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Home My WebLink About1156 LARKSPUR LN; ; CB090749; PermitCity of Carlsbad • 1635 Faraday Av Carlsbad, CA 92008 05-05-2009 Miscellaneous Permit Permit No: CB090749 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 1156 LARKSPUR LN CBAD MISC 2054300500 $3,780.00 Subtype: REROOF Status: Lot#: 0 Applied: Entered By: Reference #: Plan Approved: PC#: Project Title: Applicant: DOMPE RES 3000 SF COMP TO COMP RE-ROOF Owner: Issued: Inspect Area: URBACH ROOFING, INC. DOMPE LEE&JOYCE C 445 PRODUCTION AVE SAN MARCOS CA 92075 760 471-5065 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE 1156 LARKSPUR LN CARLSBAD CA 92008 Total Fees: $107.00 Total Payments To Date: $107.00 Inspector: ~ ~ FINAL AP.PROVAL Date 0 ~ \l O~ Balance Due: Clearance: ISSUED 05/05/2009 KG 05/05/2009 05/05/2009 $107.00 $0.00 $0.00 $107.00 $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservab'ons, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to time\y follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any I hi h h v r i I a N t E i whic h s of\imi ins r vi I th rwi e x ir City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax'. 760-602-8558 www.carlsbadca.gov Building Permit Application Plan Check N Est. Value 3~ Plan Ck. Deposit Date,--5- SUITE#/SPACE#/UNIT# A~05-lf~ # BATHROOMS TENANT BUSINESS NAME OCC. GROUP of' 3 fct-6 sl,; {!,At= r✓: PROPOSED USE GARAGE (SF) PATIOS (SF} DECKS (SF) AIR CONDITIONING FIRE SPRINKLERS # __ NOD YES O NO □ YES O NOD I ADDRESS CITY STATE ZIP PHONE FAX EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE CLASS /$e<. 7031.S Busint11 and Professions Code: Any City or Counr,: which requires a permit to construct, alter/ improve, demolish or re11:air any srructurt1 prior to in inuanct. also requires the ap_plicant for mh permit to Git " signed statement lflat he is fiunsed pursuant 10 the provi1ion1 of the Contractor's Licuse Law {Chapter 9, commending with Section 000 of 01vi1ion ) of the Ru1inm and Prormion1 Code} or that he is txempt thert from, and the bafo for the alleged txtmprion. Any violation of Section 7031.S by ay applicant for a permit 1ubj,cts the applicant to a civil penalty of not more than fr,, hundred dollars {S500}). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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 ot the work ior which this permit is issued. ~ have and will maintain workers~~:atlon, as r8..-![ed by Section 3700 of the Labor Code, for the performaQc; of the work !si. which thAermit is issued. My workers' compensation 'nsur ce carrier and policy number are: Insurance Co. ::::tID".._. ~ :::irM;l.,. Policy No. llP.d-olt)O '2.. Expiration Date _,!.j.J.-f-_;,;<-i:!LCJ. __ This section need not be completed ii the permit is for one hundred dollars ($100) or less. 11, 3 ~ -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 shall subject an employer to criminal penaltles and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, dama as provided for In Section 3706 of the Labor code, interest and attorney's fees. 2S CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ 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 Protessions 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 d~ not build or improve for the purpose of sale). □ 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 ol property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). □ I am exempt under Section_ Business and Professions Code for this reason 1. t personally plan to provide the major labor and materials for construction of the proposed property improvement. □ Yes □ No 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 I 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/ contractors' license number) 5. I will provide some ol the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone/ type of work): 2$ PROPERTY OWNER SIGNATURE DATE \s 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 ol 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? □ Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ No lF 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 ANO THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the application and state that the above information Is correct and that the infonnatlon on the plans is accurate. I agree to comply with all City ordinances and State law.; relating to building construction. I hereby authOl'ize representative of the City of Garlsbad to enter upon the above mentklned 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 Atff 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 demolttion or construction of structures over 3 stories in height. EXPIRATION: Every permit is.sued by the Building Official under the provisions of this Code shall el<pre by I imitation and become nu!I and void tt the building or work authorized by such permit is not commenced within 180 days from the date of such permit or tt I ildin wOfk authorized by such permit is stJ.spended or abandoned at any time after the work is commenced for a period of 180 days (Section 100.4.4 Unttorm Building Code). ~ APPLICANT'S SIGNATURE DATE :::5-- REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION I. JOB ADDRESS: ) \ 5 lQ Lo, Ct·,'> po c /-f-Y,....g 2. TYPE OF BUILDING: RESIDENTIAL -A;:: COMMERCIAL. __ _ 3. ROOF SLOPE: RISE__!j__ INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONEm 2 3 5. TYPE OF EXISTING ROOF COVERING G~°' SHEATHING __ _ *6. NEW ROOF MATERIAL Cc~..., cLAss___AwE1GHT PER so. __ NUMBER OF SOUARES._---'3'--0 __ _ 7. 8. TRADE' NAME C f::l.Nfo MANUFACTURER_---'G=<-Af-~---- 9. ROOF SYSTEM LISTING: UL NO. _____ I.C.C.E.S. Report# _____ _ ASTM ____ _ IO. IS THE EXISTING STRUCTUR~ 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: I. Tear Off/Pre-Inspection prior to install new roof covering 2. Final Inspection >J----.,• ladder extending at least 2 rungs above the roof for inspection. Signature~~~o::--lb....lt;;...L.\,----------'Date S k/o/ Contractor__,_;<J-=-__ Owner ____ Contractor Name Lld2o.S k £en½ "-3 i I rz c .. *6. Rolled Roofing, Standard/Lite Tile, AsphaltjComp fiberglass, Built Up, Other City of Carlsbad Bldg Inspection Request For: 05/11/2009 Permit# CB090749 Title: DOMPE RES 3000 SF COMP TO COMP Description: RE-ROOF Type:MISC Sub Type: REROOF Job Address: 1156 LARKSPUR LN Suite: Lot: Location: APPLICANT URBACH ROOFING, INC. Owner: DOMPE LEE&JOYCE C Remarks: Total Time: CD Description 0 Act Comments Inspector Assignment: MC --- Phone: 7604715065 Inspector: _ _._M....:..:t--~_ Requested By: BRIAN Entered By: KATHY 19 Final Structural fl__ _________ _ --------------~------------------------------· --- --------~ ---------·------------ Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments 05/06/2009 15 Roof/Reroof PA MC EXISTING 1X SHEATHING OK MINOR DECK REPAIR