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Home My WebLink About1612 JAMES DR; ; CB051621; PermitCity of Carlsbad • 1635 Faraday Av Carlsbad, CA 92008 05-09-2005 Miscellaneous Permit Permit No: CB051621 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1612 JAMES DR CBAD MISC Subtype: REROOF Status: Parcel No: Valuation: Reference #: 1562111000 $0.00 Lot#: 0 Applied: Entered By: Plan Approved: Issued: Project Title: BRISEBOIS RES 3600 SF REROOF WD SHAKE TO COMP Inspect Area: Applicant: TOP OF THE WORLD ROOFING 419 TOWNSITE DR 92084 613-4136 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $102.00 PERMIT FEE Owner: BRISEBOIS FRANCES B 1744 S PACIFIC ST #203 OCEANSIDE CA 92054 Total Payments To Date: $0.00 Balance Due: ISSUED 05/09/2005 SB 05/09/2005 05/09/2005 $102.00 $0.00 $0.00 $102.00 $102.00 7799 05/09/05 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 '1ees/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 infonnation 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 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 x i n f whi h N ii r h' . h i 02 1.02 ~ '.JO PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 -.....A 1. PROJ~CT INEORII/IATIDN FOR OFFICE USE ON!,)S PLAN CHECK NO. C:(76~# 7, I EST.VAL. :f/ot-f N / /, / J.., J?tf'l&S Address Unclude Bldg/Suite #) Business Name (at this address) Legal Description Assessor's Parcel # Name Name ~"" gi-j-y 06fWMt< ' Name Lot No. Subdivision Name/Number Existing Use Address O,Age!'lt-for contractor -'A.I Address #of Stories City ., · 'llOlllfAAQ!rQR,•·CllllilPANY'NAMl!c Unit No. Phase No. Total # of units Proposed Use # of Bedrooms # of Bathrooms State/Zip Telephone # Fax # Te ephone # State/Zip Telephone# (Sac. 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 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of not m~e t!J!n five hundre dolla 1$5001). 1.£1' _-,-o ,t:, t ~/<!5/TU P._ IJ -,I tL.A-/~ "9£. Name Address City State/ii TeleJ)\tone # · State License # n< $3 $::5 --License Class L---3/ City Business License # ~ "t '<) ~ T7' I''- Designer Name Address City State/Zip Telephone State License # _________ _ . ,ll, V,,QRll!ill$' 0QII/IPl1N!IA1KIN Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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. 0 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 COMPLEnD IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) ~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. ~--O'j -OS 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 doea not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractorlsl 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 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 / address / phone number / contractors license number): 4. I plan to provide portions of the work, b\rt 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 persons to provide the work indicated (include name / address / phone number / type of work): ______________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ -CQMl!l;ffi)lrHIS,;SECTION'f.OR."NON-BESJDENTIAL BUIU>ING ~RMITS 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 25605, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 0 YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or, air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 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. ,a; ;CIIN,t!l,\ll:TION,~D!NGc,\GENC'( I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(;) Civil Code). LENDER'S NAME _____________ _ LENDER'S ADDRESS ________________________ _ '9'.,.,;,lQffll!-,, l!lilmfi!CA!llQt,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 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 _,ERMIT. 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 lhe building Official under the provisions of this Code shall expire by limilatlon 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 If the building or work authorized by such permit is suspended or abandoned J" ~t any time after the work is commenced for a period of 180 days {Section 106.4.4 Uniform Building Code). ~PPLICANT'S SIGNATURE __________________________ DATE ____________ _ WHITE: File YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: / l:J').. ::f4W1 BS DfL 2. TYPE OF BUILDING: RESIDENTIAL X, COMMERCIAL. __ __. 3. ROOF SLOPE: RISE lf' inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) (!) 2 3 5. TYPE OF EXISTING ROOF COVER~ s,,e SHEATHING • *6. NEW ROOF MATERIAL ASl'IM4::;klf CLASS~WEIGHT PER SQUARE 7. -NUMBER OF SQUARES~.s~/,, _ __. 8. TRADE NAME {;fWJ.D .Sglg6ltt/ MANUFACTURER G r+F '---"'--'-'-----' 9. ROOF SYSTEM LISTING UL No. ___ ~ICBO No. ____ __. 10. IS THE EXISTING STRUCTURAL DESIG~ICIENT 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: ·.·, ,··, I. Tear Off/Pre-inspection prior to instalfnew roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signature /tit~ M~ Date S -,: -Q5 - Contractor ___ Owner ____ Contractor Na!fle ______ _ *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. • m City of Carlsbad Bldg Inspection Request . . For: 05/23/2005 Permit# CB051621 Title: BRISEBOIS RES 3600 SF REROOF Description: WD SHAKE TO COMP Type: MISC Sub Type: REROOF Job Address: Suite: Location: 1612 JAMES DR Lot 0 APPLICANT TOP OF THE WORLD ROOFING Owner: BRISEBOIS FRANCES B Remarks: CARD ON GARAGE Total Time: CD Description Act Comment Inspector Assignment: PC --- Phone: 7606134136 Inspector: Requested By: MILLER Entered By: CHRISTINE 19 Final Structural ~------ ---~ ---------------~-------------- Associated PCRs/CVs Inspection History Date Description 05/18/2005 15 Roof/Reroof Act lnsp Comments AP PC