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Home My WebLink About1235 PINE AVE; ; CB012686; PermitCity of Carlsbad 06.-22-2001 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No:CB012686 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Building Inspection Request Line (760) 602-2725 1235 PINE AV CBAD MISC 2050521400 $1,554.00 Subtype: REROOF Lot#: 0 BOUCHER RES-1400 SF COMPOSITIO Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 08/14/2001 RMA 08/14/2001 08/14/2001 RCB Applicant: HETHERINGTON ROOFING CO BOUCHER LEOPOLD&LAURA TRUST 09-11-92 3265 VALLEY ST CARLSBAD CA 92008 Total Fees: $53.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES 1235 PINE AVE CARLSBAD CA 92008 Total Payments To Date: $53.00 PERMIT FEE FINAL APPROVAL Inspector: Mt~./µ-Date: ~ /.;J/o f I • Balance Due: Clearance: $53.00 $0.00 $0.00 $53.00 $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 information with the City Manager for processing in accordance with Cansbad 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 rght to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy 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 vou have nreviouslv been oiven a NOTICE similar to this or as to which the statute of limitations has orevlouslv otherwise exnired. • PERMIT APPLICATION GITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PROjECT INFORMATION FOR OFFICE USE O~J'p PLAN CHECK NO. C/xJ/ 2_b/b EST. VAL. I f5y Plan Ck. Deposit ~ Validated By t , _ Date _ /(q{ tf Address (include Bldg/Sui~ Business Name (at this address) I 2.-3 S-~,,..,,.c:.. Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Description of Work dJ SO. FT. # of Bathrooms 2. CONTACT PERSON (If different :am~~~-:f--' Name Address City State/Zip Telephone# Fax# 3. APPLICANT O Contractor O Agent for Contractor O Owner O Agent for Owner Name Address City State/Zip Telephone # 4. . PROPERTY 0:: Leo 6a!:::1d..cn. Name S.tate/Zip Telephone # 6. COfiIBACTg R • COMPANY NAME (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 ex mption. Any violation of Section 7031.5 by any appli anJ ;or a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500]). ---,J 2-c,.; // r:-u (('"' ,...,_ /J L"o 7 C:o 7 LI -.FI 2.. State License # 'f 2 4!:> J ~ 7' --------_..._.,__...,;. __ ~-~ Designer Name Address City State/Zip Telephone State License # ---------- 6. WOBJS.ERS' CQMPENSATION 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. O 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 _______ _ S SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS) 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 o ecome 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, I, In addition to the cost of compensation, damages as provided for In Section 3706 of the labor code, Interest and attorney's fees. SIGNATURE -c::-DATE l]'--/ 'j ~o ( 7. I hereby affirm that I mpt 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 l icense 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(sl 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 O NO 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 I address I phone number I type of work): __________________________________________________________ _ PROPERTY OWNER SIGNATURE ----------------------- COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS O~l Y 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 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 Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 1 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 • .,. CONSJ:RUCTION 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 Cit\' 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 LJABILJTIES, 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 'thin 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 p · of 180 days (Section 106.4.4 Uniform Building Code). DATE f"'-l y.--o; YELLOW: Applicant PINK: Finance • City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: I 2-0 J-/3 ,,_., c... /j v. , C,s::;, Q • 7 2. TYPE OF BUILDING: RESIDENTIAL -----COMMERCIAL , __ _,_ 3. ROOF SLOPE: RISE Y inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) 1 (D3 5. TYPE OF EXISTING ROOF COVERING Ce--i.t<1 SHEATHING I X '2 '' os--y-' *6. NEW ROOF MATERIAL Co-,JO CLASS ./.J: WEIGHT PER SQUARE • 7. -NUMBER OF SQUARES I '--f . 8. TRADE NAME Y::'.'.'.:i FT-L,r~ANUFACTURER kd E 9. ROOF SYSTEM LISTING UL No. ICBO No. ____ __,_ 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: ;;, 1. Tear Off/Pre-inspection prior to instali'new roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Contractor Name ----.. I-{ C-Fl, <e> -I -; y"D ~ /? 0 t:J ,=, -'z c__ t.,> [ *6 • Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. //Ob rS- City of Carlsbad Bldg Inspection Request For: 08/21/2001 Permit# CB012686 Tille: BOUCHER RES-1400 SF COMPOSITIO Description: Type:MISC Sub Type: REROOF Job Address: 1235 PINE AV Suite: Lot 0 Location: APPLICANT HETHERINGTON ROOFING CO Owner: BOUCHER LEOPOLD&LAURA TRUST 09-11-92 Remarks: Total Time: CD Description Act Comments 19 Final Structural M_ r:1JJA~ Associated PCRs Inspection History Date Description Act lnsp Comments WC RC Inspector Assignment: RCB Phone: Inspector: ,f C.(> Requested By: NA Entered By: CHRISTINE 08/16/2001 13 Shear Panels/HD's 08/16/2001 15 Roof/Reroof AP RC OK TO COVER