HomeMy WebLinkAbout1742 SORREL CT; ; CB152568; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
08-11-2015 Miscellaneous Permit Permit No: CB152568
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
1742 SORREL CT CBAD
MISC
2155161500
$2,127.00
Subtype: REROOF Status:
Lot#: 0 Applied:
Entered By:
Reference #: Plan Approved:
PC#:
Project Title: ELPERS RES-RE-ROOF-1300 SF
COMPOSITION
Applicant: Owner:
D'ANDREA ROOFING DOMIS ASHLEY K
2838 HILLSBORO CT
CARLSBAD, CA 92010
619-434-6921
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees:
Inspector:
$91.00
PERMIT FEE
17 42 SORREL CT
CARLSBAD CA 92011
Total Payments To Da_te: $91.00
FINALAPPROVJ
Date: 3 ...,/fl-I
Issued:
Inspect Area:
Balance Due:
Clearance:
ISSUED
08/11/2015
RMA
08/11/2015
08/11/2015
$91.00
$0.00
$0.00
$91.00
$0,00
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 is.sued 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
f tute of !imitati n has r
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMATIAPCD
Ccicyof Building Permit Application Plan Check No. 1A I c;).5iJ>
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value /J. / "~7 T7
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit
,
email: building@carlsbadca.gov IP C'J www.carlsbadca.gov Date ? J ,t It C-lswPPP
JOB ADDRESS /" I SUITEt/SPACEI/UNITt
',u 2. "',,b"Yv-c I
CT/PROJECT#
1
LOT# rHA.5£ # # OF UNITS l # BEOROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
EXISTING USE I PROPOSED USE 1GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE
YES[],
. IAIR CONOITION1NG !FIRE SPRINKLERS
•<DI YES0No0 YESONoO
APPLICANT NAME D
Primary Contact \ A'-tC.
ADDRESS
CITY ( e.v /s-b 4 c.f
PHONE
EMAIL
STATE cl).
I FAX
PROPERTY OWNER
.
CITY STATE ZIP
PHONE IFAX
EMAIL
DESIGN PROFESSIONAL coNTRACToR Bus. NAME .-... 'A _ 1 .n r I ~ \'Ir.AV<" L. 1-< 00-, ; "' c.
ADDRESS ADDRESS eo. '3,i,r ,or-I re.., lske,.f -
CITY STATE ZIP CITY ,-/ J .J STAT'( ZIP ~ r ... v·r,:,4~ c:., tfzoP•·
PHONE IFAX
EMAIL
STAT£ LIC. #
PHONE l'AX 7AO-7s7-37'l-z. <;c,~<-
EMAIL
STATELIC# .5'F65'~ S-l'CLASS (-J4
(Sec, 7031.5 Business and P_rofess1ons Code: Any City or Coun_ty whtch reciu1res a permit to_c_onstruct, alter, improve, demolish or repair any structure, 1mor to its issuance, also requires the applicant for such per_m1t to file a signed statement that he 1s hcensed pursuant to the prov1s1ons of the Contractor's License Law {Chapter 9, comme_ndmg with Section 7000 of Division 3 of the 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 a
civil penalty of not more than five hundred dollars {$500)).
WORKERS' COMPENSATION
Workers' Compensation Declaration: / hereby affirm und61 penalty of perjury one of the following declarations: D 1)4\'e and wlll 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.
~ have aad wm malotalo workers' ccpen~. as raj!Wil8d bv Seo'J' 3700 of the Labo, Code, fo, the pertom,aoce of the work lo, which this oe,mit • lss,.,. My wo,kera' compeosatlon los,raoc~r'ri" •~'!,POiiey
""mbe, ara, los,raoce Co S / ~ 1: f:v " C Polley No. Q/b(,.. Cf I f 4 -I ? &plratioo Date I./ -I, -IC.
~section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the worll for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California, WARNING: Fallure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damages as provl for in Section 3701jof the Labor c e, interest and attorney's fees,
,1$ 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 worll 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). □
□
□
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 _____ B,usiness and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes 0No
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 I phoM / contractors' license number)
4. \ plan to provide portions of the worll, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone I 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 I phone I type of work):
,65 PROPERTY OWNER SIGNATURE □AGENT DATE
'
COMPLETE THIS SECTION FOR NON•RESIDENTIAL BUILDING PERMITS ONLY
Is the a'pplicant 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 Ac'(! Yes No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air qual~ management district? Yes No
ls the facility to be constructed within 1,000 feet of the outel' 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 certify that I have read the application and state that the above lntmnation is conectand that the lnbnnatlon on the plans Is accurate. I agree to <Xlfl1ply~ all Chy ordinances and State laws relating ID bulltlng construcllon.
l hereby authorize re~tative of the City of Carlsbad b enteruix,n lhe aOOve mentioned property br i~ ~rposes. I ALSO AGREE TO SAVE, INDEMNIFY .AND KEEP HARMLESS THE CrTY OF CARLSBAD
AGAINST fil LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN Aff/ WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE Of THE GRANTING OF THIS PERMIT.
OSHA: kl OSHA permit is required for excavations over 5'0' deep and delllolitbn Of coostruction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Buik:ling Offk:ial under the proviskms of this Code shall expire by limitation and become nuU and vod l the buik:ling orw:irk authorized by sud1 permit is not commenced 'Mlhin
180 days from the dale of such permit or if the Wik:ling orw:irk authorized by sud1 permit is suspended or abandoned at any time after the WJfk is CXll11menced bra period of 180 days (Sectkln 106.4.4 Uniform Buik:ling Ccxle).
,.S APPLICANT'S SIGNATURE DATE
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.
CO#: (Office U11e Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY
Carlsbad
STATE
CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL TO: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
OCCUPANT (Listed above)
MAIL/ FAX TO OTHER: _______________ _
A! APPLICANT'S SIGNATURE
ASSOCIATED CB#•~-----------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
B-10
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
1. JOB ADDRESS: I 7l-/ 2. S'o--V y I." I 1 k I)_ Y\ e,__
2. TYPE OF BUILDING: RESIDENTIAL ~ COMMERCIAL __ _
3. ROOF SLOPE: RISE '(5 INCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 0 2 3
5. TYPE OF EXISTING ROOF COVERltJG (on f SHEATHING f (~(!JU cJ
*6. NEW ROOF MATERIAL (&>-1f CLAss_A__wEIGHT PER SQ. 240
7. NUMBER OF SQUARES_----=-/='.3 __ _
8. TRADENAME __ C~·~ __ f __ MANUFACTURER
9. ROOF SYSTEM LISTING:
UL NO. _____ I.C.C.E.S. Report# _____ _
ASTM 034& z._
10. IS THE EXISTING STRUC~L DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE
PROPOSED ROOF? Q'.g} 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 /J,/// L2 h,/ . ..
Contractor V Owner ____ Contractor
Name ----------
---Date rf-I I -15
*6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other
Page 4 of 4 Rev. 02/11
Inspection List
Penn it#: CB152568
Date lnsper:li<>_n Item
08/13/2015 15 Roof/Reroof
Thursday, March 10, 2016
Type: MISC REROOF
_ ____ Inspector Act
PB AP
ELPERS RES-RE-ROOF-1300 SF
COMPOSITION
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