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Home My WebLink About1284 BASSWOOD AVE; ; CB052272; PermitCity of Carlsbad ’* 1635 Faraday Av Carlsbad, CA 92008 06-20-2OChf Miscellaneous Permit Permit No: CB052272 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: MlSC Subtype: REROOF Status: ISSUED Parcel No: 2050522900 Lot #: 0 Applied: 06/20/2005 Valuation: $3,420.00 Entered By: KG Reference #: Plan Approved: 06/20/2005 Issued: 06/20/2005 Project Title: GUSTAFSON RES 3000 SF FROM Inspect Area: 1284 BASSWOOD AV CBAD COMP TO COMP Applicant: GUSTAFSON TED B&VIOLET G 1284 BASSWOOD AVE CARLSBAD CA 92008 Owner: GUSTAFSON TED B&VIOLET G 1284 BASSWOOD AVE CARLSBAD CA 92008 Miscelaneous Fee #1 PERMIT FEE Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES $89.00 $0.00 $0.00 $89.00 Total Fees: $89.00 Total Payments To Date: $0.00 Balance Due: $89.00 NOTICE: Please take NOTICE that approval of your project includes the “Imposition” of fees, dedications, reservations, or other exactions hereafter collectively referred to as Weedexactions.” You have 90 days from the date this permit was issued to protest imposition of these feesfexactions. 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 pmessing 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. FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Subdivision NamdNumber Unit No. Phase No. Total # of units 7pjZ0yJ-J 9- 0 oLot No. Legal Descri ' d Proposed Use Description bf Work # of Bedrooms X of Bathrooms Name Address City StatelZip Telephone # Name Address City State/Zip Telephone # !s %WPWWW (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 epplicant for such permlt 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 exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$5001). Name Address City StateKip Telephone X State License # License Class City Business License X Designer Name Address City StateEip Telephone State License X (# 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 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 insurance carrier and policy number are: Insurance Company Policy No. Expiration Date (THIS SECTION NEED NOT BE COMPLFTED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS I81001 OR LESS) 0 to become subject to the Workers' Compensation Laws of California. WARNINO: Failure to the work for which this permit is issued. 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 unlawful, and Jldl subject an employer to crlmind penalties and clvll finen up to one hundred n coverage of compensation. damgen as provided for in Sectlon 3706 o 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 1, 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(s1 licensed pursuant to the Contractor's License Law). 0 I am exempt under Section Business and Professions Code for this reason: 1. 2. 3. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0 I (have I have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name / address I phone number / contractors license number): ~ ~ ~~~ 4. number I contractors license number): I plan to provide portions of the supervise and provide the major work (include name I address / phone 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 0 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 0 NO Is the facility to be constructed within 1.000 feet of the outer boundary of a school site? 0 YES 0 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. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is LENDER'S NAME LENDER'S ADDRESS I certify that I have read the application and state that the above information is correct and that the information on the plans is accu 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 GRANTlNG 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: Evely permit issued authorized by such permit is not corn at any rime after the work is commenc APPLICANT'S SIGNATURE DATE ?[&\? ar itation and become null and void if the building or work k authorized by such permit is suspended or abandoned , City Of Carlsbad SUPPLEMENTAL BUILDING PERiviIT APPLICATION FOR REROOFING Cj \/ 1. JOB ADDRESS: 2. TYPE OF BUILDING: RESIDENTIAL A COMMERCIAL 3. ROOFSLOPE: RISE inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) 5. TYPE OF EXISTING *6. NEW ROOF WEIGHT PER SQUARE 7. NUMBER OF 8. TRADENAME 7, MANUFACTURER 9. ROOF SYSTEM LISTING UL No. ICBO No. 10. IS THE EXISTING STRUCTURAL DESIG aENTNTt SUSTAIN THE 1 2 (3) 7, WEIGHT OF THE PROPOSED ROOF 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 install 'new roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for Contractor iberglass, Built up, u Other. City of Carlsbad Bldg Inspection Request For: 06/27/2005 Permit# CB052272 Title: GUSTAFSON RES 3000 SF FROM Description: COMP TO COMP Type: MISC Sub Type: REROOF Job Address: 1284 BASSWOOD AV l/@6 p$ Suite: Lot 0 Location: APPLICANT GUSTAFSON TED B&VIOLET G Owner: GUSTAFSON TED B&VIOLET G Remarks: Inspector Assignment: BN Phone: 7604346425 Inspector: Total Time: Requested By: VIOLET Entered By: JANEAN CD Description Act Comment 19 Final Structural Associated PCRs/CVs Inspection Histow Date Description Act lnsp Comments 06/23/2005 15 Roof/Reroof AP BN