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Home My WebLink About1190 PINE AVE; ; CB052252; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-17-2005 Miscellaneous Permit Permit No: CB052252 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: 1190 PINE AV CBAD MISC 2050203200 $2,280.00 Subtype: REROOF Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: ANLON RES 2000 SF COMP TO Inspect Area: Applicant: BARRY JORDAN RO ING 1 LN OCEANSIDE CA 92057 760 757-4491 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $77.00 Owner: SCANLON FAMILY TRUST 12-18-90 7306 BORLA PL CARLSBAD CA 92009 RE-ROOF PERMIT Total Payments To Date: $0.00 Balance Due: ISSUED 06/17/2005 KG 06/17/2005 06/17/2005 $77.00 $0.00 $0.00 $77.00 $77.00 0840 J6l .L7.i '.J'.3 0002 J1 ' Inspector: Clearance: NOTICE: Please take at 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. It 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 f f whi h v r vi I n iv n N T imil r hi r hi h h f limi i n I x ired. PERMIT APPLICATION .. CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. Address (include Bldg/Suite #) Legal Description Lot No. Assessor's Parcel # .25s~tion of ~';P- (/), /!:. I( (j (Ji"<' 2. CONTACT PER~(if di ferent from applicant) Name 3. Name 5. CONTRACTOR -COMPANY NAME Address Subdivision Name/Number City FOR OFFICE USE ONLY PLAN CHECK N£,(i)5"2252- EST. VAL. ), ~Rt) I 1 Plan Ck. Deposit ------.----- Validated By_---:-------:,,.....f,a~/'---- Date._---1c,{JJ1,1---~{1-J1--_..{&'--=--,~f----- Unit No. Phase No. Total # of units Proposed Use Telephone # 2.:t ' 3 )(JL tJ ~ 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 exemp ion. An~ola ·on of Se~031;;}by anJa/lic t J permit sub'eck/he pplicant to a civ· ~ a1yy-~tJoj;. tncf' ;e hundred doj!.1lr '#':J"' / Address City State/Zip Tel phone # State License # License Class C J <J City Business License # / ). / (j If c)? cy T I Designer Name Address City State/Zip Telephone State License # ---------- .6. ERS' COMPENSATION ' 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 of the work for which this permit is issued. 0 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 i~uran amer and policy number are: ~ ,}/ ,,-, / /} {)C, / Insurance Company 'c.) '1,)-0 Policy No.~ ;?, I' / L Expiration Date._c;,l.. ____ '):7 ___ _ (THIS SECTION NEED NOT BE COMPLETED IF Ht: PERMIT IS FOR ONE HUNDRED DOLLARS [$(ooj OR LESS) 0 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------------------------------- 7. OWNER-~UILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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). 0 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 I 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 I address I phone number 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 I address I phone number I 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 ------------------------ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY DATE _________ _ 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. 8. CONSTRUCTION LENDING 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 _________________________ _ 9. APPLICANT CERTIFICATION 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 the b authorized by such permit is not comme d at any time after the work is commen APPLICANT'S SIGNATURE ing 1cia nder the provisions of this Code shall expire by limitation and become null and void if the building or work 1n 180 da~ from the date of such permit or 11 the building or work authorized by such permit 1s sus~ed or abandoned 1 of 1 days ec~ldmgCode). DATE f;'1~ HITE: File YELLOW: Applicant PINK: Finance • ·' City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: // f ~ Ltd 4::- 2. TYPE OF BUILDING: RESIDENTIAL ,X COMMERCIAL. __ ~ 3. ROOF SLOPE: RISE+-inches in 12 inches f\ 4. NUMBER OF EXISTING ROOF COVERING (circle one) 1 2~ 5. TYPE OF EXISTING ROOF COVERING<' IJl'olf~ SHEATHING .. ___ __. *6. NEW ROOF MATERIALt'ct 11,fo CLASS__d__WEIGHT PER SQUARE .;J. YtJ 7. -NUMBER OF SQUARES ,.), C, 8. TRADE NAME C f9. £= MANUFACTURER _____ ~ 9. ROOF SYSTEM LISTING UL No. ICBO No. ____ ~ 1 O. IS THE EXISTING STRUCTURAL DESIGN ~CIENT 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 instalinew roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. __./ Signature ~ Date 6,.... / '2 r(J! · 5 { . ~/:i~rJr/ Contractor Owner Contractor Na111e 6tttS~Y'! *6 • Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass:uilt up, Other. City of Carlsbad Bldg Inspection Request For: 06/22/2005 Permit# CB052252 Title: SCANLON RES 2000 SF COMP TO Description: COMP RE· ROOF Type: MISC Sub Type: REROOF Job Address: 1190 PINE AV Suite: Lot 0 Location: APPLICANT BARRY JORDAN ROOFING Owner: SCANLON FAMILY TRUST 12-18-90 Remarks: AM PLEASE ~ Total Time: CD Description 19 Final Structural Associated PCRs/CVs Inspection History Date Description 06/20/2005 15 Roof/Reroof Act 1nsp Comments AP PY Inspector Assignment: PY --- Phone: Inspector: ---- Requested By: BRETT Entered By: CHRISTINE