HomeMy WebLinkAbout1994 EAST POINTE AVE; ; CB051451; Permit04-25-2005
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Miscellaneous Permit Permit No: CB051451
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
6
1994 EAST POINTE AV CBAD
MISC
2073832500
$2,850.00
Subtype: REROOF
Lot #: 0
E RES 2500 SF RE-ROOF FROM
COMP TO COMP SHINGLES
Status: ISSUED
Applied: 04/25/2005
Entered By: KG
Plan Approved: 04/25/2005
Issued: 04/25/2005
Inspect Area:
47 LA RAMADA Lh
ESSQNDIDOCA^027
760 275^7354
Owner:
POE ANDREW C JR&LINDA M
1994 E POINTE AVE
CARLSBAD CA 92008
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
RE-ROOF PERMIT $77.00
$0.00
$0.00
$77.00
Total Fees: $77.00 Total Payments To Date: $0.00 Balance Due: $77.00
6719 04/25/05 0002 01 02
CGF- 77.00
Inspector:
FINAL APPROVAL
Date: S-fO^f^ Clearance:
NOTICE: Please take NOTICE that approval of your project Includes the "Imposition" of fees, dedications, resenatlons, or other exactions hereafter collectively
refen'ed to as "fees/exactions." You have 90 days from the date this perniit was issued to protest imposition of these fees/exactlons. 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 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 seivice fees In connection with this project. NOR DOES IT APPLY to any
(ees/exactlons of which vou have oreviouslv been given a NOTICE similar to this, or as to which the statute of limitations has previouslv othenwise expired.
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
«5;:v:-.*Bffi!lli|!jNiEMi
FOR OFFICE USE ONLY , . /
PLAN CHECK HQC^^Z-L2Z.
EST. VAL
Plan Ck. Deposit
Validated By
Date
Address (inciude BIdg/Sulte #) Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total U of units
Assessor's Parcei # Existing Use
/
Proposed Use
3
Description of Work / / SQ. FT. #of Stories # of Bedrooms 9 of Bathrooms
Name Address
ill4MVii«2(&««tt B t&liilrifeftiigV'Q 'Agent for Cibnlractor ,O0vvnBr'
Citv
'D Agent'for Owner
State/Zip Telephone $ Fax #
Name Address City State/Zip Talaphone #
199'I Rr^-fe • ^^Irbaol dlA. ^>^cx5y 7(ro -72g -9-7<7f
Name Address Telephona # City State/Zip
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter. Improve, demolish or repair any structura, prior to Ita
issuance, also requires the applicant tor such parmit to file a signed statemant that he is licensed pursuant to the provisions of the Contractor'a License Law
IChaptar 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is sxempt therefrom, and the basis for the alleged
exemption. Any violation of Section 7031.5 by any applicant for a pormit subjects the appiicant to a civil penalty of not more than five hundred doiiars [t600)l.
y Address City State/Zip Telephone #
State License # "TO&W^ ^ License Class City Business License # ) Z. f I O S f
Designer Name
Stata License #
Address City State/Zip Telephone
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of tha following declarations:
• I have and will maintain a certificate of consent to seif-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 iBsuranie carrier and policy number are:
Insurance Company <C^h3ii"< 4 LL.'<S3 Policy No. 2.^5'I<0C^Q5' Expiration Date I 'I • Q.^
(THIS SECTION NEED NOT BE COIMPLETED IF THE PERMiT IS FOR ONE HUNDRED DOLLARS (*100] OR LESS)
• 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.
WARNINQ: Failura tcsecure workers' compensation coveraga Is unlawful, and shall subjact an employer to criminal penalties and civil fines up to ona hundred
thousand dollars (MiMj^OljMddltiM^o the cost of compensation, damages as providad for In Section 3706 of the Labor code, interest and attomey's fees.
SiGNATURE /LJT Z^^T^^^ DATE M - 1^• ^5
mm nmmmmmmiiimMmm^MimM^^m^mm^^mm&mmmmmm^^^^mmm. ,....
