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Home My WebLink About1011 TULIP WAY; ; CB032204; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-08-20<13 Miscellaneous Permit Permit No: CB032204 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: 1011 TULIP WY CBAD MISC Subtype: REROOF 2144022200 $10,397.00 GARMAN RES 3700 SF REROOF WD SHAKE TO LT WT CON TILE Lot#: 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: PENDING 08/08/2003 SB SECURE ROOF INC GARMAN STEPHEN L&EUGENIE 7356 TRADE ST SAN DIEGO CA 92121 800 338-6868 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $179.00 Inspector: 1011 TULIP WAY CARLSBAD CA 92009 PERMIT FEE Total Payments To Date: $0.00 $179.00 $0.00 $0.00 $179.00 Balance Due: $179.00 1516 08/08/03 0002 01 02 Clearance: NOTICE: Please take NOTICE that approval of your project includes the 'lmpos~ion' 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 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. C §~ 2.c.()'/ EST. VAL. lt2S'i 7 CITY OP"CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units S.F.D. Assessor's Parcel # Existing Use Proposed Use #of Stories # of Bedrooms # of Bathrooms Name Address OAgen te>tl Address City City State/Zip Telephone# Fax# Telephone# State/Zip Telephone# (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 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 the Business and Professions Code) or that he Is exempt therefrom, and the basis for the alleged exem tion. Any viol tion of Section 7031.5 by any plicant for a permit subjects the apVli;aJ't to a_,ajvil penalty of n~ more than five hundred dollars ($500b :J..r;jfi &'/J ~ £'c.~ci,dr l-a 9.Z O J<.'-1 b , 5'16 -~:Z.'ii -, License Class -~{;~3-~9 ____ _ City State/Zip Telephone # City Business License# / 2. / 56.fi 3 Designer Name Address City State/Zip Telephone State License # _________ _ 8, WORKERS' CQMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: ~/ Insurance Company STA 1£ r(,/1'} D Policy No. ~ 8 5 I J.( 11 b O 3 Expiration Date O I O I O 7 (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' compenHtlon coverage Is unlawful, and shall subject an employer to crlmlnal penaltlaa and clvll fines up to one hundred thousand dollars 100,000), I ii Ion to the coat of compensation, damages aa provided for In Section 3706 of tha Labor coda, Interest and attomay'a faaa. SIGNATURE • 'A) DATE -=t')c-x~'---::0;;;,"'9 __ 07 ::5_--:..---,,........,,... . ..,,.....--....., rt. OWNER I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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). 0 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). 0 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. O YES ONO 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 number / 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 number/ 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 number / type of work): ________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ _ DATE _________ _ COMPLETE THIS SECTION FOR NON-RESIDEN11AL BUILDIN0 PERMITS ON 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 26605, 26533 or 26534 of the Presley-Tanner Hazardous Substance Account Act? 0 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? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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. 8. CONSTRUCTION LENDIN0 AGENCY I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S ADDRESS LENDER'S NAME ______________ _ ----------------------------9. APPLICANT CERTIFICATION I certify that I have read the application and state that the above Information is correct and 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 representatives of the Citt 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 permll issued by the building Official under lhe 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 lrom the date of such permit or if the building or work authorized by such permit Is suspended or abandoned at any tir <J after the work is commen for a period of 1 d ys (Section 106.4.4 Uniform Building Code). DATE ()JS 06' 03 PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: /()// ~ ul9cr Girt✓ G 92009 2. TYPE OF BUILDING: RESIDENTIAL St-P COMMERCIAL ------a. 3. ROOF SLOPE: RISE 1/ inches in 12 Inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) c) 2 3 5. TYPE OF EXISTING ROOF COVERINGoG{~ SHEATHING __ ---" *6. NEW ROOF MATERIAL L(J..£ CLASS 7fM.~EIGHT PER SQUARE 7. -NUMBER OF SQUARES .3 7 gf . • 8. TRADE NAME &dq,,,-asq MANUFACTURER C~ ft n: 9. ROOF SYSTEM LISTING UL No. . ICBO No. ~660 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? NO All roof coverings are required to be CLASS A. CombLrStible roof coverings of any type or classification are prohibited. I understand the following inspections are required: ,-.,-, 1. Tear Off/Pre-inspection prior to instalfnew roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signature 49f1 P~ Date 06 08' e>.3 )6!1111- Contractor >4 Owner ____ Contractor Naf!le £c u.,,U ;f ~ *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. -• • City of Carlsbad Bldg Inspection Request . . Permit# CB032204 For: 08/27/2003 Title: GARMAN RES 3700 SF REROOF Description: WD SHAKE TO LT WT CON TILE Type: MISC Sub Type: REROOF Job Address: 1011 TULIPWY Suite: Lot 0 Location: APPLICANT SECURE ROOF INC Owner: GARMAN STEPHEN L&EUGENIE Remarks: Total Time: Inspector Assignment: JM --- Phone: 7605460254 Inspector: ~ Requested By: BECKY Entered By: CHRISTINE CD Description 19 Final Structural &vvl ~~ Com:?:t ~ /11Jl Y'!Ld,M~ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments 08/13/2003 15 Roof/Reroof AP JM OK TO COVER