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Home My WebLink About1880 PALISADES DR; ; CB150889; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-25-2015 Miscellaneous Permit Permit No: CB150889 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 1880 PALISADES DR CBAD MISC 2073810200 $3,109.00 Subtype: REROOF Lot#: 0 BEAULIEU RES-RE-ROOF-1900 SF COMPOSITION Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/25/2015 RMA 03/25/2015 03/25/2015 URBACH ROOFING INC SZEPESY-BEAULIEU FAMILY TRUST 11-10-10 445 PRODUCTION ST SAN MARCOS CA 92078 760 471-5065 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $106.00 Inspector: 3473 CAMINO CORTE CARLSBAD CA 92009 PERMIT FEE Total Payments To Date: $106.00 Date: Balance Due: Clearance: $106.00 $0.00 $0.00 $106.00 $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 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 f I xa ·o ofwhi h u ve r viou l b en \ven N Tl E imil rt th\ or t wh\ h he tat e \im"tati nsh revi u I o erw·seex ired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APC0 «~ ~ CITY OF CARLSBAD Bulldlng Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.cartebadc&gov # OF UNITS # B DROOMS GARAGE (SF) PATIOS (SF) DECKS(SF) FIREPLACE YES[)o APPLICANT NAME (Second•ry Contact} SWPPP -D'r CONSTR. TYPE AIR CONDITIONING FIRE SPRINKLERS N<O YES□No□ YES□No[J ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE '"' PHONE '"' EMAIL EMAIL CONTRACT"OR BUS, NAME Urbach Roofina. Inc. ADDRESS 445 Production Street CITY STATE ZIP San Marcos CA 92078 PHONE '"' 760-471-5065 760-471-9610 EMAIL urbach@urbachroofing.com E & ADDRESS STATE UC# STATE UC..# ClASS CITY BUS. UC.# 602378 C39 1200289 (Sec. 7031.5 siness and Professions Code: Any City or County which requires a permit to construct. atter, improve, demolish or repair any_ structure, prior to its issuance, also requires the applicant for such permit to file e siWled statement thet he Is licensed pursuant to the proviStons of the Contractor's License Law JChapter 9, commending with Section 7000 of 0tvis1on 3 of the Business and Professions Code} or lhat he is exempt therefrom, and the basis for the aneged 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 ($500}). WORKERS' COMPENSATION Worken;' Complftlltion DecJaration: I hereby affirm under pe,ialty ofper}IK"f ooe of the followir,g declarations: 0 I hlvt and w■ maintain I ctltlflcall d conNM to lllf-llllurl for workers' compensation as provided by Section 3700 of the Labor Code, for the pelf<>rmance of t,e work for which this permit is issued. 0 I have and MIi mNntaln workers' comp-,lation, es required bv Section 3700 of the Labor Code, for the performance of the work ior "Mlich lhis permit is issued. My workers' compensation insurance earner and policy number are: lnsixance Co Zurich American Insurance Company Policy No. WC 47-58--635.ft' '1 ~ Expiration Date 06/01~\S "PJ!i.sectiOO need not be completed if lhe permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the work for 'M'lich this permit ,s issued, I shall not emplOy any person iii any manner so as lo become subject to the Workers' Compensation Laws of California. WARNING: Failure to secu worker&' compenutlon coverage is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars (&100,000), In , d ed for in.section 3706 of the LabOr code, Interest and attorney's fees. 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 c.ompensation, wil the work and the structure is not intended or offered for sale (Sec. 7044, Business end Professions Code: The Con ls actor's License Law does not apply to an owner of property who builds or improves thereon d 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 compleli , the owner-builder will have the burden of proving ttial he did not build or Improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed con tr property whO builds or improves thereon, and contracts for such pro· to construct the projeci (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of th contractor(s) licensed pursuant lo "1e Contractor's License Law). l am exempt under Section ~~~~•Business and Profess· s Code for this reason: 1. I personally plan to provide the major labOr and mate· or constrl.M;!ion of the proposed property improvement. 0Yes Do 2. I (have/ have not) signed an application for a bui · g perm ii for the proposed work. 3 I have contracted with the blbwing person to provide the proposed construction (include name address/ phone I contractors' license number): 4. I plan to provide portions of the wofl(, b ave hired the following person lo coordinate, supe~se and provide the major war!( (incl tide name I address I phorie I contractors' license number) 5. I wm provide some of the work, bu ave contracted (hired) the following persons to provide the work indicated (include name I address I phone/ type of work): IS PROPERTY OWNER SIGNATURE □AGENT DATE I certify that I have read the application and state that.the aboYe infonnatlon Is COll'8Ct: and that the lnfomlation on the plans Is accurate. I agree to comply v.;ttiaH Cify ordlnarr:es and State laws ielatlng to buUdlng construction. I hereby autherize repiesentative of the Ciyof Carlsbad toenterupon the aoove mentior<d property l>r aspection pulJXJSOS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AlJ. LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGNNST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA permit is required for excavations over 5'0' deep and demolioon or construction of structures over 3 stories in height. EXPIRA T!ON: Every permrt issued by the &tik:ling Offcial urdef the provisions of this Code shall expire by Mmitation and becOme nul and void n the OOlk:ling or v.ork authorized by such permit S not rommenood ~in 100 days from the date of St.Ch permit or if lllfl~""'""''""'uth~ by such permtt is sus,rer,ded or abandoned at any time after the W)lk 5 commenred bra period of 180 days (Section 100.4.4 l.kliform Buik:ling Code) DATE 0 . . REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1.1. JOB ADDRESS: 1 ?2920 '.t1,li s~o l)y-i\11) 2. TYPE OF BUILDING: RESIDENTIAL ✓ COMMERCIAL'---- 3. ROOF SLOPE: RISE ,4 INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONEG) 2 3 5. TYPE OF EXISTING ROOF COVERING {'J)mptnihilYI SHEATHING ¢~wo-Dd ·s. NEW ROOF MATERIAL Cowipt;1h [() cLAss..lr_wEIGHT PER so. J.40/bs. 7. NUMBEROFSQUARES_~\0,<_ __ _ 8. TRADE NAME-r-;h'.\W\mv' MANUFACTURER~fu .... ·.,....P<f~----- 9. ROOF SYSTEM LISTING: UL NO. _7t...:..vf.Ll.O,_ __ 1.C.C.E.S. Report# l116 ASTM 'Q:220 I 'P; 1 O. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? YES 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. ' / . Signatur~ 1J(Ad uvLP::§ Contractor I)( Owner ____ Contractor \ r: Name \A{bllvYJ ~DO pD~> }V)[ · '6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other Page 5 of 5 Rev. 03/09 , _, Inspection List Permit#: CB150889 Date Inspection Item 04/03/2015 19 Final Structural 04/03/2015 19 Final Structural 03/26/2015 15 Roof/Reroof 03/26/2015 15 Roof/Reroof 03/26/2015 15 Roof/Reroof Friday, April 03, 2015 Type: MISC REROOF Inspector Act RI SP Fl SP SP RI AP AP BEAULIEU RES-RE-ROOF-1900 SF COMPOSITION Comments EARLY AM PLS Page 1 of 1 ----------·-------------