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Home My WebLink About2718 YORK DR; ; CB003121; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 ogi24tiooo Miscellaneous Permit Permit No:CB003121 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: 2718 YORK RD CBAD MISC 1673924100 $4,703.00 Subtype: REROOF Lot #: 0 Status: Applied: Entered By: Plan Approved : Issued: ISSUED 08/24/2000 RMA 08/24/2000 08/24/2000 Project Title: 1500 SF LT WT CONCRETE & 700 SF COMPOSITION Inspect Area: Applicant: WILLIAM GAUTHIER ROOFING CO 2005 ACACIA DR SAN MARCOS CA 92069 760 598-7545 Total Fees: $116.00 Miscelaneous Fee #1 Miscelaneous Fee #2 TOTAL PERMIT FEES Inspector: Owner: ARNOLD THOMAS K&DIANA M ;( ;: JS. 24. 00 0001 0... J2 2718 YORK RD CARLSBAD CA 92008 Total Payments To Date: $0.00 PERMIT FEE FINAL APPROVAL Balance Due: $116.00 $0.00 $116.00 Date: ~/\;)/Ci) Clearance: $116.00 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 wtth Ca~sbad 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 you have previously been aiven a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise exoired. 116-00 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PROJECT INFORMATION vP ./'\ Q 7 1 B '(oJl I( e,R"" t ,r FOR OFFICE USE O~J PLAN CHECK NO.(Ji(02J /1 _l EST. VAL. If 7 Q.s Plan Ck. Deposit ________ _ Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Assessor's Parcel # Existing Use Desc~tion of Work f' .l \. ;)c:J .f.:b /?.t.. Roo "ll->-G( Lu ,-1 I'-. 2. CON1ACT PERSON (If different f/om applicant) Name Address 3. •A[1LICANT (J,J( /P.'Oo @!I Contractor O Agent for Contractor 6A '1-(h tt.n Name Address 4 . PROPERT.Y.Q}VNE!i_ \ 1 ia M ~f l':'Q ( Name Address 5. CONTRACTOR· COMPANY NAME City D Owner D Agent for Owner City City Unit No. Phase No. Total # of units Proposed Use State/Zip Telephone# Fax# State/Zip Telephone# State/Zip 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 exem:tion. Any violation of Section 7031.5 by any applicant for a permit subjects the~pplicant to a civil penalty of not more than five hundred dollars 1$500)). Lv11lt()rr. Gj\,..-\'3,6!1 c)06S {,)c l\c'1A oe )A~f'<'iAJtco ,S ({i1.,;)o(,j ~qe,5v,S Name r.. Address City State/Zip Telephone # State License# y <;?q ( lo O License Class R-s q City Business License"' 77Q 1~6,'jx 9 ~' / ?...o q :J IJ 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: ~ 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. Ii 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 insuranc8jarrier and policy number are: Insurance Company 5:±9 {e ±t'.iM<'Xc. Policy No. 017 <;?'-( G C( Expiration Date /f-6 (-0U (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) D 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 shell subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($10 01, In addlf n to the cos f compensation, damages as provided for in Section 3706 of the Labor code, Interest and attorney's fees. SIGNATURE:J&J....JU~~====-L .l..!~~'1.:::'.:::'.:::::'._____________ DATE g . d. ({. J u,o 7. OWNER-llll!LDER DECLARATION 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 improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the ow ner-builder will have the burden of proving that he did not build or improve for the purpose of sale). D 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). D 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 I 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 _________ _ 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? D YES D 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 D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES D 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 ______________ _ 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 or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenc for a perio O days ( cf n 106.4.4 Uniform Building Code). ~ r ':\ '-( ,.. J ~ f DATE 0 WHITE: File YELLOW: Applicant PINK: Finance ; I) City of Carlsbad Bldg Inspection Request . For: 9/12/2000 . Permit# CB003121 Title: 1500 SF LT WT CONCRETE & 700 Description: SF COMPOSITION Type: MISC Sub Type: REROOF Job Address: 2718 YORK RD Suite: Lot 0 Location: APPLICANT WILLIAM GAUTHIER ROOFING CO Owner: ARNOLD THOMAS K&DIANA M Remarks: Total Time: Act Comments Inspector Assignment: SR --- Phone: 7605987545 Inspector: \ Requested By: WILLIAM Entered By: CHRISTINE CD Description 19 Final Structural fe_F~-~~4?>4~ Associated PCRs lns12ection Histo[Y Date Description Act lnsp Comments 8/31/2000 15 Roof/Reroof AP SR 8/30/2000 13 Shear Panels/HD's WC SR 8/30/2000 15 Roof/Reroof co SR NAILING NOT COMPLETE -DEBRIS STILL ON ROOF