HomeMy WebLinkAbout1096 KNOWLES AVE; ; CB053880; Permit,,
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Miscellaneous Permit Permit No: CB053880
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
1096 KNOWLES AV CBAD
MISC
1552511200
$0.00
Subtype: REROOF Status:
Lot#: 0 Applied:
Entered By:
Reference #: Plan Approved:
Issued:
Project Title: DRAKE RES-2300 SF COMP TO COM Inspect Area:
Applicant:
URBACH ROOFING, INC.
STE D-7
120 N PACIFIC ST
SAN MARCOS CA 92069
760 471-5065
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees:
lnspec
$77.00
Owner:
DRAKE STEVEN L&NANCY A
3848 WESTHAVEN DR
CARLSBAD CA 92008
PERMIT FEE
Total Payments To Date: $77.00
FINAL JPPROVAL
Date: '2 '1 · I!> 6
Balance Due:
Clearance:
ISSUED
11108/2005
LSM
1110812005
11108/2005
$77.00
$0.00
$0.00
$77.00
$0.00
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 infomiation 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 se1Vice fees in connection with this project. NOR DOES 1T APPLY to any
ii limilrhir f'iinh hi
l"UH un•n;t: USE ONL y
PERMIT APPLICATION ·PLAN CHECK NO. Uos-~~
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 faraday Ave., Carlsbad, CA 92008
EST. VAL. __________ _
Plan Ck.. Deposit ~---------
Validated By __ --"'~--=--'--'-,=----
Date _____ l-4-\ <l'.~/_;.D_:)::... ___ _
1. PRO~CTINFQRMATION <:'\<\"'' ~ &>. ---'-\J...C:)L-~.u.ll.La ----'\6~0"'""'0""'w"""'~..,.e .... s.,L._-.t:1......._::~=-•,_,_ \-""~-""'-,J"'-----::----,----:-:--:--.---:-:--.--__ _ _ -Addr1>ss (include Bldg/Suit8 ,f) Business Na1111> lat u,is ooor~ssl
L11g11I Description Lot X") Suuoivision Name/Number Unit No. Ph•s~ No. Total It ut u1 ,its
\~S 2.51 \Zoo :..ben\:oJ
Existing Use
2 3C:>o
'C)cu'f\€..J
P,oposea Usii ~sor'sP~ e,o
Oascription of Work II ot Bedrooms 11 of Batn,ooms SQ. FT. lot Stories
TD u,r,---.f) ('7~~
Ll..t.~,c..E.:,.._J4-1.~li:ZJ.~L-:J:.:P.,Ll!....e=.L.LIJ,,d,;J...l,_t.C...N.lt!-:=-.!..-=~'-:=-"-= ........... ~~~-~~'-!--'=~~-'t61t
Name Address
-~~~~·~u~, .. .r ·,. :, :k••·· -
Name I Address City State/Zip Telephone I
fil'-:.ts:QOMttfl',UTOi:.GIMIMYt~lf..'tl.iii .. re't..i.".1:-·tt:;•~ '~ ,. · '.i 'l ~',it ,.)_ i.i:.tl:' ~t,J,l .... 'i,-."l,!lE,~•"I,
(Sec, 7031.6 Buslneaa and Professions Code: Any City or County which requires a permit to construct, alter, Improve, demolish or repair any structure, prior to lta
issuance, alao requiraa the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor'• Uc11nse Law
!Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code! or that he is exempt therefrom, and th11 basis tor the alleged
11xemption. Any violati of Section 7031.6 b any applicant for ermit subjects tile applicant to a civil pep,ajtv of not mor than five hundrej.dollars ($6001).
J -S-Sf WM)/, . 7L>7 l. 7&0 '/7 /-S.o&-S-
ci y State Zip Telephone #
State Ucenae I ...,/o...i,.:..,D..:;_;2=-3-""'--J..i....,<l~-License Class --'(!"""''--'3~-°/-----City Business License # t ';;-OO:;, 'is-<j
Oaslgner Name Address City State/Zip Telephone
State License I _________ _
~QJIJWllHQft1m.fA'rui) , r,,.,-._ ~ ~
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
of the work for which this permit Is issued.
~ave 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 co e ation Insurance carrier and policy number are: ·
Insurance Company ~:.,,.1..1-.,~:.J.-.&:.....J,.~=::i;.~:...rt,,.J.::...-------Policy No. 2.<gS" -<j{) "2.. -'2s::VS Expiration Date J/4 /1.'.'.'.>c;p
(THIS SECTION NEED NOT BE COMPLETED IF Ttif PERMIT IS FOR ONE HUNDRED DOLLARS lf100J OR LESS)
0 CERTIFICATE OF EXEMPTION: I certify that in th• performance of the work for which this permit la issued, I shall not employ any person in any manner so as
to become ~bject to the Workers' Compensation laws of California.
