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Home My WebLink About1665 JAMES DR; ; CB041143; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-06-:r.104 ' Miscellaneous Permit Permit No: CB041143 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Building Inspection Request Line (760) 602-2725 1665 JAMES DR CBAD MISC 1562112400 $2,987.00 DAVERSA RESIDENCE Subtype: REROOF Lot#: 0 29 SQUARES OF COMP REROOF Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 04/06/2004 MDP 04/06/2004 04/06/2004 Applicant: CARLSBAD ROOFING ~~~~SA FAMILY TRUST 07-2'.f-~~ 04/06/04 00\/2 Ol Ci3F" 4144 TERRY ST OCEANSIDE CA 92054 760-729-1077 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $77.00 1665 JAMES DR CARLSBAD CA 92008 PERMIT Total Payments To Date: $0.00 Inspector: !ZrJ ' FINAL APPROVAL Date: Y-/'y. -0~ $77.00 $0.00 $0.00 $77.00 Balance Due: Clearance: $77.00 NOTICE: Please lake NOTICE that approval of your project includes the "Imposition" of fees, dedications1 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. )2 n ~oo FOR OFFICE USE ONLY PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 .farad'ay Ave., Carlsbad, CA 92008 PLAN CHECK NO __ ++--+-~ EST. VAL. ----,...,~.........,-,....-~,__ __ Date _____________ _ Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel II Existing Use Proposed Use SO. FT. llof Stories # of Bedrooms # of Bathrooms ~-~1f~;.;_f,d, Address City 107$027 Telephone# Fax# .... Name Address City State/Zip Telephone# (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 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 e mptlon. Any v· lation of Section 7031 .5 by any appll nt for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500]). o F,111 ca . rJ,'L·, tL "'1. ~ , 051---7 Designer Name State License # Address City Workers' Compensetion Declaration: I hereby affirm under penalty of perjury one of the following declaretlons: State/Zip Telephone 0 I have and will maintain a certificate of consent to sell-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 work for which this permit is ~ed. My worker's compensation Insurance carrier and policy number are: Insurance Company STAk J;_.<f Polley No. 0 00 /0{/~ -;J..t>o 'I Expiration Date /-/-t> S: (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of tho work for which this pennit 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 aacure worker■' compenaetlon coverage 11 unlawful, and ahaN aub)ect an employer to criminal penaltlH and civll flnH up to one hundred thouaend doRara (t100,00 , tlon to the coat of compenaatlon, damage■ ea provided for In Section 3706 of the Labor code, lntereat and attomey'a fees. SIGNATURE ..,.. W4----..._,,, DA TE. -::;¥-:;!;;;;-;;;;;;~;;;-d;;;;;;:y';;;;;;;;;;;:::::;;;::;;~-~~77:~~ ,,.,,..__,,..,...,E,.,tir:tru..,.· u~~-~!!.....i;.;----= ....... .;;;;;;;=....,.....,.,.... _ _. __ a .... "'-- I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 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, BuslnHs 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 saleJ. 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 does not apply to an owner of property who bullds or Improves thereon, and contracts for such projects with contractor(sl 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 m1jor l1bor and m1terlals for construction of the proposed property Improvement. 0 YES ONO 2. I (have/ have not) signed an 1ppllcation 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, but 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 COMet,.UElfflt[JJJrrlO!'ifD.8.H.!1J 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, 25533 or 26634 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obt1in 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 school site? 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. 8. · O_NSlii c,nofr'&!N G Y. .....,..,.._... I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is Issued (Sec. 3097(il Civil Code). LENDER'S NAME LENDER'S ADDRESS 9, ~fj__~, .. ♦ 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 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 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 limitation and become null and void tt the building or work authorized by such permit Is not commenced within 1 BO days from the date of such permit or ii the building or work authorized by such permit is suspended or abandoned at any time alter the work Is commenced f a er.ad of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE '(-k, ·<1-Y: WHITE: FIie YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: /1,,t.,5" Wimes Di 2. TYPE OF BUILDING: RESIDENTIAL )< COMMERCIAL __ _,_ 3. ROOF SLOPE: RISE l/ inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) d) 2 3 5. TYPE OF EXISTING ROOF COVERING.)14'.u SHEATHING 5k1p I *6. NEW ROOF MATERIAL {j2n-:f CLASS fl WEIGHT PER SQUARE 7. -NUMBER OF SQUARES_..,,_J ..... 9 __ _. 8. TRADE NAME £tt fc!$tf4-:: MANUFACTURER__,_Ccuft;; ___ __. 9. ROOF SYSTEM LISTING UL No. ___ ~ICBO No .. _____ _,_ 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? {iii) 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: -,-, ,-•,- ]. 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. Date 1/dd-Ot/ Contractor X Owner ____ Contractor Narre/111.ti,f! /hf/U$e,;v *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. // cJ0--F~ . . ll City of Carlsbad Bldg Inspection Request . . Permit# CB041143 For: 04/13/2004 Title: DAVERSA RESIDENCE Description: 29 SQUARES OF COMP REROOF Type: MISC Sub Type: REROOF Job Address: Suite: Location: 1665 JAMES DR Lot APPLICANT CARLSBAD ROOFING 0 Owner: DAVERSA FAMILY TRUST 07-23-96 Remarks: Total Time: Act Comment Inspector Assignment: RB --- Phone: 7605944107 Inspector: ---- Requested By: MARK Entered By: ROBIN CD Description 19 Final Structural AJ?_ _________ _ Associated PCRs/CVs Inspection History Date Description 04/08/2004 15 Roof/Reroof 04/07/2004 15 Roof/Reroof Act lnsp Comments CA RB DONE 4/7 AP RB