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Home My WebLink About1715 VALLEY PL; ; CB042592; Permitv' 5\0 I f\ City of Carlsbad • (\' ~ Qo(5¥{ ~ 1635 Faraday Av Carlsbad, CA 92008 06-30~604 Miscellaneous Permit Permit No: CB042592 uilding Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 1715 VALLEY PL CBAD MISC 2050803400 $2,380.00 Subtype: REROOF Lot#: 0 DU BONA RES-REPLACE BLT-UP W/ NEW BLT-UP-20 SQRS (UL# R/21) Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/30/2004 KMT 06/30/2004 06/30/2004 Applicant: PIVA ROOFING, BOB LINTON BRIAN&DUBONA MARLEEN 1192 IN DUSTRIALAV ESCONDIDO, CA 92029 619-745-4700 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $77.00 Inspector: 1715 VALLEY PL CARLSBAD CA 92008 PERMIT FEE Total Payments To Date: $0.00 FINAL Date: .j._.i::::::.,.---=-~~-1- $77.00 $0.00 $0.00 $77.00 Balance Due: $77.00 5548 86/30704 W0.2 01 5552 06/30/04 0002 01 CGP 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 le • viousl been iven of limita ions has • • ired. 02 77.,)0 FOR OFFICE USE ONLY PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 PLAN CHECK NO. fYt}L/J.59 d--_ EST. VAL. dj3X:0 Plan Ck. Deposit ~ Validatel By _ Date(Q 3:)jo Business Name (at this address) Lot No. Subdivision Name/Number Unit No. Phase No, Total It of units Assessor's Parcel It Existing Use· Proposed Use It of Bedrooms It of Bathrooms Name Address ~•mmg~miintr.a:11~111im~m.t:9lft.\'.A\wt· I • • I Name ~ .. •,s•,~ ,.,. , .... ...,., .... ,.. . (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 ~lolatlon of Section 7031.5 by any applicant for a permit subjects the applicant to_ a civil pena_lty of not more than five hundred dollars ($500)). D Qx.b e;,,o. Ucna'ha:'.) \\.O\~ \':'.',Au.Stria,.\ e:SC!t2od,do CC\ 9,x,0-,2a., 7~0 7'-fS 'l,b Name Address City State/Zip • Telephone It State License It ~ \ ~'1 3 '8:: License Class C, 3 q, City Business Lic~ns~ It I a 6;::, / q X Designer Name Address City State/Zip Telephone State License It _________ _ fti.W.O:i'tREii~:rcoMPENSA 'fi6N~~l!l~~~/iii~'rfM~~~r'Ji.f~1:St-i'iJ[!f-{~1\,\'\i:,1;;;,,:;~~--~&-9~~I··: •~,.;f.t((,,f.i:m':t{·,,;~ 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 performanco 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: S · O -::l3 3 S,o ,1 , Insurance Company ~-\-o,..lrC,. Ew<\d_ . Policy No.~~ OO 1 Expiration Date ~.-/ .-6::, (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' com nsatlon coverage Is unlawful, and shall subject on employer to crlmlnal penalties ond civil fines up to ono hundred thousand dollars ($100,000) in ,addition to e cost rfompensatlon, damages as provided for In Section 3706 of the Labor ode, I tores nd attorney's fees. SIGNATURE • 'wcJ · DATE (R 0 tfm\'6WNER)~ufi:b'ER1'D~Cl!ARA'i'ib"~~' ··~ .... ~~r:[t~~:,!~ii;,',\~ii\'!'!!i:li;if./rtf'Y.~'.·rl'.')J1?r~'~~/rt~'.•.HI£?.¥.i:1g~N'i,';~ft~!tti[fit,,•'.( I horoby affirm that I om exempt from the Contra.ctor'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 ho 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 t~e 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 on 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 port ions 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 tho work indicated (include name / address / phone number / type of work): _________________________________________________________ _ PROPERTY OWNER SIGNATURE ----r--------------------------DATE _________ _ tc1:>JiP.n!:teiB/srs~QilP.1)!1[¢l.?iv.oM'fi~(.D.t@~!f@J~omGJ.aEJ'iMilsJ01i1;,vBSm•=1:~i;r~1sir~~t.i~~~t~i~!t~,~~i~"&µ~J~~:i(s~'·~. 