HomeMy WebLinkAbout1720 CATALPA RD; ; CB150092; Permit01-12-2015
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Miscellaneous Permit Permit No: CBI50092
Building Inspection Request Line (760) 602-2725
Job Address:
Pernnit Type:
Parcel No:
Valuation:
Reference #:
PC#:
Project Titie:
1720 CATALPA RD CBAD
MISC
2155110900
$0.00
Subtype:
Lot#:
REROOF
0
LABO: 2300 SF WOOD SHAKE TO
COMP SHINGLES
Status
Applied
Entered By:
Plan Approved
issued
Inspect Area
ISSUED
01/12/2015
JMA
01/12/2015
01/12/2015
Applicant:
APODACA ROOF SERVICES
Owner:
LABO DESTRY
P O BOX 2591
VISTA CA 92085
760 518-1259
1720 CATALPA RD
CARLSBAD CA 92011
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
PERMIT FEE $106.00
$0.00
$0.00
TOTAL PERMIT FEES $106.00
Total Fees: $106.00 Total Payments To Date: $106.00 Balance Due: $0.00
Inspector:
FINAL APPROVAL
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 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 vou have previouslv been given a NOTICE similar to this, or as to which the statute of limitations has previouslv otherwise expired.
'-THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERNirr ISSUANCE: OPLANNING •ENGINEERING nBUILDING QFIRE • HEALTH • HAZMAT/APCD
^Cityof
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Pti: 760-602-2719 Fax:760-602-8558
email: buiiding@carlsbadca.gov
www.carlsbadca.gov
Plan Check No. CE>[S • OC^Fi.
Est. Value
Plan Ck. Deposit
Date t/j-Z^f ("^ SWPPP
JOB ADDRESS _/ /
CT/PROJECT # Hon ' I PHASE*
SUITE#/SPACE#/UNIT#
# OF UNITS # BEDROOMS # BATHROOMS TENAIfT BUSfNESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTIONOFWORK: /ncludeSquaieFeetofAffectedArea^s; , y
' .^y|^J^ ^ <r 7ZS ^ 7~^c./i-c&^L ^S^^f~c
TSFT EXISTING USE PROPOSED USE GARAGE (SF) PATI0S1SF) DECKS (SF) FIREPLACE
YES|~1# NOj I
AIR CONDITIONING
YES [^NOI I
FIRE SPRINKLERS
YES I 1NO| I
APPUCANT NAME
Primary Contact
PROPERTY OWNER
ADDRESS ADDRESS
STATE CITY>j r STATE ZIP
PHONE
EMAIL
FAX PHONE FAX
EMAIL
DESIGN PROFESSIONAU CONTRACTORBjJS. NAM
ADDRESS ADDRESS
7 STATE ' zip CITY STATE
PHONE FAX PHONE
EMAIL EMAIL / ,
CITY BUS. LIC.# STATE LIC.#
(Sec. 7031.5 Business and Professions Code: Any City or County whicti 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 ofthe Contractor's License Law (Chapter 9, commending with Section 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 peclaration: / h&eby affinn under penalty ofpeijuiy one ofthe foiiowing declaiatbns:
• 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 peifoimance of the work for which this pennit Is issued.
have and wiii maintain workers' compensation, as required bv Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance earner and policy
number are: Insurance Co C^^y^^^C pr<-r ^ Policy No. ^ Cr^ '^S~^^ Expiration Date ^ y~~
This 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 perfomiance of the work 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: Faiiure to secure workers'compensation coverage Is unlawful, and shall subject an employerto criminal penalties and civil fines up to one hundred thousand doiiars (&100,000), in
addition to the cost of compensation, damages as provldedform Section 3706 of the Labor code, interest and attomey's fees.
^CONTRACTORSIGNATURE — —^ C *RfAGENT DATE
OWNISR-SUILOER DECLARATION
/ hereby affimi ttaf / am exempt from Contractor's Ucense 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 wort 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 tor
sale. If, however, the building or improvement is sold within one year of completion, the owner-builder wil! 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 constmct 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(E) licensed pursuant to the Contractor's License Law).
I 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 improvement I jVes I iNo
2.1 (have / have not) signed an application for a building pemnit for the proposed work.
3.1 have contracted with the following person (fimi) to provide the proposed constmction (include name address / phone / contractors' license number):
4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supewise and provide the major wort (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 wori< indicated (include name / address / phone / type of wort):
•
•
^eTpROPERTY OWNER SIGNATURE QAGENT DATE
COMPLETt THIS SECTION FOB NON RESIDENTIAL BUILOINQ 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 ot the
Presley-Tanner Hazardous Substance Account Act? Yes 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 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.
CONSTRUCTION tENOINC AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work this pennit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I have read the applicatkin and state that the above infomiation is conect and that the infonnation on the plans is aocuiate. I agree to comply with all CHy oidlnances and State laws relating to building consbuctkin.
I hereby authorize representative ofthe City of Carisbad 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 pemnit is required for excavations over 5'0' deep and demolition or constmction of stmctures over 3 stories in height,
EXPIRATION: Every permit issued by the Building Oflicial under the provisions of Ihis Code shall expire by limitation and become null and void if the building or vwrt authorized by such pennit is not commenced within
180 days tam the dale of such pemnit or if the building or wort authorized by such pemnit is suspended or abandoned at any time after the wort is commenced for a period of 180 days (Section 106.4.4 Unifonn BuikJing Code).
vfiTAPPLICANT'S SIGNATURE CT" DATE
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 building(Slcai1sbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008.
C0#: (Office Use Only)
CONTACT NAIVIE OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE
Carlsbad CA
EfMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL / FAX TO OTHER:
ASSOCIATED CB#-
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
>ef APPLICANT'S SIGNATURE DATE
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
1. JOB ADDRESS: ^ 7^€p-<=^ T~rr //^w
2. TYPE OF BUILDING: RESIDENTIAL COMMERCIAL
3. ROOF SLOPE: RISE S~ INCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE)*:^^ 2 3
- 5. TYPE OF EXISTING ROOF COVERING SHEATHING fS/<'/^
*6. NEW ROOF MATERIAL CLASS ^ WEIGHT PER SQ.
7. NUMBER OF SQUARES (9- f
8. TRADE NAME W/~ MANUFACTURER ^
9. ROOF SYSTEM LISTING:
1JL NO.^Vjif^ I.C.C.E.S. Report #
ASTM
10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE
PROPOSED ROOF? (^^S ^ 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.
' ^ Date ^ ~ / - rj— Signature,
Contractor *^ owner Contractor
Name
6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other
B-10 Page 4 of 4 Rev. 02/11
Inspection List
Permit*: CB150092
Date Inspection Item
01/21/2015 15 Roof/Reroof
01/21/2015 19 Final Structural
01/21/2015 19 Final Structural
01/13/2015 15 Roof/Reroof
01/13/2015 15 Roof/Reroof
Type: MISC REROOF
Inspector
PD
PD
Act
Rl
Rl
AP
Rl
AP
LABO: 2300 SF WOOD SHAKE TO
COMP SHINGLES
Comments
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