HomeMy WebLinkAbout2708 YORK DR; ; CB031374; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008 ,
05-09-2003 Miscellaneous Permit Permit No: CB031374
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2708 YORK RD CBAD
MISC
Parcel No: 1673923300
Valuation: $2,678.00
Reference #:
Project Title: KNEBEL RESIDENCE
26 SQUARES OF COMP.
Applicant:
HETHERINGTON ROOFING CO
3265 VALLEY ST
CARLSBAD CA 92008
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
PERMIT
Subtype: REROOF Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
ISSUED
05/09/2003
MDP
05/09/2003
05/09/2003 Issued:
Inspect Area:
Owner:
KNEBEL DENNIS W&MARGI L (DVA)
2708 YORK RD
CARLSBAD CA 92008
4767 05/09./03 0002 01 02
$77.00
$0.00
$0.00
$77.00
CGP 77-00
Total Fees: $77.00 Total Payments To Date: $0.00 Balance Due: $77.00
FINAL APPROVAL
INSP. J~ DATE <J"(13/4J
CLEARANCE
PERMIT APPLICATION
Cl"fY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONLY r /,
PLAN CHECK NO~ l3>/'1(
EST. VAL. ~ {;. ~] -
Plan Ck. Deposit ________ _
Validated By __________ _
Date. _______________ _
Address (include Bldg/Suite #) Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number
Assessor's Parcel # Existing Use
r e-+"'-otc1,:::, <5 L.. r o (.__o,,,-,1"' i?:(,. oo
Description of Work SQ. FT.
Name Address'
J 2.c.r v,,,. ifcvs<r
Name Address
[5. "
#of Stories
L!:<Jµ
City
.0 Agent for Owner
C-<Jt2-City
City
Unit No. Phase No. Total # of units
Proposed Use
# of Bedrooms # of Bathrooms
~ct: 'J Loof: 7 Z.. I ~r1 2.. o/
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
exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). /'5/-c.-7h -e.-,._ 1 -q.. P--o,......... dtc-1. ...3 LG._r U1-//c y <S'r C,Clt,? C! -d: 9' 2..ooy "? :-z. / ,....S-1 Z.. <z
Name r Address 7 City State/Zip ~~on,-,
State License # t-f C, C:, ..J C. 1 License Class __________ City Business License # ( ::Z... (!) b(
Address City State/Zip Telephone
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
O 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.
O 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 Company______________________ Policy No._____________ Expiration Date _______ _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS)
JSa" 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 shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($100,000), In ad on to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
SIGNATURE ---=w --c:-DATE ..s--'7 ...... o-3
O 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 he did not build or improve for the purpose of sale).
O 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).
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 __________ _
COMPLETE THIS SECTION F011Ji911.dJ§SIDENTIAL 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.
COI\ISTf!UCT.101\11,_ENDING 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 ______________ _ LENDER'S ADDRESS ________________________ _
~-APPllCANT,
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 t o 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 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 permrt or if the building or work authorized by such permit is suspended or abandoned
at any time 'ter the work is commenced for a pe of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT SIGNATURE ...-------,,-=~ -~ DATE __;--~ "J ,-.. C, J
YELLOW: Applicant PINK: Finance
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDRESS: cJ-.. 7 0 g--LP//1--/<._ /\ 1) • 7
2. TYPE OF BUILDING: RESIDENTIAL i----COMMERCIAL ·-----=
3. ROOF SLOPE: RISE '-/ inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) (D 2 3
5. TYPE OF EXISTING ROOF COVERING.S'~-1/lc.... SHEATHING S/~1/0 .
*6. NEW ROOF MATERIAL C.D/7/0 CLAss_d_wEIGHT PER SQUARE ,
7. -NUMBER OF SQUARES cJ-G::, . ,,,-, ,..., ~ ,,._,,,,,.., -_,_
8. TRADE NAME C: ,/y E ~NUFACTURER ',,, '5 e. Q 4 0 I .,,,.,... •
9. ROOF SYSTEM LISTING UL No. ____ lCBO 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 instalfnew roof covering.
2. Final Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for
inspection.
r--Signature. ___ --,L-----,1'---'---------Date ,5--9 ..... 0 .3
/✓ =-Vt-r ~'-/ p-o .,,,...._,
Contractor ___ Owner _____ Contractor NaIT1e /77 ° 0 ;c:-1--J C..o
*6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up,
Other.
m City of Carlsbad Bldg Inspection Request
. .
Permit# CB031374
Title: KNEBEL RESIDENCE
Description: 26 SQUARES OF COMP.
For: 05/13/2003
Type: MISC Sub Type: REROOF
Job Address: 2708 YORK RD
Suite: Lot 0
Location:
APPLICANT HETHERINGTON ROOFING CO
Owner: KNEBEL DENNIS W&MARGI L (DVA)
Remarks:
Total Time:
Act Comment
Inspector Assignment: JE ---
Phone: 7604193808
Inspector: ----
Requested By: HEATHERINTON ROOF
Entered By: CHRISTINE
CD Description
19 Final Structural (~,:{; ---------------
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments
05/12/2003 15 Roof/Reroof AP JE OK TO COVER 1106-J4