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 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 bo 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, ~<;.QimJf[9]j;lP._1fl"C.1::"fffii@l.~~~ ' ' ' ,ll, m~~~~~l\W~~~~\'~;~;i~lu!~ti'l!i!)i}tliiii:t~i.{1~ttWtlit):f;,fv.it1f1:ti.~: I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 30970) Civil Code). )..ENDER'S NAME LENDER'S ADDRESS _________________________ _ fsMT~P.P.Clci;r:{flcE°j(riif(OCttoN' • • • , • ' , , R~f',.tllri,1t!~t~1l~IU~~~"mffl~~1!~~t.~:i~ I certify that I have read the application and state that tho 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 ~ullding construction, I hereby authorize representatives of tho Cit'{ of Carlsbad to enter upon the 11bove mentioned property· for Inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST LL LIABILITIES, JUDGMENTS, COSTS ,t\ND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS ERMIT. 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 o( this Code shall expire by limitation and become null and void ii th~ building or work authorized by such perr),it Is not commenced within 180 days from t dale of such permit or ii the building or work authorized by such permit is suspendled or abandoned at any time alter the work Is commenced tor a r#io~ of 180 days ction_ 1J74,4 Uniform Building Code), . ! , A APPLICANT'S SIGNATURE ......1~"-'<-=i.......:..:~=='---.>,_,...-::;..µe.c.:....,,'E::f/:::(/="_________ DATE 7/ J() /!!._ 7' l WHITE: Filo YELLOW: Applicant PINK: Finance <:W' 1£1, . ~Yr~" . . I City Of .Carlsbad SUPPLEMENTAL' BUILDING PERMll APPLICATION FOR REROOFING 1. JQB ADDRESS: I JI .5 Va I l~ fl\ ~r\s'oeu::!, <t' Q 00 !( 2. TYPE OF BUILDING: RESIDENTIAL X . COMMERCIAL. __ -=- 3. ~OOF SLOPE: RISE ~ inches in 12 Inches 4. NUMBER OF EXISTING.ROOF COVERING (circle one) G) 2 3 5. TYPE OF EXISTIN.G ROOF COVERING R£<-;Y.jft0°tHEATHING #";2,'is . . *6. NEW ROOF MATERIAL f2oe-k. /!ltl-CLASS A WEIGHT PER SQUARE I 7. 'NUMBER OF SQUAR'ES /).0 8. TRADE NAME_ vo l-'l.. _MANUFACTURER__ C:, A~ 9. ROOF SYSTEM LISTING · UL No. @-/J.} _ ICBO No. • • ----- ' 10. IS THE EXISTING STRUCTURAL DESIGN@ FICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? YES -No . • . . \ . All roof coverings are required to be··CLASS A.'Corpbtr.?tible roof coverings . -. , of any type or classification are ·prohibited. I understand the following inspections are required: .. i? 1. Tear Off/Pre-,nspection prior to instatf'new·roof covering. 2. Final l~spection . . I agree to provide a ladder extending at least 2 rungs _above the roof for inspection. M~, L,,~D.ate Signature {jb(i/at Contractor Owner Contractor Narpe Other. ; . . .. -. ' City of Carlsbad Bldg Inspection Request For: 12/30/2004 Permit# CB042592 Title: DUBONA RES-REPLACE BLT-UP W/ Description: NEW BLT-UP-20 SQRS (UL# R/21) Type: MISC Sub Type: REROOF Job Address: Suite: Location: 1715 VALLEY PL Lot 0 OWNER LINTON BRIAN&DUBONA MARLEEN Owner: LINTON BRIAN&DUBONA MARLEEN Remarks: CAN YOU FINAL? REPLACED WITH ROCK. Total Time: CD Description 19 Final Structural Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Inspector Assignment: JM --- Phone: 7607204760 Inspector: Requested By: MR DUBONA Entered By: CHRISTINE 12/01/2004 19 Final Structural NA PC NO PERMIT CARD ON SITE NO ENGLISH SPEAKING PERSON @ HOUSE 07/07/2004 15 Roof/Reroof AP JM AP ON 7/6 07/06/2004 15 Roof/Reroof AP JM OK TO COVER EXISTING