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Home My WebLink About1654 JAMES DR; ; CB091734; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-19-2009 Miscellaneous Permit Permit No: CB091734 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1654 JAMES DR CBAD MISC Subtype: REROOF Status: Parcel No: 1562111700 Lot#: 0 Applied: Valuation: $3,024.00 Reference#: PC#: Project Title: GRISWOLD: 2400SF WOOD SHAKE TO COMP SHINGLE Applicant: SAN MARCOS ROOFING 1580 GRAPEVINE LN VISTA CA 92083 760-549-7835 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE Entered By: Plan Approved: Issued: Inspect Area: Owner: GRISWOLD RICHARD&LORRAINE E 4051 SKYLINE RD CARLSBAD CA 92008 ISSUED 10/19/2009 JMA 10/19/2009 10/19/2009 $106.00 $0.00 $0.00 $106.00 Total Fees: $106.00 Total Payments To Date: $106.00 Balance Due: Inspector: Date: '11 Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "lmpositi "of fees, edicalions, reseivations, 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 . n f . h v r i ! Tl E 'mil r his r ich h a f limi i ns h r i I h i ' '4,~ .. ,<' ~~,, ~ CITY OF Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Plan Check No. Est. Value Plan Ck. Deposit CARLSBAD Fax: 760-602-8558 www.carlsbadca.gov Date IO \ti [oo, SUITE#/SPACE#/UNIT# APN # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GR( or'f', C DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLE YES □# __ NOD YES O NOD YES D NO c. I APPLICANT NAME ADDRESS L CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME ADDRESS I Gra.. e L. CITY STATE ZIP CITY ZIP UIS.T "f'Z..oi PHONE FAX PHONE 7lcJ ,;'-19 ,7 x oz.~9 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE LIC.# CLASS CITY BUS. LIC.# 160' c'.'-5 (Sec, 7031.5 Busmess and Professions Code: Any City or Coun_ty 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 oft~ Business and Professions Code] or that he Is ex.empt therefrom, and the basis for the alleged ex.emption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to civil penalty of not more than five hundred dollars {$500}) . • Workers' Compensation Declaration: / hereby affirm under penalty of perjur; 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 ths permit is issued. D I have and will maintain workers' compensation, as re uired by Section 3700 of the Labor ode, for the _performance of the work for which this ~mit is issuiJl. My workers' compensation in uran carrier and pc number are: Insurance co, C L '7....f> 0 Policy No. ~5:rCt--( -e C:Yvt C( S Expiration DalEt '-I 0 This section need not be completed if the permit is for one hundred dollars ($100) or less. D 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 secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars {&100,000), in addition to the cost of compensation, damages as provided for \Rjection 3706 of the bor code, interest and attorney's fees. ~ CONTRACTOR SIGNATURE ~ I hereby affirm that I am exempt from Contractor's License Law for the following reason· O 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 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 le 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) □ I, as owner of the property, am ex.elusively contracting with licensed contractors to construct the project (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 contracts for such projects with contractor{s) licensed pursuant to the Contractor's License law) □ I am exempt under Section_ _____ Business a11d Professions Code for this reaso11 1. I personally plan to provide the major labor and materials for co11struction of the proposed property improvement. □ Yes □ No 2. I (have I 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 I phone I contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise a11d provide the major work (include name I address I phone I contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following perso11s to provide the work indicated (include name / address I pho11e I type of work) ~ PROPERTY OWNER SIGNATURE □AGENT DATE f 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 25505, 25533 or 25534 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? □ Yes D No Is the fac~ity to be constructed within 1,000 feet of the outer OOundary ofa sct-ool site? D 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. 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 c:onstructio, I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspecoon 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 OFTHE GRANTING OF THIS PERMIT. OSHA: Ari OSHA permtt is required for excavations over 50' deep and demolttion or constructkn of structtres over 3 stories in heiJht EXPIRATION: Every pem1il issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void tt ttle building or work authorized by such pem,il is not commenced within 180 days from the date of suet, permit or if the building or 'NOl'k authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building CodE _65 APPLICANT'S SIGNATURE DATE REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESS:,....._/ .... b->":=....'-f--'-----''~La......,.t-,..,,._=-:a..;:e:.......,::s,_______.(-=)c..,r _____ _ 2. TYPE OF BUILDING: RESIDENTIAL X COMMERCIAL __ _ 3. ROOF SLOPE: RISE L.{ INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING {CIRCLE ONE) Ci) 2 3 s. TYPE oF Ex1sT1NG RooF covERING ~h"" k e 5; SHEATHING __ _ *6. NEW ROOF MATERIAL ______ CLAss.A_wEIGHT PER sa.l.:lo 1. NUMBER OF sauAREs_1==-y,__ __ ' a. TRADE NAME GA t:' MANUFACTURER Tl ,:/1/1 bf' r / 1 n -e 9. ROOF SYSTEM LISTING: UL NO. IS n tf)''-1 I.C.C.E.S. Report# f n '--f 5'4 ASTM 40 I 0. IS THE EXISTING STRUCTURAL ~GN 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: I. Tear Off/Pre-Inspection prior to install new roof covering 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signature~ Date (DU 5 fo 9 ' Contractor )( Owner ____ Contractor Name 6 P ( et) Sq h d c)(/ 4} *6. Rolled Roofing, Standard/Lite Tile, AsphaltjComp fiberglass, Built Up, Other City of Carlsbad Bldg Inspection Request For: 10/27/2009 Permit# CB091734 Title: GRISWOLD: 2400SF WOOD SHAKE Description: TO COMP SHINGLE Type:MISC Sub Type: REROOF Job Address: Suite: Location: 1654 JAMES DR Lot APPLICANT SAN MARCOS ROOFING 0 Owner: GRISWOLD RICHARD&LORRAINE E Remarks: Total Time: CD Description Act Comments Inspector Assignment: PY --- Phone: 7605197835 Inspector: ---- Requested By: AFRON? Entered By: JANEAN 19 Final Structural ALV-__ ,._. -··--------=+~------------ --------·----. ·--- Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description 10/2112009 15 Roof/Reroof Act \nsp Comments AP PY