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Home My WebLink About2120 LAS PALMAS DR; ; CB043479; Permit09-07-2004 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB043479 Builcling inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 2120 LAS PALMAS DR GBAD MISG 2130503400 $20,740.00 MULTl TENANT BLDG 170 SQUARES OF BUILT UP Subtype: Lot#: REROOF 0 Applicant BRAVO ROOFING ING 149SVIKNG BREA 92821 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Owner PLETA TRUST PHILIP LGILDREDJR 550 W GST#1820 SAN DIEGO GA 92101 ISSUED 09/07/2004 MDP 09/07/2004 09/07/2004 Mlscelaneous Fee #1 Mlscelaneous Fee #2 Additional Fees PERMIT $309.00 ■$0.00■ , $0.00 TOTAL PERMIT FEES '■ • $309.00 Total Fees: ' $309.00 Tdtal Payments To Date:$0.00 Balance Due: -$309.00 0496 09/07/04 0002 01 02 CGR 309-00 Inspector: FINAL APPROVAL Date: f'Clearance: NOTICE: Please take NOTICE that approval of your project includes the "imposltiorr of fees, dedloations, reservations, or other exactions hereafter collectlvety referred to as fees/exactions.' You have 90 days from the date this permit was Issued to protest imposition of these fees/exaotions. If you protest them, you mustfollow the protest procedures set forth In Government Code Section 66020(a), and file the protest and any other required Information with the City Manager forprocessing in accordance with Car1sl)ad Municipal Code Section 3.32.030. Failure to tlinely follow that procedure will bar any sutjsequent legal action to attack, review, sd 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 capacityctwiges, nor planning, zoning, grading or other similar appBcatlon processing or service fees In connection with this project NOR DOES IT APPLY to anyfees/exactions of which vou have oreviou^ bieen given a NOTICE similar to tfiis. or as to which tfre statute of limitations has orevlouslv othenvise exdred. PERMIT APPLICATIOIM CITVKDF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, OA 92008 i;.:SRBOij|CT INFORM ,HwiAiiyw FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. 2 7 W,0/ Plan Ck. Deposit Validated By_ Date Address (include BIdg/Suite #) Legal Description y W n/Suitfi U)Business Name (at this address) Lot No.Subdivision Name/Number Unit No.Phase No.Total tf of units Assessor's Parcel tf Existing Use Proposed Use Description of Workcripiion ui vvul^v. r \ e«v\f 0 V V aIax QO V SQ. FT.#of Stories ff of Bedrooms # of Bathrooms 'pi '.' 'OiPi' \ ( j' .CiNo^rM oi 1 'r^iH Name 13, : APPLICANT' ^^J^Cantraqtai Rtc,k Name 4. - PROPERTY PVVNER ( Name I T)<s? e Oe Address ^itV n Agent for Contractor. i ^ Q Owner. [3;Agentfor (Dvyner] V' K ) n ^Fs C,ft Address City State/Zip Telephone U 114 Fax # io Iqi v; €\o^ r^g-at cLc .v\.0 ixa v| ame Address [ Sfl A'binu_viSG City State/Zip ca °la\1 Telephone tf State/Zip Telephone # ,5. ,. CONTRACTOB COMPANY NAME ' (Sec 7031 5 Busin8<=<^ 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's, 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 Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty^of not more than five hundred dollars ($50011.Asrnvc, 1?o,.A,ue, UrKtrsG, -ftRf s Aalaj LiHpIs %ls I Name Address City State/Zip Telephone # State License # foT^ 1 .T' License Class City Business License # Address City State/Zip TelephoneDesign^TName State License # 6. WORKERS' COMPENSATION ... Workers' Compensation Declaration: i hereby affirm under penalty of perjury one of the following declarations: 'Of 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 issued. My worker's compensatioh insurance carrier and policy number are: . ,/ --^A a<— insurance Compahy.^rSm_^^^£l^ Policy No. OOO^^/^ ^ Expiration Date ^ JO - c:^6 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) I—[ 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 oecure worker*' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundredthousand dollafS^I$100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of t^ Labor code. Interest and attorney's fees.RinNATllRF^Akl^fikk /V ^ . v.