HomeMy WebLinkAbout2408 LA COSTA AVE; ; CB111604; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-25-2011 Miscellaneous Permit Permit No: CB111604
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
2408 LA COSTA AV CBAD
MISC
2161600300
$1,753.00
Subtype: REROOF Status:
Lot#: 0 Applied:
Entered By:
Reference #: Plan Approved:
PC#: Issued:
Project Title:
Inspect Area:
WILLIAMS RES-RE-ROOF 1200 SF
OF PREVIOUSLY FLAT ROOF AREA IN CENTER OF HOME W/
Applicant:
WILLIAMS ANDRE
2408 LA COSTA AVE
CARLSBAD CA 92009
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
PERMIT FEE
Owner:
WILLIAMS ANDRE
2408 LA COSTA AVE
CARLSBAD CA 92009
ISSUED
07/25/2011
RMA
07/25/2011
07/25/2011
$135.00
$0.00
$0.00
$135.00
Total Fees: $135.00 Total Payments To Date: $135.00 Balance Due:
Inspector:
FINAL PPPROVAL
Date: • ;J....7 · I I Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your proiect includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collective~
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
fees/exa lions of which o h v revious been iven a N TICE similar to his or 1 which the statute of limi a ·on has revious o rwi ired.
•
OB ADDRESS
1..'ioe LA
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Fax: 760-602-8558
www.carlsbadca.gov
Plan Check No.
Est. Value
SWPP
z..., "' -I ~O -0 3 -OD
CT/PROJECT # PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE acc. GROUP
DESCRIPTION OF WORK: Include Square Feet of Aft&cmd Area(s)
I
CONTACT NAME (N Olt1erent Fom Appl/cant) Et.>.. \,-l\l,.,\,.. A-""'-~
APPLICANT NAME
.AM
ADDRESS ADDRESS 11!!2.. -,_.4,0 V
STATE ZIP CITY STATE ZIP
CA--~c D,o.-~~,a~ C4-'l-z._.oo.,
FAX cs--l'-toa -Zt,0-~32,..--t>'f'Zf)
EMAIL Lo""""' 8-Fc...... e i,;V'\.c;;;--...
CONTRACTOR BUS. NAME OW~'<-CZ---
ADDRESS ADDRESS
2,t( o'C t..A C-S1'-"t
STATE ZIP CITY STATE ZIP
0--,-""J-z.,po
PHONE FAX PHONE FAX ir.o-tl•r-tt.foO '"O 2---ot bO
EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE UC.# STATE LIC.# ClASS 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 applicant for such permit to file a sil(ned statement ttiat he is licensed pursuant to the provisions of the Contractor's License law {Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is exem~t therefrom, and the basis for the alleged exempt,on. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a dvil penalty of not more than five hundred dollars {$500)).
Workers' Compensation Declaration: J hereby affirm under penally of peifury one of the following declarations:
□ I have and will maintain a certificate of consent to self-insure for worl<ers' compensation as provided by Section 3700 of the Labor Code, for the perfonnance of the worl< for which this pen11it is issued.
□ I have and will maintain workers' compensation, as required by Secoon 3700 of the labor Code, for the perfonnance of the worl< for wh,ch this pennil is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. _____________________ Policy No. ______________ Expiration Date _________ _
~tion need not be completed if the permit is for one hundred dollars 1$100) or less.
~ Certificate of Exemption: I certify that in the performance of the worl< for which ttiis permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensaljon Laws of
California, WARNING: Fallure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provided for in Seciion 3706 of the Labor code, interest and attorney's fees,
,lf5 CONTRACTOR SIGNATURE □AGENT DATE
I hereby affirm that I am exempt from Contractor's Ucensa Law for the fallowing reason:
□ I, as owner of the property or my employees with wages as their sole compensation, will do the worl< and the struclure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractofs
license Law does not apply to an owner of property who builds or improves thereon, and who does such worl< himself or through his own employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvemenl is sold within one year of completion, the OWTier-builder will have the burden of proving that he did not build or improve for the purpose of sale).
□ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's license Law does not apply lo an owner of
property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Conlractor's License Law).
□ 1 am exempt under Section _____ Business and Professions Code for lhis reason"
l I personally plan to provide the ma1or labor and materi struction of the proposed property improvement □ Yes □ No
rvise and provide lhe major worl< (include name/ address/ phone I conlraclors' license number):
,a$ PROPERTY OWNER SIGNATURE □AGENT DATE
~ J J 1 * "1 -~ * 1 1 t !iiilliMIHl'l'I Ui!IS Ul~l'IOIII l!Q!ll tllO!!l,RIIIPIIN!liJ~ILl1JHi!IUN!S Pl!Rlllfll''S OHL\'
' 1 * * ** ' *
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevenfon program under Sections 25505, 25533 or 25534 of the
Presley-Tartner 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
• 1s the facility 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 MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
,IS APPLICANT'S S DATE 6-rt-l (
Inspection List
Permit#: CB111604
Date Inspection Item_
10/03/2011 15 Roof/Reroof
09/29/2011 89 Final Combo
09/19/2011 15 Roof/Reroof
09/08/2011 15 Roof/Reroof
Wednesday, February 15, 2012
Type: MISC REROOF
Inspector Act
TP AP
TP
TP
TP
AP
co
co
WILLIAMS RES-RE-ROOF 1200 SF
OF PREVIOUSLY FLAT ROOF AREA IN CE
Comments
NEW ROOF RAFTERS OVER EXIST
FLAT ROOF
CONF ON NEW SLOPE ROOF
Page 1 of 1
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PROJECT TO COMPLY WITH:
2010 CA Building Code 2010 CA Electrical Code
2010 CA Residential Code 2010 CA Plumbing Code
2010 CA Green Code 2010CA Energy Code
2010 CA Mechanical Code 2010 CA Fire Code
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