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Home My WebLink About1729 CATALPA RD; ; CB031303; Permit05-05-2003- City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No. CB031303 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation ' Reference # Project Title 1729 CATALPA RD CBAD MISC 2155120500 $2,553 00 IANNESSA RESIDENCE 25 SQUARES OF COMP Subtype REROOF LotS 0 Status ISSUED Applied 05/05/2003 MDP 05/05/2003 05/05/2003 Entered By Plan Approved Issued inspect Area Applicant T R CONSTRUCTION 9847 PASEO MONTRIL 92129 Owner - ~,~, , „ IANNESSA RALPH E-- 1729 CATALPA RD „ CARLSBAD CA 92009 4258 05/05/03 0002 01 02 COP 77-00 t \_ Miscelaneous Fee #1 ' '' PERMIT „,, „ Miscelaneous Fee #2 >^ •• ,-''*"" Additional Fees / f — ^ ; „ rTOTAL PERMIT FEES < , ' ' - * u •* *" -.. _tf ~ v f ~* f ! ^ '- ~ - - = */,- >//""" -,'''*,% ,!' " -/,' ; ' ' $7700 r » % ' '' / "^ "$0 00 v- ; ' - ^"* ' \ "'^-^-spob* , ^ i •- " * \ * ^ r ] 'J \ \r.$7700 ^ - y * * ^ -- '"' "" *• " *• ^"^ ^.'^ ; - « .'„„ " -" ' .,', '" *>*./ " i " / ... Total Fees $77,00^ ,-, Total Payments Jo Date /c -, $000//r Balahce Due:-$77.00 Inspector FINAL Pate PRQVAL Clearance NOTICE Please lake NOTICE that approval of your project includes the Imposition" of tees, 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/exactiorjsofwhich you have previously besn_o;iveaa_NOTlCE 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 ONL PLAN CHECK NO EST VAL'IrL Plan Ck Deposit Validated By __ Date Address (include B idgf Suite #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessors Parcel #Existing Use Proposed Use Description of Work SQ FT # of Stories # of Bedrooms # of Bathrooms Telephone #Fax# ra COAKr«?//^7/dxi [4l^RRORERT^OWNER] fiAr(-y>^ T4AlAJeS<;A 17^oil^etf V3r-^97 Address City State/Zip Telephoned LCONTRACTORTCOM^N^AMEJ _ (Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, pnor 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 5 by any applicant for a. permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]) /£kO£> CA ^UMG> f^-0c£g== S*-3 Name State License # v*f & <r- Address '*$ License Class C " ^3 ^ r 'O City State/Zip City Business License # 1 ^ Telephone # i Designer Name State License # Address City State/Zip ,Telephone # S^WORKER^COMPENSATlpN] 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 Coda, for the performance of the work for which this permit is issued TjP" I have ana will maintain worker's 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 earner and policy number are t I pM^y£> Policy No &£} JO I 5 f ~ Z-CGS^ Expiration Dale &f/£>f/ftInsurance Company {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 dollarsf $100,000), in addition to the cost of compensation, damages are provided for in Section 3706 of the Labor Code, interest and attorney's fees SIGNATURE_ /l^'MT^-.jrz—t^/ KOs4-*W •fn DATE. I hereby affirm th^t I am exempt from trie Contractor s License Law for the following reason D I as owner of the property or my employees with wages as their sole compensation, will d 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 therpon, 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 owrier-builder will have the burden of proving that he did not build or improve for the purpose of sale) D E, 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 builds or improves thereon, and contracts for such projects with contractors) licensed pursuant to the Contractor's License Law) D I am exempt under Section Business and Professions Code for this reason 1 I personally plan to provide the major labor and matenals for construction of the proposed property improvement D YES D NO 2 I (have/have not) signed an application for a building permit for the proposed work 3 I have contracted with Una 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 trie following person to coordinate, supervise and provide the major work (include name / address / phone number / /ontractors 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 WHITE File YELLOW Applicant PINK Finance PERMIT APPLICATION CltY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave, Carlsbad