 1 B-10 REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESS: /f 6'.f .134...uwco,a .4Y'?, 2. TYPE OF BUILDING: RESIDENTIAL ✓ COMMERCIAL ---- ** Please contact HCD for a permit if you will be doing work on a manufactured/mobile home. ** 3. ROOF SLOPE: RISE !>' /;:;, INCHES IN 12 INCHES 7 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 1 @ 3 5. TYPE OF EXISTING ROOF COVERING C6U1r'1J SHEATHING .5"/fl/'. 6. NEW ROOF MATERIAL 0PttWt(JAl-tJ, M~S A 7. NUMBER OF SQUARES _ _..2~8"~· ____ WEIGHT PER SQ. 5?7'0 8. TRADE NAME~up.o,?4.J'df~UFACTURER_.,_fi~A~r _____ _ 9. ROOF SYSTEM LISTING: UL NO. ES/? /3/ 7[ I.C.C.E.S. Report# ______ ASTM _____ _ 10.18 THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? YES ~ 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. Name /4,YlfE[ (r; ~ llT Signature~4,_~ V ·-··-- Date /o ~:z.2. ,-If (CIRCLE ONE) Contractor• Owner *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other Page 6 of6 Rev. 04/14