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HomeMy WebLinkAbout2479 UNICORNIO ST; ; CB061238; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-04-2006 Miscellaneous Permit Permit No: CB061238 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 2479 UNICORNIO ST CBAD MISC 2152600900 $3,528.00 Subtype: REROOF Status: Lot#: 0 Applied: Entered By: Reference #: Plan Approved: Project Title: ANDERSON RES: 2800 SF RE-ROOF Applicant: DILS ROOFING CO. 1089 LEUCADIA BL ENCINITAS, CA 92024 619-436-7588 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE Issued: Inspect Area : Owner: ANDERSSON BENGT-OLOV 2479 UNICORNIO ST CARLSBAD CA 92009 Total Fees: $89.00 Total Payments To Date: $89.00 Balance Due: FINAL AL ISSUED 05/04/2006 JMA 05/04/2006 05/04/2006 $89.00 $0.00 $0.00 $89.00 Inspector: Date: -.11:#--.L...:-l-.-4,,I.--Clearance: _____ _ $0.00 NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of ees, 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 f FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK No.©3Db J 2.3Y CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST . VAL. _________ _ Plan Ck. Deposit ________ _ Validated By_ ~=W\A Date ,51/ ZMl ii 1, PJlOJjCT INFOR~ TION '2. 47"1 cJ n i qpO! Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Proposed Use SO. FT. #of Stories # of Bedrooms # of Bathrooms 2. CQ1'T4._CT PEflSOt,I +fdlffer~t from applicant) ',et tcti+r"'" r Name Address City State/Zip Telephone# Fax# 3. APPLICANT D Contractor 8:Agent for Contractor 0 Owner D Agent for Owner (<.ev,'W\ E.-a hhol~ Name Address City State/Zip Telephone# 4. PROtERTY ~WNl;R 01 le An e"60n $"\fl( ~.) ,16b Name Address City S.tate/Zip Telephone# 6, CONTRACTOR • COMPANY NAM!; (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 exe'.11ption. Any violation of Section 7031.5 by any applicant for a permit su~cts the applicant to a civil penalty of not more than five hundred dollars ($5001). D, l,s Roof;-_, 'l 2 lD La /(\,'r-«J < II,, v,·~-h, 9'2.b g I (~) 5<>/-7~63 Name Address City State/Zip Telephone # State License # £'.?2 CJ' 6 J License Class C-'?,j City Business License # / / q 4:, .ff--s- Designer Name Address City State/Zip Telephone State License # _________ _ 8. WQR!(ERS' COMPENSATION 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. 18, 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 polifY r.umber are: Insurance Company A. 'f',·1:1/l(,ti1tt~\ L•a b I),~ Policy No. 01000 l7'1l>S -o, I Expiration Date I-J-o7 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS F~ 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 aecure workers' companaatlon coverage la unlawful, end shell subject an employer to criminal penalties end civil fines up to one hundred thousand dollars ($100,000), in addition to the coat of compansatlon, damages as provided for In Section 3706 of the Labor code, Interest end attorney's teas. SIGNATURE ~ ~ DATE S-1.f-04 7. OW.NEll·JIUl-.0.ER.DEC!ARATlm,t 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 contractorls) 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. 0 YES ONO 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person lfirm) to provide the proposed construction (include name I address I 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 linclude name I address I phone number 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 number / type of work):. _________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ _ DATE __________ _ C~I§ sicTION FOR NON~$1D~l,J!lfil,_QIN_O f~RMITS ONLY 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 26506, 26633 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occ;upant 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. CO STB~1!L£NPING AG C I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued !Sec. 3097(i) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS _________________________ _ 8.. -Affl.!CMLT J;fflffi~TIO_t,1 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 tor excavations over 5'0" deep and demolition or construction of structures 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 work authorized by such permit 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 work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE _.:.~_.,,,.,,,,•=----'~""-e.=-"-''---------------------DATE ----->,L.~_-_:4_-0..:....=.b ____ _ WHITE: File YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: 2 474 V rt iC1,tr1io ~. 2. TYPE OF BUILDING: RESIDENTIAL ,/ COMMERCIAL __ ~ 3. ROOF SLOPE: RISE 4 inches in 12 Inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) d) 2 3 5. TYPE OF EXISTING ROOF COVERING 6h"ke SHEATHING -Sk ,-P I *6. NEW ROOF MATERIAL co ... p sh,·..,~£LASS /t WEIGHT PER SQUARE 7. -NUMBER OF SQUARES __ 2..::;_Z __ _... 8. TRADE NAME 40 ... e11T' MANUFACTURER 0Y"'e,,, (0 n,·11-, . I 0 9. ROOF SYSTEM LISTING UL No. . ICBC No. f SR ,J~7< . 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 instalfnew roof covering. 2. Final Inspection I agree ~o provide a ladder extending at least 2 rungs above the roof for inspection. Signature )(gµ;, ~ Date 5-1-~ob Contractor_Lowner Contractor Name D/ls Roof.~'5-____ ,. 0 *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 05/12/2006 Permit# CB061238 Title: ANDERSON RES: 2800 SF RE-ROOF Description: Type: MISC Sub Type: REROOF Job Address: Suite: 2479 UNICORNIO ST Lot 0 Inspector Assignment: JM --- Phone: 7607276000 Location: Inspector: ----- OWNER ANDERSSON BENGT-OLOV Owner: ANDERSSON BENGT-OLOV Remarks: Total Time: CD Description 19 Final Structural ~Comment Requested By: CAROLINA Entered By: CHRISTINE ------- Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments 05/09/2006 15 Roof/Reroof AP JM OK TO COVER