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Home My WebLink About1722 CATALPA RD; ; CB152909; Permit09-08-2015 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CBI52909 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title; 1722 CATALPARD CBAD MISC 2155111000 $4,322.00 Subtype: REROOF Lot #: 0 FITZSIMONS: REROOF - REMOVE WOOD SHAKE, REPLACE W/ ASPHALT COMP - 25 SQUARES Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Applicant: APODACA ROOF SERVICES Owner: FITZSIMONS THOMAS P&JANE J ISSUED 09/08/2015 SLE 09/08/2015 09/08/2015 P 0 BOX 2591 VISTA CA 92085 760 518-1259 1722 CATALPA RD GARLSBAD CA 92011 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees PERMIT ISSUANCE $122.00 $0.00 $0.00 TOTAL PERMIT FEES $122.00 Total Fees: $122.00 Total Payments To Date: $122.00 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 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 Govemment 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 Dreviouslv been given a NOTICE similar to this, or as to which the statute of limitations has previously othenivise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: •PLANNING •ENGINEERING •BUILDING OFIRE nHEALTH •HAZMAT/APCD ,V City of Carlsbad Builciing Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax:760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No. (2i^ I "5 2i^CR Est. Value Plan Ck. Deposit Date^-S-lS" SWPPP JOBADDRESS SUITE#/SPACE#/UNIT# APN - CT/PROJECT # LOT « PHASE* # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet ofAtfected Area(s) C^^cp ^/=^cyr- V— ysc>^. EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESr~l#, N0| I AIR CONDITIONING YES I INO I 1 FIRESPRINKLERS YES I I NO) I APPLICANT NAME Primary Contact PROPERTY OWNER „, ADDRE: RE§S ADDRESS STATE ZIP SWE ZIP ^ OCT) PHONE yc>o 8r zs^^2.?vf- PHONE FAX EMAIL -^^cTv^^ <Je^ ye fa/ ^ <^ ^ r/r CSo^ IL y DESIGN PROFESSIONAL CONTRACTOR BUJ. NAIVIE rrOR BUS. NAIV ADDRESS ADDRESS CITY STATE ZIP CITY , , STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL CITY BUS. LIC.# (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 applicantfor such permitto file a signed statement that he is licensed pursuantto the provisions ofthe Contractor's License Law (Chapter 9. commendingwith 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 applicantfor a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: / fiereijy affm under penalty ofpeijury one of the foliowing declarations: I I have and will maintain a certificate of consent to self-insure for VKorkers' compensation as provided by Section 3700 of the Labor Code, for the performance of Ihe work for which this permit is issued. have and will maintain workers' compensation, as reauired bv 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 Co, Policy No. Expiration Date piis 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 work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to fhe Workers' Compensafion 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 ofthe Labor code. Interest and attomey's fees. >glS'CONTRACTOR SIGNATURE . pl^GENT DATE *? - ^ I hereby affirm 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 work and the stmcture is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply fo an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided thaf such improvements are nof intended or offered for sale. If, hovrever, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did nof build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting wifh licensed contractors to constmct the projecf (Sec. 7044, Business and Professions Code: The Contractor's License Law does nof apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Confractor's License Law), • • am exempt under Secfion _ .Business and Professions Code for this reason: 1.1 personally plan to provide fhe major labor and materials for construction of the proposed property improvement. QVes I iNo 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have confracted with the following person (firm) fo 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, supereise and provide the major work (include name / address / phone / contractors' license number): 5.1 will provide some of Ihe work, but I have contracted (hired) the following persons to provide the work indicafed (include name / address / phone / type of work): PROPERTY OWNER SIGNATURE QAGENT DATE Is the af^ilicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevenfion program under Sections 25505,25533 or 25534 of 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 disfrict or air quality management district? Yes No Is life facilily 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 HET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. '.'iitft',.---vj.^:. I hereby affirm that there is a construction lending agency f • •. • Lender'sName Lender sAdaress Jivil Code). I certify that I have read the application and state that the above Inforniatien Is conect and that the Infoimation on the plans Is accurate. I agiee to complywith all City ordinances and State laws relating to building constmction. I hereby authorize representative of the City of Carlsbad to enter upon the above menttoned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABIUTIES, 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 demolitbn or constmction of stnictures over 3 stories in heght. EXPIRATION: Every permit esued by the Building Offcial under the provisions of this Code shall expire by limitation and become null and vokJ the building or v«rk authorized by such permit is not oommenced within 180 days fram the date ot such permit or if the building or vwrk authorized by such pemiit 'e suspencied or abandoned at any time after the mik is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ygTAPPLICANT'S SIGNATURE ^S> • 7*=-— 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) 602-8660, Email buildinq@carlsbadca.aov or Mail the completed forni to City of Carisbad, Building Division 1635 Faraday Avenue, Carisbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANTS BUS. LIC. No. DELIVERY OPTIONS PICKUP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) IVIAILTO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) IVIAIL / FAX TO OTHER: ASSOCIATED CB#- NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION >ef APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB152909 Date Inspection Item 09/15/2015 19 Final Structural 09/15/2015 19 Final Structural 09/09/2015 15 Roof/Reroof 09/09/2015 15 Roof/Reroof Type: MISC REROOF Inspector Act Rl PD AP Rl PD AP FITZSIMONS: REROOF - REMOVE WOOD SHAKE, REPLACE W/ ASPHALT C Comments LATE AM Tuesday, September 15, 2015 Page 1 of 1 REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOBADDRESS 2. TYPE OF BUILDING: RESIDENTIAL ^ COIVIMERCIAL 3. ROOF SLOPE: RISE/^^/2^ INCHES IN 12 INCHES 4. NUIVIBER OF EXISTING ROOF COVERING (CIRCLE ONE)(V) 2 3 5. TYPE OF EXISTING ROOF COVERINGS/v^^cj- SHEATHING ^'^/^ *6. NEW ROOF IVIATERIAL (y o^^>>o CLASS ^ WEIGHT PER SQ. CT^^J ^ 7. NUMBER OF SQUARES O^ -T" 8. TRADE NAMET/^^^^^^// ^ <~ MANUFACTURER ^ 9. ROOF SYSTEM LISTING: ULNO. I.C.C.E.S. Report # / V ^ ASTM 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? CYE&) 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 - >----yh Date ^ '^^''/J~~ Contractor ^""""^ Owner Contractor Name y^yoos;>^ c^^ y^oof- ^Sc^ *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other 8-10 Page 4 of 4 Rev. 02/11