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HomeMy WebLinkAbout2245 NOB HILL DR; ; CB032253; Permit08-13-2003 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB032253 Building Inspection Request Line (760) 602-2725 2245 NOB HILL DR CBAD MISC Subtype: REROOF Status ISSUED 1671121700 Lot #: . 0 Applied: 08/13/2003 $3,108.00 Entered By: SB Plan Approved: 08/13/2003 Issued: 08/13/2003 FRIEDLANDER RES 2800SF REROOF Inspect Area: WD SHAKE TO COMP Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: PIVA ROOFING, BOB 1192 INDUSTRIAL AV ESCONDIDO, CA 92029 619-745-4700 Owner: FRIEDLANDER TRUST, 2245 NOB HILL DR. CARLSBAD'CA 92008 \ Miscelaneous Fee #1 / PERMIT FEE — ' $89.00 Miscelaneous Fee #2 / / " N. L) $0.00 \ Additional Fees / r '- / T-' \\ ,C$o.00 \ TOTAL PERMIT FEES / - '\ —$89.00 \ - -----, j' n:'--- Total Fees: $89.00 ' Total Payments To Date: ?- $0.0Of Bala ,.. nce Due: $89.00 -J c•j , '• ;! ' • /( INCORPORATED. 1952 ç -1877 08/13'03 0002 01 02 - / COP \ ; / I / 09-00 N / 7 J - FINAL Jj4L Inspector: _~)VA Date: t( 1)t(Oi Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred toas 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 pretest 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 FOR OFFICE USE ONLY PLAN CHECK No.a3 Zz53 EST.VAL. Plan Ck. Deposit Validated BYO c::f•3' Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Descriptio Work X'ra 4/1th -,4, CrniO SQ. FT. #of Stories I . // of Bedrooms II of Bathrooms Name Address City State/Zip Telephone // Fax II .z)4I'm4I Ave-1 9oY 76O- iI- 9700. Address . City . State/Zip Telephone 1/ an J3edI4itter . Name Address City State/Zip Telephone # (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 exemption. Any vlolatioj of ection 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001). 12 16 P/va .J j4..i p Ii9)L Vd1,?f ,#L'' co,id,i4 91 Name Address City State/Zip Telephone # State License # ' I License Class C3 City Business License # 120-3/9-9 Designer Name . Address. City State/Zip Telephone State License # . . [d- M7 MIT9111KIFIRWIT Q25W, 13- L _1 Q710W 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, 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 compensatio insurance carrie and policy number are: . - Insurance Company hr7e F01761 Policy No. 5&335O3 Expiration Date 6/I/o '1 (THIS SECTION NEED NOT BE COMPLETED JFTHE PERMIT IS FOR•NE HUNDRED DOLLARS ($1001 OR LESS) 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 ($1 3, In addWorrJo the cost of compensation, damages as provided for in Section 3706 of the Labor c9de, In)arest and attorney's fees. SIGNATURE ------ . I DATE -61/3103 I heieby 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 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). o I am exempt under Section Business and Professions Code for this reason: . I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO I (have / have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name / address I phone number / contractors license number): 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): 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 . DATE ft— FS Vi rai ' Is the applicant or future building occupant required to submit 's 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 AccountAct? 0 YES 0 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 0 NO Is the facility to be constructed within 1,000 feet of the Outer boundary of a school site? 0 YES 0 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. 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). J.ENDER'S NAME . LENDER'S ADDRESS________________________________________________________ OWN 09% 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 Cit' 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 OFTHE 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 lithe building or work authorized by such permit is not commenced within 180 days from the date of such permit or lithe building or work authorized by such permit is suspended or abandoned at any time after the work is commenced fgpa period of 1 ys (Section 106.4.4 Uniform Building Code). APPLICANTS SIGNATURE . . DATE . WHITE: rile YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING JOB ADDRESS: TYPE OF BUILDING: RESIDENTIAL COMMERCIAL_____ ROOF SLOPE: RISE / inches in 12 inches NUMBER OF EXISTING ROOF COVERING (circle one) 9 2 3 TYPE OF EXISTING ROOF COVERING SHEATHING '/'i. *6. NEW ROOF MATERIAL COLvIR CLASS 4 WEIGHT PER SQUARE INUMBER Of SQUARES 4 . TRADE NAME 1WS c'r1y WMANUFACTURER OU(e/1' ROOF SYSTEM LISTING UL No 90 ICBO No.__________ 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 areprohibited. I understand the following inspections are required:. . Tear Off/Pre inspection prior to instafl'new roof covering. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signature- Date / I Contractor_' Owner Contractor Name _ V4' *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. . City of Carlsbad Bldg Inspection Request For: 08/28/2003 Permit# CB032253 Title: FRIEDLANDER RES 2800SF REROOF Description: WD SHAKE TO COMP Type: MISC Sub Type: REROOF Job Address: 2245 NOB HILL DR Suite: Lot 0 Location: APPLICANT PIVA ROOFING, BOB Owner: FRIEDLANDER TRUST Remarks: Total Time: Inspector Assignment: JM Phone: 7607454700 A-^__ Inspector: Requested By: BOB Entered By: CHRISTINE CD Description Act Comment 19 Final Structural Associated PCRs/CVs Inspection History Date Description Act Insp Comments 08/21/2003 15 Roof/Reroof AP JM OK TO COVER