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1707 CANNAS CT; ; CB032277; Permit
0§-18-2003 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB032277 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 1707CANNASCTCBAD MISC 2155010900 $7,587.00 Subtype: REROOF Lot#: 0 HYLTON RES-2700 SF ;T WT CPNCR Status: ISSUED Applied: 08/18/2003 Entered By: RMA Plan Approved: 08/18/2003 Issued: 08/18/2003 Inspect Area: Applicant: PATRIOT ROOFING 1042 EL CAMINO REAL ENCINITAS.CA 92064 760-577-2935 Owner: Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE Total Fees: $1401)0 Total Payments To Date:$0.00 Balance Due:$140.00 0002 01 CGP 140.00 Inspector: FINAL AP 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 "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 fees/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK EST. VAL. ^3-7 7 Plan Ck. Deposit Validated BY Date Address (Include Bids/Suite #)Business Name (at this address) Legal Description Lot No. Subdivision Name/Number-~r1L Unit No.Phase No.Total # of units Assessor's Parcel #Existing Proposed Use Description of Work SQ. FT.tof Stories # of Bedrooms # of Bathrooms {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 exeiwtion. Any violation of Section 7031.5 by any epplicant for a oermrt subjects the applicant to a civil penalty of not more than fjve hundred dollars I*GOO)). Nsme f * State License # _ Designer Name State License # flLTtf Address License Class Address _ City State/Zip (— ^ f City Business License # / City State/Zip Telephone # Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q 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. CP 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 My worker's compensation insurance carrier and policy number are: //-^-^»_*^» / —5 /*\ 7issued. Insurance Company Policy No.Expiration Date_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) G 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: FaRure to *jfture workers' comgftuation coverage is unlawful, end shaft subject an employer to criminal penartteyand dvH fines up to one hundred thousand dollars (SloqfDpp), inaddlwn to Jpjpst of compensation, damages as provided for In Section 3706 of the LaKwpodv Merest and attorney's fees. SIGNATURE A^JjUT /^i^C^^_. DATE I hereby affirm that I am exempt from trie Contractor's License Law for the following reason: Q I, as owner of the property or my employees with wages as their sols compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business snd Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, end who does such work himself or through his own employees, provided that such improvements are not Intended or offered for sals. 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). Q I, as owner of the property, sm 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 builds or improves thereon, snd contracts for such projects wrth contractor(s) licensed pursuant to the Contractor's License Law). n I am exempt under Section Business snd Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. Q YES GNO 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, 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 DATE 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, 2SS33 or 25634 of the Presley-Tanner Hazardous Substance Account Act? Q YES Q NO Is the applicant or future building occupant required to obtain, a permit from the air pollution control district or air quality management district? Q YES Q NO Is the facility to be constructed within 1,000 feet of the cuter boundary of a school site? Q YES D 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 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 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, t agree to comply with all City ordinances and State laws relating to building construction, t hereby authorize representatives of the CitV 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 if the building or work authorized by such permit is not cwnmenced within 180 daJs from the date of such permit or if the building or work authorized by such rjermit is suspended or abandoned at any tirr -fter the work is commenced fora fi«tiod of 1«) dfcys (Section 106.4.4 Uniform Building Code). 7 APPLICA :; SIGNATURE fc^feo^T /vAA^XX-• ] DATE }T//?O WHITE: File YELLOW: Applicant PINK: Finance ' ' City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: 17 & 7 CfaJd&£ (^Tr _ 2. TYPE OF BUILDING: RESIDENTIAL ^O COMMERCIAL _ ._ 3. ROOF SLOPE: RISE "7 inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) (^) 2 3 5. TYPE OF EXISTING ROOF COVERING^^j^SHEATHING fa , - *6. NEW ROOF MATERIAL 7)l*r CLASS A: WEIGHT PER SQUARE Vp 7. -NUMBER OF SQUARES " 8. TRADE NAMEfVcA MANUFACTURER 9. ROOF SYSTEM LISTING UL No. _ICBO No. 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? (^ES^) NO Alt 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: -.-, 1. 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. Siqnatim* f^l/f^ /^^^ Date Contractor A~> Owner Contractor Najpe. *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. UNSCHEDULED BUILDING INSPECTION DATE Llf/ INSPECTOR PERMIT # OX^X-T-i PLAN CHECK # JOB ADDRESS DESCRIPTION fc*JftA/ CODE DESCRIPTION ACT COMMENTS /f ^/ /^ // City of Carlsbad Bldg Inspection Request For: 08/20/2003 Inspector Assignment: xj A/\,Permit# CB032277 Title: HYLTON RES-2700 SF ;T WT CPNCR Description: 1707 CANNASCT Lot Type:MISC Sub Type: REROOF Job Address: Suite: Location: APPLICANT PATRIOT ROOFING Owner: HYLTON ROBERT E Remarks: Total Time: CD Description 15 Roof/Reroof Act Comment AP Phone: 8583531253 Inspector: Requested By: DAVE MANN Entered By: CHRISTINE Associated PCRs/CVs Inspection History Date Description Act Insp Comments - License Detail Page 1 of2 California Home Wednesday. Ma: License Detail Contractor License # 716994 c - CALIFORNIA CONTRACTORS STATE LjCgM DISCLAIMER A license status check provides information taken from the CSLB license data base. Before on this information, you should be aware of the following limitations: • CSLB complaint disclosure is restricted by law (B&P 7124.6). If this entity is subject t< complaint disclosure, an icon will appear below. Click on the icon to obtain additional complaint information. • Per B&P 7071.17. only construction related civil judgments known to the CSLB are di • Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. • Due to workload, there may be relevant information that has not yet been entered onl Board's license data base. Extract Date: 03/19/2003 * * * Business Information * * * PATRIOT ROOFING INC 1042NELCAMINOREAL SUITE B-408 ENCINITAS, CA 92024 Business Phone Number (858) 793-1968 Entity: Corporation Issue Date: 01/04/1996 Expire Date: 01/31/2004 *** License Status * * * This license is current and active. All information below should be reviewed. * * * Classifications * * * Class C39 Description ROOFING * * *Certifications * * * Cert HIC Description HOME IMPROVEMENT CERTIFICATION http://www2.cs!b.ca.gov/CSLB_LIBRARY/License+Detail.asp 03/19/2003 Licfcnse Detail Page 2 of 2 t * * *Bonding Information * * CONTRACTOR'S BOND: This license filed Contractor's Bond number 157550 in the am. $7,500 with the bonding company AMERICAN CONTRACTORS INDEMNITY COMPANY. Effective Date: 05/07/2002 Contractor's Bonding History BOND OF QUALIFYING INDIVIDUAL(I): The Responsible Managing Officer (RMO) D. BLAINE MANN certified that he/she owns 10 percent or more of the voting stock/equity corporation. A bond of qualifying individual is not required. Effective Date: 02/10/1997 * * *Workers Compensation Information * * This license has workers compensation insurance with the INSURANCE FUND Policy Numbe^677212jmective Date: 12/29/2001 Expire Date: 12/01/2003 Workers Compensation History Personnel List License Number Request Contractor Name Request Personnel Name Request Salesperson Request Salesperson Name Request © 2002 State of California. Gray Davis. Governor. Conditions of Use Privacy Policy http://www2.cslb.ca.gov/CSLB_LIBRARY/License+Detail.asp 03/19/2003