HomeMy WebLinkAbout2813 UNICORNIO ST | 2817 UNICORNIO ST; ; CB031148; PermitCity of Carlsbad
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04-21-2003
1635 Faraday Av Carlsbad, CA 92008
Miscellaneous Permit Permit No: CB031148
Building Inspection Request Line (760) 602-2725
Job Address: 2813 UNICORNIO STCBAD
Permit Type: MISC Subtype: REROOF Status:
Parcel No: 2153602709 Lot#: 0 Applied:
Valuation: $6,327.00 Entered By:
Reference #: Plan Approved:
ISSUED
04/21 /2003
AMA
04/21/2003
04/21 /2003
Project Title:
Applicant:
HESCON HEIGHTS-5700 SF COMPOS!
2813 & 2817 UNICORNIO
Owner:
Issued:
Inspect Area:
EBERHARD BENTON ROOFING GRUBBS ELIZABETH A
3691 HANCOCK ST
SAN DIEGO CA 92110
619-291-6340
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
PERMIT FEE
2813 UNICORNIO ST
CARLSBAD CA 92009
Total Fees: $128.00 Total Payments To Date: $0.00
Inspector: jJy\
3240 04/21/03 0002 01
CGP
$128.00
$0.00
$0.00
$128.00
Balance Due:
Clearance:
$128.00
NOTICE: Please take NOTICE that aPll'oval of your project includes the "Imposition" of fees, dedications, reseivations, 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 seivice fees in connection with this project. NOR DOES IT APPLY to any
f whi h v r vi u I iv n N Tl E imilar !hi r I hi h h f limit ti n h I
02
128-00
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NO. C6 tJ ~ _/( L;f'
•CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. __________ _
Plan Ck. Deposit ----.,,.-....----
Validate~ B~. ~~
ECT INFORMATJON •
2't/3 UJV1c.c»r--v,o si.
Date ~4{j/@:-
Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units
Assessor's Parcel I Existing Use Proposed Use
lot Stories I of Bedrooms # of Bathrooms
I~ z. ...... i.1-1. 3 2,__
Name Address City State/Zip Telephone I Fax#
• AN ~ £s!nll•019",. 0 Agent fo r O Owner
L.a...,....e,v r...,,-~~¼T 3,11 A.Ncc»ck cA 12.11 o
Name • Address State/Zip . Telephone #
•
/-r.2!~l,,£..Jwt.1~!J.Z.-LJu.!.:...:..._---=~!::-~~=.:..:.=..:...=:---=.S..:..T •;__~~~--"-"--3oo..!'-"-::--'-==:=--'--_=..;~""'7""~;-=~'--'--Telephona #
(Sac. 7031. 5 Business and Professions Coda: 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 Contract~,· 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 basrs for the alleged
exemption Any violat~n of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). E /Qtr~r~ -l>•A.>To..., ·f; r $ tJ C "1 q l tl o I Cf -'i -14 o
Name City State/Zip Telephone #
State License I _7....:.......;;>;__17..:-.~_;_"2. __ _ License Class __ C __ --=3'--7,__ __ _ City Business License # _______ _
Designer Name
State License #
Address
~:;:;:;:;~;:;;;;:;::;::;;;:::::;;;;;=---·
City
. .
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
State/Zip Telephone
O 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 S: 'f ~l C fv /U 4 Policy No. ! (. ] 2 7 9 S" -2.DC>~ Expiration Date f -I --04
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS)
O 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 Hcura worker•' compenaatlon coverage la unlawful. and shall 1ubject an employer to criminal penalties and civil fines up to one hundred
thou11nd dollar• ($1 0,000), In addition to the coat of ompenaatlon, damages aa provided for In Section 3706 of the Labor code, Interest and attorney's fees.
SIGNATURE W, • DATE '1-21'-..Q 3
WN!'R-~i~~N_........,__ ----' .. 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
acid 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 Lawl.
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 / 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 numberl:
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
COMPLETE THIS SECTION FOR:,_:N::::O:::N=:-R:::E=:Sl:::'D:-:::EN:-T/.:-'4!-B_U_I_LD-;-IN:::G-:;;:PE:::R:-M:-1-:TS:--ON-::L::-Y----:;:--:----;:-
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 25506, 25533 or 25534 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? O 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. CQ._NSTRUCTION LENDING 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 NAME _____________ _ LENDER'S ADDRESS _________________________ _
~ -~ , APP!J.CANLCERT!FICATION
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 Stale laws relating to building construction. I hereby authorize representatives of the Cit\' 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 permit Issued by lhe 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 tlr " after the work is commenced for a period of 180day~s (Secti n 106.4.4 Uniform Building Code).
APPLIC/ ~·s SIGNATURE ~ e ~__:__ DATE 4 --z_ l -0 '3 • WHITE: File YELLOW: Applicant PINK: Finance
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOBADDRESS:lt,1-,CZ/'3 VlYloc:orAl~O 91 C&.t-l9\oJ, ~tic::r-zeo,
2. TYPE OF BUILDING: RESIDENTIAL ">< COMMERCIAL "--...;
3. ROOF SLOPE: RISE '1 / l.. inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) (D 2 3
5. TYPE OF EXISTING ROOF COVERING 5'1. .. 1:(a.S SHEATHING Sol:J..
*6. NEW ROOF MATERIAL Sk~.N~\e:5 CLASS..A__WEIGHT PER SQUARE ~ '-4 'SI b
7. -NUMBER OF SQUARES '3 '{ 16. S7 .
8. TRADE NAME cl\:... lO •:/& MANUFACTURER_~_( l(. ___ ~
9. ROOF SYSTEM LISTING UL No. 3 9' I S' ICBO No. -------!.
1 O. IS THE EXISTING STRUCTURAL DESJG~CIENT 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 instalf new roof covering:
2. Final Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for
inspection.
Signature ~ P. 4)+ Date 4 -21-0 .3
ContractorJC Owner ____ Contractor Narrie EB~~,.J. -BeN,CYU
*6 • Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, f!.«>F:#4,;(
Other.
City of Carlsbad Bldg Inspection Request
For: 05/23/2003
Permit# CB031148
Title: HESCON HEIGHTS-5700 SF COMPOSI
Description: 2813 & 2817 UNICORNIO
Type: MISC Sub Type: REROOF
Job Address:
Suite:
Location:
2813 UNICORNIO ST
Lot 0
APPLICANT EBERHARD BENTON ROOFING
Owner: GRUBBS ELIZABETH A
Remarks:
Total Time:
CD Description
19 Final Structural
k Comment
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments
Inspector Assignment: JM ---
Phone: 6197198135
Inspector: ----
Requested By: LOREN
Entered By: KAREN
05/09/2003 15 Roof/Reroof
05/07/2003 15 Roof/Reroof
AP JM OK TO COVER 2813
PA JM OK TO COVER 2817