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Home My WebLink About1836 PALISADES DR; ; CB110709; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-05-2011 Miscellaneous Permit Permit No: CB110709 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 1836 PALISADES DR CBAD MISC 2073811300 $3,140.00 Subtype: REROOF Status: Lot#: 0 Applied: Entered By: Reference #: Plan Approved: PC#: Issued: Inspect Area: Project Title: COUTS RES· REMOVE EXISTING COMPOSITION ROOFING· REPLACE WITH NEW 2300 SF Applicant: URBACH ROOFING, INC. 445 PRODUCTION AVE SAN MARCOS CA 92075 760 471-5065 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE Owner: COUTS RODNEY J&LINDA M 1836 PALISADES DR CARLSBAD CA 92008 ISSUED 04/05/2011 RMA 04/05/2011 04/05/2011 $106.00 $0.00 $0.00 $106.00 Total Fees: $106.00 Total Payments To Date: $106.00 Balance Due: Inspector: Clearance: $0.00 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 pennit was issued to protest imposition of these tees/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. 4'~. ,-,'. ~~) ~ C l·TY OF CARLSBAD ADDRESS CITY PHONE EMAIL ARCH/DESIGNER NAME & ADDRESS STATE FAX Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov # OF UNITS # BEDR OMS # BATHROOMS ZIP CONTRACTOR BUS. NAME ADDRESS 445 Production Street CITY PHONE EMAIL STATE UC.# STATE L/C.# ZIP 9610 (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 t 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 ?031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). · Workers' Compensation Declaration: / hereby affirm under pens/ly of perjury one of /he following decJarBlions: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of lhe Labor Cod~, tor the performance of the work for which lhis perm ii is issued. I have and will maintain rkers' compensation, as requir d by Section 3700 o! I e ,Labor Code, for Ile pertormattf lhe wortcA which lhis!:'"V5 issued. My workers' compenseti number ere: Insurance Co. Policy No. ~ 11.JJ ":::t \ '9 ~ Expiration Dale _....,..,,.-t--+--t--r,._ __ This section need not be completed ff the permit is for one hundred dollars ($100) ortess. A\\\~ 0 Certificate of Exemption: I certify lhal in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as lo become subject lo 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 addHlon to the cost of compensation, dam1ges as ~r vlded for In Section 3706 of th l abor code, interest and attorney's fees. A!f CONTRACTOR SIGNATURE □AGENT DATE 4 L\ \ \ I hereby affi,m thBt I am exempt from Contractor's License LBw for the following reason: □ I, as owner of the property or my employees with wages as lheir sole compensation, will do the wortc and the slruclure is not inlended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Lew does not apply lo 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 improvemenl is sold within one year ol completion, the owner-builder will have lhe burden of proving lhal he did nol build or improve for the purpose of sale). D I, as owner of lhe properly, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply lo an owner ol property who buids or improves thereon, and contracts for such projects with contractor(s) licensed pursuant lo the Contractor's License Law). □ I am exempt under Section _____ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. D Yes □ No 2. I (have/ have nol) signed an appl1cal1on for a building permil for the proposed work. 3.1 have contracted wilh the following person (firm) lo provide the proposed construction ~nclude name address / phone / contractors' license number): 4. I plan lo provide portions of the work. but I have hired the following person lo coordinate, supervise and provide the major work (include name / address/ phone / contractors' license number): 5. I will provide some ot the work, but I have conlracted (hired) the following persons lo provide the work indicated (include name/ address/ phone / type of work): ~ PROPERTY OWNER SIGNATURE c:JAGENT DATE Is lhe applicanl or Mure building occupant required to submit a business plan, aculely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of lhe Presley-Tanner Hazardous Subslance Accounl Acri □ Yes □ No Is lhe applicant or Mure building occupant required to oblain a pennil from lhe air pollution control district or air quality managemenl district? □ Yes □ No Is lhe facility to be constructed 'Mlhin 1,000 feet of lhe outer boundary of a school site? □ 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 hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I certify that I have read the application and state that the above infoonation is correct and that the lnfonnation on the plans is accurate. I agree to comply with all City oldlnances and State laws relating to building conslruction. I hereby aulhorize representatrle of the City of Car1sbad kl enter upon lhe above menooned property for ns~ purposes. I ALSO AGREE TO SA VE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY AC~UE AGAINST SAID CfTY IN COOSEQUENCE OFTHE GRANTING OF THIS PERMIT. OSHA: An OSHA pem1tt is required br excavations over 5'0' deep and demootion or construction of structures over 3 sbies h height. EXPIRATION: Every perrntt issued by lhe Buikiing Oftbal under the provisions of this Code shall expire by li'nttation and become nun and void W the buldhg or IYOl'il authorized by such permt is not oommenced v,im 180days from the date of such pennit or ijthe buidhg or\YOl'il authorized by such penn · pended or abandoned al anytime after the IYOl'il is commenced for a perm of 180 days (Secoon 106.4.4 Unii>rm Buildhg Code). ,,#5 APPLICANT'S SIGNATURE DATE B-10 REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1.1. JOB ADDREss:.____._\ =8'-=-3_lo _ _,_8_.q_;.;__\ !.....1,1 &=c;.,,...d-=es"--D__,;__1--__;· l_,_V'-L-=----- 2. TYPE OF BUILDING: RESIDENTIAL ~ COMMERCIAL. ___ _ 3. ROOF SLOPE: RISE_!±_ INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) G) 2 3 5. TYPE OF EXISTING ROOF COVERING_~_· _____ SHEATHING __ _ *6. NEW ROOF MATERIAL G.~ cLAss_A_wEIGHT PER SQ. __ 7. NUMBER OF SQUARES '2, 3 --~~--- 8. TRADENAME _______ MANUFACTURER_~G4~~r-____ _ 9. ROOF SYSTEM LISTING: UL NO. ______ I.C.C.E.S. Report# _____ _ ASTM 1) 3'.)\ f 10. IS THE EXISTING STRUCTURAL 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: 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~~· Date_~_.__.l__,l\"--/ l __;__\ __ Owner _____ Contractor Contractor X Name Geo1n:_ 0, ,r ~s-kJc } Prndu~ \\\~ *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other Page 5of5 Rev. 03/09 City of Carlsbad Bldg Inspection Request For 04/19/2011 Permit# CB110709 Inspector Assignment: PD --- Title: COUTS RES-REMOVE EXISTING Description: COMPOSITION ROOFING -REPLACE WITH NEW 2300 SF COMPOSITION Type:MISC Sub Type: REROOF Job Address: 1836 PALISADES DR Suite: Lot: 0 Location: APPLICANT URBACH ROOFING, INC. Owner: COUTS RODNEY J&LINDA M Remarks: Total Time: CD Description Act Comments Phone: 7608011641 lnspecto(/ £ Requested By: GEORGE Entered By: CHRISTINE 19 Final Structural f------ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description 04/13/2011 15 Roof/Reroof 04/06/2011 15 Roof/Reroof Act lnsp Comments AP PD EXISTING PLYWOOD CA PY