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HomeMy WebLinkAbout2019 MAR AZUL WAY; ; CB051549; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 \~'2 04-29-2005 Miscellaneous Permit Permit No: CB051549 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2019 MAR AZUL WY CBAD MISC 2151301400 $14,500.00 Subtype: REROOF Lot#: 0 ROSENBERG RES-5000 SF STD WT CONCRETE Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 04/29/2005 RMA 04/29/2005 04/29/2005 SECURE ROOF INC ROSENBERG RICHARD LIVING TRUST 7356 TRADE ST SAN DIEGO CA 92121 800 338-6868 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $230.00 2019 MAR AZUL WAY CARLSBAD CA 92009 PERMIT FEE Total Payments To Date: $0.00 Balance Due: $230.00 $0.00 $0.00 $230.00 $230.00 7088 04/29 /05 0002 01 CGP Inspector: FINAL Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the "lmpositionn of fees, dedications, reseivations, or other exactions hereafter collectively referred to as "fees/exactions.n 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, ~or planning, zoning, grading or other similar application processing ~r service fees in connection wit~ t~is ?roject. NOR_ DOES IT APPLY to any 02 230-00 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Fl;).raday Ave., Carlsbad, CA 92008 1. PROJECT INFORMATIPN Assessor's Parcel # Existing Use ffj) Description of Work sa. FT. #ot Stories :it-· <;-A~fP,t:JCANY: 0:-.Coi'ftriiPtili'; l!f_Ag'ent,for C.ontractor D Owner D Agent·for Owner FOR OFFICE USE ONLY PLAN CHECK NO. ,J/j05/ 2Lj r EST. VAL. _________ _ Plan Ck. Deposit -------,4-.---- Validated By ____ h---,r-~~L... Date _____ ----"=l---/----6°"'"1-----H.L...J..- Phase No. Proposed U~ 4F µ # of Bedrooms # of Bathrooms Jf~6 02_5 Fax# ............ /rosePllet?.G CJ3 State/Zip Telephone# -'.// ')2-r,tp"J "7bo 4"7~ co-r •,, Pl!OPERtv<OWNER· · •. Address City S.tate/Zip Telephone II (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 ~action 7031.5 by any applicant for permi subjects the applicant to a civil penalty of no~or,,than five hundred dollars 1$500]). 6-E:"CL-<-Af l(..0C S'S o--, o-...-JJv (.j,Lf'· C/Zt90'; 160 5'f6 02.5"~ Name State Ucense # ~S~9_,_,0~8~3~1/~_ Address City State/Zip Telephone # License Class c_3 r City Business License # ? /:2.. / f O 5' 'J Designer Name Address City State/Zip Telephone State License # _________ _ ill,. ;. .. )i,/()Jjg!ili$!"¢DMPll\l!l'~llCll\lc Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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. ~ 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 {ss~ued. My worker's compensation insurance carrier and policy number are: / lnsu,ence Company BT ATL F\.u.lO Pol;cy No. 2..S5 1 y gf, 0 o Exp;,afon Date / ~ / -0 t> (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) 0 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 wor ' compensation coverage Is unlawful, and shaH subject an employer to criminal penalties and civil fines up to one hundred thousand dollars I$100,000), In on to f compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees. SIGNATURE ~ DATE J./-:2.., ' ~ OS :7; i :ciV!irjEl\,i1iJ,1€pE)l::i!El;i:A11J1llDN .. I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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). 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 p·ermit 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. l 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 I phone number / type of work):. ___________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ ~QMPLE;Tl;''l"H!S:SECTIQN:FOR:NON°RES/OENT/AL· BUILl;>INQ·.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 26606, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D 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 O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 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. :e•,,:: iCl>N$,TfflJQTIPN·'LENPING.ll:GENCY 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 ________________________ _ iili•R•iiAl/f~ICANf l::EBTIFICAT\0111, 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 the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit ls not commenced wl h 1 BO 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 for riod of 180 ays ectlon 106.4.4 Uniform Building Code), . ~ . APPLICANT'S SIGNATURE DATE /-1.9 -,::;S WHITE: File YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOBADDRESS: 20/CJ 1'?10-,, Oz.~°15" C{? 9J.0 09 2. TYPE OF BUILDING: RESIDENTIAL f: COMMERCIAL. __ ....! 3. ROOF SLOPE: RISE J./ inches in 12 Inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) 6) 2 3 S. TYPE OF EXISTING ROOF COVERING ~C.: SHEATHING ,A/0 • -61"!7 wT 2 *6. NEW ROOF MATERIAL rpPc._ CLASS.._V~WEIGHT PER SQUARE 7. -NUMBER OF SQUARES 5() . 10 tbs 111"" ~ 8. TRADE NAME 11f a/(jlt{ MANUFACTURER £~ale 9. ROOF SYSTEM LISTING UL No. ____ lCBO No. 5 G 6 0 IO. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? ® NO see <2-Mf5 ""'f All roof coverings are required to be CLASS A. CombU5tible 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. Signature ___ /4_-'----~--'_Pt'_M _____ .Date lf • :1.. q -05 Contractor ___ Owner ____ Contractor Nawe *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built u , Other. m City of Carlsbad Bldg Inspection Request . . . For: 06/03/2005 Permit# CB051549 Title: ROSENBERG RES-5000 SF STD WT Description: CONCRETE Type: MISC Sub Type: REROOF Job Address: Suite: Location: 2019 MAR AZUL WY Lot APPLICANT SECURE ROOF INC 0 Owner: ROSENBERG RICHARD LIVING TRUST Remarks: Total Time: CD Description 19 Final Structural ~ Comment Associated PCRs/CVs lnsiiection Histo[l1 Date Description Act lnsp Comments 05/20/2005 15 Roof/Reroof AP PD Inspector Assignment: JM --- Phone: 7605460254 Inspector: ~ Requested By: CHARLA Entered By: CHRISTINE 05/10/2005 15 Roof/Reroof co JM SECTION B NOT PER ENGINEERS REPORT 05/09/2005 15 Roof/Reroof CA JM BY CONTRACTOR