HomeMy WebLinkAbout1860 OUTRIGGER LN; ; CB023612; Permite,,(c_
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City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
12-02-2002 Miscellaneous Permit Permit No: CB023612
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
Applicant:
1860 OUTRIGGER LN CBAD
MISC Subtype: REROOF
2074012000 Lot#: 0
$21,918.00
7800SF NEW LT WT CON TILE
& OSB. 1862, 1864, 1866 OUTRIGGER LN.
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
12/02/2002
SB
12/02/2002
12/02/2002
SCHOTT ROOFING INC HAMPTON RUSSELL W&JOAN
225 E CARMEL STREET #1
SAN MARCOS, CA 92069
619-7 44-6450
Total Fees: $320.00
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Inspector:
2319 12/02/02 0002 01
4976 VIA MARTA CGP
CARLSBAD CA 92008
Total Payments To Date: $0,00
PERMIT FEE
Balance Due:
Clearance:
$320,00
$0,00
$0.00
$320,00
$320.00
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 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
i n f . h h v I imil r h' whi h h f limi i i I h rwi
02
320-00
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK No.C3o2.3~lz._,
EST. VAL __________ _
Plan Ck. Deposit ________ _
Validated By ___________ _
Date ______________ _
Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Proposed Use
Domurf\l(,U #of Stories # of Bedrooms # of Bathrooms
Li:,, -~QJiTA.O.l'.:eER§IDUlf 1!1.ffifi,u.frnrn .tPPlic1ou1 ..,;;,,.t
Name State/Zip Telephone# Fax#
L!i,' 0.NlRACTQR'.:,g.QJ'ttft.atO',iNAME :,cl'.,}~: .. ,. ··'·" ... ·, .... ~ {I,,,. •• ·"-""' ,.,,j,.;:r;.&.. ._... •"'· ~'1
(Sec. 7031.6 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 tho Business and Professions Godel or that he is exempt therefrom, and the basis for the alleged
exemp;on. Any vio f Section 7031.6 by any applicant for a ormit subje ts the applicant to a civil penalty of not more than five hundred dollars ($6001). '? . . .<l.fo
Name City State/Zip Telephone #
State License # -----""~-'-'"'°~~-License Class --~"'-"---.I----City Business License II c5J. '-/: 35{) 0
Designer Name Address City State/Zip Telephone
State License # __________ _
[,t!, WQflKO.$ •J;..QMP~NJATIQNJ;;,l;i, . ,.,:,,,;;, ' ··~.::.. >'' '. ..ti • '· I '
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 Code, for the performance
of the work for which this permit is issued.
~ 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 worker's c pensation insurance carrier and policy umber ar : J I
Insurance Company -l,l...J~o..!I.L-l...Cf-lc.JL-4-L-=:i.."-'t-...L..W!ILlLIIOD.-Policy No. ~8 5 ;)a,45 Expiration Date J f 1 /) ,? '
(THIS SECTION NEED NOT BE COMPLETED I THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) /
0 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 • nHtlon coverage I• unlawful, and •hall aubject en employer to criminal penaltl&1 and civil fines up to one hundred
thousand dollar• ($10 th<! coat of compenHtlon, damagea as provided for in Section 3706 of the Labor code, l~rest and attorney'• fees.
SIGNATURE. __ ....c::...J..<<..L"-411"--__:::;__~:::::".::'_;~ ;------------DATE / t,_' z_ •~ -[_
:1: L:9WfilR,A!.!ILPlR Q~QIJA .I.'. -l ,. . , .. ,:.u '. ' ..• l"i, "':;,, ·,,.;1• . : , .•
I hereby affirm that I em exempt from the Contrac s License Law for the following reason:
D I, as owner of 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. 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 improvergents 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(sl 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 materials for construction of the proposed property improvement. 0 YES ONO
2. I (have / have not) signed an application for a building permit for the proposed work.
3. 1 have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / ~ontractors license number):
4. 1 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 _________ _._
1CQM!!L!U E TH!S.~EC.Tl.91'H!Ul'IIION·~ES/OµJTIAl,•B!,!!L1:nNG·P!:RMITS OI\ILY . , fc,
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, 25633 or 26534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES D NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 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 APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS ,OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
8. G9.N!>T.fl4CTION LEI\IDlNG AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30g7(i) Civil Code).
LENDER'S NAME ______________ _ LENDER'S ADDRESS _________________________ _
•~. AJ!PLICMtT C!:f!TlflCATION
I certify that I have read the application and state that the above information is correct and that the information on tho plans is accurate. I agree to comply with all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit\! 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 6'0" 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 lhe building or work
aulhorlzed by such permit is not comma e wilh · 180 days m the 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 commenc d rap od of 18 days (Section 106.4.4 Unilorm Building Code).
DATE -.1~7_1__,L--~·!J.,L...-0-7 ___ _
YELLOW: Applicant PINK: Finance
City Of Carisbad
SUPPLEMENTAL BUILDING P:i~I! tV;Lt'tTION FOR REROOFING
1. JOBADDRESS: /8'{;0 C)~;hc.J
2. TYPE OF BUILDING: RESIDENTIAL )<'. COMMERCIAL. __ __,
3. ROOF SLOPE: RISE 4 inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) G) 2 3 ._
5. TYPE OF EXISTING ROOF COVER,ING?b'.;.lµLSHEATHING 4.-p .
•s. NEW ROOF MATERIAL 1;~~LAss_A_wEIGHT PER SQUARE
7. -NUMBER OF SQUARES "7 c;..a •
8. TRADE NAME_~ u. MANUFACTURER nl~ .
9. ROOF SYSTEM LISTING UL No. ____ lCBO No. lf(Rfo0 ..
10. IS THE EXISTING STRUCTURAL DESIGN ~CIENT TO SUSTAIN THE
WEIGHT OF THE PROPOSED ROOF? ~ NO
All roof coverings are required to be CLASS A. Combll'Stible roof coverings
of any type or classification are prohibited.
I understand the following inspections are required: .)
1. Tear Off/Pre-inspection prior to instali new roof covering.
2. Final Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for
inspection.
Contractor X Owner ____ Contractor Narrie S::k:uttf:: ~~ °P1C ·
*6 • Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up,
Other.
City of Carlsbad Bldg Inspection Request
For: 04/01/2003
Permit# CB023612
Title: 7800SF NEW LT WT CON TILE
Description: & OSB. 1862,1864,1866 OUTRIGGER LN.
Type: MISC Sub Type: REROOF
Job Address: 1860 OUTRIGGER LN
Suite: Lot O
Location:
APPLICANT SCHOTT ROOFING INC
Owner: HAMPTON RUSSELL W&JOAN
Remarks: AM PLEASE
Total Time:
CD Description
19 Final Structural
?:le Comment
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments
Inspector Assignment: JM ---
Phone:
Inspector: ----
Requested By: SCHOTT ROOFING
Entered By: CHRISTINE
12/11/2002 15 Roof/Reroof AP JM OK TO COVER