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Home My WebLink About1821 PALISADES DR; ; CB002346; PermitCity of Carlsbad ~ 06/26/2000 Miscellaneous Permit Permit No:CB002346 Building Inspection Request Line (760) 602-2725 Job Address: 1821 PALISADES DR CBAD Permit Type: MISC Subtype: REROOF 0 Parcel No: 2073821800 Lot#: Valuation: $1,664.00 Reference #: Project Title: HANSFORD RES-1600 SF COMPOSITI Applicant: URBACH ROOFING, INC. 2834 LA MIRADA DR VISTA, CA 92083 619-727-1277 Total Fees: $63.00 Miscelaneous Fee #1 Miscelaneous Fee #2 TOTAL PERMIT FEES Inspector: FINAL Af PR';JVAL Date: I / f O, cJ5) ' I I Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Clearance: PENDING 06/22/2000 RMA $63.00 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 capactiy 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 oreviouslv been niven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise exnired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 0,., ~ 63-00 FOR OFFICE USE ONLY Lp PERMIT APPLICATION PLAN CHECK NO. U ()() J-..]51 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. ________ _ residence 1821 Palisades Dr Address (include Bldg/Suite I) Business Name (at this addrellll) Legal Descriplion 207382100 Lot No. Subdivision Name/Number Unit No. Phase No. Total fl ol units Assessor's Parcel • E»sting Use 1600 Proposed U&e two reroof with asphalt/fiberglass 30yr SQ. FT. # of Stories # of Bedrooms • of Bathrooms ST Name City StateJZip Telephone# Fax# David Hansford 1821 Palisades Dr Carlsbad CA 92008 729-8773 Name City State/Zip Telephone I (Sec. 7031 .5 Business and Profession& Code: Any City or County ..tlich requires a permit to construet, 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 Sedlon 7000 or OMsion 3 or the Business and ProfeS&ions 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 Sdljects the appHcant to a civil penalty of not more than five hundred dollars ($5001). URBACH ROOFING 120 N. Pacific St D-7 San Marcos CA 92069 7604715065 Name Address City State/Zip Telephone# State License• ,.0""06,,,_0,,,2..,3..,7c,,8,__ ___ _ License Class ,.C..,3,,.9 ..... H ... l,,.C ____ _ City Busin&ss License # ------ ST Designer Name Address C lty State/Zip Telephone State Licence•---------6. WORKERS'COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty or pe,jury one of 1he following declarations: D I have and will maintain a cer1ificate d consent to self-insure for woncers' compensation as provided by Section 3700 of Ille Labor Code, for the Pertormance of the work for which this permit ii islued. ii2I 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 issued. My WOlker's oompensatk>n lnsUrance camer and policy number are: Insurance Company State Compensation Insurance Co. Policy No. 285-0000902 Expiration Date 01/01/2001 (THIS SECTION NEED NOT BE COIIPLETI:O IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS} D CERTIRCATE OF EXEMPTION: I oeftify that In the performance of the work for which this permit is Issued, I shall not eml)k>y any person In arry manner so as to become subject to the wortcers' Compensation ~ of California. WARNING: Failure to secure workers' compensation coverage Is unlawl'UI, and shal subject an employer to criminal penalties and civil fil1es up to one hundred thousand dollars~00,000), in add~~:"16 oo: of compensation, damages as provided for in Section 3706 of ~Labot,.cope, Interest and attorney's fees. SIGNATURE J\,-=JP::C:: ~~ h <...: DATE -d-t? :OS:, 7. OWNER-SUILOER DECLARATION I hereby affirm that I am exempt from the Contracto~s License Law tor the folk:Hfing reason: 0 I, as owner or 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. 704-4, Business and Professions Code: The Contractor's License Law does no1 apply to an owner of property who builds or Improves 1hereon, and who does such WOik himself or 1hrough his own employees, provided that such Improvements are not intended or offered for sale. tr, however, the building or improvement Is sold within one year 0( completion, the owner-hlilder win have the burden of proving 1hat he did not build or improve for 1he purpose of sale). D I, as owner of the property, am exclualvely contracting with licensed contractoni to construct 1he project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves threreon, and contracts for such projects with contractor(s) licensed l!!!!Suant to the Contracto(s Lice,,se Law). U I am exempt under Section ______ BU8iness and Prole$$ions Code for this reason: I personally plan to provide 1he major labor and materials for construction of the proposed property Improvement. □ YES ONO I (have/ have not) signed an applicant for a bu~Cl,ng permit for the proposed WOik. 1. 