The URL can be used to link to this page

Home My WebLink About1294 CYNTHIA LN; ; CB021774; PermitJB-13-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No CB021774 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title Applicant JAKE & CO 1294 CYNTHIA LNCBAD MISC 1562302200 $2,220 00 Subtype REROOF Lot* 0 BURKHALTER - REROOF 2000 SF COMPOSITION Status ISSUED Applied 06/13/2002 Entered By JM Plan Approved 06/13/2002 IssffibO? 0&64®/30j02)002 01 Inspect Area CGF° 02 77 = 00 Owner BURKHALTER WILLIAM S&SUZANNE G PO1625 VISTA CA 92085 760-631-7790 1294 CYNTHIA LN CARLSBAD CA 92008 Total Fees $7700 Total Payments To Date $000 Balance Due $7700 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT $7700 $000 $000 $7700 Inspector FINAL APPROVAL Date ^Vv Clearance 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 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 1 ^PROJECT TN^RMATION / " FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units essor's Parce Existing Use Proposed Use Description of Work, s f—• „ . .—<—^t//7^/ JrC^/c Sv/*v^<£> 2 CONTACT PERSON (if different from applicant) SQ FT #of Stones # of Bedrooms ff of Bathrooms Name Address •: :i:^J5^Contractor.': Q'Agenrfor'Contractor ':,Q Owner ,. t—£jz, •"•>*"' City I Abent for Owner State/Zip Telephone i Fax # 4 :3PSROPERTY OWNER; ^ State/Zip Telephone^jvp) ,-•;. •' • * -:.^ .S^*"^ •• •=*<? -&3G&:. ":^ .. •r'f~ Name'Z:Address City State/Zip 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 exemption Any violation oj^ Section 7031 5 by any,applicant for a permit subjects tha^pphcant to'a civil penalty qfxnrt more than five hundred, dollars |$500]) Name State License # J5^— /C~^S; Address ' License Class _3x City State/Zip City Business License # /£•< / Telephone # ///^9 Designer Name State License it Address City State/Zip Telephone !6;c WORKERS;coMreNSATioN-njiii- ,-;.. ,. ,... :jt:... .'w ^Vim, '-fa.... Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations CD 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 n 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 (THJ8 SECTION NEED NOT BE COMPLETEDJF THE PERMIT IS FOR ONE HUNDRED DOLLARS C$100] OR LESS) \7j CERTIFICATE OF EXEMBWONj^fcBtfify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as MoSwcome subject to the WorjjwfM^jjfripensation Laws of California WARNING Failure tox^efjufe workers compensation coverage is unlawful and shall subject an employer to criminal penalties and^ivil fines up to one hundred thousand dollars (SJi<ro>OTOJ in addition to the cosj of compensation damages as provided for in Section 3706 of the Labofcode.jprferest and attorney s fees SIGNATURE ^vf^^^^^^^^y DATE g, I hereBy-a'ffirm that I am exempt fromthe Contractor's License Law for the following reason CD 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) PI 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) l~l 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 CD YES CDNO 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 number / 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 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 COMPLEfEtfHiS SECTION FOR M^/^/»CT7Mi:BUiLbiNG PERMITS ONLY? ., -.". :""h ,::"": '""'" 'T " .i.. 3: ' "'''" ':'•'• "•;,. "''''-„.. '"'" ... "V.: „ 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? d YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? l~1 YES l~l NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? l~l YES l~| 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 CONSfRUCTibNTENDliNG AGENCY v ,>J I-'"" ' ' '^V .% ' '"" ...... :S C H::. "14;, «\v--^;L-> .:'„ ,.:. - 7 ' 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 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 CitV 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 excavatmnsjwfF-§'0" deep and demolition or construction of structures over 3 stories in height EXPIRATION Every permit issued by the^w^g^afficial 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 commen«»dgnHWl80 days from the date of such permit or if the building or work authorized by such permit ^suspended or abandoned at any time after the work is commencOT^f^I period of 180 days (Section 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE ^^^fJ^2^^<^^^'J/^_ _ DATE ^•WHI'HITE File YELLOW Applicant PINK Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING X7 / 1. JOB ADDRESS: /£?4f(^M/7#/# £*#S£- 2. TYPE OF BUILDING: RESIDENTIAL )<f COMMERCIAL 3. ROOF SLOPE: RISE J2 inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) 1 5. TYPE OF EXISTING ROOF COVERING^* ^ SHEATHING~~^//i^t^j£ *6. NEW ROOF MATERIALISE CLASS /h WEIGHT PER SQUARE 7. -NUMBER OF SQUARES 8. TRADE NAME ///°rt££^<£/'/(<'£~ MANUFACTURER. 9. ROOF SYSTEM LISTING UL No. <?<77 ICBO No. . 10. IS THE EXISTING STRUCTURAL DESIGNSyFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? (YES 0 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 install new roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signature J^C^^^^r^^ Date. Contractor X Owner Contractor Name *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For 06/21/2002 Permit# CB021774 Title BURKHALTER - REROOF 2000 SF Description COMPOSITION Inspector Assignment SR Sub Type REROOF 1294 CYNTHIA LN Lot Type MISC Job Address Suite Location APPLICANT JAKE & CO Owner BURKHALTER WILLIAM S&SUZANNE G Remarks Phone 7607167788 Inspector Total Time CD Description 19 Final Structural Act Comments Requested By TIM Entered By CHRISTINE Associated PCRs Inspection History Date Description Act Insp Comments 06/17/2002 15 Roof/Reroof AP SR OK TO COVER