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Home My WebLink About1365 KNOWLES AVE; ; CB990079; PermitCity of Carlsbad 01/07/1999 Miscellaneous Permit Permit No:CB990079 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: Parcel No: Valuation: Reference #: 1365 KNOWLES AV CBAD MISC 1561645800 $2,496.00 Subtype: REROOF Lot#: 0 Project Title: 2400 SF TO COMP. SHINGLE Applicant: URBACH ROOFING INC STE 300 2131 PALOMAR AIRPORT RD 92008 760-431-5113 Total Fees: $87.00 Owner: v• Miscelaneous Fee #1 Miscelaneous Fee #2 ,,. ...... 0 litRMiT FEE TOTAL PERMIT FEES '\' ..... .. •·· .. +', 4, " b • •• "1 "" ., 'II;• ' > /j ' • ; '"' ii •• ~ .,. "¾ w + • •i'. i , .. j ... ., ' ~ I• .• i.: V '"' ¥' ""4 Ir' ,. • ~,. ** ;✓,1,r+ ol y T '4 ~ C i2 Inspector~ ,/ FINAL APPROVAL Date: t/4A:f Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/07/1999 BT 01/07/1999 5122 01/07/99 0001 01 C-PRMT $87.00 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. lf 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 Ca~sbad 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 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 niven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise exoired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 02 87 .. 00 PERMl:r APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 FOR OFFICE USE ONLY 1 PLAN CHECK NO. fjq{fj:Z EST. VAL.--------+, __ _ Plan Cle Deposit -~--,.._ ____ _ Validated By ___ Plf: ...... ~-i--'--- Date ____ ~----1-+~:z-t-(q __ q_ Address (Include Bldg/Suite I) Business N■me (at this ■ddras.s) Legal Dascription I S:CP -/ bl/ -S-'8"00 Lot No. R Subpivision Name/Number ~.~ Unit No. Phase No. Total I of units Existing Use Proposed Use ~\ h I of Bedrooms I of Bathrooms Name Address City State/Zip Telephone I Fax , ~~~:G :~nY.•~11i.-£i:~G~~!)kf9,g9.IJifi"~P.U:~;O.:P~!lju~~·g~!)t"-.{9.ip~&mw~-;.':?Wf'.J,;.!&.~~¼lBi~~~---r::;._ -- Name ~~~-=--Address City State/Zip T elaphona I ~e~:~~E~;'t;f~~~i~ff"&mw~r~;i::~~r~~;;>_~ Name Addras.s . City State/Zip Telephone I ~e:;'C~i!"~ ;';~·· (Sec. 7031 .5 Business and Professions Code: Any City or County which requires a permit to construct, attar, 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 i..icanse 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 vio atio~ of Section 7031.5 by any applicant for a per it subjects the applicant to a civil penalty of n~t m~r• than five hundred dollars ($5001). U.-r ~"'-.. oc-1~, )'.L. "' ,< ,,.+ 300 Cc....-AstJ<,-a c_ A-C,.,2.0::/i( 7 60-'fJ/-SflJ Name State License I _b:;;.__O_J."'--'3=--')_,.h' __ _ ,r, -,,39 License Class---'--------~-- Designer Name Address State License I __________ _ City Sta ta/Zip Telephone I City Business License I __ {~m~Q~Q~Ji ........ £~'f~ City State/Zip Telephone ~J;WQRK.f.8S:".COMPE.N~TJO~~~~~~~g~~_.t:::·· ... _.·.J.~.rl~Gt.8i.~~_::{ii-::nJ:SS-~~--v,r~W~~-;;'i$~~-t;.;~~.1,'1,:··:: . ._:~~~;._!4_£..__ .. ~· Workers' Compensation Declaration: I hereby affirm under penalty of perjury_ one of the following declarations: O I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the ubor Coda, for the performance of the work for which this permit is issued. µJ: I have and will maintain workers' compensation, as required by Section 3700 of the ubor Code, for the performance of the work for :which this permit is 1Uued. My worker's compensatio{' insurance carrier and policy number ara: Insurance Company Shlt... ~ ....... ".':::t9., Policy No.~ 3 s-91 4~-t 9 o.).. Expiration Data /-/-00 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLl.ARS ($100) OR LESS) O 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. WARNING:·· Failure to sacura·workers' compenaation coverage is unlawful, and shall subject an employer to criminal penahiea 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 Labqr code, lntaraat and ettomay's falls. SIGNATURE ___________________________ -:-_ DATE ________ _ -:J. •-.:~O~NER-BUILOER 0ECLARA TlON ·.: ·. ,_ ~: '., : !.