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Home My WebLink About143 SEQUOIA AVE; ; CBR2017-2468; PermitCity of Carlsbad • 1635 Faraday Av Carlsbad, CA 92008 Print Date: 11/07/2017 Residential Permit Permit No: CBR2017-2468 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 143 Sequoia Ave BLDG-Residential 2060130400 $3,688.86 www .carlsbadca.gov Work Class: Reroof Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Description: MCCONNAUEHAY: 21 SQ COMP SHINGLE REROOF BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLOG) S81473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-RESIOf.NT1AL Total Fees: $106.46 Owner: TRUST GEMINI TRUST 10-11-89 5315 Ave Encinas C/0 Golden Key Properties, 130 CARLSBAD, CA 92008 l otal Payments To Date: $106.46 Status: Applied: Issued: Finaled: Inspector: Contractor: KNOX ROOFING CO 359 San Dimas Ave OCEANSIDE, CA 92057-7204 760-473-4545 Balance Due: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." 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 limitation has previously otherwise expired. Closed -Finaled 10/16/2017 10/16/2017 $0.00 $61.74 $43.22 $LOO $0.50 l -( City of Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 78CMI02-2719 Fax: 760-602-8558 email: bullding@carlsbadca.gov www.carlsbadca.gov SUITE#/SPACE#/UNIT# Est. Value Plan Ck. Deposit Date 10 -I lJ) -I 1 APN # BATHRd6M:f TENANT BUSINESS NAME GARAGE (SF) AIR CONDITIONING FIRE SPRINKLERS NO □ YES □ NOD YES O NO □ ZIP DESIGN PROFESSIONAL NAME CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY PHONE FAX PHONE FAX EMAIL EMAIL STATE LIC. # STATE LIC.# CLASS C-3 (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 per_m1t to file a s1,i;i;ned statement that he is licensed pursuant to the provisions of the Contractor's License Law fChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or [hat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subJects the applicant to a c1v1I penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations· D 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. D I have and will maintain workers' compensation, a~quired by Section 3700 of the 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. S'r4rc: L' V/VQ Policy No. ;?(9!::)"'4 6 7 D Expiration Dale /-/ -/cir This section need not be completed if the permit is for one hundred dollars ($100) or less. D 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 lo 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 rovided for in Section 3706 the Labor code, interest and altorney's fees. AS CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason □ 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). D 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 contraclor(s) licensed pursuant to the Contractor's License Law) □ I am exempt under Sec~on _____ ,Business and Professions Code for this reason 1. I personally plan to provide the major labor and materials for construcLion of the proposed property improvement. □ Yes D No 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone I 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/ contractors' license number)· 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address /phone/ type of work): ,..S PROPERTY OWNER SIGNATURE □AGENT DATE ,t;oMPLETE THIS SECTION FOR NON-RESIDENT;iAL '11ufLDI-N°G PERMITS ONLY .... ~ ~ ~"'-" ~= Is the applicant or future building occupant required to submit a business plan,~tely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Ta:ner Hazardous Substance Account Act? □ Yes m./o Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air qualirianagement district? D Yes IY'lfo' Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes [i,ef() 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. CONSTRUCTION LENDING I hereby affirm that there 1s a construction lending agency for the performance of the work this permit 1s issued (Sec 3097 (1) C1v1I Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read theapplic.ation and state that the above infonnation ls correct and that the lnfonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. J hereby authorize representative of the City of Cartsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEfvt'JIFY 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 pennlt is required for excavations over 5'0' deep and demolition or construction of strucllJres 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'Mlrk authorized by such pennlt is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the wor1< is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code}. ~ APPLICANT'S SIGNATURE DATE /6 YO-/? B-10 REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION W-!i.5&%2 C'-0-1 2. TYPE OF BUILDING: RESIDENTIAL ....,/ COMMERCIAL. ___ _ 3. ROOF SLOPE: RISE /2.?-INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 1 €) 3 5. TYPE OF EXISTING ROOF COVERING_,____C,..<1u<LLLC2t~Cl.L._ ___ SHEATHING /'y6 11 *6. NEW ROOF MATERIAL ME ""'41.£1'73:::CLASS A WEIGHT PER SQ,;?3/0 ).,/~c , 7. NUMBER OF SQUARES~:u.__:d--___ _ 8. TRADENAME _______ MANUFACTURER-""-is;~-/f~r_-_____ _ 9. ROOF SYSTEM LISTING: UL NO. ______ I.C.C.E.S. Report# L--J'/5 /,?/77 ASTM &222 1 O. IS THE EXISTING STRUCTURAL DESIGN 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 ~ · d,,~ Date /6-/{-I? Contractor v Owner _____ Contractor Name t/1.. v r.s JiS' Cc d;vox JlT I *6. Rolled Roofing, Standard/Lite Tile, AsphalUComp fiberglass, Built Up, Other Page 6 of6 Rev. 04/14 . . " 1 , ' ·" -PERMIT INSPECTION HliJORY REPORT (g$R2017-2468) ' , } j 0 , , , , °''""' ; Pcrmit•rypc: BLDG-Residential Application Date: 10/16/2017 10/16/2017 04/30/2018 Owne" TRUST GEMINI TRUST 10-11-89 Work Class: Reroof Status: Closed -Finaled Scheduled Date Actual Start Date Inspection Type Issue Date: Expiraticn Dato: IVR Numllor: 7001 Inspection No. Inspection Status Subdivision: PALISADES Address: 143 Sequoia Ave Carlsbad, CA 92008-4058 Primary Inspector Reinspection ----------------·----···--··--·····••·-·-------- 10/31/2017 10/31/2017 11/07/2017 11/07/2017 November 07, 2017 BLDG-15 Roof/ReRoof (Patio) BLDG-Final Inspection 039051-2017 039828-2017 Checklist Item BLDG-Structural Final Passed Andy Krogh Passed Andy Krogh COMMENTS Passed Yes Complete Complete Complete Page 1 of 1