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Home My WebLink About1640 BASSWOOD AVE; ; CB130933; Permit04-09-2013 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit PermitNo:CB130933 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # PC#. Project Title 1640 BASSWOOD AV CBAD MISC 2050602700 $0 00 Subtype Lot# REROOF 0 MILLER 2400 SF REROOF(COMP) Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 04/09/2013 JMA 04/09/2013 04/09/2013 Applicant URBACH ROOFING INC Owner. CARKHUFF MARVIN&MARIE C 445 PRODUCTION AVE SAN MARCOS CA 92078 760 471-5065 83 FEDOR RD HUNLOCK CREEK PA 18621 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees PERMIT FEE $118 00 $0 00 $0 00 TOTAL PERMIT FEES $118 00 Total Fees $118 00 Total Payments To Date $118 00 Balance Due: $0.00 Inspector FINAL APPROVAL Date. ^'-^-C ' / J Clearance NOTICE Please take NOTICE that approval of your project includes fhe "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 Carisbad Municipal Code Section 3 32 030 Failure to timeiy 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 sen/ice fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously othenwise expired THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: • PLANNING nENGINEERING • BUILDING DFIRE • HEALTH nHAZMAT/APCD ^ CITY OF CARLSBAD Building Permit Appiication 1635 Faraday Ave , Carlsbad, CA 92008 Ph 760-602-2719 Fax 760-602-8558 email building@carlsbadca gov www.carlsbadca.gov |L0T# PHASE # # OF UNITS # BEDROOMS Plan Check No. /5 33 Est. Value 3Z7<^.Y'^ Plan Ok. Deposit Date SWPPP JOB ADDRESS surrE«/sPACE*/UNrr* 1^^- QUO- n - ov CT/PR0JECT# # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP DESCRIPTION OF WORK' /nclude Square Feet Of Affected Area(s; \ EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES|~|# N0| I AIR CONDITIONING YES I INO I I FIRE SPRINKLERS YES I |NO| I APPLICANT NAME (Primary Contac APPLICANT NAME (Secondary Contact) lA. STATE ZIP _ ADDRESS ADDRESS CITY CITY ZIP PHONE PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME CONTRACTOR BUS. NAME Urbach Roofinq, Inc. ADDRESS /MS3 J^urf-r^ ^\f^e^ ADDRESS 445 Production Street CITY CITY San Marcos STATE CA 92078 PHONE PHONE 760-471-5065 FAX 760-471-9610 urbach@urbachroofing.com ARCH/DESIGNER NAME & ADDRESS 602378 C39 CITY BUS LIC# 1200289 (Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, priorto its issuance, also requires the applicantfor such permitto file a signed statement that he is licensed pursuantto the provisions ofthe Contractor's Ucense Law (Chapter 9, commendingwith Section 7000 of Division 3 ofthe 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 ($500)) »1S Workers' Compensation Declaration / hereby affirm under penalty of perjury one of the following declarations • 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 penrat is issued [Zl I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfomiance of the wori( for which this permit is issued My workers' compensation insurance camer and policy numberare InsuranceCo. Zunch Amencan Insurance Company Policy No . WC 47-58.635-01 Expiration Date _ 06101/2013 This section need not be completed if the permit is for one hundred dollars ($100) or less I I Certificate of Exemption. I certify that in the perfomiance of the work for which this perniit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Lawsof California WARNING. Failure to secu ra worKers'compensation coverage is unlawful, and shall subject an employer to cnmmal penalties and civil fines up to one hundred thousand dollars (&100,000), ii addition to the cost of compensation, damages^S^rovided focjn Section 37Qfi of the Labor code, interest and attomey's fees JS^ CONTRACTOR SIGNATURE-[7] AGENT DATE I hereby affirm that I am exempt from Contractor's License Law for the following reason I I I, as owner of the property or my employees with wages as their sole compensation, will do the work and the stmcture 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 buildjor improves thereon, and who does such wori( 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 wilhip^me year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale) I I I, as owner ot the property, am exclusively contractipgTwth licensed contractors to constmct the project (Sec 7044, Business and Professions Code The Contractor's bcense Law does not apply to an owner of property who builds or improves thereon, and mptfacts for such projects with contractor(s) licensed pursuant to the Contractor's Ucense Law) I I I am exempt under Section >Business and Professions Code for this reason 1 I personally plan to provide the ni^jor labor and matenals for construction of the proposed property improvement QYes I |No 2 I (have / have not) signed ap^plication for a building permit for the proposed work 3 I have contracted with tt)^ollowing person (fimi) to provide the proposed constmction (include name address / phone / contractors' license number) 4 I plan to provide pojdwis ot the work, but I have hired the following person to coordinate, supen/ise and provide the major work (include name / address / phone / contractors' license number) 5 I will provide sjote of the work, but I have contracted (hired) the following persons to provide the wort indicated (include name / address / phone / type of work) "VlTTT" PROPERTY OWNER SIGNATURE QAGENT DATE COIVIPLETE THIS SECTION FOR N O N - R E S I D E N T I A L BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration fonn or nsk management and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Acf • Yes • No Is the applicant or future buildmg occupant required to obtain a penrat from the air pollution control district or air quality management distncf • Yes • No Is the facility to be constnicted within 1,000 feet of the outer boundary of a school site'' O Yes • 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. CONSTRUCTION LENDING AGENCY I hereby affinn that there is a constmction lending agency for the perfonnance ot the work this perniit is issued (Sg Lender's Name kl l.fi'r-' Lender's Address APPLICANT CERTIFICATION 97(1) Civil Code) I certify that I have read ttie application and state thatthe above infomnaton is conect and thatthe intbmiaton on the plans is accurate I agree to comply with all City ordinances and State laws relabng to building constmction. I hereby authonze representatve of the City of Carlsbad to enter upon the above mentioned property Ibr inspecton 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 pemirt is required for excavatons over 5'0' deep and demolition or constnicton of stuctures over 3 stones in height EXPIRATION Every perniit issued by the Building Official under the provisions ofthis Code shall expire by limitation and become null and void if the buMing or wik authonzed by such pemiit B not commenced within 180 days from the date of such permit or if Jhe building or woik authonzed by such permit is suspended or abandoned at any time after the vwik is commenced for a period of 180 days (Section 106 4 4 Unifonm Building Code) JS^KPPUCfiUVS SIGNATURE DATE 4.^. {99 Inspection Lis1 Permit#: CB130933 Type: MISC REROOF MILLER: 2400 SF REROOF{COMP) Date Inspecti^on Item 08/26/2013 19 Final Structural 08/26/2013 19 Final Structural 04/11/2013 15 Roof/Reroof Inspector Act Rl PD AP PY AP Comments CAN YOU FINAL"? Wednesday, August 28, 2013 Page 1 of 1