2. 3. I have contracted wtt, 1he following person (firm) to provide the proposed construction (lndude name I addresa I phone m.nnber / contractors license number): <Name> <Address> <Work Phone> <State License> ◄. I plan to provide portions ot thA wnrlc hut I """"' hirM lhA fnllnwinn l'W"!IOn to coordlnaie, supervise and provide the major work f11clude name I address / phone numt>er, coll4raclors nee,-number) <Name> <Address> <Work Phone> <State License> 5. I will provide some of the work, but I haw contracted (hired) 1he folowing person to provide 1he work Indicated (Include name I address/ phone number I type ot WOl1t): <Name> <Address> <Work Phone> <Work Type> PROPERTYO\NNER SIGNATURE _____________________ DATE ________ _ Is the applicant or future building occupant required to submit a business plan, acutely haZan!ous materials registration form or risk management and prevention program under Sections 25505, 25533 or 2553◄ d the Presley-Tanner liazardOus Substance Account Act? D YES O NO b the applicant or future building occupan1 required to obtain a pennlt from the air pollu11on control distJict or air quality management district? D YES O NO Is the facility to be C0nstrucled within 1,000 feet of the outer boundary of school site? DYES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUMNCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND TI-IE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that thenl ls a c:ontll\ldlon lending agency for the performance of the work for which this pannh 18 lsauad (5ec. 3087{~ Civil Code). LENDEij'S NAME LENDER'S ADDRESS I certify that I have read the application and atate lhat the above Information Is correct and that the Information on the plans Is accurate. I agree to comply with all City ordinances and Staie 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 INMYWAY ACCRUE AGAINST SAID CllY IN CONSEQUENCE OF THE GRANTING OF THIS PEJltMIT. OSHA: An OSHA pem,lt ii n,quirwd for excavatl0111 over 5'0" deep and demolition or oonslruction of structures over 3 stories In height. EXPIRATION: Every permit issued by the bulldlng Ollclal under the provisions of this Code shaH expire by limitallon and become null and void it the building or work authorized by such permit II not commenced within 180 days from the date~ such permit or if the building or work authorized by such pennit is suspended or abandoned at any time after the WOik Is comr-of ~80 <lays'= 106.4.4 Unifoml Building Code). APPUCANrSSIGNATURE ~ ~ ,,½..,_ OATE l:, -:). " -r1) C:, CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. Jobaddress:_--"1=8=21~Pali=·s=ad=e=s=Dr~------------ 2. Type of building: Residential'-"X""-----Commercial ----- 3. Roof Slope: Rise__±__ inches in 12 inches 4. Number of existing roof covering ( circle one(I} 3 5. Type of existing roof covering Compo sheathing Plywood *6. New Roof Material Compo/Asphalt 30 yr Class.__,A~---weight per sq. __ _ 7 Number of Squares _ __o1=6 ___ _ 8 Trade name Timberline ----=-===~------Manufacturer_.,,G.,.AF..._ _____ _ 9 Roof system listing UL# ______ ASTM # __,.D,,.3,.,,0,..1.,,_8 ______ _ 10 Is the existing structure design sufficient to sustain the weight of the proposed roof? yes 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 ofl7pre-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 the inspection. Signature ~i=---.. 7LJ., 7 h. Urbach Roofing Inc. Roger Urbach President * Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass. Built Up, Other m -City of Carlsbad Bldg Inspection Request For: 7/6/2000 Permit# CB002346 Title: HANSFORD RES-1600 SF COMPOSITI Description: Type:MISC Sub Type: REROOF Job Address: Suite: Location: 1821 PALISADES DR Lot APPLICANT URBACH ROOFING, INC. 0 Owner: HANSFORD DAVID R TRUST 07-23-96 Remarks: Total Time: Act Comments Inspector Assignment: TL --- Phone: 7604715065 Inspector:~ Requested By: JOE Entered By: ROBIN CD Description 19 Final Structural 4----- Associated PCRs Inspection History Date Description 6/27/2000 15 Roof/Reroof Act lnsp Comments AP TL