HomeMy WebLinkAbout1890 VALENCIA AVE; ; CB030124; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
01-14-2003 Miscellaneous Permit Permit No: CB030124
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
1890 VALENCIA AV CBAD
MISC Subtype: REROOF
2072720800 Lot #: 0
$2,775.00
RICHLEY RES-REMOVE SHAKE
INSTALL NEW COMP SHINGLE ROOF
Owner:
RICHLEY MARIA C
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
01 /14/2003
CB
01 /14/2003
01 /14/2003
SKYLINE ROOFING
1890 VALENCIA AVE
CARLSBAD CA 92008
'5727 01/14/03 0002 01
CGP
842 WINDRIDGE CIRCLE 92069
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOT AL PERMIT FEES
Total Fees: $77.00
Inspector:
PERMIT FEE
Total Payments To Date: $0.00
FINAL!t~
Date: Ii t:J
$77.00
$0.00
$0.00
$77.00
Balance Due:
Clearance:
$77.00
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
f i n f hi h h I Tl E i ·1 r thi whi h h f limi i n h I h i
02
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONLY
PLAN CHECK NQ(:'. b?3{) /2~
EST. VAL. _________ _
Plan Ck. Deposit ________ _
Validated By __________ _
Date. _______________ _
Business Name (at this address)
Subdivision Name/Number Unit No. Phase No. Total # of units
Proposed Use
# of Bedrooms # of Bathrooms
State/Zip Telephone#
et
City State/Zip Telephone#
a,-t/UPf"
City S,tate/Zip Telephone#
!NIMCU>R • COMPANY NAN!E
(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
exem ·o~nr /latlon of Sey~ 8fff~iican for/ per ·;;rbj tst;e a~p to a ivil penal f;;:. more than fiv hundr ollars [ $ 5006"
Name C7 a IC Address C-, '2-.~ City State/Zip Telephone#
State license # ::::,V v I 'bf 'i License Class ______ ·/ _ _j_..___ City Business license If ( ?,, { ) ) 4-tJ.
Address City State/Zip Telephone
8.
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.
i')( 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
rs;'ued. My worker's compensation insurance carrier and policy number are: GiJ ey---1/,ltO
Insurance Company 9N::i~ fuvtre::<' Policy No. ( 1 l) 1-{ Expiration Date Irr O 3
(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 sub· ·a.
WARNING: F a I unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
:~~~;;~::Ila ens Ion, damages as provided for In Section 3~:6T:f the 7~r [lLi~erz,jd attorney's fees.
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 improvergents 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 at-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 tha 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 / 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): ________________________________________________________ _
PROPERTY OWNER SIGNATURE _______________________ _ DATE __________ _
COM,P..l.£TE H!§ SECIJO!'ifOR 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 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? 0 YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 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 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. __________________________ _
lg APPl,.JCANT CERTIFIC~ TION
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 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 CH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is requ· • deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit Issue r 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 c m 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 comm action 106.4.4 Uniform Building Code). DATE / ;, _f. o I....
APPLICANT'S SIGNATURE -------"'"'"'---------------------7 /
WHITE: File YELLOW: Applicant PINK: Finance
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDRESS: lCZ:1 V \)41fMC1 4 f4:yf--
2. TYPE OF BUILDING: RESIDENTIAL X COMMERCIAL ~I --~
3. ROOF SLOPE: RISE ___ inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (~i!tfle one) {i) 2 3
5. TYPE OF EXISTING ROOF COVERING u)'.)U{ SHEATHING /21" .
*6. NEW ROOF MATERIAL A CLASS iffJ WEIGHT PER SQUARE
7. -NUMBER OF SQUARES 1,,-~ .
8. TRADE NAME])f ~lwtt, o/u9L-Ml'(~UFACTURER Cb /ff
9. ROOF SYSTEM LISTING UL No. lJf, tf, 1 _ ICBO._N_o_. _1)__.?_i}-_b_z,,._---:.~-ry// ~
10. IS THE EXISTING STRUCTURAL DESIGN ~ICIENT 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
er extending at least 2 rungs above the roof for
Signatur_~~'----+--::------a::...._.,..,::---"----_-_-=_-=._-:_-=:__Date / -/ { • 0 )
Contractor ~ner ____ Contractor Na[lle j ~ Vf~ J?~ '
*6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, -
11
/
Other.
City of Carlsbad Bldg Inspection Request
For: 01/22/2003
Permit# CB030124
Title: RICHLEY RES-REMOVE SHAKE
Description: INSTALL NEW COMP SHINGLE ROOF
Type: MISC Sub Type: REROOF
Job Address: 1890 VALENCIA AV
Suite: Lot
Location:
APPLICANT SKYLINE ROOFING
Owner: RICHLEY MARIA C
Remarks:
Total Time:
0
Inspector Assignment:
Phone:
Inspector: Jb\
Requested By: CHARLIE
Entered By: CHRISTINE
CD Description
19 Final Structural
Act Comment , / •
f-:r_ /41 f12<1J//j <~ tyvSi,'-<,
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments
01/15/2003 15 Roof/Reroof AP JM OK TO COVER