HomeMy WebLinkAbout1896 EAST POINTE AVE; ; CB052633; Permit07-18-2005
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Miscellaneous Permit Permit No: CB052633
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
ReferencfiJt:
Project
1896 EAST POINTE AV CBAD
MISC
2073833500
$2,580.00
Subtype: REROOF
Lot #: 0
STURT RESIDENCE
22 SQUARES OF COMP REROOF
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Applicant:
HETHERINGTON RC OFING CO
3265\ALLEY Sp
CARLS6A&^7C92008
Owner:
STURT DANIEL H&LISA A
POBOX 1148
SOLANA BEACH CA 92075
ISSUED
07/18/2005
MDP
07/18/2005
07/18/2005
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
PERMIT $77.00
$0.00
$0.00
$77.00
Total Fees: $77.00 Total Payments To Date: $0.00 Balance Due: $77.00
2758 07/18/05 00O2 01
CGP 77.
FINAL APPROVAL
Inspector: Date:
PPROVA
Clearance:
NOTICE: Please take NOTICE ttiat approval of your project Includes the "Imposition" of fees, dedications, resen/ations, or ottier exactions hereafter collectively
refened to as 1ees/exactions.° You have 90 days from the date this pemiit was Issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth In Govemment Code Section 66020(a), and file the protest and any other required infonnation with the City Manager for
processing in accordance with Carisbad 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 senrice fees in connection with this project. NOR DOES IT APPLY to any
fees/exactions of which vou have oreviouslv been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv othenwise exnired.
PERMiT APPUCATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EmUlEORMmQN:
FOR OFFICE USE ONLY
PLAN CHECK NO. <S^' Z-G^
EST. VAL.
Plan Ck. Deposit
Validated By
Date
Address (include BIdg/Suite H) Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use Proposed Use
Description of Work
aAi^JBIU>.TACT PERSON Uf mif MWI frgiHwKittPont)
SQ. FT.
-Z^CDCJ
#of Stories
/
# of Bedrooms tt of Bathrooms
'7 z r - >
Name ^ Address ' City
3, APPMCANT QComrtPtpr •,Asiwt for-Convuptor • Owneir • Agent (or Ownar
State/Zip Telephone U Fax It
Name
•44'
Address City State/Zip Telephone U
c
Nama Address City State/Zip Telephone #
imiiiimriQ»i'«QMPANY, NAME
(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 Codel 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 penalty of not more than five hundred dollars [$50011. OA)
Name Addrass
State License # V"^ <^ ^ ^ License Class 31.
City State/Zip Telephone #
City Business License II
Designer Name
State License $
Address City State/Zip Telephone
Workers' Compensation Declaration: I heraby affirm under panalty of perjury one of the following declarations:
Q 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.
Q 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 compensation insuranca carrier and policy numbar are:
Insuranca Company Policy No. ; Expiration Date
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS I$1001 OR LESS)
^2 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
tottecome subject to the Workers' Compensation Laws of California.
WARNINQ: Failure to saeura workara' eompanaation covaraga ia unlawful, and ahoU subjact an amployer to criminal panaltiaa and civil finas up to ona hundrad
thousand dollara ($100,000), in addition to tha coat of eompanaation, damagas aa providad for in Saetlon 3706 of tha Labor coda, intarast and attorney's fees.
SIGNATURE DATE
I hareby affirm that I am exempt from tha Contractor's Ucensa Law for tha following reason:
Q 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 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).
Q 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 contractorls) licensed
pursuant to the Contractor's License Law).
Q 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. Q YES QNO
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 provida 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
Muiilniii^^
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 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? • YES • NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? • YES • NO
Is the facility to ba constructed within 1,000 feet of the outer boundary of a school site? O YES • NQ
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.
iSli ihsfiaNSTWCTION i-ENRINSav ....
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
I certify that I have read the application and atate 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 CitV 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 B'O" 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
authonzed 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 the work is commenced forl-p^d of 180 gays (Section 106.4.4 Unitorm Building Code).
APPLICANT'S SIGNATURE 7^" ^ p^yg ?'-/^-'^ J
WHITE: File YELLOW: Applicant PINK: Finance
CityofCarlsbad
SUPPLEIVIENTAL BUILDING PERIVIIT APPLICATION FOR REROOFING
1. JOBADDRESS: fd'JQ l^/m^ fOy^A/Pj^ AV^
2. TYPE OF BUILDING: RESIDENTIAL COIVIIVIERCIAL ,
3. ROOF SLOPE: RiSE_y_inches In 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) (l) 2 3
5. TYPE OF EXISTING ROOF COVERINGCf^/^/^ SHEATHING f'cyi^cr/' ^i^^ >
*6. NEW ROOF IVIATERIAL COf*lJ^ CLASS R- WEIGHT PER SQUARE 7.^0^^
7. -NUIVIBER OF SQUARES_2A__i
8. TRADE NAIVIE 7"/Ar/^/g^/V/g^ MANUFACTURER (y-ZtF ^
9. ROOF SYSTEM LISTING ULNo. _ICBO No.
10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE
WEIGHT OF THE PROPOSED ROOF? Cy^J 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- 7^^=^^^ ^ ^ Date
Contractor ^ Owner Contractor Name AtfAe ^0~/S'/£/f/MfiTTHi/
*6 - Roiled Roofing, Standard/Lite Tile, Asphalt/Comp Fibergiass, Built up,
Other.
City of Carlsbad BIdg Inspection Request
For: 07/25/2005
Permit# CB052633
Title: STURT RESIDENCE
Description: 22 SQUARES OF COMP REROOF
Inspector Assignment: PY
SubType: REROOF
1896 EAST POINTE AV
Lot 0
Type: MISC
Job Adciress:
Suite:
Location:
APPLICANT HETHERINGTON ROOFING CO
Owner: STURT DANIEL H&LISA A
Remarks:
Phone: 7604193808
Inspector:
Total Time:
CD Description
19 Finai Structural
Act Comment
Associated PCRs/CVs
Requested By: NA
Entered By: CHRISTINE
Inspection Historv
Date Description Act Insp Comments
07/21/2005 15 Roof/Reroof AP PY EXISTING SHEATHING