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Home My WebLink About147 MAPLE AVE; ; CB042577; PermitL{£\f\_ <\lf0.a City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 0~-29-2004 Miscellaneous Permit Permit No: CB042577 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 147 MAPLE AV CBAD MISC 2042331800 $2,737.00 Subtype: REROOF Lot#: 0 HOLT RES-REPLACE BLT-UP W/NEW BLT-UP 23 SQRS/ INCLUDES 149 MAPLE Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/29/2004 KMT 06/29/2004 06/29/2004 TRI-CITY ROOF CO. 39521 TANGLETREE WY HOLT GINA D REVOCABLE LIVING TRUST 92563 888-229-7663 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $77.00 147 MAPLE AVE CARLSBAD CA 92008 PERMIT FEE Total Payments To Date: $0.00 $77.00 $0.00 $0.00 $77.00 Balance Due: $77.00 5425 06/29/04 0002 01 CGP Inspector: FINAL 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 f s/exactions of whi h ou h ve r vi I n iven a NOTI imil r o !hi or a hi h he st ut f limi a ion has i I herwise x ir 02 PERMIT APPLICATION CITY· OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. Cf3D1/2'J77 EST. VAL. :;). t 31 Plan Ck. Deposit--~~=---- Validated By oc Date ( a\2 9 t C,~ Business Name lat this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Existing Use Proposed Use Z10<l I Description of Work SQ, FT. #of Stories # of Bedrooms # of Bathrooms il.iiliiffiilfl~mlliililrU!i11:l£/J:l~~".,~~;,ii;,~,,,, i',.' ,, '" • · ,~ Addre51 City State/Zip Fax II ~~li!f,:[l;),6V:iii\lwi~cimi1!ilaiil'i,;,[:J',p,\Yi,ic;hil!il'~•otlot;OY1~•• -'-''-'-=='-'~-"""""'-'--'-"''-------L=;)«-L_.c=".JI..!>,~"'-'""'"'""' --'='+--===="'----J.J<.~,;,..s..o12..a'--"""-"'-'"-="'-'--'-""' -; Name Name Address City State/Zip Telephone# 1,~ClQBMOMl'.AN~~iW~--~·-;,,rif'.•t?hJ&-l1ii#.t~F~t~·r-'t:1t,.c 1'7'.i_-·;:'r:~i;<t,~r;o:~,,., ,•.:.,•.:--~ '-".~--i~f~,-.'."', ·\~ci~"r;:.1>,f\t~,,· ,"· "· ~::"\12' ,;t. ; , ; ;:~·<i ;;~·it-:~~ (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 Lew (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 fore permit subjects the appli nt to a civil penalty of not more than five hundred dollars ($6001). . "t?i. e"-,.,· "l-b s State License # 172 ]Q 2.. License Class _ _,C.=_--'3"'-"I.,__ __ _ Designer Name Address City State/Zip Telephone State License I _________ _ ~QUE·BS~QtneEftUTlPN\Wi&:',·:,;i~~Wi:.ihC:1!~\; ,~;/,Ji ~~-/(J~:.,;·;,.:,·-.: -~ , " ;. -~·--"'t. · ·--· ,;,_:'. 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 Labor Coda, for the performance of the work for which this permit is issued. ~ 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 '21>;; f.c Fune/ Pol;cy No, (21/1/ 'd :l-{)c) 9' Exp;rat;on Date t.f. /-0 S (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS l$100I 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: F■Rura to HG\n wort.,.• compenutlon coverage Is unlawful, and ah■I subject ■n employer to crlmin■I penalties and civil fines up to on■ hunchd thousand doll■ra~0), ~ MldHlon to the coat of compenaatlon, damages•• provided for In Section 3706 of the Labor code, intereat and ■ttomey'a feea. SIGNATURE ~ ~ DATE b ' 2,9-d/ -l!illill!llli !B1!~7f"W171 l\'liiliMI Mt· 7· 711.llJill!l;ilifl~;,<AA!!i1,4i\~-l. ,ii'!,!,;,i,'~,,,,.•.,fAt~•,~\\i,i~0•,,;'' ,:.;,.~"'' ,•,!"<• ',,,;:,, ,,.::;, I hei-eby affirm that I am exempt from the Contractor's License Law for the following reason: O 1, 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, Businns and Professions Code: The Contr1ctor'1 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 employeu, 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), O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sac. 7044, Business and Professions Code: The Contractor'• License Law doa1 not apply to an owner of property who builds Of improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 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 the proposed property improvement. 0 YES ONO 2. I (have / have not) signed an application for a building permit for the propose,d work. 3. I have contracted with the following parson lfirml to provide the proposed construction (include name I 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): ________________________________________________ _ 6. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address I phone number I type of work): __________________________________________________________ _ 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 Section• 26606, 25533 or 26534 of the Presley-Tanner Hazardous Substance Account Act?" 0 YES O 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 O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a sch~ol site? D 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(i) Civil Code). LENDER'S NAME _____________ _ LENDER'S ADDRESS ________________________ _ ~-~B~.il~~--.tlt~S~ •'rJt·;·~-·~,:;f;~~i~'t;.~~tj/~':'~~~;~:~:i-.'i.~~i;:;;~t'~',;:-; t:;,:;~.;~ ;::., 1·' • • ~'--.. :~rxii ,. ; ;:-~,:~ ~ .. ,-,;; ~s,.U.~-r:-:;.r._,:, · ~ .. :~-· 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 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 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 !Imitation and become null and void It the building or work authorized by such permit is not commenced within 180 days from the date of such permit or If the building or work authorized by such permit Is suspended or abandoned at any time after the work is co,rnf"9r100Q for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE -=t,/_.~~~...___;.::.::d!!b.__ ___________ _ WHITE: Fila YELLOW: Applicant PINK: Finance ' . City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: /{,/7 f Nq /l(atJeJ s+ I 2. TYPE OF BUILDING: RESIDENTIAL ~ COMMERCIAL. __ ~ 3. ROOF SLOPE: RISE 1/q Inches in 12 inches • 4. NUMBER OF EXISTING ROOF COVERING (circle one) 1 2 (1) 5. TYPE OF EXISTING ROOF COVERING £ t,{ le SHEATHING / Yb *6. NEW ROOF MATERIAL 6-u. K CLASS 11-WEIGHT PER SQUARE 7. 'NUMBER OF SQUARES J 3 8. TRADE NAME.---"t/._.)-/.,_,,,,.,'-"-'-____ MANUFACTURER &A-F 9. ROOF SYSTEM LISTING UL No. ___ ~ICBO No.'---___ __,_ 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? @) 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 instalinew roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signature_-=~=--=--=-~-=-cc.-..,__ _____ Date 6 • ;;; q • e>L/ Contractor / Owner ____ Contractor Narrie »a..,.,,-FJd..._,,,- •5 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 10/27/2004 Permit# CB042577 Title: HOLT RES-REPLACE BLT-UP W/NEW Description: BLT-UP 23 SQRS/ INCLUDES 149 MAPLE Type: MISC Sub Type: REROOF Job Address: 147 MAPLE AV Suite: Lot 0 Location: APPLICANT TRI-CITY ROOF CO. Owner: Remarks: Total Time: CD Description Act Comment 19 Final Structural ~ Ak , Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Inspector Assignment: JM --- Phone: Inspector: JV\. Requested By: CHRISTINE Entered By: CHRISTINE f<<-wd Uvv'/:, 06/30/2004 15 Roof/Reroof AP JM OK TO COVER EXIST SKIP HOUSE & GARAGE . ---------------