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Home My WebLink About1855 LILAC CT; ; CB021316; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-30-2002 Miscellaneous Permit Permit No: CB021316 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: T R CONSTRUCTION Building Inspection Request Line (760) 602-2725 1855 LILAC CT CBAD MISC 2155211500 $2,442.00 Subtype: REROOF Lot#: 0 CZERKAS -REROOF 2200 SF COMP Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: CZERKAS WANDA K ISSUED 04/30/2002 JM 04/30/2002 04/30/2002 9847 PASEO MONTRIL 92129 1855 LI LAC CT CARLSBAD CA 92009 6175 04/30/02 0002 01 CGP Total Fees: $77.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Payments To Date: $0.00 PERMIT Balance Due: $77.00 $0.00 $0.00 $77.00 FINAL APPROVAL Date~ $: ~/3 ~ O Z-Clearance: $77.00 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 asi03, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your nght 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 connecfion with this project NOR DOES IT APPLY to any 02 77,00 , PERMIT APPLICATION EST. VAL. --./-~~cl,,,:::..._-c.r __ _ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Plan Ck. Depo.s,i::.,t .----+--.µ_--,-- Validated By ~./-/,~~-+>'/---.,-,,,1-,,r-- Date _______ _.+--'+---'-- Address (include Bldg,'Suite #) $/,J(i1£ P/mll~ Legal Description Business Name (at this address) Lot No. Subdivision Name/Number Unit No. Phase No. Total# of units Proposed Use # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone# Fa><# City State/Zip Telephone# Name Address City State/Zip Telephone# ---~-~ .. dl!§lf~-l!§lfl .. iml!\.I~ (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 exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil pen lty of not more than five hundred dollars [$500]). 'llf' -ro,J O · Di Name State License # G:fl li';}. •w: Designer Name Address City State/Zip Telephone# State License# ________ ~ •0,-11,En•---ce•·,mr-oo , , ~,,wmw~uiw;.,%cif#i£ Workers' Compensation Declaration: t hereby affirm under penalty of perjury one of the following declarations: □ 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. ~ I have and 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 car~r and_policy number are: f /. Insurance Company 57~£ ~tANr\ PolicyNo.O1/(>-DJ__ 1411"1 Q0/{)131 ExpirationDate_cO"!.Jl e,bl'-+"«'.J.,_ ____ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS) / f □ CERTIFICATE OF EXEMPTION: I certify that in the performance of the work tor 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: Fallure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and clvll fl a up to one hundred thousand dollars($100,000), In dilion o the coat o atio amages are provided for In Seclion 3706 of the Labor Code, Interest and attor • fee .,.-r-,_,. SIGNATURE DATE ~ /?. V ,,,. I hereby affirm that I am exempt from the Contractor's 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 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 sale). D 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 builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to 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. □ YES □ NO 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/ /ontractors license number): ------------------------------------------------- 5. 1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone number I type of work): PROPERTY OWNER SIGNATURE ___________________________ DATE ___________ _ WHITE: File YELLOW: Aoolicant PINK: Finance PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 '.iiiwilif,,hllta1twa1~11tmi~d~,d\ilintinlt.1~&•iiuirii;Q1i1t,,'¥fs?J\WJ]'tefi)\;\iiffiJSWJim!1itI;IB\iifl!l!EJ1\ik'1fJ_tfil1,'Wiiif,WP,Etjl;if£ttiMs.Hf!L::W!kKsi;;Jp;;rfls;g;s;1, iDi g-ffl-l'"j-~¾mfi!'l'2l'.!J%&:.t~~'!nC:~~l~~~••1~!lffll«l,\'J.,'mf''o'int?~rtf+m;w~itz1Aco1'#it!ib'./ffJffi,o;_mY'!ITT'0,,#ii11®i.¾'s00o\1WBWlli~.11rfl'<1to!ncl'tsf',Th.,b;,B!/~0''0Al\s1s11s .%1: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration for or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES O NO Is the applicant or future building occupant required lo obtain a permit from the air pollution control district or air quality management district? □ YES □ NO Is the facility to be constructed within 1,000 feet of the 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. -"."'." 'Ni" """4''11 lifflll& .. lbi 00 biu,,W0i)J!fs%1@½~\F. W¾m§ffi¾/MkiJ1Jr".". Wiitm!!l1'('S'rr1.1/@·?·,t·¾l;'tf\9Js,~0l. '!W0"-1/'k~J?"0J.l'!ru."h'i"Jtw.'.'cs\Wt!¾1&1,J!:%0/Vh!sl,s.;;1t\[f,s?·;·-sng.,'\;f~1J1:,0:','.i.'i.':~,o's jffl:file~J"Jlt~~~~ii@Jim~&rit$1W~se.Hth'%8l::Js3V,\t0£ms½Tul'.JP'1d.Ws,;:i;~~"fu:"ij}ili91~ifSWJii1sG'{;.hififtt&.'m1,:0f&'?1WJTii®Jp:,,-;4s:,sJ'i&t,,Sog,9, I hereby affirm th~t there is "a construction lending clgency for the per10°rma~;;; of the workfor ;hich "this permit Is iSsued0 (Sec. 3()97(1) Civil C;de).0 "" "'""...,,., " ,~~ ~-"-'~= LENDER'S NAME __________________ _ LENDER'S ADDRESS ___________________ _ ~,~~ .. ,Jffljff§1!1M.'<%!illft0¾!!¥mLsW/4tlif:s!~\0j:Ji&jWJ}yJwJwBLlr4$X:4Rl\Ei:\1f~1tThHlli1E'iJW41fft§'[1f6£@E,%TIJUl¼ll:WGJt¥%4ls 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 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 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 commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after :::::~:::::::~::P~~:ci:OO /J;;;"ll DATE fJ +Pd,/4 V ! WHITE: File YELLOW: APPiicant PINK: Finance , City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: ;'[c; s:: l, l--A c.. c..:r 2. TYPE OF BUILDING: RESIDENTIAL \( COMMERCIAL~ _ _; 3. ROOF SLOPE: RISE l( inches in 12 Inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) (v 2 3 5. TYPE OF EXISTING ROOF COVERING /VO&!) SHEATHING Sl(rfJ *6. NEW ROOF MATERIAL 4~f:}-r CLASS 4--WEIGHT PER SQUARE 7. -NUMBER OF SQUARES '2----• ------,. _,,,__,, r.lS " fvlf"IV'? rov•, v 8. TRADE NAME fL/L-1!>@:. g~,iJ{, MANUFACTURER vf c;;-f(/Nbl.£ 9. ROOF SYSTEM LISTING UL No •. ___ ~ICBO No. ____ ____,_ 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? ~ 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: -11 , ' 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· ,Y~@~ Date Contractor 'Z Owner Contractor Name ----" ------- *6 • Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 05/10/2002 Permit# CB021316 Title: CZERKAS -REROOF 2200 SF COMP Description: Type:MISC Sub Type: REROOF Job Address: 1855 LILAC CT Suite: Lot Location: APPLICANT T R CONSTRUCTION Owner: CZERKAS WANDA K Remarks: Total Time: 0 CD Description Act Comments Inspector Assignment: PD --- Phone: 6195205005 lnspectorg Requested By: TONY Entered By: KAREN 19 _F_i_n_a_is_t_ru_c_t_u_ra_i _____ f_--------------------- Associated PCRs Inspection History Date Description 05/06/2002 15 Roof/Reroof 05/03/2002 15 Roof/Reroof Act lnsp Comments AP PD NR PD @ 2:20 GARAGE ALMOST DONE HOUSE NOT NAILED OK TO FELT, LOAD, MONDAY INSP