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HomeMy WebLinkAbout2733 UNICORNIO ST; ; CB013398; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-30-2001 Miscellaneous Permit Permit No:CB013398 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: 2733 UNICORNIO ST CBAD MISC Subtype: 2153501300 Lot #: $2,708.00 LEFF RESIDENCE 28 SQUARES OF COMP REROOF REROOF 0 Owner: ENGINEERED ROOFING INC LEFF RAE M Status: ISSUED Applied: 10/30/2001 Entered By: MOP Plan Approved: 10/30/2001 Issued: 10/30/2001 Inspect Afr25 10/30/01 0002 01 CGP 1526 VALENCIA ST 92054 760 822-1878 2733 UNICORNIO ST CARLSBAD CA 92009 Total Fees: $77.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOT AL PERMIT FEES Inspector: Total Payments To Date: $0.00 PERMIT FINAL APPROVAL Date: II/;> /4 t l Balance Due: Clearance: $77.00 $0.00 $0.00 $77.00 $77.00 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 capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. .., .... , \ \ 77 ,0() FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO .. ____ _ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit _________ _ Validated By __________ _ Date. ______________ _ 1. PRQJECT INFORMATION __. Z 7 3s Lln:corai,. s;,t Address (include Bldg/Suite #) Business Name (at this address} Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use 2<[© 2 Proposed Use 3 z Shat T«::,::ctCc C>')\p re1i;, [ Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON (if different from applicant} Name Address City State/Zip Telephone# Fax# 3. APPLICANT li2] Contractor O Agent for Contractor O Owner O Agent for Owner Name Address City State/Zip Telephone# 4. PROPERTY OWNER J6.f,i,,c. J-1, Ide b,.a.,cl Address UO IC o \'.)lo St Name City State/Zip Telephone# 5. CONTRACTOR • 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 violatio?-9f Section 7031.5 by any applicant for a pern:'it subjects the applicant to a civil penalty of not more than five hundred dollars [$500)). £n5111«c1Tl t'<1k_s :r:. /SU \kl.uc,c,H 0.s,d, Cs. 0,2o~1 7<,o 7S'-l9J'JQ Name Address City State/Zip Tele hone # State License# 7L/'2918' License Class C s9 City Business License #'£.,;.,Q,~~--4-~ Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 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. O 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 5±5 k fu,.. rl Policy No. 6 0 I 3 (s-·-O ~ Q I Expiration Date ______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 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' compensation coverage Is unlawful, and 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, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE.________________________________ DATE _________ _ 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O 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). O 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. 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 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 (include name I 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-RESIDENTIAL BUILDING PERMITS 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 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 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 site7 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 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(i} Civil Code}. LENDER'S NAME ______________ _ LENDER'S ADDRESS ________________________ _ 9. APPLICANT CERTIFICATION I certify that I have read the application and state that the above information is correct and that t he 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 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 alter lhe work is com for a p I o 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE; File YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOBADDRESS: Z7s3 C)h,Co<o 5± 2. TYPE OF BUILDING: RESIDENTIAL :X 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 COVERING S~t:.t, SHEATHING S°Ki'o *6. NEW ROOF MATERIALC mp CLASS~WE.IGHT PER SQ~ARE 7. -NUMBER OF SQUARES~2~'.?'.--~ 8. TRADE NAME _______ MANUFACTURER_[ ___ I_._K,.____ __ ~ 9. ROOF SYSTEM LISTING UL No. ____ lCBO No. ____ ----:. 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 instalfnew roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signature C:.Q<.o ~ Date /O-]0-0 .) Contractor )l Owner ____ Contractor Nan,e CL,.s ~r:±o<, *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 11/09/2001 Permit# CB013398 Title: LEFF RESIDENCE Description: 28 SQUARES OF COMP REROOF Type: MISC Sub Type: REROOF Job Address: Suite: Location: 2733 UNICORNIO ST Lot 0 APPLICANT ENGINEERED ROOFING INC Owner: LEFF RAE M Remarks: Total Time: CD Description Act Comments Inspector Assignment: PD --- Phone: 7608221878 Inspector: __ ::;..J-~ 11 Requested By: CHRIS Entered By: CHRISTINE 19 Final Structural /£_ ______ _ Associated PCRs Inspection History Date Description 11/05/2001 13 Shear Panels/HD's 11/05/2001 15 Roof/Reroof Act lnsp Comments WC PD AP PD