CA 92008 Page 2 of 2 [C'ClfledETElfHISlslECfffi^ Is the applicant or future building occupant required to submit a business plan, acutely hazardous mat en a Is registration for or risk management and prevention program under Sections 25505 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? DYES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control drstnct or air quality management district1* D YES D NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? D YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLIC ANT 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) LENDERS NAME SI 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 at curate I agree to comply with all City ordinances and State laws relating to building construction I hereby authorize representatives of the City 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, JUDGEMENTS, 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 of 5'0 deep and demolition or construction of structures over 3 stones 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 commenced within 180 days from ihe date of such permit or if the building or work 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) APPLICANTS SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: f 7 ^ C*T#LP3- &£> 2. TYPE OF BUILDING: RESIDENTIAL V COMMERCIAL 3. ROOF SLOPE: RISEj^ _ inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) CP 2 3 5. TYPE OF EXISTING ROOF COVERING t*£&.h SHEATHING ***6. NEW ROOF MATERIAL < CLASS °°_ WEIGHT PER SQUARE 7. -NUMBER OF SQUARES 2- S . 8. TRADE NAME _ MANUFACTURER 9. ROOF SYSTEM LISTING UL No. _ JCBO No. 10. IS THE EXISTING STRUCTURAL DESIGNSUFRCIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? (^sj) 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: 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. Signature /M _ Date Contractor>O Owner _ Contractor Name *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For 09/24/2003 Permittf CB031303 .Title IANNESSA RESIDENCE Description 25 SQUARES OF COMP Inspector Assignment JM 1729 CATALPARD Lot Type MISC Job Address Suite Location APPLICANT T R CONSTRUCTION Owner IANNESSA RALPH E Remarks CAN YOU FINAL? Sub Type 'REROOF Phone Inspector Total Time CD Description t 19 Final Structural Act Comment Requested By CHRISTINE Entered By CHRISTINE 4. Associated PCRs/CVs Inspection History * Date Description Act Insp Comments ' 05/12/2003, 15 Roof/Reroof AP JM CONTRACTOR TO REPAIR ALL CUT FELT PRIOR TO COMP ROOF so COMPENSATION IN S UR AN CE FUND POLICYHOLDER COPY PO BOX 807, SAN FRAIMCISCO,CA 94142-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE O1-01-2002 COUNTY OF SAN DIEGOATTN: BUILDING DEPARTMENT5201 RUFFIN ROADSAN DIEGO CA 92123 SO GROUP 000046 POLICY NUMBER 0010131-2003 CERTIFICATE ID 2 CERTIFICATE EXPIRES O1-01-20O4 01-O1-2003/O1-01-20O4 JOB. ALL OPERATIONS Thts is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated This policy is not subject to cancellation by the Fund except upon 30 days' advance written notice to the employer We will also give you 30 days' advance notice should this policy be cancelled prior to its noirmaf expiration. - This certificate of insurance is not an insurance policy and does not smenoV extend or alter ine coverage afforded by~the policies hsted herein. Notwithstanding any requirement, term, or condition of any contract or other documentwith respect to which this certificate of insurance may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions and conditions of such policies * AUTHORIZED REPRESENTATIVE PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,OOO,OOO OO PER OCCURRENCE' * STANDARD EXCLUSION INDIVIDUAL EMPLOYERS AND HUSBAND AND WIFE EMPLOYERS ARE- NOT .ELIGIBLE FOR'BENEFITS AS EMPLOYEES UNDER THIS.POLlCY. * ,$, ' ENDORSEMENT #2065 ENTITLED CERTlFICATE*HOLDERS' NOTICE EFFECTIVE 01-O1-2003 IS ATTACHED TO>ORMS A PART OF THIS POLICY , •'',-•AND EMPLOYER ROSSETTI, ANTHONY 9847 PASEO MONTR IL SAN OIEGO CA 92129 THIS DOCUMENT HAS A BLUE PATTERNED BACKGROUND " 12-13-2002 PRINTED P0409 SCIF102S5 (REV. 2-01)