HomeMy WebLinkAbout2215 FARADAY AVE; ; CB032966; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-29-2003 Miscellaneous Permit Permit No: CB032966
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
2215 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: &h¥ ?
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 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 vou have nreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired.
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NO. C/J(J_l ;29_/£
·'
CiTY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
Legal Description Subdivision Name/Number Unit No. Phase No. Total II of units
1 }xisting Use ;
-.7 Jt (ocrr Proposed Use
SO. FT. II of Bedrooms II of Bathrooms
State/Zip Telephone II Fax II
Address City State/Zip Telephone II
4l 2 2:
(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
exemJllionl_ Any violation on5ectio?-7P31 .5 by any applicant !o! a permit subj cs the applicant to a civil penalty of not more than five hundred dollars ($500]) .
...::>Lf\o \~e.() f~o-klVI 2.3 0 -(! l"ltl. ..SS1 . (o 'JS-/-
Address City Telephone
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 c~p nsation insurance carrier and policy number are: _
1
_ d d
Insurance Company .:>· -V f\ Policy No.C,oO ":{' Z ~ -Z 04 3 Expiration Date I I l
(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 18 ' compen1atlon coverage la unlawful, and ahall aubject an employer to criminal penalties and civil fines up to one hundred
"\ 2~~~~~d donar, ($100 to the cost of compen1ation, damages ea provided for In Section 3706 of the .Labor co~ lnteraat and attorney's fees.
~TURE • DATE /¢ -2,7 -0 3, tz · ~NEfl~B~DECIIARATION· • ~::---:::--::-;"'----~~---,
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(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 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 / 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 numberJ:·----------------------------------------------
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number / type
of work):._~~~~-~~~~~~~~~~---~-~~~~~~~~~~~~~~~~~~~~~~~~~~~-~~~~~~-
PROPERTY OWNER SIGNATURE--=::=-----::-::---:::--::----------------:.
r®M~.31:!IS SECJIOf{fOR' Nblf:flESIDp,JTIAL BUILDING PERMIT!l_ONLY
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? 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? 0 YES 6'(_ NO
Is tho fscility to be constructed within 1,000 feet of the ou,er boundary of a school site 1 0 YES ~ NO
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).
I cenify 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 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 buil · g Official under the provisions of this Code shall expire by limitation and become null and void if the building or work
/
uthorlzed 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 0 da s (Section 106.4.4 Uniform Building Code). I b _ L 'f-~
APPLICANT'S SIGNATURE ' DATE -------------
WHITE: File YELLOW: Applicant PINK: Finance
City -of C~arlsbad Bldg Inspection Request
For: 12/31/2003
Permit# CB032966 Inspector Assignment:
Title: CBAD COMM CENTER-VERIFY ROOF
Description: EQUIPMENT PLACEMENT ONLY-AFTER NEW LAYER OF
ROOFING
Type: MISC Sub Type: OTHER
Job Address: 2215 FARADAY AV
Suite: Lot 0
Location:
APPLICANT SCHOL TEN ROOFING
Owner:
Remarks:
Total Time:
CD Description Act Comment
19 Final Structural
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments
Phone: 7144121241
Inspector: 4-
Requested By: MIKE
Entered By: CHRISTINE