^ OWNE^BUILDER oicLARATION ' I hereby affirm that i am exempt from the Contractor's License Law for the following reason: □ i, as owner of the property or my employees with wages as their sole compensation, will do the work ahd 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 doessuch work himself or through his own employees, provided that such improvements are not intended or offered for sale, if, however, the building or improvement issold within one year of compietion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). □ i, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: TheContractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with oontractor(s) licensed pursuant to the Contractor's License Law). □ i am exempt under Section Business and Professions Code for this reason: 1. 2. 3. I personally plan to provide the major labor and materials for construction of the proposed property improvement. □ YES DND I (have / have not) signed an application for a building permit for the proposed work. I have contracted with the following persoh (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 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): PROPERTY OWNER SIGNATURE ,DATE jCOMPLETE YHIS SECTIPN FOR /VdW-7?£SADflV7MLBU)tPiN01P LL a Ait; ;ii is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and preventionprogram under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? - Q YES □ NO is the applicant or future bulidlng occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES □ NO is tha facility to be constructed within 1,000 feat of the outer boundary of a school site? □ YES □ 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 THEREQUIREMENTS OF THE OFFICE OF EtVlERGENGY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8 CONSTRUCTION LENDINGAGENCY .... 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 CERTIFICATIPN - • -. .- - I certify that i have read the application and state that the abova Information Is correct and that the information on the plans is accurate, i agree to comply Wnh ailCity ordinances and State laws relating to building construction. I hereby authorize representatives of the CItV of Carlsbad to enter upon the above mentionedproperty 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 S'O" 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 workauthorized by such permit Is n^commeno^ within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandonedat any time after the work is a period of 180 days (Section 106.4.4 Uniform Building Code). Q 'Y x( °ate r i^QmAPPLICANT'S SIGNATURE WHITE: File YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: 2. TYPE OF BUILDING: RESIDENTIAL —COMMERCIAL —. 3. ROOF SLOPE: RISE Inches In 12 Inches 4. number OF EXISTING ROOF COVERING (circle one) (^2 3 5. TYPE OF EXISTING ROOF COVERING SHEATHING *6. NEW ROOF MATERIAL CLASsJijtLWEIGHT PER SQUARE 7. -NUMBER OF SQUARESJI^J^) . p A NS 8. TRADE NAME. MANUFACTURER 15 WA ¨ \ . . 9. ROOF SYSTEM USTING UL No. _ICBO No. 10. 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: 1. Tear Off/Pre-lnspectlon prior to instalf new roof covering. 2. PInal Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signature. MUV J ^ j v va/ Date_9£h.O^ Contractor Owner. Contractor Najne. *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up. Other. City of Carlsbad BIdg Inspection Request For 01/26/2005 Inspector Assignment: TPPermit# CB043479 Title: MULT! TENAffT BLDG Description: 170 SQUARES OF BUILT UP 2120 LAS PALMAS DR Lot 0 Type: MISC Sub Type: REROOF Job Address: Suite: Location: APPLICAm" BRAVO ROOFING INC Owner: PLETA TRUST Remarks: Phone: inspector: Total Time: CD Description 19 Final Structural Associated PCRs/CVs Inspection History Requested By; CHRISTINE Entered By: CHRISTINE Act Comment ^ Date Description Act Insp Comments 09/15/2004 15 Roof/Reroof AP TP EXISTNQ SHTINQ 09/15/2004 ,19 Rnal Structural WO TP 09/13/2004 15 Roof/Reroof PA TP E HALF EXISTN SHTINQ 0a09/2004 15 Roof/Reroof NR TP ROOFER PULLED OFF NO ACCESS