I hereby affirm that I am exempt from tha Contractor's License Law for tha following reason:
Q I, as owner of the property or my employees with wages as their soie compensation, wiil do the work and the structure is not intended or offered for saie
(Sec. 7044, Business and Professions Code: The Contractor's Licenss Law does not appiy to an owner of property who buiids or improves thereon, and who does
such work himself or through his own empioyees, provided that such improvements are not intended or offered for saie. If, however, the buiiding or improvement is
soid within one year of compietion, the owner-builder wili have the burden of proving that he did not build or improve lor the purpose of sale).
|~| i, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The
Contrsotor's License Law does not spply to an owner of property who buiids or improves thereon, and contracts for such projects with contractorls) licensed
pursuant to the Contractor's License Law).
n i em exempt under Section , Business and Professions Code for this reason:
1. i personally plan to provide the major labor and materiels for construction of the propossd property Improvement. Q YES QNO
2. I (have / have not) signed en application for a buiiding permit for the proposed work.
3. I heve contracted with the foiiowing person (firm) to provide the proposed construction (inciude name / address / phone number / contractors license number):
4. i pian to provide portions of the work, but i have hired the foiiowing person to coordinate, supervise and provide the major work (inciude name / address / phone
number / contractors license number):_
5. 1 wiii provide some of the work, but i have contracted (hired) the foiiowing persons to provids the work indiceted (inciude name / address / phone number / type
of work):
PROPERTY OWNER SiGNATURE DATE
Miiiiliiiiiiiifiiro
Is the spplicant or future building occupant required to submit a business plan, acutely hazardous materiais registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner IHazardous Substance Account Act? • YES • NO
Is the applicant or future buiiding occupant required to obtain a permit from the air pollution control district or air quaiity management district? 'Q YES O NO
Is the faciiity to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETINQ THE
REOUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
iiiiliiiffiiffliiiSi^
I hereby affirm that there is a construction landing agency for the performance of the work for which this perinit Is issued (Sec. 3097(1) Civii Code).
LENDER'S NAME LENDER'S ADDRESS
i certify thst I have raad the application and state that the above information Is correct and that the information on the plans is accurate. I agree to compiy with all
City ordinances and State iaws relating to buiiding construction. 1 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 ANO 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 S'O" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the buiiding Officiai under the provisions of this Code shaii expire by limitation and become nuii and void if the buiiding or work
authorized by such permit is not commenced within 180 days from the date of such permit or if the buiiding or work authorized by such permit is suspended or abandoned
at any time after the work is commenc^d'f^l pejjp^f 'iBOjjgjfs (Section 106.4.4 Uniform Buiiding Code).
APPLICANT'S SiGNATURE DATE
YELLOW: Appiicant PiNK: Finance
CityofCarlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDRESS: i99^ £. <^<r^ao)^ CA. 9aoq8-
2. TYPE OF BUILDING: RESIDENTIAL ^ COMMERCIAL _^
3. ROOF SLOPE: RISE \ inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) 0 2 3
5. TYPE OF EXISTING ROOF COVERINGgb^ _ SHEATHING >1
*6. NEW ROOF MATERIALfib^ CLASS •^WEIGHT PER SQUARE
7. -NUMBER OF SQUARES
8. TRADE NAME^^pU)1-?^ ^cC^j.. MANUFACTURER (j^Af
9. ROOF SYSTEM LISTING UL No./c-Z/ ICBO UO.£R SSh(S
10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE
WEIGHT OF THE PROPOSED ROOF? fYES> 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'inspectlon 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.
Siqnature Date h xs-
Contractor ^ Owner Contractor Name ScaJJhiu'^>o:fyLjTZr
*B' Rolled Roofing, Standard/Lite Tile, Asphait/Comp Fibergiass, Builfup,
Other.
City of Carlsbad BIdg Inspection Request
For: 05/09/2005
Permit* CB051451
Title: POE RES 2500 SF RE-ROOF FROM
Description: COMP TO COMP SHINGLES
Inspector Assignment: PD
1994 EAST POINTE AV
Lot 0
Type: MISC SubType: REROOF
Job Address:
Suite:
Location:
OWNER POE ANDREW C JR&LINDA M
Owner: POE ANDREW C JR&LINDA M
Remarl<s:
Phone: 7605804084
Inspect!
Total Time:
CD Description
19 Final Structural
Act Comment
Associated PCRs/CVs
Requested By: ERIC
Entered By: CHRISTINE
Inspection Historv
Date Description Act Insp Comments
05/02/2005 15 Roof/Reroof AP PD
04/28/2005 15 Roof/Reroof CA CW