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HomeMy WebLinkAbout1742 MALLOW CT; ; CB122336; Permit•• City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-06-2012 Miscellaneous Permit Permit No: CB122336 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1742 MALLOW CT CBAD MISC Subtype: REROOF Status: Parcel No: 2155163600 Valuation: $3,823.00 Reference #: PC#: Lot#: 0 Applied: Entered By: Plan Approved· Issued: Inspect Area: KNIGHT 2800 SF SHINGLE TO COMP Applicant: SUDDUTH CONSTRUCTION #F 1010 N. BATAVIA ST. ORANGE CA 92867 877-997 -6637 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $118.00 Inspector: Owner: KNIGHT LARRY&LINDA PERMIT FEE 1742 MALLOW CT CARLSBAD CA 92011 · Total Payments To Date: $118.00 Balance Due: Clearance: ISSUED 11/0612012 JMA 11/0612012 11/0612012 $118.00 $0.00 $0.00 $118.00 $0.00 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 Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing 1n accordance with Carlsbad Municipal Code Section 3.32.030. i=a1lure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition You are ~1ereby FURTHER NOTiFIEJ that your right to protest tne: specified tees/exactions DOES NOT APPLY to water and sewer connection fees and cap<'C1ty chang€s, nor planning, ,wning, gr.Jding :ir other similar application processing or :service fees in conne-:.lion with this proJect. NOR DOES IT APP!.. Y to any f f h£h.J.Q1.! hµ~e previQll§lV been giyen a NOTICE ~im:1ar to Iii. Of· hie r I I ' THE FOLLOWING ArPm>VALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING D ENGINEERING 0 BUILDING □HEALTH OHAZMAT/APCD ~'> ~ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Garlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: buldllng@carlsbadca.gov www car!sbadca.gov Plan Check No. Est. Value Plan Ck. Deposit Date ti " I z,,. SUITE#/SPACE#/U IT# APN PHASE# # OF UNITS # BEDROOMS DESCRIPTION OF WORK: Include Square Feet of Aft'ected Area(&) -r.;re oP.( \ l"'.te.--wc>oo{ ~kk<.2.S I t"'1u· 3ol£, f'e-l+ 7-sl,~l<s # BATHROOMS TENA BUSINE S NAME SWPP CONSTR. lYPE OCC. GROUP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS {SF} FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES □#_ NOD YES □ NOD YES □ NOD APPLICANT NAME (Secondary Contact) ADDRESS ZIP CITY STATE ZIP PHONE FAX MAIL PROPERTY OWNER NAME ARCH/DESIGNER NAME & ADDRESS STATE LIC. # (Sec: 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its iSS!J n e, also requires the apphcant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law JChapter 9, commending with Section 70_00 of D1vis1on 3 of the Business and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars {$5001). WORKER$' COMPEN$ATION Workers' Compensation Declaration: / hereby affl,m under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-Insure for worllers' compensation as provided by Section 3700 of the Labor Code, for the performance of the worll for which this permit ls issued . .3f have and will maintain work u\red by S ·on 3700 of the Labor Code, for the performance of the worll for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co.~...l.:'.1;'"3..:t:,e__....:n""-..a-OI[---------Policy No. 002'-l (J ,Z,2 ... Za 1 ( Expiration Date 3 -( -I '3 This section need not be completed It' the permit is for one hundred dollars ($100) or less. □ Certificate of Exemption: I certify that in the performance of the worll for which this permit is issued, I shall 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, damages as provided for in Section 3706 of the Labor code, Interest and attorney's fees. Af CONTRACTOR SIGNATU I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: □ I, as owner of the property or my employees with wages as their sole compensation, will do the worll and the structure is !'IOI 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 worll himseH or through his OWf1 employees, provided that such improvements are riot 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 excllsively contractirg 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 I have f\01) signed an application for a building permit for the proposed worll. 3. I have contracted with the following person {firm) to provide the proposed constru::tion (include name address I phone I contractors' license number): 4. I plan to provide portions of the worll, but I have hired the lolloWlng person to coordinate, supervise and provide the major worl< (include name I address/ phone/ contractors' license number): 5, I will provide some of the worll, but l have contracted (hired) the following persons to provide the worll indicated (include name I address I phone/ type of worll): ,6$ PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE Tl-II$ Sl!CTION FDR NDN•RESIDENTIAL 111/ILDING Pl!RMITS ONLY Is the applicant or future building occupant requiied 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 □ 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 w~hin 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. I certify that I have read the application and state that the above Information Is correct and that the infonnatlon on the plans Is accurate. I agree to <Xlmply'Mth an Cllyonflnances and Slate laws relating 1D bulldlng amstruction. I hereby authorize representative oflhe City of Carlsbad ID enter u~ the at:ove mentioned property for Jlspeclion pufJDSeS. 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 demd~Kll'l or constn.x:tiOn of structures 0\/ef 3 stories in he"ijhl. EXPIRATION: Evert pem1d issued by lhe Buikling Official under the provisbns of th's Codeshalle>Q)ire by limitation and beoome null and ~id Wlhe buikling orv.ork authorized by sudi permit is notcommenCBd v.tthin 180 days from the dateofsudi permit or if the buik:ling orw:irk authorized by sudi permit is suspended or abandoned at any time after the v.ork is commenCBd for a peood of 180 days (Sectbn 106.4.4 Unitlrm &Jlldflg Code). AS APPLICANT'S SIGNATURE 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 www.building@car1sbadca.gov or Mail the completed form to City of Car1sbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY ATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. UC. No. DELIVERY OPTIONS □ PICK UP: □ CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) □ MAIL TO: o CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) □MAIL/FAX TO OTHER: _______________ _ .I.! APPLICANT'S SIGNATURE o ASSOClATED CB#------------- □ NO CHANGE IN USE/ NO CONSTRUCTION □ CHANGE OF USE/ NO CONSTRUCTION DATE ZIP 8-10 REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESS: / 7 L('Z.. Ma.How Cas.,.J 2. TYPE OF BUILDING: RESIDENTIAL ~ COMMERCIAL ----- 3. ROOF SLOPE: RIS¥z,~~NCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE)cJ) 2 3 5. TYPE OF EXISTING ROOF COVERING Ctvddwkef,HEATHING -0° *6. NEW ROOF MATERIAL --S t·"'jfer CLASS A WEIGHT PER SQ. I/ lb,. 7. NUMBER OF SQUARES "2~ '2-f' vS"' B. TRADE NAME J) .. q::9J ,·,,,"' MANUFACTURER C),.. 2an.~ ~ v vi,/ n(}t 9. ROOF SYSTEM LISTING: UL NO. ______ I.C.C.E.S. Report# ______ _ ASTM 3Q¼ 10. IS THE EXISTING STRUC~L DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? C)'..E__..Y/ 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. Signature~~~ ,. Date~-/2,-/"£..... Contractor_~ __ · __ Owner _____ Contractor *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other Page 4 of 4 Rev. 02/11 ' . Inspection List Permit#: CB122336 Date lnspec_tion Item 11/30/2012 19 Final Structural 11/30/2012 19 Final Structural 11/27/2012 15 Roof/Reroof Type: MISC 11/27/2012 83 Roof Sheathing/Ext Shear 11/27/2012 83 Roof Sheathing/Ext Shear Monday, December 03, 2012 REROOF KNIGHT 2800 SF SHINGLE TO COMP Inspector Act Comments RI PB AP PB AP RI AM PB WC Page 1 of 1