HomeMy WebLinkAbout1365 BASSWOOD AVE; ; CB051118; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
03-29-2005 Miscellaneous Permit Permit No: CB051118
Building Inspection Request Line (760) 602-2725
Job Address: Permit Type: MlSC Subtype: REROOF Status: ISSUED Parcel No: 2051200700 Lot #: 0 Applied: 03/29/2005
Valuation: $798.00 Entered By: KG Reference #: Plan Approved: 03/29/2005
Issued: 03/29/2005
1365 BASSWOOD AV CBAD
BARTER RES 700 SF RE-ROOF
FROM COMP. TO COMP. SHINGLES Inspect Area:
56 TRADE
aoo 33a-6a6a
Owner:
BARTER BERYL FAMILY TRUST 04-1 9-89
1365 BASSWOOD AVE CARLSBAD CA 92008
Miscelaneous Fee #1 Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
RE-ROOF PERMIT $31 .OO
$0.00
$0.00
$31 .OO
Total Fees: $31 .OO Total Payments To Date: $0.00 Balance Due: $31 .OO
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "feedexactions." You have 90 days from the date this permit was issued to protest imposition of these feedexactions 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.
FOR OFFICE USE ONLY /
PLAN CHECK N0.@6<//[s'
EST. VAL. 7%
Plan Ck. Deposit f
Validated By /w , Date 7-
c -
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
1. PROJECT INFOR
Legal Description ' Lot No. Subdivision NameINumber Unit No. Phase No. Total # oys
Address (include 81 /Suite #) Business Name (at this address) P.zso8 /36G &!&NO& .Ad
Assessor's Parcel #
Name Address City Statelzip Telephone # Fax #
Assessor's Parcel # Existin Use -5747 - 7.
Name Address City Statelzip Telephone # Fax #
Name Address City Statelzip Telephone #
Name Address City StatefZip Telephone #
nad statement that he is licensed pursuant to the provisions of the Contractor's License Law
Business and Professions Codel or that he is exempt therefrom, and the basis for the alleged
exemption. Any violati
Name
State License # 590 s 3# License Class C 37 City Business License # /2/866
Designer Name Address City StatelZip Telephone
S
& Workers' Compensation Declaration: I hereby affirm under penalty of perjury one o
0 of the work for which this permit is issued.
issued. My worker's compensation insurance carrier and policy number are:
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$5001).
Address City Statelzip Telephone #
GhC As LCL 2 sEa4€ Ar,,
I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is - Insurance Company ,$ TA ff UOD Policy No. 285 ( 4 %G 0.3 Expiration Date 1 -/ -06
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS IS1001 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.
WARNINQ: Failure to seewe workers' compensation coverage Is unlawful, and shall subject M employer to criminal penalties and civil fines up to one hundred
thousand dollars (810
SIGNATURE DATE 2-Age05
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
1.
2.
3.
of compensation, damages as provided for in Section 3106 of the Labor code, interest and attorney's fees.
I am exempt under Section
I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0
I (have / 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 I address f phone number I contractors license number]:
Business and Professions Code for this reason:
~~ ~~
4.
number I contractors license number):
5.
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
I will provide some of the work, but I have contracted (hiredl the following persons to provide the work indicated (include name I address I phone number I type
of work):
PROPERTY OWNER SIGNATURE DATE
UlLDlNG PERMITS ONLY
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?
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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.
0 YES 0 NO
0 YES
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 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 within 180 days from the date of such permit or a the buildina or work authorized bv such Dermit is susoended or abandoned
at any time after the work is 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE DATE 2-28 -65
WHITE: File YELLOW: Applicant PINK: Finance
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDRESS:
2. TYPE OF BUILDING: RESIDENTIAL COMMERCIAL
3. ROOF SLOPE: RISE 3 inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) I a 3
5. TYPE OF EXISTING ROOF
*6. NEW ROOF MATERIAL
8. TRADENAME GAF MANUFACTURER &&?f .
9. ROOF SYSTEM LISTING UL No. ICBO No.
'7' SHEATHING
7. NUMBER OF SQUARES '7 .
io. Is THE EXISTING STRUCTURAL DESIGN SUFJFICIENT TO SUSTAIN THE
WEIGHT OF THE PROPOSED ROOF? e) 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,
I. Tear Off/Pre-inspection prior to instal 'new roof covering.
2. Final Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for
inspection.
Contractor/,M Owner Contractor Name
"6 - Rolled Roofing, StandardUte Tile, Asphalt/Comp Fiberglass, Built UP,
Other.
City of Carlsbad Bldg Inspection Request
For: 04/13/2005
Permit# CBO51118 Inspector Assignment: PY
Title: BARTER RES 700 SF RE-ROOF
Description: FROM COMP. TO COMP. SHINGLES
Type: MlSC Sub Type: REROOF
Job Address: 1365 BASSWOOD AV
Suite: Lot 0
Location:
OWNER BARTER BERYL FAMILY TRUST 04-19-89
Owner: BARTER BERYL FAMILY TRUST 04-1 9-89
Phone: 7605460254
/3
Inspector:
Remarks:
Total Time: Requested By: CHARLA
CD Description Act Comment
Entered By: CHRISTINE
19 Final Structural
Associated PCRsKVs
InsDection History
Date Description Act lnsp Comments
04/07/2005 15 RooWReroof AP PY EXISTING SHEATHING - REPLACE DRYROT & TERMITE DAMAGE
04/07/2005 18 Exterior LathIDrywall wc PY