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Home My WebLink About1365 CYNTHIA LN; ; CB043831; Permit10-13-2004 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No CB043831 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 1365 CYNTHIA LNCBAD MISC 1562314700 S3 876 00 Subtype REROOF Lot# 0 WICKHAM RES 3400 SF REROOF COMP TO COMP Applicant WICKHAM CLYDE E&MENNEN JULIE M 1365 CYNTHIA LN CARLSBAD CA 92008 Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 10/13/2004 SB 10/13/2004 10/13/2004 Owner WICKHAM CLYDE E&MENNEN JULIE M 1365 CYNTHIA LN CARLSBAD CA 92008 Miscelaneous Fee #1 PERMIT FEE Miscelaneous Fee #2 Additional Fees $8900 $000 $000 TOTAL PERMIT FEES $8900 Total Fees $89 00 Total Payments To Date $000 Balance Due $8900 3101 10/13/04 0002 01 02 CGF- Inspector FINAL APPROVAL Date 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 PROJECTilNFORMATJON FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By, Date ]/^> ( . Address (include Bldg/Suite ff)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total ff of units Assessor s Parcel ff Existing Use Proposed Use Description of Work SQ FT #of Stories # of Bedrooms # of Bathrooms ,2 CONTACT PERSON (if different from applicant) Name 13 "APPLICANT Address City Contractor* Q Agent. for Contractorfa:j3fowner '3Q Agent for.Ownerl'. State/Zip Telephone Fax # Name 4 •; PROPERTY OWNER Address City State/Zip Telephone ff Address City State/Zip Telephone #Name i.6 • CONTRACTOR:; COMPANY,;NAME ', .. i. '-': .," >. ^ -"^ " "•" -~2- «* i:-:::.:; f" ••' ;.*•• -•.. (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 of Section 7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001) Name State License ff Address License Class City State/Zip City Business License ff Telephone tt Designer Name Address City State/Zip Telephone State License # •6 WORKERS COMPENSATION" :7> 1™^ : s ; ' S '*.. SI '' """" '"'' '"" ::i"'• "'^'?;_ " ''' ':- " '"'" **; '"^f" .•"jjNP- y Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations l~l 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 l~l 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 COMPLETED IF THl PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) [~l 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 1 aws 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 DATE 7^..!.,OWNER BUILDER DECilARATfON--'f-..••'*,^/' : ,•' :';*'sL:k ••.'> a., •, !' •••..:*§• V"* -.??,.?..... i. J*'• ?W "'• r:>" "™ "p=:.^"M; ; ,^ ,. "-' - ""/ ••. ,f^ Thereby affirm that I am exempt from the Contractor s License Law for the following reason Q 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) Rfj 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~1 I am exempt under Section Business and Professions Code for this reason K- I personally plan to provide the major labor and materials for construction of the proposed property improvement Q] YES flNO 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 / 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 conjtactpoirnred) the"tollowing persons to provide the work indicated (include name / address / phone number / type of work) /^J/ J / //) PROPERTY OWNER SIGNATURE DATE fliBUILDING PERMITS ONLYCOMPLETE THIS SECTION FOR /VO/V ff£S/D£ 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? [] 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~l YES l~l NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? Q 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 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code) LENDER S ADDRESSLENDER S NAME <9 APPLICANT CERTIFICATION jJ::K : •,;. jiJH.:, „. is •*,.,. '., ,. • ;".* •••• .„: ' ..Cr :J ^ :•; 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 ovgr_5 0 demand demolition or construction of structures over 3 stories in height EXPIRATION Every permit issued by the budcten Cmicial/jnd^r 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 commeficecKwitmn/180 days irom th^Sbte of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commarlceXl i6r jyre/U'l of/(fiO/iays^lSprJtion 106 4 4 Uniform Building Code) APPLICANT S SIGNATURE Q ^^J^\^~^^^(^-^^ DATE WHITE File YELLOW Applicant PINK Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS- \ ^^ ^NJltff^ U4v^ 2. TYPE OF BUILDING RESIDENTIAL •/ COMMERCIAL 3. ROOF SLOPE. RISE *fr inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) (T) 2 3 5. TYPE OF EXISTING ROOF *6. NEW ROOF MATERIAL ^^^ CLASS A-WEIGHT PER SQUARE 7. -NUMBER OF SQUARES 8. TRADE NAME l Wft€*-Ll fi& MANUFACTURER 9. ROOF SYSTEM LISTING UL No. _ ICBO No. 10 IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE ^7^~^\WEIGHT OF THE PROPOSED ROOF? /'YES ) NO All roof coverings are required to be CLASS A. Combustible roof coverings of any type or classification are prohibited. s I understand the following inspections are required* , 1 Tear Off/Pre-mspection prior to install new roof covering 2. Final Inspection I agree to provide a lacidei>ext£nding at least 2 rungs above the roof for inspection Signature V^rX-^V^^S^ Date. Contractor Owner fi Contractor Name *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For 01/26/2005 Permit* CB043831 Title WICKHAM RES 3400 SF REROOF Description COMP TO COMP Inspector Assignment RB 1365 CYNTHIA LN Lot Type MISC Sub Type REROOF Job Address Suite Location APPLICANT WICKHAM CLYDE E&MENNEN JULIE M Owner WICKHAM CLYDE E&MENNEN JULIE M Remarks can you final9 Phone Inspector Total Time CD Description 19 Final Structural Comment Requested By CHRISTINE Entered By CHRISTINE Associated PCRs/CVs Inspection History Date Description Act Insp Comments 10/15/2004 15 Roof/Reroof AP RB NO PERMIT TO SIGN OFF ON 10/14/2004 15 Roof/Reroof CA RB @ 2 30BY PH City of Carlsbad Bldg Inspection Request For 10/15/2004 Permit* CB043831 Title WICKHAM RES 3400 SF REROOF Description COMP TO COMP Inspector Assignment RB Sub Type REROOF 1365 CYNTHIA LN Lot Type MISC Job Address Suite Lot 0 Location OWNER WICKHAM CLYDE E&MENNEN JULIE M Owner WICKHAM CLYDE E&MENNEN JULIE M Remarks NOON TIME INSPECTION Phone Inspector Total Time CD Description 15 Roof/Reroof Act Comment Requested By CLYDE Entered By CHRISTINE Associated PCRs/CVs Inspection History Date Description Act Insp Comments CITY OF CARLSBAD BUILDING DEPARTMENT DATE /A' I NOTICE (760) 602-2700 1635 FARADAY AVENUE TIME LOCATION.4 ™' PERMIT NO / < A.v ,CX E. FOR INSPECTION CALL (760) 602 2725 RE INSPECTION FEE DUE? FOR FURTHER INFORMATION CONTACT YES PHONE BUILDING INSgEeFfINSgE^eF CODE ENFORCEMENT OFFICER