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HomeMy WebLinkAbout2015 CHESTNUT AVE; ; CB040810; PermitCity of Carlsbad , • • , • 1635 Faraday Av Carlsbad, CA 92008 03-10-2004 Miscellaneous Permit Permit No: CB040810 Building Inspection Request Line (760) 602-2725 Job Address: 2015 CHESTNUT AVCBAD Permit Type: MISC Subtype: REROOF Status: ISSUED Parcel No: 2052603000 Lot#: 0 Applied: 03/10/2004 Valuation: $2,775.00 Entered By: KMT Reference*: Plan Approved: 03/10/2004 Issued: 03/10/2004 Project Title: FRANCISCO RES- TEAR OFF & RE- Inspect Area: SHEET / 25 SQRS FIBERGLASS (ICBO# 5414) Applicant: Owner: SAN DIEGO ROOFING SANDY PETER R&FRANCISCO GRACE B 615 NORTH AVE 2015 CHESTNUT AVE VISTA, CA 92083 CARLSBAD CA 92008 760-758-1800 Miscelaneous Fee #1 PERMIT FEE $77.00 Miscelaneous Fee #2 $0.00 Additional Fees $0.00 TOTAL PERMIT FEES $77.00 Total Fees: $77.00 Total Payments To Date: $0.00 Balance Due: $77.00 ?194 03/10/04 0002 01 02 CGP 77. ~r> FINAL APPR Inspector: —J v^N Date: *i( / Clearance: 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 _fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 we; FOR OFFICE USE ONLY PLAN CHECK EST. VAL. (3.-775.00 Plan Ck. Deposit Validated By Date Address (include Bldg/Suite tt)Business Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No. • Phase No.Total tt of units Assessor's Parcel tt Existing Use Description of Work . SO. FT. >V7'V'> t-^Sj^ACJ^^XCiA \~-£ "" ^OO-V . \€(x» ^CLL*: 2. CONTACT PERSON (if different from applicant) > .> N^ Name 3. APPLICANT O Contractor Name 4. PROPERTY OWNER Name / Address ' fj^Agent for Contractor Q Owner Address Address --FJ~"* #of Stories \ \T£,— SrVdeJ|^ City (U Agent for Owner City SnMUT Av City Proposed Use # of Bedrooms 2. State/Zip State/Zip ' State/Zip # of Bathrooms Telephone # Fax tt Telephone tt CA £feoo& Telephone tt 6. CONTRACTOR - COMPANY 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 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 penalty of not more than five hundred dollars ($.5001). Name ^_ State License # b<Q*» ~*\ C> t- ^- ' v b^<\ 1 SS S\£> 6. WORKERS' COMPENSATION Address * License Class C^ ^ \ Address .... ' . . City ' State/Zip ' Telephone tt City Business License # / ^O' ^\ City State/Zip Telephone \ 1> Cf \Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: [~l 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. IM 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 insurance carrier and policy number are: . Insurance Company T>I y\T€j i UAJP jNiS»Ul^/VAJCt-> Policy No. v-'T** -^V/C/vJ ' -^ •J Expiration Date_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) C3 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollarar($;fOO..OpOA in addition/Io the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE fetgafcJtttr'Lv Q/^lfrVfr ______ _ DATE 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: G 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). 0 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. Q 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 (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 HMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY ',. ,, 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? CH YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? (~l YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q 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. . CONSTRUCTION LENDING AGENCY 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 _ M/A" LENDER'S ADDRESS 9. APPLICANT CERTIFICATION ' , 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, 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 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 the work is commeBlced for a period of/CSO days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE >-~ YELLOW: Applicant PINK: Finance City Of Carls bad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: 2. TYPE OF BUILDING: RESIDENTIAL COMMERCIAL 3. ROOF SLOPE: RISE U' r»- inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) y£) 2 3 5. TYPE OF EXISTING ROOF COVERINGCec. SHEATHING^ r^. . > *6. NEW ROOF MATERIALViWja ^ CLASSj^l WEIGHT PER SQUARE 7. "NUMBER OF SQUARES 8. TRADE NAME € L^C o<. MANUFACTURER 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: 7/ 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. (J^.Signature U"k *-Vy ^A/T!^ > Date Contractor Owner Contractor Name *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 11/02/2004 Permit* CB040810 Title: FRANCISCO RES- TEAR OFF & RE- Description: SHEET / 25 SQRS FIBERGLASS (ICBO# 5414) Inspector Assignment: PY Sub Type: REROOF 2015 CHESTNUT AV Lot 0 Type: MISC Job Address: Suite: Location: OWNER SANDY PETER R&FRANCISCO GRACE B Owner: SANDY PETER R&FRANCISCO GRACE B Remarks: Phone: 7604207449 Inspector: Total Time: CD Description 19 Final Structural Requested By: LEE STERLING Entered By: CHRISTINE Act Comment Associated PCRs/CVs Inspection History Date Description 10/12/2004 15 Roof/Reroof 10/04/2004 15 Roof/Reroof 08/10/2004 19 Final Structural 03/11/2004 15 Roof/Reroof Act Insp Comments CO PS NO ONE HOME LEFT CARD ON DOOR NS PY WORK COMPPLETED WITHOUT INSPECTION. EXPIRE PERMIT CO PY WORK COMPLETED WITHOUT INSPECTION EXPIRE NR PY License Detail Page 2 of 2 ^ • *• Effective Date: 01/01/2004 Contractor's... Bonding. History BOND OF QUALIFYING INDIVIDUAL(I): The Responsible Managing Officer (RMO) FRX BARON STERLING III certified that he/she owns 10 percent or more of the voting stock/eqi corporation. A bond of qualifying individual is not required. Effective Date: 05/03/2000 * Workers Compensation Information * * * This license has workers compensation insurance with the STATE COMPENSATION INSURANCE FUND Policy Number: 046-0006955 Effective Date: 01/01/2000 Expire Date: 01/01/2005 Workers Compensation History Personnel listed on this license (current or disassociated) are listed on other licet Personin el List Sa lesPerso n List Qthe rLicenses License Number Request Contractor Name Request Personnel Name Request Salesperson Request Salesperson Name Request © 2003 State of California. 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