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HomeMy WebLinkAbout2730 YORK RD; ; CB992308; Permit~ \l\°\~ City of Carlsbad 06/2)/1999 Miscellaneous Permit Permit No:CB992308 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Building Inspection Request Line (760) 438-3101 2730 YORK RD CBAD MISC 1673913600 $0.00 HINOJOSA RESIDENCE Subtype: REROOF Lot #: 0 2400SF COMP SHINGLE REROOF Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/21/1999 DT 06/21 /1999 06/21 /1999 Applicant: Owner: 1092 06/21/99 0001 01 02 HETHERINGTON ROOFING CO 3265 VALLEY ST CARLSBAD CA 92008 Total Fees: $87.00 Miscelaneous Fee #1 Miscelaneous Fee #2 TOTAL PERMIT FEES Inspector: HINOJOSA JOE G&MARIA C C-PRMT 87 -00 2730YORK RD CARLSBAD CA 92008 Total Payments To Date: PERMIT FEE FINAL APPROVAL Date: b L3}) /CA Balance Due: Clearance: $87.00 $0.00 $87.00 $87.00 NOTICE: Please take NOTICE that approval of your project includes the "lmposifion' 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 vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise exnired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Pal mas Dr., Carlsbad CA 92009 (760) 438-1161 1. PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHEC~ NO. CBCf/2308 EST. VAL. c::24C/{f? Plan Ck. Deposit _________ _ Validated By _ _.;:]);.,::...iT'.__ ___ -r:::-?~ Date {CZ /.2 ( /qq I I Address (include Bldg/Suite #) cJ_ 7J O 1/on../C [)#l. Business Name (at this address) Legal Description 7 Lot No. Subdivision Name/Number Assessor's Parcel # Existing Use Description of Work Sh,4-JL c.. rc.,,.,,_.--o/y-= ro Co-y:;- 2. CONTACT PERSON (If different from applicant) SO. FT. tiJI-VOO #of t es c)- Unit No. Phase No. Total # of units Proposed Use # of Bedrooms # of Bathrooms Name;?/~ Pt,<"-/ -:::;j r ,v....,, /?oo/7 ~ ) Addrestj" z.. 6;.J-1,/4 / /SY' ,f 7-_ City CS~ ,o, ~_tate/Zip 9 2DcJ.flephone # 7 i;: Fax # 3. APPLICANT )?'contractor O Ager.Ito, Contractor O Owner D Agent for Owner 3/ J 1/-.:J 'I Name Address City State/Zip Telephone# 4 . PROPERTY OWNER , Ta_,s:e ,,q/2 /~.-v-o,.Ta.J'A ci) ?.JO ):'o,c./~ I'?. L)_ Y:4a---,1 > C,.-.,. 'j z..oo J/ 1/ J 'f -'-/.Jo 'f Name/42C trz.e.,.._1_,.J?t:J,,--/<ooft.df~b. 7 _ 0 /{,< if T.ith , /. State/Zip Telephone# 7 2... /- 5. coNTRACT6R • coM ANY NAME 1 J Z. 6 1 -;::,, / ;c Y <-~~u C' 4 ?-J...o o ,;, ~ -5-/ z. 1 rofessions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law ith Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged f Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). issuance, also requires th (Chapter 9, commending exemption. Any violat"on ~ /24:: 7:::h Name Address License Class _ _,{!...,,~-....c::..3::.....,~2 ___ _ City State/Zip Telephone # State License # , City Business License # \2.Q!:513 7 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: 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. ,,,g 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 Compan0'P---::te::c F c-,-_o Policy No.d-t-S--9r-l4-J'v ll.6r Expiration Date /-/ --e-e-- (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESSI 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 wor era' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,0001, in addi t the cost of compensation, damages as provided for in Section 3706 of the labor code, Interest and attomey's teas. SIGNATURE..::===:===.__:::::;;2'.'.::::::::~~_!...,,._ ________________ DATE & Z... I -? ( 7. OWNER-BUILDER OECLAR I hereby affirm that I am exempt 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 tor 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(sl 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 notl signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm> t o provide the proposed construction (include name / address/ phone number / contractors lioense 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 ------------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 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? 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 Codel. 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 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 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 commen ed within 365 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 comm ced for a period of 180 days (Section 106.4.4 Uniform Building Code). YELLOW: Applicant PINK: Finance DATE _(;_-_L..._:._/_~--L7--,(',c__-- City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: 2. TYPE OF BUILDING: RESIDENTIAL X, COMMERCIAL __ __ 3. ROOF SLOPE: RISE L( inches in 12 inches 4. NUMBER OF EXISTING ~OOF COVERING (circle one) (3) 2 3 5. TYPE OF EXISTING ROOF COVERING.S'h 71c c::...SHEATHING S/c1e . *6. NEW ROOF MATERIAL Co,--y9 CLASS-4.WEIGHT PER SQUARE 7. NUMBER OF SQUARES cJ-'-/ 8. TRADE NAME v ---,do,c._)_____, <-MANUFACTURER 6-dt== . 9. ROOF SYSTEM LISTING UL No., ____ ICBO 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 install new roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Contractor X Owner _____ Contractor Name *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Inspection Request For: 6/29/99 Permit# CB992308 Title: HINOJOSA RESIDENCE Description: 2400SF COMP SHINGLE REROOF Type:MISC Sub Type: REROOF Job Address: 2730 YORK RD Suite: Lot 0 Location: APPLICANT HETHERINGTON ROOFING CO Owner: HINOJOSA JOE G&MARIA C Remarks: Total Time: CD Description Act Comments 19 Final Structural Inspection History Date Description Act lnsp Comments AP SR Inspector Assignment: SR --- Phone: 7607215129 Inspector: SR Requested By: MIKE Entered By: CHRISTINE 6/24/99 15 Roof/Reroof 6/23/99 15 Roof/Reroof CO SR NOT READY FOR INSPECTION