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Home My WebLink About1075 MAGNOLIA AVE; ; CB041330; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB041330 Building Inspection Request Line (760) 602-2725 Job Address: 1075 MAGNOLIA AV CBAD Permit Type: MISC Subtype: REROOF Status: Parcel No: 2052702400 Lot#: 0 Applied: Valuation: $3,330.00 Entered By: Reference #: Plan Approved: Project Title: WELCH RES-3000 SF COMPOSITION Applicant: AV ROOFING INC 390 OAK AV 92008 760 730-0273 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE Owner: WELCH FLORENCE W 1075 MAGNOLIA AVE CARLSBAD CA 92008 Issued: Inspect Area: ISSUED 04/21/2004 RMA 04/21/2004 04/21/2004 $89.00 $0.00 $0.00 $89.00 Total Fees: $89.00 Total Payments To Date: $0.00 Balance Due: $89.00 FINAL APPROVAL , r D DATE 0 ., '::,' C FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. Ci}()l(/, 3J tJ CITY dF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit _____ ..,.....__,,,___ Validated _By • , ~b.J-- .~·. Date L/(~((CJ~ Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use # of Bathrooms Telephone # Fax # Name S.tate/Zip Telephone# mt~AN~ (Sec. 7031.6 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 exempti An viol n of tion 703 epplicant f a permits ·ects the ap Ii "tJ;.t to a c· ~~o~e than fi e hundred dollars ($6001). City Business License # _______ _ Designer Name Address City State/Zip Telephone WQ~Bl I COMPENSATIP!lit,---------•L •· 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 ~he work for which this permit is issued. 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 ed. My worker's compens!!,: ?urance carrier and policy number are: /;, ij Insurance Company .,_ ,-r-,m_~ &Rd Policy No. J/t)y -,,;l::::O Expiration Date G:"-/-,,,k:)o <;;I" (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS} O 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 ■-cure workers' compensation coverage la unlawful, and ahaU subject an employer to criminal penalti and civil fines up to one hundred thousand dollars ($1 }, In dltlon t coat of co Ion, damagea ea provided for In Section 3706 of the de, SIGNATURE DATE •••• f' ,.,._ I hereb affirm that I am exempt from the Contractor's License Law for the following reason: 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). O 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): ________________________________________________________ _ DATE _________ _ .!Ll;--1,;,,jjl,,lli, .... --------.... --------, 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 Act7 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 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). 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 t authorized by such permit is not c at any time after the work is APPLICANT'S SIGN b ilding Official under the provisions of this Code shall expire by limitation and become null and void if the building or work within 180 days from e date of such permit or if the building or work authorized by such perm· is suspended or abandoned r a per' of 1 0 d ( ectio . . , niform Building Code). DATE PINK: Finance , City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: /0 7':l d., @d,::i .d,e. 2. TYPE OF BUILDING: RESIDENTIAL t'.L COMMERCIAL ·--~ 3. ROOF SLOPE: RISE I/ inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) U/ 2 3 5. TYPE OF EXISTING ROOF COVERING/4#-~ SHEATHING JC . *6. NEW ROOF MATERIAL ('17,np CLAssA__wEIGHT PER 0 SQUARE ' 7. -NUMBER OF SQUARES~:{~V--~ 8. TRADE NAME 'fl H\bev-1: ne MANUFACTURER &A-r-·~-----_. 9. ROOF SYSTEM LISTING UL No. ___ ~.ICBO No. ____ __. 10. IS THE EXISTING STRUCTURAL DESl~ENT 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: •,-, f' 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. Contractor & Owner ____ Contractor Na!')'le _______ _ *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. . . . m City of Carlsbad Bldg Inspection Request . For: 05/03/2004 Permit# CB041330 Title: WELCH RES-3000 SF COMPOSITION Description: Type: MISC Sub Type: REROOF Job Address: Suite: Location: 1075 MAGNOLIA AV Lot APPLICANT AV ROOFING INC Owner: WELCH FLORENCE W Remarks: Total Time: 0 Act Comment Inspector Assignment: PD --- Phone:~45L lnspe~_fa Requested By: JIM Entered By: ROBIN CD Description 19 Final Structural If----- ----------- Associated PCRs/CVs Inspection History Date Description Act lnsp Comments 04/29/2004 15 Roof/Reroof AP PD EXISTING PLYWOOD