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HomeMy WebLinkAbout2721 YORK RD; ; CB012798; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-28-2001 Miscellaneous Permit Permit No:CB012798 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2721 YORK RD CBAD MISC 1673913300 $3,552.00 Subtype: REROOF Lot #: 0 RONEY -REROOF 3200 SF COMP Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: DILS ROOFING CO. RONEY GUY J&SILVIA ISSUED 08/28/2001 JM 08/28/2001 08/28/2001 1089 LEUCADIA BL ENCINITAS, CA 92024 619-436-7588 2721 YORK RD CARLSBAD CA 92008 8579 08/28/01 0002 01 02 Total Fees: $89.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOT AL PERMIT FEES Total Payments To Date: $0.00 PERMIT Inspector: /lt,#4 t -~ FINAL APPROVAL Date: I/ 2. 1-/ 0 '1-- Balance Due: $89.00 $0.00 $0.00 $89.00 CGP 89.00 $89.00 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 lees/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 oreviouslv otherwise exoired. FOR OFFICE USE ONLY P.ERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 PLAN CHECK NOC/JIJ/ 2, 7'f 8 EST. VAL. 3 55v Plan Ck. Dep~ ~::i:_at_e_d _Bv:_~..,,._ ..... _-=c._.....: _:-.a::i:/~=:,...v.,..;~=r=== Business Name fat this address) Subdivision Name/Number Unit No. Phase No. Total , of units Existing Use Proposed Use I of Bedrooms , of Bathrooms 2. CONTACT PERSON (If dltterent from applicent) Name 3. APPLICANT Name 4. 6. Address 0 Contractor ~ Agent for Contractor Address Address 0 Owner City 0 Agent for Owner City State/Zip State/Zip Telephone, Fax, Telephone, (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 y violati n--of Section 7031 .5 by any applicant for a permit subject• the aA licant to a civil penalty of not mor than five hundred dollars ($5001). 1 J -b L • y· d-s CJ 8'°7 7 o . -7 D ':( City State/Zip Telephone I City Business License I _______ _ Designer Name Address City State/Zip Telephone State License I _________ _ 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 r_ the work for which this permit is issued . .Psl, I have and will maintain workers' compensation, as required by Section 3 700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insuranc arrier an policy number are: , J_ Insurance Company ~ v'....V Policy No. ()O O q / 3 T Expiration Date / ~ / -CJ ?-------" (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 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. wful, and shall subject en employer to criminal peneltles and civil fines up to ona hundred damages u provided for in Section 3706 of t'!, l~r code, interest and ettomey's fees. SIGNATURE-JUC...\µ1;,b.=::::::::::....:~';,J:1..c!.~~~~~::::::::::...12:::~---------DATE "?r..,,, ;i._ 7-0 / 7 . OWNER-BUILDER DECLARA ION 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, end 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). 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 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 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 (hiredl the following persons to provide the work indicated (include name / address / phone number / type of work I:. ____________________________________________________________ _ 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 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. 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(il 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 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 commenced within 180 days from the date of such permit--o • he building or work authorized by such permit is suspended or abandoned at any time after the work is com enced for a period of ctio 06.4.4 nifor uilding Code). , DATE WHITE: File YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS:_:i__,_]----'?.,,_-+-/t>-'-"-\-r:-tk----Ll'-=--"'~------ 2. TYPE OF BUILDING: RESIDENTIAL_--'~-=--COMMERCIAL __ ~ 3. ROOF SLOPE: RISE 4 inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) @ 2 3 5. TYPE OF EXISTING ROOF COVERING Sh SHEA!~NG 5Lv~'(?-· ·s. NEW ROOF MATERIAL :x>y 2""'f LA~ ~Elc?H'f PER SQUARE ou;,, o-:lf 7. -NUMBER OF SQUARES .J ,).-/ . , t: 8. TRADE NAME a._, e.r) ;5 (1, re,~ ('I J MA~A~RER c,. ,e ,;,~ 9. ROOF SYSTEM LISTING UL No.Cf-AScS A ICBO No. 10. IS THE EXISTING STRUCTURAL DESIGNS FFICIENT 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: ~-, I .t 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. Signature /'Yµ1, ,~ Date '.f(--~ 7 -0 J Contractor ':t2 Owner ____ Contractor NarreJ2·/v foo£·,.J_'\ *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, U Other. City of Carlsbad Bldg Inspection Request For: 01/14/2002 Permit# CB012798 Title: RONEY -REROOF 3200 SF COMP Description: Type:MISC Sub Type: Job Address: 2721 YORK RD Suite: Lot Location : APPLICANT DILS ROOFING CO. Owner: RONEY GUY J&SILVIA Remarks: Total Time: CD Description 19 Final Structural Associated PCR Inspection History Date Description 0 Act Comments Act lnsp Comments Inspector Assignment: RCB Phone: 7607276000 Inspector: ~c ~ Requested By: LOUIS Entered By: KAREN 08/29/2001 15 Roof/Reroof AP RC OK TO COVER