The URL can be used to link to this page

Home My WebLink About2445 MARK CIR; ; CB110366; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-22-2011 Miscellaneous Permit Permit No: CB110366 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2445 MARK CR CBAD MISC Subtype: REROOF Status: Parcel No: 1671604400 Lot#: 0 Applied: Valuation: $3,413.00 Reference #: PC#: Project Title: GILBERT RES 25 SQUARES COMP TO COMP RE=-ROOF Applicant: URBACH ROOFING, INC. 445 PRODUCTION AVE SAN MARCOS CA 92075 760 4 71-5065 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE Entered By: Plan Approved: Issued: Inspect Area: Owner: GILBERT JUSTIN W&LILI D 3942 FOOTHILL AVE CARLSBAD CA 92010 ISSUED 02/17/2011 KG 02/17/2011 02117/2011 $107.00 $0.00 $0.00 $107.00 Total Fees: $107.00 Total Payments To Date: $107.00 Balance Due: Inspector: Date: Clearance: $0.00 approval of your project includes the "Imposition" of ees, dedications, reseivations, or other exactions hereafter collectively referred to as "fees/exactions." Y 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 rth 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 Iha specttied lees/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 . . . I «~> ~ CITY OF CARLSBAD ADDRESS CITY STATE PHONE FAX EMAIL PHONE FAX EMAIL ARCH/DESIGNER NAME & ADDRESS Building Permit Application 1635 Faraday Ave .. Garlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov ZIP CONTRACTOR BUS. NAME ZIP STATE UC.# Est. Value Plan Ck. Deposit FIRE SPRINKLERS YES O NO □ (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 issuance, also r~uires the applicant 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 7000 of Division 3 of the Business and Professions Code} or that he is exem_!!t 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 ctvil penalty of not more than five hundred dollars {:ti500}). · WORKERS' COMPENSATION Workers' Compensation Declaration:/ hereby afflrm under panalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-Insure for wcwkers' compensation as provided by Section 3700 of the labor Cod~, for the performance of the WOik fotwhich this permit is issued. have and will maintain ers' compensation, as required b Section 3700 of lhe._La~or Code, for the performance of the work:'.}whi~his penn~sued. My workers' compensation insu nee ca rand policy number are: Insurance Co. · Policy No. 4 / J O ~ I -:J.. f 4 Expiration Date _-f_,')__Jc_;/c_,µL __ This section need not be completed if the permit is for one hundred dollars ($100) or less. M \, ~ D Certificate of Exemption: I certify that In the perfoonance of the work for which this permit is issued, I shall not employ any person in any manner so es to become subject to the Workers' Compensation Laws of CaMfornia. WARNING: Failure lo secure workers' compensation coverage is unlawful, and shall subject an employer to crlmlnal penalties and civil fines up to one hundred thousand dollars {&100,000), In addttlon to the cost of compensatlop,-dliM.J provkted or I ectlon 3706 of the Labor code, interest and attorney's fees. AS CONTRACTOR SIGNAT E I hereby Bfflrm that I am exempt from Contractor's License Law for the following reason: □ I, as owner of the property or my employees with wages es their sole compensation, will do the wafk and the structure 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 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 ha 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, Busine&& 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 conlractor(s) licensed pursuant to the Contractor's License Law). □ I am exempt under Section ____ _,,usiness and Professions Code for this reason: 1. l personally plan to provide the major labor and materials for construction of the proposed property improvement. □ Yes D No 2. I (have/ have not) signed an application fore building pannit for the proposed won(. 3. I have contracted with Iha following person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name/ address/ phone I contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the won( indicated (include name/ address/ phone I lype of work): _..s PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLV Is the applicant or future building occupant required to submit a business ~~tely hazardous materials registration form or risk management and prevention Pl'0!18ffl under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Accour1 ActJ □ Yes Is the applicant or future building occupant required to obtain a permit from pollution control district or air quallty management district? □ Yes □ No Is the facillly to be constructed within 1,000 feet of the OUler 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 oertfythat I have read the application and state that the above lnfonnatlon Is conect: and that the Information on the plans Is accurate. I agree to aimp~v.tth all City onllnances and State laws relating to building construcllon. I heieby aulhorize representawe ol lhe Crty of Carlsbad "enter -lhe above -property for nspecoon purposes. I ALSO AGREE TO SAVE, INOEMNIFY AND KEEP HARMLESS THE CITY Of CARLSBAD AGAINST ALL LW!ILITIES, JUDGMENTS, CCSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGPJNST SAJD CITY IN CONSEQUENCE OF THE GRANTING Of THIS PERMIT. OSHA: AA OSHA permit is required br excavaions over 5'0' deep arKI demolioon or constnx::lk>n of structures rJ,l8f 3 sbies i1 ~hi. EXPIRATION: Evel'Y pemil issued by the Buikti . I under the provisioos of this C.ode shall expie by llllilaOOl'l and become nun and YOO f the buidi'lg or work auh:>rized by sud! pemit is not commenced 'Ml1i'l 180 days from tie date of such permit or if autlorized by such permi: is suspended or abandooed at any tine aftef the work is commenced for a period of 180 days (Sectoi 106.4.4 Urmnn &iildilg Code). ,6$ APPLICANT'S SIGNATURE DATE ~ \ REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1,1. JOBADDRESS: _ _.;_~~L]1!~~~~~-~------- B-10 2. TYPE OF BUILDING: RESIDENTIAL.__,"-'-'---COMMERCIAL __ _ 3. ROOF SLOPE: RISE___g_ INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE)@2 3 5. TYPE OF EXISTING ROOF COVERING c0½-<:::(k, SHEATHING __ _ •5_ NEW ROOF MATERIAL c~ CLASS !A: WEIGHT PER SQ .. __ 7. NUMBER OF SQUARES 2'S ------ 8. TRADE NAME ~O c::, • MANUFACTURER_~c~·-A~~~-___ _ 9. ROOF SYSTEM LISTING: UL NO. ______ I.C.C.E.S. Report# _____ _ ASTM D30\J" 10. IS THE EXISTING S'rRUCTURAL~SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? ~ 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 QiJo f2j7 Date « / / 7 / 1 ( 1 J Contractor K Owner ____ Contractor *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other Page 5 of 5 Rev. 03109 Inspection List Permit#: CB110366 Date Inspection Item 03/03/2011 19 Final Structural 02/23/2011 15 Roof/Reroof Monday, May 09, 2011 Type: MISC REROOF Inspector Act PY AP PY AP GILBERT RES 25 SQUARES COMP TO COMP RE=-ROOF Comments EXISTING SHEATHING Page 1 of 1