WARNINO: Fallwe to • -un• compenutlon cove,age la unlawful, and lhall aubject an employer to crlmlnal penaltlea and civil fines up to one hundred
thouHnd dollar• lf1 01, In __ IIVl,o the of C011,-naa·tlon, ~------u provided for In Section 3708 of the Lllbor code. lnteraat and attorney's feH.
SIGNATURE ~ DATE
•• • I • ,-,--;...,,----------~~.' ~-,rtt-f, ;{)
I, as own11r of the property or my employees with wages as their sole compensation, will du the work and tile structur• is not 1111•nu110 01 off11111u 10, said
IS11c. 7044, Business and Professions Code: The Contractor's License L~w do11s not apply to an own•< of property who builds 01 improv11s th~••o11, &no who L1011s
such work himself or through his own ~mployedS, provided tnat such improvements er• not intenCleCl or offered for sale. If, howov11r, the builaing or 1mp1ov11m•nt is
sold within one y1>ar of compl11tion, th• owner-builder will hav• the burden of proving that h• did not build or improve for th• purpose of sal•I.
0 I, H owner of the property, am exclusiv11ly 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(&) licensed
pu11uant to the Contractor'& Ucenaa Law),
0 I am exempt under Section ______ Business and ProfHsions Code to, this rnason:
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) algned an application for a bJilding permit for the proposed work.
3. I have contracted _with the following peraon (firm) to provldu the proposed construction (include name / address / phone number / contract or& 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 _________ _
IJ:.Q~~IJ;:lJijlf.tl"TIOt,l1FQ.RW<1N-Rf$/P.fN77,•U;au1i;p1,tq;PERMIT!il QN~Y,.__, .,. c .. '\ . ..: He,-. -~·-· n--'!tJ ./: ,!.,.. .. ,. 1 .... , f• ,, •• ,.~ •
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 26606, 26633 or 25634 of the Prt1sley-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? O YES O NO
Is the facility to be ~nstructed within 1,000 teat of the outer boundary of a school situ7 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.
l§.,;...2:@JiiTill,l<;.l!.9~ W.Plfic.l~G~CY,:. ~ ·.
I hereby 11tfirm that there is a construction lending agency for th• purformancu of the work for which this permit is issued (Sue. 3097(i) Civil Coat1).
LENDER'S NAME _______________ _ LENDER'S ADDRESS ___________________________ _
ii,,i;.;.,'.AIJPJ..ICNU~ Cffll'lf.lCA:t:IQN1:;.,,.
I c11rtify that I huve read tho, application and state that the above information is correct and that the information on the plans is accuratu. I agree to comply with all
City ordinancus and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon t he above mentionud
propllfty for Inspection purpose■• f ALSO AGHEE 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 s•o• deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit Issued by the building Ottlclal under the provisions of this Code shall expire by limitation and become null and void if tne building or work
authorized by such permit Is not commenced within 180 days from the ate of such permit or if the building or work authorized by such permit is suspended or abandoned
at any time after the work is comm d a period I 1BO days act n 106.4.4 Un' orm Bui ng Cod .
APPLICANT'S SIGNATURE DATE /)-7 -()S
WHITE: File YELLOW: Applicant PINK: Finance
City Of Carlsbad
SU PL MENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOBADDRESS: \09\o ½OCc,1,)\€..5 \c¼onoe.,
2. TYPE OF BUILDING: RESIDENTIAL ::::\:: COMMERCIAL. _ __,
. 3. ROOF SLOPE: RISE '-:/ inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) 1 (!J 3
5. TYPE OF EXISTING ROOF COVERIN<i"(iy!A,fb SHEATHING __ __.
*6. NEW ROOF MATERIAL A CLASS, __ WEIGHT PER SQUARE
7. -NUMBER OF SQUARES ' /;(. 3
8. TRADE NAME ~ L K MANUFACTURER • ' -.if
9. ROOF SYSTEM LISTING UL No. . 1CBO No~~ 3o\$-90 ·---~
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: /;
t. 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.
/signature &%£< /µ~ Date ______ _
t/ Je (3AC/-I ~OOF $6 .TA,
Contractor X Owner ____ Contractor Nawe /dzl/'-4-kJ-, /J.J
*6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up,
Other.
. m City of Carlsbad Bldg Inspection Request
For: 11/28/2005 .
Permit# CB053880
Title: DRAKE RES-2300 SF COMP TO COM
Description:
Type: MISC Sub Type: REROOF
Job Address:
Suite:
Location:
1096 KNOWLES AV
Lot
APPLICANT URBACH ROOFING, INC.
0
Owner: DRAKE STEVEN L&NANCY A
Remarks:
Total Time:
Comments/Notices/Hold
Associated PCRs/CVs
Inspection History
Date Description
11/15/2005 15 Roof/Reroof
Act lnsp Comments
AP PD
Inspector Assignment PD ---
Phone: 7604715065
Inspect~
Requested By: AMBER
Entered By: JANEAN