HomeMy WebLinkAbout2889 BRENTWOOD CT; ; CB112233; Permit10-19-2011
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Miscellaneous Permit Permit No: CB112233
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
PC#:
Project Title:
2889 BRENTWOOD CT CBAD
MISC
1563102700
$6,572.00
Subtype: RERQOF
Lot#: 0
KORBELAK RES- REMOVE EXISTING
CONCRETE TILE- APPLY NEW FELT & RE-APPLY SAME
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
10/19/2011
RMA
10/19/2011
10/19/2011
Applicant:
SAN MARCOS ROOFING
1580 GRAPEVINE LN
VISTA CA 92083
760-549-7835
Owner:
KORBELAK RQBERT&MARYANN TRUST 12-15-07
2889 BRENTWOOD CT
CARLSBAD CA 92008
Miscelaneous Fee #1 PERMIT FEE
Miscelaneous Fee #2
Additional Fees
$168.00
$0.00
$0.00
TOTAL PERMIT FEES $168.00
Total Fees:$168.00 Total Payments To Date:$168.00 Balance Due:$0.00
FINAL APPROVAL"
Inspector: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 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/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.
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
Plan Ck. Deposit
Date (flf/fl/n
flPN^^^^^^^^^JOB ADDRESS
PHASE#| ft OF UNITS | # BEDROOMS
SUITES/SPACES/UNIT*
# BATHROOMS I TENANT BUSINESS NAMECT/PROJECT
DESCRIPTION OF WORK: Include Square Feet of itlArea(s)
Lf, P-efT /
ft«x.T/i//
APPLICANT NAME (Secondary Contact)
(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 theapplicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of u,=Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to acivil penalty of not more than five hundred dollars ($500)).
Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations:
O I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
O I have and will maintain workers' compensation, as required by Section 3700 of t|ie 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. w S "T^C^ T'g"' f-^CSrf 01 5> Policy No. \~~?l 3 OQZfc^*^^? Expiration Date (£>/ / / / ^~
This section need not be completed if the permit is for one hundred dollars ($100) or less.
n Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damagasas provided for/infection 3706 of tbe Labor cojle, interest and attorney's fees.
JS$ CONTRACTOR SIGNATURE^*^lc_ ^XSJL« St'^sf^/ fl AGENT DATE iO//^l I I
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
a I, as owner of the property or my employees with wages as their sole compensation, will do the work 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 he did not build or improve for the purpose of sale).
O 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 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:
1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. O Yes O No
2.1 (have / have not) signed an application for a building permit for the proposed work.
3.1 have contracted with the following person (firm) to provide the proposed construction (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, supervise and provide the major work (include name / address / phone / contractors' license number):
5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work):
^PROPERTY OWNER SIGNATURE OAGENT DATE
Is the applicant or future building occupant required 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? O Yes O No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O Yes O No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPAN
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
i hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
I certify that I have read the application and state that the above information is correctand that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. 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 demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within
180 days from the date of such permit oriflhe bujding or work authorize>b» such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
£!> APPLICANT'S SIGNKM?£. [ _ „* „ /\ v, DATE
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
1. JOB ADDRESS:0 / Q )^ €?n T~C^U Q Q CJ
2. TYPE OF BUILDING: RESIDENTIAL X COMMERCIAL
3. ROOF SLOPE: RISE L INCHES IN. 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) (\J 2_*3_
*T C sy rSAM/\$£5. TYPE OF EXISTING ROOF COVERING f I ' *T ^SHEATHING
*6. NEW ROOF MATERIAL h-^ ( ^\ T (^/ CLASSx^f WEIGHT PER SQ.
7. NUMBER OF SQUARES ^? _ _
L\ £<^ Ti8. TRADE NAME^t ^ C. f <-l r MANUFACTURER
9. ROOF SYSTEM LISTING:
ULNO. R ^/5r I.C.C.E.S. Report #
ASTM
10. 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-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.
Signatup3-^y£xt-x<—^-^_S ^<^<^C^V^t Date
*6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other
B-10 Page 4 of 4 Rev. 02/11
City of Carlsbad Bldg Inspection Request
For: 10/26/2011
Permit* CB112233 Inspector Assignment: PY
Title: KORBELAK RES-REMOVE EXISTING
Description: CONCRETE TILE- APPLY NEW FELT & RE-APPLY SAME
CONCRETE TILES
Type:MISC Sub Type: REROOF
Phone: 7605197835
Job Address: 2889 BRENTWOOD CT
Suite: Lot: 0
Location: Inspector:
APPLICANT SAN MARCOS ROOFING
Owner: KORBELAK ROBERT&MARYANN TRUST 12-15-07
Remarks:
Total Time: Requested By: EFRON
Entered By: CHRISTINE
CD Description Act Comments
19 Final Structural
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act Insp Comments
10/20/2011 15 Roof/Reroof AP PY EXISTING SHEATING