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Home My WebLink About2723 SOUTHAMPTON RD; ; CB111300; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-15-2011 Miscellaneous Permit Permit No: CB111300 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2723 SOUTHAMPTON RD CBAD MISC Subtype: 2081540500 Lot#: $2,867.00 HARTLEY RES-2100 SF COMPOSITI REROOF 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/15/2011 RMA 06/15/2011 06/15/2011 JLM ROOFING HARTLEY RENATA A REVOCABLE TRUST 12-12-91 18449 LA CANADA CT 92316 951 605-6386 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES 2723 SOUTHAMPTON RD CARLSBAD CA 92010 PERMIT FEE Total Fees: $91.00 Total Payments To Date: $91.00 Balance Due: Inspector: t:1'.i ~ FINAL APPROVAL Date: Cb}-zi/ t/ Clearance: $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 '1ees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. II 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 lees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been □iven a NOTICE similar to this_ or as to which the statute of limitations has oreviou"'I" otherwise exoired. ,</~!;,;. '-,:'\ ... ' ~ CITY OF CARLSBAD JOB ADDRESS '2-TZ- Building Permit Application 1635 Faraday Ave., Garlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www.carlsba_dca.gov SUITE#/SPACE#/U Plan Check No. Est. Value Plan Ck. Deposit SWPP CT/PROJECT# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP I Square Feet of Affected Area(s) I D_ESCRIPTION OF W':)RK: . Tenc o tG siA,4:){ · <Oc.ueu'.) (0r11.h-19 ' . EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE vcsB'llL AIR CONDITIONING YES □ NO}'( FIRE SPRINKLERS YES O NO □ /4 FAX ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE LIC.# CLASS 6- (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 iss e, also requires he app_l1cant for such per_mit to file a signed statement that he 1s \1censed pursuant to the prov1s1ons of the Contractor's License Law {Chapter 9, commending with Sect n 000 of D1v1sion 3 of the Business and Professions Code) or fhat he 1s exempt therefrom, and the basis for the alleged exemptmn. Any v1olat1on 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 Declaration: I hereiY/ affirm under penally of pe,jlfY one of the following declarab·ons: ~ 1 ~nd will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 ofthe Labor Code, for the performance of the work for which this. permit is issued p-1nave and will maintain workers' mpen ation, as d by S lion 3700 al the Labor Code, for the performance of the ~rk for Whfh this permit 1s issued. My workers· compensat1 in ur ca number are: Insurance Co. . , Policy No. /'5'24. 2;7 b_ Expiration Date er and policy This section need not be completed if the permit is for one hundred dollars ($100) or less, □ 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 mariner so as to become subject to the Workers' Compensation Laws of California WARNING: Failure to secure wo rs' compe ation coverage is unlawful, an 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, dam a d for in S cti 37 of the La r code, interest and attorney's fees. ~ 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 who does such wor!( 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 ptan to provide the major labor and materials for construction of the proposed property improvement □ Yes □ No I (have I 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 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 I 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 I phone I type of work): ~ PROPERTY OWNER SIGNATURE □AGENT 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 Ille Presley-Tanner Hazardous Substance Account Act? D Yes D No Is the applicant or future building occupant required to obtain a permit from the air pollution control dstrict or air quality management district? □ Yes D 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 AND THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the application and state that the above infonnation is correct and that the infonnation on the plans is accurate. I agree to comply with all Cify ordinances and State laws relating to building construction. I hereby authorize representaUve of the City of Carlsbad to enter upon the above mentioned property for ins~n purpJses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUD3MENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: kl OSHA ~ITTlit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height EXPIRATION: Every peITTlit issued by the Buik:li g Offcial under the provisions of this Code shall expire by limitation and become null and void if the b'Jik:ling or v.ork auth:Jrized O,' such peITTlit is not commenced Wthin 1 BO days from the date of sudl peITT1it or if the uilding or r. authorized by sudliITTlit is sus~nded or abandoned at any lime after the v.ork is commenced for a peood of 180days (Section 100.4.4 UnifoITTl Building Code) ,@S' APPLICANT'S SIGNATURE ..._A {, l, L~ DATE ( J-I B-10 REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOBADDRESs:;2723 Sa,1+b0Mpto1;1 Rt) 2. TYPE OF BUILDING: RESIDENTIAL ~ COMMERCIAL ---- 3. ROOF SLOPE: RISE /(}---INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) (9 2 3 5. TYPE OF EXISTING ROOF COVERING Cc2t0p, SHEATHING SoU d *6. NEW ROOF MATERIALQwevz.s Com1t19 CLASS ,9 WEIGHT PER SQ.2./O 7. NUMBER OF SQUARES_2,,,,· ..,_/ ____ _ B. TRADE NAMEllwcv1s Cot n~½Cj 9. ROOF SYSTEM LISTING: MANUFACTURER rfh k d'efc,e_ . J UL NO. ______ 1.C.C.E.S. Report# ______ _ ASTM _____ _ 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? (Y~~) 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 f~ Ji._ .:l ( ( d ___ _ Contractor .J L::M noofi ,Owner ~ . (__~c,_ntra~~ Name lase I v,s fG(a1fsco , • *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other Page 4 of 4 Rev. 02/11 City of Carlsbad Bldg Inspection Request For 06/20/2011 Permit# CB111300 Title: HARTLEY RES-2100 SF COMPOSITI Description: Type:MISC Sub Type: REROOF Job Address: 2723 SOUTHAMPTON RD Suite: Lot: 0 Location: APPLICANT JLM ROOFING Inspector Assignment: MC --- Phone: 9518056386 Inspector: -~f"'.1?~-- Owner: HARTLEY RENATA A REVOCABLE TRUST 12-12-91 Remarks: Total Time: CD Description Act Comments 19 Final Structural Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments Requested By: NA Entered By: JANEAN 0611612011 15 Roof/Reroof PA MC EXISTING SHEATING OK