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Home My WebLink About2015 KARREN LN; ; CB022212; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-31-2002 Miscellaneous Permit Permit No: cso22212 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: 2015 KARREN LN CBAD MISC 2052601400 $3,108.00 MOORE RES 2800SF COMPO PACIFICA ROOFING INC 1914 GRANDVIEW ST OCEANSIDE, CA 92054 760-966-2600 Subtype: REROOF Status: Lot#: 0 Applied: Entered By: Plan Approved: Owner: MOORE MARCC 1400 DARWIN DR OCEANSIDE CA 92056 Issued: Inspect Area: ISSUED 07/31/2002 SB 07/31/2002 07/31/2002 Total Fees: $89.00 Total Payments To Date: $0.00 Balance Due: Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Inspector: SR PERMIT FEE FINAL APPROVAL Date: 13 / 7 /Cd. Clearance: $89.00 $0.00 $0.00 $89.00 $89.00 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 Ca~sbad 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 . . PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. t6 C 'Z,.Z 2 f2 EST. VAL. ___ 3L.L.--'/'--C,---=g __ .s-_q._ Plan Ck. Deposit --,,lb------- Validated ~B:t.Y~~--'"'.:L4c----- Date, __ _L._~.!...---':::....----- Address (include Bldg/Suite #) 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 # of Bedrooms # of Bathrooms Name t, J,,f C... I Address \ City ,:,;i\¥:\\l!lli~t~t.ii/it:,i!Bilj!'.l<iHi,,9\~1%+\ili!lJ:1Aa~iw,,'<{001iol,1Q'l~0¥Si!!l!-/~i,r;£lfili!llll~li~~!ll(Ql,Mt1:1 Name Address City State/Zip Telephone# (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 .J!>Axempti~~ Any violation of Section 7031.5 by any applicant for a permit sub~c.;; the I_P~ant to a civil penalty of not more then fiv 1dred dollars ~ll- Name Address City State/Zip Telephone # State License# 2/ 9/~ license Class G 8,9 City Business license #.,lc=X)c"l.:3 ~ ~ Designer Name State License # Address City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D J 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. JQ 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: 9 Insurance Company :s:"r:A"V'"'~ 'F'VAJ C) Policy No.~815-J 4 Expiration Date J-J • Q3 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS! D 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 cure nsation coverage ia unlawful, and ahaU subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ( 00, 001 e ~ ~panaatlon, damages as provided for In Section 3706 of tha >¥'b.9r cod/a interest and attorney's fees. SIGNATURE e,,._~_ DATE ,/ L .gJ _ C, ~ liT?~~ijj,yij'"'"' . t~S¢~iffQtl41i:i:PD!Cli;!ijllf\;4!'.!l¥!!!lt!lf;f;:111JliffitrN!fiH'.ik~t;::E~tillb4!!l!hi~~;t2;'.t,:li: Ni?:;:,, I hereby affirm that I am exempt from the Contractor'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 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). 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(s) 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. D YES ONO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contractsd 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 I 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).,_----------------------------------------------------------- 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? D 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? D 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. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(0 Civil Code). LENDER'S NAME LENDER'S ADDRESS 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 ordinarices 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 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 5'0N deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued e 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 co ed within 180 da ro the date of such permit or it the building or work authorized by such permit is suspended or abandoned at any time after the work is comm for a eriod of O ys ( c~ 106.4.4 Uniform Building Code). ::;/ :I r /c,...::i_ APPLICANT'S SIGNATURE -.....,.)_::::~~~~t~~(::::_~'.'.::::____________ DATE -~·"-cl' .---'0=--'-,-'---~----'---1 YELLOW: Applicant PINK: Finance ' City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: ~/ S J<' )\ ~ ~ ~ L. V 2. TYPE OF BUILDING: RESIDENTIAL ✓ COMMERCIAL. __ _, 3. ROOF SLOPE: RISE 3/ inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one)~ 2 3 5. TYPE OF EXISTING ROOF COVERING 1>..)61~HEATHING ~.A~~~· *6. NEW ROOF MATERIAL C~""~CLASS~WEIGHT PER SQUARE ~t) 7. -NUMBER OF SQUARES,_~::._;e>>,,,c____. 8. TRADE NAME "§! .. t:;. MANUFACTURER ~L,, K 9. ROOF SYSTEM LISTING UL No. ~ 1 ICBO No. .$ ~ 10. IS THE EXISTING STRUCTURAL DES~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 instalfnew roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. ('\ 0 Signature ___ ~_---.,.,.,,~ ___ D.ate 7 J ,iJ JI~ Contractor ~wner ____ Contractor Narrie J 'I)~~ 4~ l.... / \l *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 08/06/2002 Permit# CB022212 Title: MOORE RES 2800SF COMPO Description: Type:MISC Sub Type: REROOF Job Address: Suite: Location: 2015 KARREN LN Lot APPLICANT PACIFICA ROOFING INC Owner: MOORE MARC C Remarks: Total Time: 0 Act Comments Inspector Assignment: SR --- Phone: 7609662600 Inspector: ~ Requested By: JOHN Entered By: GIOVANNA CD 19 Description Final Structural ~ __:_f l-»OD'-='-' -=-=----------- Associated PCRs/CVs Inspection History Date Description Act lnsp Comments 08/02/2002 15 Roof/Reroof AP SR OK TO COVER 08/01/2002 15 Roof/Reroof CO SR NEED TO REPLACE WOOD ROT ON STARTER BOARD