The URL can be used to link to this page

Home My WebLink About150 HEMLOCK AVE; ; CB043462; PermitJ ~-C\_ ()0 City of Carlsbad , • flt~\ 1635 Faraday Av Carlsbad, CA 92008 09-03-2004 ~, · Miscellaneous Permit Permit No: CB043462 U uilding Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: 150 HEMLOCK AV CBAD MISC 2042511800 $2,850.00 Subtype: REROOF Lot#: 0 REAL PROPERTY MNGMNT-RE-ROOF 2500 SF COMPOSITION Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: A-1 BUDGET ROOFING MELTZNER TRUST 09-30-87 PO BOX 301406 ESCONDIDO CA 92030 760 480=4697 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $77.00 41536 ARMANAC CT PALM DESERT CA 92260 PERMIT FEE Total Payments To Date: $0.00 Balance Due: ISSUED 09/03/2004 RMA 09/03/2004 09/03/2004 $77.00 $0.00 $0.00 $77.00 $77.00 OJ79 09/03/04 0002 01 02 CGP 77,00 Inspector FINAL/APPROVAL.---- Date: -2 7.--05 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. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Fafaday Ave., Carlsbad, CA 92008 PLAN CHECK NO. b.2. FOR OFFICE U~E U~Y EST. VAL. &j {) . Plan Ck. Deposit ~ ValMotod u'J'. _fl ~ Date _ +/~1L ~-__ Business Name (at this address) a me/Number Unit No. Phase No. Total I of units Assessor's Parcel # Proposed Use #of Stories I of Bedrooms I of Bathrooms ~~~· X-.~, . "'" .. '•~'·"~· . -~,.r .,,,...., . ·.·~-' ·. . ~-~• .· <' ' • • & . • .~ • . --~ ~ • ' -• ~ lu.r. , . -,-~.., •1; -'"" . ~--- S.tate/Zip Telephone I ~&"t~~ (Sec. 7031.6 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 bivislon 3 of the Business and f'_rofessions Code] or that he Is exempt therefrom,. and the basis for the alleged tlon. An violation of Section 7031.6 by any applicanµor a rmit subjects the applicant to a civil penalty of not more tha five hundred dollars ($5 OJ). /" ;_.t:;.~Li.~~~..==S::Z::..J!,~~~'=-4-µV~~o~~o~~v '.....f:t..~,,.~C-====· ~~~~-~D:;::....___.;h~~:....:L~t{; ~? 1 .J ~dress City State/Zip Telephone I C State License # .J.:;..-',--L...-7,,----"''--'&::::......J...) License Class -<11;..<--.IL..._.,""'--=--.,,:... City Business License I / ']_,/ 3 OJ"," Designer Name Address City State/Zip Telephone State Licelll!e I _________ _ ~~'ttmw•.riM~~~':J~J4~J~~J~m~~~£~~~ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declaritlons: , · "'' t71•J; . ·, ·J -·•f•f.\U ,jT, 1 • V .. ¼, '1'.' -1 ' , O 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. ~I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for.the performance of the wor-k for which this permit is 1(su¥d. My ~orker's compensati n lnsura e carrier d policy number are: r -V-IJ c.-/ Insurance Company . < Polley No. ll)J t:::oa 6-Expiration Date ~ --c:> {THIS SECTION NEED T COMPLETED IF THE PERMIT IS FOR ONE HUNDRED oou1Rs ($1001 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' Compenaatlon Laws of California. WARNING: Falkn to HClft wort .. • compenaa~• ~ unlawful, and lhafl IUbject., employ• to c:rimk'9I penalties end civil flnH up to one hundred ==~00~:?:~ form. Sec. tlon. 3~:sT:f ~%~od1 kt~~.•C/ fHI . ...... ~iiiiliii@-~---iiiriiiciiiirii::w~;,~. ,. ~~Jlli.B~~ili ·1 hereby affirm that I am exempt from the Contractor's Ucense Law for the following reason: O I, ati 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, Busineaa and ProfassjQ.na Code: The Contractor's Ucense 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 s•la. If, however, the building or Improvement Is aold within one year of completion, the owner-builder will have the bwden of proving that ha did not build or improve lo~ the purpose of sale) . .. O I, aa owner of the property, am exclusively contracting with licensed contractors to construct the project (Sac. 7044, Business and Professions Coda: The Contractor'• Ucenae Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractcir(s) licensed pursuant to the Contractor's License Law) • . 