-.;'?:~~~=&,•~·-ff;'ili,;~J:i,'!;";~f~~,.:;;:j~~•..;-'.:i;.:.f.:-:,?;',-'_ .; :_~:,t- 1.:•reby 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 1 (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 ( s.uch 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 hava the burden of proving that he did not build or improve for the purpose of aala). ~ I, as.owner of the property, am exclusively contracting with licensed contractors to construct the project (S■c. 7044, Buainasa and Professions Code: The Conmctor's License uw does not apply to an owner of property who builds or improves thereon, and contracta for auch projects with contractor(s) licensed pursuant to the Contractor's Licenae uw). O 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 tha proposed property improvement. 0 YES ONO 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 / addreu / 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 parsons to provide the work indicated (include name/ address / phone number / type of work): __________ -r---+---:-r----:---:-----.... ,------------------------------------- DATE _....:;/_-....,7'---.,_9~9 __ _ ls ~ a::,::,l:c:.-:t er fut:..:ra l::uild:r.,; cccupant r■Gu,r..:I to aubmh a bu~ine~ plan, acutely hazardous materials regIstrauon form er risk management and preven!ion pr"9'am under Sections 251505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 0 YES O NO Is the applicant or future building ocet1pant required to obtain a permit from the air pollution control district or air quality management district? O YES O NO Is the facility to b■ constructed within 1,000 fNt of the outer boundary of a school 1ite7 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A ANAL CERTIACATI: OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCAHT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POllUTION CONTROL DISTRICT. (j"S\f~-~$':nwcnoN LEN0IN~G'AGENCY:7.~~~E~~·:~~-;~.m;-;;;.:-.{~r~-m.ii-Sj~@Z~;i,'}::i,-::.,~;.'._--· --r:;,:, I hereby affirm that there is a construction lending agency for the performance of the work for which thia permit ia iuu■d (Sec. 3097(i) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS _________________________ _ !,~APPUCANT'.CERTIFICATION •• .. ·.:,7". ·. ':-;;,;.._.-;, i:;~;-~.-::.·· ,~ :, ,.:::' ::-~·?· ."·'· ·:C:~:.:,..:~~~~~~~~~:::'~~:J..:'":::;_. ·-~ ,, .. I certify that I have read the application and sut■ that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinanc11 and Stata laws relating to building construction. I hereby authorize rapr1Hntativ11 of th■ City of Carlsbad to enter upon the abova mentioned prop■ny for inspection purposes. l 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 s•o• deep and demolition or construction of stnlctUtN 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 365 days from the data of such permit or if the building or work allthor\z■d by such permit is suspended or abandoned at any time after the wor is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE !-7=1:j YELLOW: Applicant PINK: Finance 2. 3. 4. 5. *6. 7. 8. 9. 10. 11. CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING TYPE OF BUILDING: RESIDENTIAL~ COMMERCIAL __ ROOF SLOPE: RISE ___ inches in 12 inches TYPE OF EXISTING ROOF COVERING <5l_,,.__)(e SHEATHING ______ _ NUMBER OF EXISTING ROOF COVERINGS (circle one) C) 2 · 3 t)L • SI-.,~~ I\ . NEW ROOF MATERIAL)\sp"-"'-\ 1 G'\».,~3/,w,,CLAss°'__!]_ WEIGHT PER SQUARE ___ _ . NUMBER OF SQUARES ,;2 '-j ~ TRADE NAME E: t:I\ Q1e_::, 1'iq_\>..O..,j{: MANUFACTURER. __ E_:___:.1_,_K_,__· ____ _ ROOF SYSTEM APPROVAL UL No. v. . Other As TM -,Jol'if-'/0 IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF YES V NO ---- If the answer is no, a roof plan must be provided with this application. Fire rating of roof: Class A .v Class B __ I understand the following inspections are required: l. Tear Off/Pre-inspection prior to installing new roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. SIGN DATE Contractor __ _ Owner --- URBACH ROOFING INC .., 2131 PALOMAR AIRPORT RD' #300 Contractor Name. __ --L· ~-· _cA_R~L!c!=S!l,IBA_.D~.:/--ci,;A,.+9a-20_0_9_' __ _ 7b *6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up. City of Carlsbad Inspection Request For: 1 /14/99 Permit# CB990079 Tille: 2400 SF TO COMP. SHINGLE Description: Type:MISC Sub Type: REROOF Joo Address: 1365 KNOWLESAV Suite: Lot 0 Location: APPLICANT : URBACH ROOFING INC Owner: MARLIN JOHN H&KATHY L Remarks: LADDER IS AT THE SITE Total Time: CD Description 19 Final Structural Inspector Assignment: TP --- Phone: 7608014084 Inspector: L Requested By: ROGER Entered By: CHRISTINE Act Comments .ii_ _______ _