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Home My WebLink About2779 SOUTHAMPTON RD; ; CB163630; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-23-2016 Miscellaneous Permit Permit No: CB163630 Building Inspection Request Line (760) 602-2725 Job Address: 2779 SOUTHAMPTON RD CBAD Permit Type: MISC Subtype: REROOF Status: Parcel No: 2081401900 Lot#: 0 Applied: Valuation: $0.00 Reference #: PC#: Project Title: OKAMURA: 2000 SF COMP SHINGLE TO ASPHALT SHINGLES Applicant: MARK ANTHONY CONSTRUCTION PO BOX 1434 VISTA CA 92085 760-803-7534 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PEMRIT FEE Entered By: Plan Approved: Issued: Inspect Area: Owner: OKAMURA FAMILY TRUST 06-26-89 2779 SOUTHAMPTON RD CARLSBAD CA 92010 ISSUED 09/2312016 JMA 09/23/2016 09/2312016 $106.00 $0.00 $0.00 $106.00 Total Fees: $106.00 Total Payments To Date: $0.00 Balance Due: Inspector: FINAL APPROVfL Date: f-lf~/ Clearance: $106.00 I\KJTICE: Aease la<e CE Iha "W(>la cJ )OJ" prcjed irduies tt-e "lnµstiorl' cJ 1-, de::l~cro, resEIMECTO, er ctt-er exa::ticns hereata" cdlectively ref"'8d lo as 'Yees'exa::ticro," Yru re,e 00 da;s frcm tt-e date tns pemit ""5 issued lo prdest irrpcoition cJ these fees'exa::ticns. If )00 prdest !tan )00 m.st fdlo,,tt-e prdest prcx:ecl.res set forth in G:>.<mra-1 Qxle Section OOJ20(a), a-d file tt-e prdest a-d anyctt-er reqjred infamiion wth tt-e aty ,.,,..,._fer ~rg h,amda a,wth Calsboo M.ridpa QxleSedion 3.32Cl30. Falcretotirrayfdlo,,tha prorlrewll t,,r anysubsaµrl leg,i "'"on toatta:l<. re.liew, sEi aside, vcid, a €IT'U their ir,in;ition. Yru ae t-ereby FlRT1-ER I\KJTIRED ti-at )OJ" ri\tl lo prdest tt-e specified fees'exa::ticns 0CES 001' Af'A._ Y tov.aer a-d S£Mef oonnection fees a-d ~ ~ ncr ~annrg, zo-irg g-a::lrg er ctt-er sinila-,wi~on ~rg er ,.,,,;oe fees in oomedon wth tns prcjed. ~ OCES IT AA'L Y to any f v-.ti . a ·1111a-t v-.tich lini THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMATIAPCD Ccityof Building Permit Application Plan Check No. r-:-',/ b-3t~ ~/) 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. !)epo! t email: building@carlsbadca.gov www.carlsbadca.gov Date r/Fi.7, I 'h JswPPP JOB ADDRESS SUITEI/SPACEI/UNITf l;"os -14b -'\ 'f -oc..) < ... v~,....J...I\ ,1,-,7~ CT/PROJECT# LOT# 11HASE # I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Rt.~ , , ..,n,_ ---'. It c .. ~ ---1, •• rl.,--1..,. ,._A ... ~I --··· ., ' -!.---<7\.l o~J ... L ,.1 • I I -' I ' .1,, __ le~ - EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS v,so,_ N<O v,s □No0 YESONoD APPLICANT NAME Ar\ Primary Contact ,..._ ... A IL .• PROPERTY~!!~--__ oc~,...,, .... ADDRESS • ADDRESS 1$1 N • t'u.~c .s,{ • >u,.l . ( ').77'1 >ov\-L..--1-. • CITY CTAE ZIP CITY • cl\ ZIP 5,,.._ /'14t,,,s (.Zo6"1 G..,. l ._\.. _, q 1ol b PHONE IFAX PHONE IFAX 'Jt,o.J go,-0'6 'd'f ,,..., 11.58-7'J")-.l!'Jo ~ EMAIL -EMAIL - DESIGN PROFESSIONAL CONTRACTOR ks. AMl-L. /' ..,._ A. """" ..... , • J... R.,'tl. ~ .. , ADDRESS ADOREt:1 s ' h. ,.,.,,,;f.c S(, .> .. ;.J.c. C CITY STATE ZIP CITY~ ft.,......_~, c'A z1'~ 0 6 if PHONE IFAX PHONE I FAX if,oJ fo)· 7S'3'1 r EMAIL l::.MAIL ,- I STATE LIC. # STATE UC.# 1:~s c-~ IC'1YBUSl~3 s 11'~ 't('U1'1' (Sec. 7031.5 Business and Professions Code; Any City or Coun_ty 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 signed statement that he 1s licensed pursuant to the provisions of the Contractor's License Law JChapter 9, comme_nding with Section 7000 of Division 3 of the Business and Professions Code) or that he rs exempt 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 civil penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of pe,jury one of the following declarations: □ 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, ~ I have and will maintain workers'l:C_satlon, as required by Section 3700 of the Labor Code, for the performance of the work for wtlich this permit is issued. My workers' compensation insurance carrier and policy nombecara:lasocaaceCo S Fv.J.. PolicyNo. (P'fSSSJ•{& Expicatkm □a• '-lf/f/2!