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HomeMy WebLinkAbout2433 UNICORNIO ST; ; CB041388; PermitCity of Carlsbad 1635 Farad ay Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB041388 Building Inspection Requ est Line (760) 602-2725 Job Address: 2435 UNICORNIO ST CBAD Permit Type: MISC Subtype: REROOF Status: Parcel No: 2152501700 Lot #: 0 Applied: Valuation: $3,330.00 Entered By: Reference #: Plan Approved: ISSUED 04/26/2004 SB 04/26/2004 04/26/2004 Project Title: BOWMAN RES 3000 SF REROOF WO SHAKE TO COMP SHINGLE Applicant: Owner: BOWMAN BRADFORD R&JACKIE M REVOCABLE LIVING TRUS BOWMAN BRADFORD R&JACKIE M REVOCABLE LIVING TRUS 2435 UNICORNIO ST CARLSBAD CA 92009 2435 UNICORNIO ST CARLSBAD CA 92009 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOT AL PERMIT FEES Total Fees: $89.00 Inspector: PERMIT FEE Total Payments To Date: $0 .00 Issued: Inspect Area: $89.00 $0.00 $0.00 $89.00 Balance Due: $89.00 0745 04/26/'.),, :)0 )2 ,1. Clearance: _____ _ 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 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 :: PERMIT APPLICATION CITY QF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ~ PLAN CHECK No.(Gbv[JS ~~ EST. VAL. _5'_-=~=--....;;,'S_CU __ ubdivision Name/Number Unit No. Phase No. Total # of units Assespr s ,'{r,:_e Existing Use r,.l:Tw()F-,3c?oo J Proposed Use # of t,ooms # of Bathrooms Name 3. ~CAE O Co11traptor ' du.JII\fl:!./: Address City Q,Agent for Contractor ~r O Agent for Owner • .;2 'B 5: f&JC(P.R,Nlt>. c;'T C$4<Ql/ltl) Address < City Fax# Name State/Zip Telephone# 4. Name Address City S.tate/Zip Telephone# JL CONTRACTOfl • COMPANY NAME (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 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 1$5001). Name Address City State/Zip Telephone# State license # _________ _ license Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 6. WOijKERS' 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. 0 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______________________ Policy No. ____________ _ Expiration Date _______ _ ON 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 manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage la unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollar $100, 0), in a itlon to tha cost of compensation, damages as provided for In Section 3706 of the La or code, Interest and attorney's fees. SIGNATURE__,<Z...c:,c:..._,-,::;:.......::...._,L..%"'-'--'-"''--'c....:....--=----------------DATE --¥--'""""'=r-P--'----- 17. OWNER·BUILPE.R. DE.C~RA TIQN I her~affirm that I am exempt from the Contractor's License Law for the following reason: Ii)/' 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). D 1. 2. 3. I am exempt under Section ______ Business and Professions Code for this reason: / I personally plan to provide the major labor and materials for construction of the proposed property improvement. (!("YES ONO I ~ / have not) signed an application for a building permit for the proposed work. I ~ 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): __________ -fl __ ...,,.,,---rr-------------------------,-=-+------,f--------------- PROPERTY OWNER SIGNATURE ....1.cP~~-:::::..,is:z;ui~.!.!::::...::.:....:::=:: ________ _ (COMPLETE THIS SECTION FOR NON-RfSIPENTiAI,, Bl.1I1.!;!.JttO PE6_MITS Qt,IL Y 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 the Presley-Tanner Hazardous Substance Account Act? 0 YES -0 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 cbnstructed 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. i.8,.,,,,_ <,QNST!!UCIIQN L_ENQING 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(i) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS ________________________ _ j9, APPLICAN_T 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 LIABILITlES, 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 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 w1th1n 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 com ence r a period 180 days (Section 106.4.4 Uniform Building Code). ~0) APPLICANT'S SIGNATURE _ _t;za!;~:::,,._~:..__J;a:;LJll!.!.....ll....:...._____________ DATE Q ~ol( WHITE: File YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: cA~3t; UNJCCJW0S?; CIH<.ho/J/tl) 9:2.0C> 9 2. TYPE OF BUILDING: RESIDENTIAL ✓ COMMERCIAL ·--~ 3. ROOF SLOPE: RISE \'-L inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) (j) 2 3 5. TYPE OF EXISTING ROOF COVERINGSkBtE: SHEATHING /'ti, SIIJ?,J!/J *6. NEW ROOF MATERIALCOffi-P CLASS __ WEIGHT PER SQUARE 7. -NUMBER OF SQUARES 4£ s. TRADE NAME-~· ~vR . MANUFAcTuRER@L fwsllfiJ/£. 9. ROOF SYSTEM LISTING UL No. . ICBO No. J-!1., 'L'l/lf 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. Combustible roof coverings of any type or classification are prohibited. I understand the following inspections are required: -,-, ,··,· 1. Tear Off/Pre-inspection prior to instalt'new roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Contractor Owner Contractor Name ---_____....___ .. -------- *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 05/07/2004 Permit# CB041388 Title: BOWMAN RES 3000 SF REROOF Description: WO SHAKE TO COMP SHINGLE Type: MISC Sub Type: REROOF Job Address: 2435 UNICORNIO ST Suite: Lot 0 Location: Inspector Assignment: JM --- Phone: 6199212917 Inspector: APPLICANT BOWMAN BRADFORD R&JACKIE M REVOCABLE LIVING TR Owner: BOWMAN BRADFORD R&JACKIE M REVOCABLE LIVING TAUS Remarks: Total Time: CD Description 19 Final Structural Act Comment Requested By: BRAD Entered By: CHRISTINE ff_ _____ _ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments 04/30/2004 15 Roof/Reroof AP JM OK TO COVER