HomeMy WebLinkAbout1868 OUTRIGGER LN; ; CB023613; Permitc(c_
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City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
12-02-2002 Miscellaneous Permit Permit No: CB023613
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
1868 OUTRIGGER LN CBAD
MISC
2074012400
$21,918.00
Subtype: REROOF Status:
Lot#: 0 Applied:
Entered By:
Reference #: Plan Approved:
ISSUED
12/02/2002
RMA
12/02/2002
12/02/2002
Project Title: 7800 SF LT WT CONCRETE
Applicant:
SCHOTT ROOFING INC
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:
Owner:
ROBERTS ALMA P
1868 OUTRIGGER LN
CARLSBAD CA 92008
Total Payments To Date: $0.00
PERMIT FEE
Issued:
Inspect Area:
2319 12/02/02 0002 01
CGP
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
f vi I imil r r i h f\imi i I rwi
02
320,00
FOR OFFICE USE ONLY
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave ., Carlsbad, CA 92008
PLAN CHECK NO. {¥b1, ..3 h I..]
EST. VAL. Q / 1 if
Plan Ck. Deposit __ 1 _.,....... _____ _
, •. '!301 tg1'L 1/ YI~ 1,
Validated By (l/r=-
Date / B-/J.. / t, ),,
Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Proposed Use
De~rk(\L(,U 60. ~T~. 7 f #~ Stories # of Bedrooms # of Bathrooms
lt ~ • ..(l,..QNIAID'~P.iBI.QM:tlt.llfftf!.lll\t!,Ql!l lPP!ICl!\tlJ.1.,. ,lM;;~\., .. ' t
Name City State/Zip Telephone# Fax#
Telephone#
Ei,:.,,:H,Q..NTJ3~Q.Ig8.J CQMMN¥ NAME · . .->t~'. .... 1, .,. ·•. ~.,, a·· '"I.. 1, ~,.. ~ ;;;i,-,n:iil..wJ'
(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 the Business and Professions Coda) or that he is exempt therefrom, and the basis for the alleged
exem_,PLlon. Any vio f Section 7031.5 by any applicant for a ermit subja ts !he applicant to a civil penalty of not more than five hundred dollars ($600)). <--::, . {/.fo
City State/Zip Telephone # Name
State License # __ ...e.~=~w!J-£... __ City Business License # c:52 L/ ,3&) 0
Designer Name Address City State/Zip Telephone
State License # __________ _
t,• WOBKiR3Le.Qti,~TlQ .,..... ,1,. "·. ~, • .,
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 sell-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 : / /
Insurance Company -1...U~:k!!o~..J..,.~--I-L4J.L--"~.....,_,__.__._.:>C.JL.llll,C._ Policy No. .;).8? ;Ja-4'5 Expiration Date J 1 _ D ,? '
(THIS SECTION NEED NOT BE COMPLETED I THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) ( /
O CERTIFICATE OF EXEMPTION: I certif 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' Compo tion La s of California.
naa . n coverage Is unlawful, and shall subject an employer to criminal penaltlea end civil fines up to one hundred
c t of compensation. damages aa provided for In Section 3 706 of the Labor code, Interest end attorney's fees.
D~TE I~• Z;• 0 ~ . \_• r :i ~Zkl' /1/l T .11!~~• ,\~
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
(Sac. 7044, Business and Professions Coda: 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 improva~ants 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).
O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Coda: 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).
0 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 ONO
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 (includll, name / address / phone
number/ contractors license number): _________________________________________________ _
6. 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 _________ ..,.._
ICQMJ!l!ill.Jtll§ j!iCTI.PJt FOff.tJOf{-RfS(DE/'iT_IAI,. llU!LD!N9 f,j:flfw'!IT$. 0'4~ Y : j
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, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO
Is the facility to be constructed within 1,000 feat 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.
B, • CQN~THV.CIION lfifiJ:!JN<i AGEfiCY I.
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3og7(i) Civil Code).
LENDER'S NAME ______________ _ LENDER'S ADDRESS __________________________ _
·9, APPl,.JGAl'ff Cl:flTIFICATION ,
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 Citt 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 5'0" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the building Official under lhe provisions of this Code shall expire by limilalion and become null and void if lhe building or work
authorized by such permit is not com need ithin 180 d from the date of such permil or if the building or work authorized by such permit is suspended or abandoned
at any time after the work is comm d (or p riod of 80 days (Section 106.4.4 Uniform Building Code).
DATE
YELLOW: Applicant PINK: Finance
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City Of Carisbad
SUPPLEMENTAL BUILDING PERMIT APPL;[Ctq~N FOR REROOFING
1. JOB ADDRESS: /Jy p '102JirJXj¾2 j e1 ,
2. TYPE OF BUILDING: RESIDENTIAL )<'.: COMMERCIAL __ .....
3. ROOF SLOPE: RISE Lj inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) G) 2 3 ..
S. TYPE OF EXISTING ROOF COVERJNG%1Jg,,SHEATHING 412.
*6. NEW ROOF MATERIAL 1;~~LAss_A_we1GHT PER SQUARE
7. -NUMBER OF SQUARES 7 fa .
8. TRADE NAME_~ . MANUFACTURER fu~ .
9. ROOF SYSTEM LISTING UL No. ____ lCBO No. lf{£fo() ..
IO. IS THE EXISTING STRUCTURAL DESIGN ~CIENT 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: •·,
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 Na!)1e 5(ho:tt: 0>~ Toe ·
*6 • Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up,
Other.
City of Carlsbad Bldg Inspection Request
For: 04/01/2003
Permit# CB023613
Title: 7800 SF LT WT CONCRETE
Description:
Type: MISC Sub Type: REROOF
Job Address: 1868 OUTRIGGER LN
Suite: Lot 0
Location:
APPLICANT SCHOTT ROOFING INC
Owner: ROBERTS ALMA P LIVING TRUST 01-21-03
Remarks:
Total Time:
Act Comment
Inspector Assignment: JM ---
Phone:
Inspector: -----
Requested By: SCHOTT ROOFING
Entered By: CHRISTINE
CD Description
19 Final Structural ~--------
Associated PCRs/CVs
Inspection History
Date Description
12/10/2002 15 Roof/Reroof
12/06/2002 15 Roof/Reroof
Act lnsp Comments
AP JM OK TO COVER 1868 & 1870
PA JM OK TO COVER 1872 & 1874