>17 This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 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, damages as vlded for in Section 3706 of the Labor code, interest and attorney's fees . .M5 CONTRACTOR SIGNATURE 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 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 wtlo 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). 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement. OYes ONo 2. I (have/ have not) signed an application for a building pennit for the proposed work. 3, I have contracted with the following person (firm) to provide the proposed construction (include name address I 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/ address/ phone/ type of work): 2$ PROPERTY OWNER SIGNATURE □AGENT DATE ,2.olt. COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the ap~~nl or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sedans 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? O 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? O Yes □ No Is 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 ANO THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the application and state that the above information is conectand that the lnfonnation on the plans Is accurate. I agree tD comply with all City ordinances and State lav.s relating tD building construction. I hereby authorize representative of the City of Carlsbad to enterup:m the aOOve mentioned property br inspectkln purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD A<?AINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AG.AJNST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA: M OSHA permit is required for excavations over 5'0' deep and demolition or (X)llslructKX'I of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Offcial under the proviskJns of this Code shall expire by limitation and become null and vod i the buikling orv.orl<. authorized by sucl1 permit is not commenced 'Mlhin 100 days from the date ofsudl permit or if the building orv.ork authorized by sudl permit is suspended or abandoned at any lime after the w:irk is commenced for a perhl of 180 days (Secoon 100.4.4 Uniform Building Code), .65 APPLICANT'S SIGNATURE ~ 16 • STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CONTACT NAME ADDRESS CITY STATE PHONE FAX EMAIL DELIVERY OP110NS PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) ZIP MAIL/ FAX TO OTHER: _______________ _ A$ APPLICANT'S SIGNATURE CO#: (Office Use Only) OCCUPANT NAME BUILDING ADDRESS CITY STATE Carlsbad CA OCCUPANT'S BUS. LIC. No. o ASSOCIATEDCB#------------- 0 NO CHANGE IN USE/ NO CONSTRUCTION □ CHANGE OF USE/ NO CONSTRUCTION DATE ZIP 8-10 REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESS:~2~7~7f~_S~ov-!~L~""f--1"-'--i-~ _________ _ 2. TYPE OF BUILDING: RESIDENTIAL. __ '7.__ COMMERCIAL. ___ _ 3. ROOF SLOPE: RISE {5 INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE)c.1> 2 3 5. TYPE OF EXISTING ROOF COVERING ______ SHEATHING_P __ *6. NEW ROOF MATERIAL ¾,!...IJ../C,,.-1, CLASS 6 WEIGHT PER SQ. ~So 7. NUMBER OF SQUARES 2 I ~'-------- 8. TRADE NAME A'l~J...U....C.,..1o JL-,;~l~fu!ANUFACTURER __ C-_f\_F _____ _ 9. ROOF SYSTEM LISTING: UL NO. ~ Jl/b I.C.C.E.S. Report# t,s ~-l"17..S ASTM °011> e 1 O. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? c:::::::rss 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 /4 Contractor Y Owner Contractor --------- Name Al-et ,A,.U;,0 ~' *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other Page 6 of6 Rev. 04/14 lns·pection List Permit#: CB163630 Date Inspection Item .. 09/29/2016 19 Final Structural 09/29/2016 19 Final Structural 09/26/2016 15 Roof/Reroof 09/26/2016 15 Roof/Reroof Thursday, September 29, 2016 Type: MISC REROOF Inspector Act RI JW AP RI JW AP OKAMURA: 2000 SF COMP SHINGLE TO ASPHALT SHINGLES Comments 11-1 Page 1 of 1