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Home My WebLink About2091 LAS PALMAS DR; ; CB030875; Permiti Dt~°' ~3-2~-200'3 City of Carlsbad 1635 Fa raday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB030875 Building Inspection Request Li ne (760) 602-2725 Job Address: 2091 LAS PALMAS DR CBAD Permit Type: MISC Subtype: REROOF Status: ISSUED 03/26/2003 MOP 03/26/2003 03/26/2003 Parcel No: 2130611600 L~#: 0 Applied: Valuation: $19,635.00 Entered By: Reference #: Plan Approved: Issued: Project Title: IND. BUILDING Inspect Area: 165 SQUARES OF BUil T UP REROOF Owner: SIERRA LAND GROUP INC Applicant: A-1 ALL AMERICAN ROOFING 4901 MORENA BLVD SAN DIEGO CA 92117 760 753-9066 801 N BRAND BLVD #1010 GLENDALE CA 91203 1200 03/26/03 0002 01 02 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOT AL PERMIT FEES Total Fees: $257.00 PERMIT Total Payments To Date: Inspector: __ Jv_v,,-____ _ $0.00 $257.00 $0.00 $0.00 $257.00 Balance Due: Clearance: CGP 257-00 $257.00 NOTICE: Please take NOTICE that approval of your project indudes the 'Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions.' You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in acoordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any x i n f wh· v r vi I n iv n N Tl E imil i whi f limi a i · I h rwi FOR OFFICE USE ONLY 'o ? ,,- PLAN CHECK NO. 6 !> ( S PERMIT APPLICATION CIT ' OI= 'CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. '1 k,'$-5/'i"?_,57 Plan Ck. Deposit ___ __,L"------ Validated By __________ _ Date _______________ _ 1. PROJECT INFORMATION ~ l ~oc.r._ l Ll C,, r: A. ~A .. c; Business Name (at this address) Address (include Bldg/Suite #) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # &w.w<-( RvA T untt<.. .Uetv Existing Use ~ //;)-0 'ff Proposed Use ~~~on c~rk/sv~ SQ. FT. #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON (If different from applicant) Telephone # Fax# Telephone # 4 . PROPERTY OWNER ~ {'( I[ ('c.. k-'--Y" '° b /C0I' J) Name • Address City State/Zip Telephone# 5. 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 Any violation of Section 7031.5 by any applicant for a permit subje ts the,fpplicant to a civil pe alty of not more than five hundred dollars [$5001). "I [ vc)' 1il. '-I O )..{(/ .r;B-~1-Q~ I City State/Zip Telephone # State License II License Class City Business License II f '2..b £,-y lf c Designer Name Address City State/Zip Telephone State License II ---------- 6. WORKERS' COMPENSATION 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, tor the performance of the work tor 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 issued. My worker's compensation insurance carrier and policy number are: ( Insurance Company ~~lw(ei, C.f~oal17 :P v~ Co Policy No.bO>-{X)Ol'l_ '-(() ( Expiration Date / ~ r-(> Y (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 tor 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 la 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 es provided for In Section 3706 of the Labor code, Interest and attorney's fees. SIGNATURE DATE 7. OWNER-BUILDER DECLARATION --======:::::::;;::: I hereby affirm that I am exempt from the Contractor's License Law tor 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. 0 YES ONO 2. I (have I have not) signed an application tor a building permit tor the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (Include name I 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 I contractors license numberl=------------------------------------------------- 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 ------------------------ COMPLETE THIS SECTION FOR NON-RES10ENT1AL BUILDING PERMITS ONLY DATE ~--~-----~ 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 Act7 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 ? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 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 ANO 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 -----------------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 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 s·o· deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Official under lhe 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 commenc7 fo;.,1 period of O days (S lion 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE W'l--DATE -r-u.--03 YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: M 1 { L+s ~ta-l !MA S 2. TYPE OF BUILDING: RESIDENTIAL COMMERCIAL \( 3. ROOF SLOPE: RISE 1/; u inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) 6) 2 3 5. TYPE OF EXISTING ROOF COVERINGL c.,.f '&,,r SHEATHING lb_ "'ct:>>c. *6. NEW ROOF MATERIALRuR.0tpr CLASS_A.__WEIGHT PER SQUARE )/0 #' 7. 'NUMBER OF SQUARES_/ ___ (y_ct:;_-----'- 8. TRADE NAME _______ MANUFACTURER U, ~, T vT-c C.. 9. ROOF SYSTEM LISTING UL No./)_ t:J[,. K:{ ICBC No •. _~----! 1 o. IS THE EXISTING STRUCTURAL DESIGN ~CIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? e:v NO All roof coverings are required to be CLASS A. Combustible roof coverings of any type or classification are prohibited. I understand the following inspections are required: ·;, ,·,· l. Tear Off/Pre-inspection prior to install'new roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signature ~ MJ 7 ,...-"\ /_ -0 ':) Date._...:;:> __ d-U' ___ J __ Contractor* Owner Contractor Naf'fleA -1,4u. Ari1. e,Tt.4.,,(_ A,,,;:;,y *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. . ~ . . . . UNSCHEDULED BUILDING INSPECTION PERMIT# o:s·a B ~S .· PLAN CHECK.·# ----- JOB ADDRESS· ---2o~s~,"--l,,.l .. .a..-.s~. ~--lil,::::J...J,\..a.JIY'D~Z,~$.___ ________ _ DESCRfi>TION ____ ---::---------------\)~~~ \D~-~~ -- CODE PESCRIPTION · ACT · COMMENTS