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HomeMy WebLinkAbout1047 CHESTNUT AVE; ; CB043620; Permit09-20-2004 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB043620 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 1047 CHESTNUT AV CBAD MISC 2051902400 $2,850.00 Subtype: REROOF Lot #: 0 GARCIA RES-2500 SF COMPOSITION Status: ISSUED Applied: 09/20/2004 Entered By: RMA Plan Approved: 09/20/2004 Issued: 09/20/2004 Inspect Area: Applicant: GARCIA RUBEN L&LUDIVINA A 1047 CHESTNUT AVE CARLSBAD CA 92008 Owner: GARCIA RUBEN L&LUDIVINA A 1047 CHESTNUT AVE CARLSBAD CA 92008 Miscelaneous Fee #1 PERMIT FEE Miscelaneous Fee #2 Additional Fees $77.00 $0.00 $0.00 TOTAL PERMIT FEES $77.00 Total Fees:$77.00 Total Payments To Date:$0.00 Balance Due:$77.00 1487 09/20/04 0002 01 02 CGP 77. Inspector: FINAL APPROVAL Date: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 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 fees/exactions of which you have previously been qiven a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. /j[7? 0^1 3£ Sift Plan Ck. Deposit Validated By Date . . (/-(A- Address (include Bldg/Suite #) , Legal Description (Assessor's Parcel tt Description of Work Q r-->O "*£^-t*^\C* >. , \ BusinessJ0As*oi/K Lot No. Subdivision Name/Number Existing Use SQ. FT. #of Stories o\ ^* >-.--/ V C o v-v^-y}* Name (at this address) Unit No. Phase No. Proposed Use tt of Bedrooms Total tt of units tt of Bathrooms jiName Address City | Contractor. • * Q Agent for Contractor*.,,. Q Owner - ,'Q-Agent for Owner State/Zip Telephone tt Fax # K Name Address City State/Zip Telephone t Name Address City State/Zip Telephone tt (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 Codel 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). Name State License # Address License Class City State/Zip City Business License t Telephone # Designer Name State License # Address City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: CD 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. Q 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 l$100] OR LESS) Q 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 ($100.000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE DATE W$B$i&y$^^ < " - "-- -"^ "v • ' "^ ; -*'-hereby affirm that I am exempt from the Contractor's License Law for the following reason. G 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). E3l 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). L3 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. Q YES KjNO 2J('Tfr\av& I have not) signed an application for a building permit for the proposed work. 3. rfiiave contracted with ths 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): ' ; n , . ,\r>Pi DATEPROPERTY OWNER SIGNATURE llMSlIlll^ - it .*. *A^ , .> .i ,-j, "_.r 1 - 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 Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES Q Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q 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. NO ^^^^^^^^^^^^^^^^^^^^2. ___ ''I'f^il-lsS1.. i „'.. ' ..... 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 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 CitV 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 commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE £</^< ,£/£>£ *^*-r ^ ~^?g:O-^<g-, - _ DATE~~WHITE: File YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROORNG 1. JOBADDRESS: 2. TYPE OF BUILDING: RESIDENTIAL . COMMERCIAL 3. ROOF SLOPE: RISE _ inches in 12 Inches /~x 4. NUMBER OF EXISTING ROOF COVERING (circle one) (l) 2 3 5. TYPE OF EXISTING ROOF COVERING _ _SHEATHING__ *6. NEW ROOF MATERIAL COMUM iUd-ASS _ WEIGHT PER SQUARE 7. fJUMBER OF SQUARES 8. TRADE NAME _ _ MANUFACTURER 9. ROOF SYSTEM LISTING UL No. ^ICBO No. 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? YES 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. Signature /3^^L^*c^ /5&&*?<n^. _ Date II 0L„ „ „„ _„. ~^ „ ^ Contractor^ _ Owner t Contractor Name *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 09/28/2004 Permit* CB043620 Title: GARCIA RES-2500 SF COMPOSITION Description: Inspector Assignment: RB Sub Type: REROOF 1047 CHESTNUT AV Lot 0 Type: MISC Job Address: Suite: Location: APPLICANT GARCIA RUBEN L&LUDIVINA A Owner: GARCIA RUBEN L&LUDIVINA A Remarks: Phone: 7604340826 Inspector: Total Time: CD Description 19 Final Structural Act Comment Requested By: LUDY Entered By: CHRISTINE Associated PCRs/CVs Inspection History Date Description Act Insp Comments 09/22/2004 15 Roof/Reroof AP RB 09/21/2004 15 Roof/Reroof CO RB LOADED & FELT COMPLETED. NO LADDER & NO CONTRACTOR City of Carlsbad Bldg Inspection Request For: 09/21/2004 Permit* CB043620 Title: GARCIA RES-2500 SF COMPOSITION Description: Inspector Assignment: Sub Type: REROOF 1047 CHESTNUT AV Lot 0 Type: MISC Job Address: Suite: Location: APPLICANT GARCIA RUBEN L&LUDIVINA A Owner: GARCIA RUBEN L&LUDIVINA A Remarks: OR 619/261-7123 Phone: 7604340826 Inspector: Total Time: CD Description 15 Roof/Reroof Act Comment Requested By: NA Entered By: CHRISTINE /o & Associated PCRs/CVs Inspection History Date Description Act Insp Comments CITY OF CARLSBAD BUILDING DEPARTMENT NOTICE (760) 602-2700 1635 FARADAY AVENUE DATE ""7s- J2. x- C<y LOCATION_ PERMIT NO. /. TIME C • c c /• -7 ,€. ' FOR INSPECTION CALL (760) 602-2725. RE-INSPECTION FEE DUE? FOR FURTHER INFORMATION, CONTACT. YES PHONE BUILDING INSPECTOR CODE ENFORCEMENT OFFICER ©