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Home My WebLink About2205 FARADAY AVE; ; CB032965; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-29-2003 Miscellaneous Permit Permit No: CB032965 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 2205 FARADAY AV CBAD MISC $0.00 Subtype: OTHER Lot#: 0 CBAD COMM CENTER-VERIFY ROOF EQUIPMENT PLACEMENT ONLY-AFTER NEW LAYER OF Applicant: SCHOL TEN ROOFING STEC 23401 MADERO 92691 949 951-8844 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $60.00 Owner: PERMIT FEE Total Payments To Date: $0.00 Inspector:~ FINAL APPROVAL Date: ....... -+--...a....---- Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/29/2003 RMA $60.00 $0.00 $0.00 $60.00 Balance Due: $60.00 7544 10/29 /03 0002 01 02 CGP 60-00 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 pennit 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 infonnation 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. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 legal Description lot No. Subdivision Name/Number FOR OFFICE USE ONLY PLAN CHECK NoC/!t!J-<76__; EST.VAL.~~~~~~~~~~- Plan Ck. Deposit----~----- Validated ByUM-- Date /0,~ Unit No. Phase No. Total II of units A~sor's Parcel II Al *" a Pre. lJ Description of Work · I -~xisting Use I' eoaf oJJU\ et,, ~-r, 'tS focrr SQ. FT. Proposed Use .J 2. CONTACT PERSON (If different from appllcentl Name Address 3. APPLICANT O Contractor O Ag1111t for Contractor Address Address CONTRACTOR • COMPANY NAME City 0 Owner O Agent for Owner City II of Bedrooms II of Bathrooms State/Zip Telephone II Fax II State/Zip Telephone II State/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 exemJllion1 Any violation oh5ectio9-7P31 .5 by any applicant to a permit subj cs the applicant to a i:ivil penalty of not more than five hundred dollars ($5001) . ..,::)Lf\~ \~e..(l f~o-k1111 2.3 o ~<! ll ..ss, · ~ 'IS-I- Address Designer Name } tate License II • WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: City State/Zip Telephone 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. RI 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 c~:9nsation insurance carrier and policy number are: Insurance Company ~1f!:f ( Fu "I q Policy No.C,oO <5' Z ~ -2, 00 3 Expiration Date I -I -d '1 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) 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 aei: ' compensation coverage 11 unlawful, end 1hall 1ubject an employer to criminal penaltlea and civil fines up to one hundred '> zhouaand dollara ($100 I, I . to the cost of compensation, damagea a1 provided for In Section 3706 of the Labor cod,t_; intareat and attomey'1 feea. p ~IGNATURE • DATE /¢ -2-7 -0 ~ 7. OWNER-BUILDER DECLARATION -'-----'----"'-----~~--~ 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(sl 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 for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I 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 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------------------------ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY DATE _________ ~ Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration~ or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES ~ 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 ~ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 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 THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND 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 ---------------~-------------f9. 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 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the bull · g Official under the provisions of this Code shall expire by limitation and become null and void if the building or work Juthorized by such permit is not commenc it n 1 ys from the date of such permit or if the building o.r work authorized by such permit is suspended or abandoned . t any time after the work is commenced or a p i of 1 Oda s (Section 106.4.4 Uniform Building Code). b _ Z.. 'f ~ ":.$ APPLICANT'S SIGNATURE ' DA TE / ---------------- WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 12/31/2003 Permit# CB032965 Inspector Assignment: Title: CBAD COMM CENTER-VERIFY ROOF Description: EQUIPMENT PLACEMENT ONLY-AFTER NEW LAYER OF ROOFING Type: MISC Sub Type: OTHER Job Address: 2205 FARADAY AV Suite: Lot 0 Location: APPLICANT SCHOL TEN ROOFING Owner: Remarks: AM PLEASE -CARD IN ELEC PANEL ROOM Total Time: CD Description Act Comment 19 Final Structural /JvO Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Phone: 7144121241 Inspector: L Requested By: MIKE Entered By: CHRISTINE OCT-28-2003 11:25 P.01