0 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 notl signed an applicitlon 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, tiut I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number/ contractors license numberl:, ________________________ ~---------------------- 6. 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 ffi;Aii!ii,'flfflf11li~li-liJlr: '·. ~·, .. · 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 26606, 26633 or 26534 of the Presley-Tanner Hazardous Substance Account Act? -0 YES O NO Is the applicant or future building occ_upant 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 CO!lfltructed within 1,000 feet of the outer boundary of a school site 7 0 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. ~li't!WJffl~~m-e~~~lt~w~t~~~1t,m~li.tit.~B:~~~111it£Uf;;.fr:ill;llB~:,r:~~!i~:i1lt•i I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME_______________ LENDER'S ADDRESS. ____________________ :..._ ____ _ ~Cf'A1ifiNl'llmi~i~~!m~~F~~~ 'I.certify that I have read the application and state that the above Information 11 correct·and that the Information on the plans is accurate. I agree to comply with all City ordlnancea and State laws relating to building const;uction. I hereby authorize representatives of the Cltt 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 11 required for excavations over 5'0" deep and damolltlon or construction of structures over 3 stories In height. EXPIRATION: Every permit Issued by the building Offlciill under ihe provisions of this Code shai1 ·expire by limitation and become null and void if the building or work authorizefby 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 alter the work Is co menced for a ~riod of O days (Sec · .4.4 Uniform Building Code). DATE WHITE: File YELLOW: "Applicant PINK: Finance ' City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOBADDRESS: Jrs:-0 ff-?e-rv~k ~ 2. TYPE OF BUILDING: RESIDENTIAL )l COMMERCIAL. __ ~ 3. ROOF SLOPE: RISE v ( Inches in 12 Inches · · 4. NUMBER OF EXISTING ROOF COVERING (circle oneV1 )2 3 5. TYPE OF EXISTING ROOF COVERING ~EA~ ~9? c.~ <:_ · *6. NEW ROOF MATERIAL I'-!=: CLASS~D WEIGHT PER SQUARE --7. -NUMBER OF SQUARES /: ) • 8. TRADE NAME µ:::,k<c//~1 MANUFACTURER C ~,r-;. 9. ROOF SYSTEM LISTING UL No. tf.Z. -'J--/ ICBO No. ' ----~ 10. IS THE EXISTING STRUCTURAL DESIGN ~IENT 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 classlflcatlon are prohibited. I understand the following Inspections are required: ;,i 1. Tear Off/Pre-Inspection prior to lnstalfnew roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for Inspection. Signature~ S:::: ~ .--Date1t -s -?;£ Contractor~r ____ Contractor Na!fle ______ _ *6 -Rolled Roofing, Standard/Lite Tile, AsphaltJComp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 01/26/2005 Permit# CB043462 Title: REAL PROPERTY MNGMNT-RE-ROOF Description: 2500 SF COMPOSITION Type: MISC Sub Type: REROOF Job Address: Suite: Location: 150 HEMLOCK AV Lot 0 APPLICANT A-1 BUDGET ROOFING Owner: MELTZNER TRUST 09-30-87 Remarks: CAN YOU FINAL? Total Time: CD Description 19 Final Structural ~ Comment , Associated PCRs/CVs Inspection History Date Description 09/07/2004 15 Roof/Reroof Act lnsp Comments AP PD Inspector Assignment: PD --- Phone: '"";&_ Requested By: CHRISTINE Entered By: CHRISTINE