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Home My WebLink About1710 ANDREA AVE; ; CB152850; Permit09-01-2015 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No. CBI52850 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: 1710 ANDREA AV CBAD IVIISC 2071200200 $4,149.00 Subtype: REROOF Lot #: 0 SULLIVAN RES-RE-ROOF-2400 SF COMPOSITION Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/01/2015 RMA 09/01/2015 09/01/2015 Applicant: REGAN ROOFING Owner: SULLIVAN ROBERT D&KATHLEEN A 2510 VIA SORBETE CARSLBAD CA 92010 858-255-7100 1710 ANDREA AVE CARLSBAD CA 92008 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees PERMIT FEE $129.00 $0.00 $0.00 TOTAL PERMIT FEES $129.00 Total Fees: $129.00 Total Payments To Date: $129.00 Balance Due: $0.00 Inspector: FINAL Date: Clearance: NOTICE: Please take 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 follovi/ 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 Carlsbad Munidpal 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 capadty 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 previousiv been oiven a NOTICE similar to this, or as to which the statute of limitations has previouslv othenwise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: nPLANNING nENGINEERING nBUILDING OFIRE DHEALTH nHAZMAT/APCD Building Permit Application C^ltV Ol 1635 Faraday Ave., Carlsbad, CA 92008 ^^^1 i/ 1 Ph: 760-602-2719 Fax:760-602-8558 1 ^T"IC|Ji5r1 email: buildingigcarlsbadca.gov /) , vvwvi/.carlsbadca.gov || ( jf~~^ Plan Check No. 5 c^?^^ Est. Value ^V^V? Plan Ck. Deposit ^ Building Permit Application C^ltV Ol 1635 Faraday Ave., Carlsbad, CA 92008 ^^^1 i/ 1 Ph: 760-602-2719 Fax:760-602-8558 1 ^T"IC|Ji5r1 email: buildingigcarlsbadca.gov /) , vvwvi/.carlsbadca.gov || ( jf~~^ ,Date V /i // r SWPPP JOB ADDRESS SUITEf/SPACEf/UNIT* APN CT/PR0JECT# LOT# PHASE # # OF UNITS # BEDROOMS # BATHROOINS TENANT BUSINESS NAME CONSTR. TYPE OCC.GROUP DESCRIPTION OF WORK: /nc/ude Square Feet of Affected Area(s; EXISTtNGUSE PROPOSEDUSE 1 GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIRCONDITIONING FIRESPRINKLERS YESD* NOf^ YEsI |NOT^ YES| | N0| | rZ"act d^U^ QOD^i^^l (^iJJbo PROPERTYOWNER i ) ADDRESS ' vJ^ ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE . FAX PHONE F/«( EMAIL EMAIL ' DESIGN PifbFESSIONAL ~ CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL STATE LIC. # STATE LIC.# CLASS CITC BUS. LIC.# applicantfor such permit to fiie a signed statement that he is licensed pursuantto the provisions ofthe Contractor's License Law (chapter 9, commending vKith Section 7000 of Division 3 ofthe Business and Professions Code) ortnat 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)). WORtCERS COMPENSATIOi Wortiers' Compensation Declaration: / hereby affinn under penalty ofpeijury one ofthe following declarations: I have and will inaintain 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. I have and will inaintain wortiers' compensation, as required bv Section 3700 of the Labor Code, forthe performance ofthe worii for which this permit is issued. My workers'compensation insurance earner and policy numberare: Insurance Coj^gr^WOOP Ft<^ '* CJI^^^LU^-^^ITT^ _ Policy No. Expiration Date _ nsation insucance earner and Thjs 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 performance of the worii for which this pemiit 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 wortiers' compensation coverage is unlawful, and shall subject an employer to criminal penaKies and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provliled\r in Section 3706 of the Labor code, interest and attomey's fees. ^eS" CONTRACTOR SIGNATURE Jr^'^jy 'X^XA-ir-—w QAGENT DATE ^ / 1 / l5 i0'm NER-SUILIfCR DECLAI? A Tf O N v_7S-7 / hereby affimi that i am exempt from Contractor's License Law for the following reason: I I I, as owner of the property or my employees with wages as their sole compensation, will do the worti and the stmcture 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 buiden of proving that he did not build or improve for the pumose of sale). I I I, as owner of the property, am exclusively contracting with licensed contractors to constnict 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). • am exempt under Section _ .Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvemenl. •Yes I INO 2.1 (have / have not) signed an application for a building pemiit for the proposed work. 3.1 have contracted with the following person (fimn) to provide the proposed constnjction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the worii, but I have hired the following person to coordinate, supereise and provide the major worti (include name / address / phone / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the worii indicated (include name / address / phone / type of work): PROPERTY OWNER SIGNATURE QAGENT DATE S SCCTION FOR NON-RESIDENTIAL BUILDING FERM ITS ONLY COMPLETE TMII Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and preventon program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Acf? Yes No Is the applicant or future buikling occupant required to obtain a permit fram the air pollution control district or air quality management district? Yes 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. ' CONsri?{|CTI;ON^I.ENOiN43 AOENCT' I hereby affirm that there is a construction lending agency for the perfomiance of the worii this pemit is issued (Sec. 3097 (i) Civil Code). Lender'sName UgRj PQ.0MALender'^ Address tief^ ^ (1^06 l'*g>^^ ^ I certif that I have lead tlie aplication and state that the above Infbimation is conect and that the Inlbmiafi^ I hereby authorize representative of the City of Carlsbad to enter upon the above mentbned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABILmES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CffY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'ff deep and demolition or constnictton of stmctures over 3 stories m heighL EXPIRATION: Every pemiit issued by the Buikling Ofiidal under the provisions of this Code shall expire by limitatfon and become null and vokl if the buikling or work authorized by such pemiit is not commenced within 180 days from the date of such peimit or if the buikling or viorti auttiprized by such pemiit is suspended or abandoned at any time after the vwrti is commenced for a period of 180 days (Sectk)n 106.4.4 Unifomn Building Code). ) APPLICANT'S SIGNATURE DATE Hp] STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email buildinq(a>carlsbadca.qov or Mail the completed fonn to City of Carisbad, Building Division 1635 Faraday Avenue, Carisbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAIVIE OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: IVIAIL/FAX TO OTHER; CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) ASSOCIATED CB#- NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION >ef APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB152850 Date Inspection Item 09/11/2015 19 Final Structural 09/11/2015 19 Final Structural 09/04/2015 15 Roof/Reroof 09/04/2015 15 Roof/Reroof Type: MISC REROOF Inspector Act Rl AEK Fl Rl AEK AP SULLIVAN RES-RE-ROOF-2400 SF COMPOSITION Comments AM PLEASE Monday, September 14, 2015 Page 1 of 1 REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOBADDRESS: HlO O^h^OOBIk i^W^, CSU'D,c^ 2. TYPE OF BUILDING: RESIDENTIAL Y. COMMERCIAL, 3. ROOF SLOPE: RISE 4" INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) (Tj 2 3 5. TYPE OF EXISTING ROOF COVERING ^(M^^UET SHEATHING Po\/0 Qop *6. NEW ROOF MATERIALtX;cy^to»v ^biv^leS CLASS iK WEIGHT PER SQ.^W 7. NUMBER OF SQUARES 2 A 8. TRADE NAMEDgyLATlOK^ MANUFACTURER e?\A^p:.NA Cj£>aj,^{tS^ 9. ROOF SYSTEM LISTING: UL NO. l^aa^<9^-DV I.C.C.E.S. Report # f\C 4 ASTM Cfe 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? 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 "r6^x>/ \<u^ Date Contractor l/Ownef^ Contractor Name Vi»Aic^ (IpyiA *6. Rolled Roofing, Standard/Lite Tile, Asphalt^omp fiberglas^^ Built Up, Other B-10 Page 4 of 4 Rev. 02/11