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Home My WebLink About2020 GAYLE WAY; ; CB062362; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-18-2o'06 Miscellaneous Permit Permit No: CB062362 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference#: Project Title: Applicant: 2020 GAYLE WY CBAD MISC 2051510400 $2,772.00 Subtype: REROOF Lot#: 0 SA,MSON: 200 SF COMP. RE-ROOF Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: URBACH ROOFING, INC. STE D-7 SAMSON ANSELMO&PATRICIA 120 N PACIFIC ST SAN MARCOS CA 92069 760 4 71-5065 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: Inspector: $77.00 1320 NANIAUI ST KAILUA HI 96734 PERMIT FEE Total Payments To Date: $77.00 Balance Due: Clearance: ISSUED 08/18/2006 JMA 08/18/2006 08/18/2006 $77.00 $0.00 $0.00 $77.00 $0.00 NOTICE: Please take NOTICE t at 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 hi h v r v· I Tl E im"I r hi r h f limi i h FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK No.CBD02-3'=,z_ CITY OF-CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Dt!µusit __________ _ vc11idc1tt!d av ~~ laN:( Datt! g/ LK_ i}(,,, I I,..: 1. ~OJJ:CT INFQR~lON D&') 061\e Aclclrt1SS (i11cluUt1 Blclg/Suitt; 11) Unit No. Pnasu Nu. T utal 11 ut u11its 0 400 ~QQ\Jl, 11 of Bedrooms II of Bathrooms Name Addruss State/Zip Telephone II Fax II Name Address Telephone I iL~US.CH>.MiAN~it.o~ ·, iij!.::Ji-.t.,,'. •~.! ..• -~ ... •.t.,tt:;;, ..... t .. ,;:-;.,a,,.)4t~il.:.1i:Jili.:'i.<iii\ll~_,'! !Sec. 7031.6 BuslneH 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 require• 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 ex Any violation Section 7031.5 by any applic nt for a parmit subj cts the applica~o a civil penalty of not more than five hundred dollars~6001). City State/Zip Telephone I State License , wW3~ License Class _...._.L-J ...... ___.'-----City Business License , 1 ;;z oo;J. er 0 Designer Name Address City State/Zip Telephone State License I _________ _ ll · • -~_wfflmMmQ!j[.;;:l.i.....i .... =1/J• ~-... "··· • ., ,. ... • ,,, . J_ • ·~\\- workers· Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O 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 th• work for which this permit is issued. ~ I have and will maintain workers' compensation, as required bv. Section 3700 of the L~bor Code, for the performance of the work for which this permit is Issued. My worker'• comp nsat n Insur ce carrii,r and policy number are: '10, /'J. ~/- Insurance Company_.......,'-'--"-'"-"1."-"'--~...._~....,_.._. _________ Policy No..){<2._J-~IJ;7-.a/~f.R Expiration Oate I-I -0 7 CTHIS SECTION NEED NOT BE COMPLETED IF TttE l'ERMIT IS FOR ONE HUNDRED DOLLARS 1•1001 OR LESSI D CERTIFICATE OF EXEMPTION: I certify t hat in the parformance of the work for which this permit is issued, I shall not employ any person in any manner so as to bacome aubject to the Workers' Compenaation Laws of California. WARNINO: Failure e wor11 .. • compenaatlon coverage la unlawful, and ahall aubject an employer to criminal penaltlH and clvU flnH up to one hundred thouaand dollar 000 addition to the coat of companaatlon. damagu u provided for In Section 3708 of ti)\ Labfr~· lnterHt and attorney's feH. DATE JS.. -J..rO(P Jlfjifi(QfiiifJ(N 1 ,,~t{i~f!M~~~Tw_1\~;1;u[!l.{,~1,::~\~t~\.~~1J}:~..,; .1J;t~-~~~:·:.;~J";t·~ J~ff";.~~tti~.~~/k-;~J;'~~'• 1 ~ ',irt.t{t•~ 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 intenducl or offerud tor salB (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 doas 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'• License Law doea not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(&) licensed pursuant to the Contractor's LlcenH 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. 0 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 numberl: _________________________________________________ _ 6. I will provide some of the work, but I have contr~cted (hired) the following persons to provide the work indicated (include name/ address / phone number / type of work): ___________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ DATE _________ _ l,gOMP,LEU;.THIS _§_E5jJ1Of,1 FQft'flQN'-Rl;SIDENnAL' BUILOlt,tq PERMITS'QNI, Y _ ,. "• '-· , ,-_;.. ,,.,~....,• , ,_ _ ,. -, ..:..... .!. 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, 26633 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 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? O YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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. !IJ,l:'.!.t~0Ji~TflUQ.T!9.tnE~PJN0tAg!iNCY,ir.\ . ,. ·., '._:·:.. .. · . I hereby aflirm that there is a construction lending agency for tho purformance of the work for which this perrnit is issued (Sec. 3097(i) Civil CocJd). LENDER'S NAME ________________ _ LENDER'S ADDRESS ___________________________ _ . . "'" .... I cenity that I have read the application and state that the above information is correct and that the information on the plans is accuratd. I agrue 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 AGHEE 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 tor excavations over 6'0" 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 ana voia ii the builaing or work authorized by such permit is not co enced within 1 lMl days lrom the date ot such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is com for erioct c,f 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE __._lo-_-lL.-'8..,___.-0~<o<.L....... __ _ WHITE: Filt1 YELLOW: Applicant PINK: Finance City Of Carlsbad SU PL MENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JoBADDRess: c?Qar) GatJ le /Jou; 2. TYPE OF BUILDING: RESIDENTIAL X' COMMERCIAL. _ _. . 3. ROOF SLOPE: RISE l./: Inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) (i) 2 3 5. TYPE OF EXISTING ROOF COVERING ChrviP,o SHEATHING 21,j' 1)01'.)d *6. NEW ROOF MATERIAL (;lx01~\1mCLASS_,8._WEIGHT PER SQUARE 7. -NUMBER OF SQUARES dd> 8. TRADE NAME. ______ MANUFACTURER 6A§? ~'T\\/* \) 3o\ 8 · 9. ROOF SYSTEM LISTING IA;-No. . ICBO No •. ____ ___,_ IO. 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: -,, f' 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 cZ!e__ ll Date &, Y -/cf -{)(p ti Je (3,tK:.H .Roo,e-;ivt, ;;:;,,, Contractor X Owner ____ Contractor Na111e ldzif'4e kA, LJ..,,,) *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 09/05/2006 Perm it# CB062362 Title: SA,MSON: 200 SF COMP. RE-ROOF Description: Type: MISC Sub Type: REROOF Job Address: Suite: 2020 GAYLE WY Lot 0 Location: APPLICANT URBACH ROOFING, INC. Owner: SAMSON ANSELMO&PATRICIA Remarks: Total Time: CD Description Act Comment 19 _F_i_n_a1_s_1_ru_c_t_u_ra_1 _____ ~ Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments Inspector Assignment: PY --- Phone: 7604715065 Inspector: ---- Requested By: AMBER Entered By: JANEAN 08/21/2006 15 Roof/Reroof PA MC EXISTING SHEATHING OK