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Home My WebLink About2031 CIMA CT; ; CB044277; PermitCity of Carlsbad 1635 Faraday Av Carlsbad CA 92008 Miscellaneous Permit Permit No CB044277 Building Inspection Request Line (760) 602 2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 2031 CIMACTCBAD MISC 2164911100 $5 085 00 Subtype REROOF Lot# 0 FEDUNAK RES 1700 SF REROOF WD SHAKE TO COMPOSITE SHAKE PARTIAL REROOF Applicant FEDUNAK PETER&GLADYS 2033 W 146THST GARDENACA 90249 Status Applied Entered By Plan Approved Issued Inspect Area Owner FEDUNAK PETER&GLADYS 2033 W 146THST GARDENACA 90249 ISSUED 11/29/2004 SB 11/29/2004 11/29/2004 Miscelaneous Fee #1 PERMIT FEE Miscelaneous Fee #2 Additional Fees $11500 $000 $000 TOTAL PERMIT FEES $11500 Total Fees $11500 Total Payments To Date $000 Balance Due $11500 11 29 000 "> C GS Inspector 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 run ui-i-iue u&e UIMLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By f I* iDate Business Name (at this address) Lot No Subdivision Name/Number Unit No Phase No To! al tt of units Assessor s Parcel # *\ Existing Use Proposed Use Description of Work SQ FT tt of Bedrooms tt of Bathrooms T^/T>*» Name Address City t°r Owner State/Zip Telephone tt Fax# Name «Jfl|l|6PJERljMSFlil4l|»«l Address i City State/Zip Telephone tt Name'Address City TT«ephone/# (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 Codel or that he is exempt therefrom and the basis fur 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 1$5001) Name State License tt Address License Class City State/Zip City Business License tt Telephone tt Designer Name State License # tti Address City State/Zip Telephone 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 the work for which this permit is issued n 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 Policy No Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) Q 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 dollars ($100 000) in addition to the cost of compensation damages as provided for in Section 3706 of the Labor code interest and attorney s fees SIGNATURE DATE I hereby affirm that I am exempt from the Contractor s License Law for the following reason Q 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 end 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) Q 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) ^^_^ 'in 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 l~l YES ED NO I (have / have not) signed an application for a building permit for the proposed work //.•/-'/' .with the^oljpwipa._personr{fi;rru,to provide the proposed construction Jjndyde name / address / phonejiumber / contractors In ense number)I hav 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 haveytontracted (hired) the following persons to provide the work indicated (include name / address / phone number / typeof work) / 1 . . if\ PROPERTY OWNER SIGNATURE COMPUHl»HISSEqTjWFOBW0W«W^ 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? O 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? Q YES Q NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? Q YES CD 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 l84ifiONSTpypII&NLEfjlpJMlcBft1GENCY J^Hti^L _ i 3 *v £. *L 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 __ __ 9 *teAPJWANTJ.C|BT(09ATO ^ ad steM,,** tifiMW fe -***<• H nu % f \i •* .* > 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 conply 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 horized by such permit is not commenpad within 180 days from thedaje of such permit or if the building or work authorized by such permit is suspended or abandoned any time after the work is commenceXlor a patifed of -180 daysrfSSpfion 106 4 4, Uniform Building Code APPLICANT S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1 JOB ADDRESS 2 TYPE OF BUILDING RESIDENTIAL X COMMERCIAL 3 ROOF SLOPE RISE inches in 12 inches 4 NUMBER OF EXISTING ROOF COVERING (circle one) (?) 2 3 i^J ' •> I ^-^ 5 TYPE OF EXISTING ROOF COVERING C^A* ° SHEATHING yrl *6 NEW ROOF MATERIALXZ^X^CLASS, A WEIGHT PER SQUARE 7 -NUMBER OF SQUARES / 7 8 TRADE NAME ^^ M^>/^AM.JFACTURER ^-^^^ ^ ^/9 ROOF SYSTEM LISTING " UL No ICBO No :££ ^o 7f 10 IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? (YES) NO / * , * . *All roof coverings are required fo be CLASS A Combustible roof coverings of any type or classification are prohibited I understand the following inspections are required \ 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 Signature - ^_ Date Contractor X Owner Contractor Name ^AliTH't£~& *6 • Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other City of Carlsbad Bldg Inspection Request For 12/06/2004 Permit* CB044277 Title FEDUNAK RES 1700 SFREROOF Description WD SHAKE TO COMPOSITE SHAKE PARTIAL REROOF Inspector Assignment PC Type MISC Sub Type REROOF Job Address 2031 CIMACT Suite Lot 0 Location APPLICANT FEDUNAK PETER&GLADYS Owner FEDUNAK PETER&GLADYS Remarks please inspect around 10am Total Time Phone 7606327190 Inspector Requested By FEDUNAK RESIDENCE Entered By CHRISTINE CD Description 19 Final Structural Act Comment Associated PCRs/CVs Inspection History Date Description Act Insp Comments 11/30/2004 15 Roof/Reroof AP PC