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Home My WebLink About2265 NOB HILL DR; ; CB991501; Permit04/19/1999 City of Carlsbad Miscellaneous Permit Permit No:CB991501 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Building Inspection Request Line (760) 438-3101 2265 NOB HILL DR CBAD MISC Subtype: REROOF Status: 1671121900 Lot #: 0 Applied: $3,120.00 Entered By: Plan Approved: Issued: REROOF 3000 SF-COMPOSITION Inspect Area: ISSUED 04/19/1999 JM 04/19/1999 04/19/1999 Applicant: Owner: FALLBROOK ROOFING STIER RICHARD -L 2265 NOB HILL DR 1415 ALTURAS STREET áALSéAD FALLBROOK CA 92028 760-728-9598 9 04/19/99 0001 01 02 \ C-FRMT 87.00 Total Fees: $87.00 / I Payments $0.00\ raIa?lçe Due: $87.00 \ EEEEE;,J Miscelaneous Fee #1 s.°o Miscelaneous Fee #2 0.00 TOTAL PERMIT FEES 1952 INCORPORATED PERMIT HAS EXPIRED IN ACCORDANCE WITH U.B.C. SECTION 106.4.4 4-1 DATE IO101 / LsIGuIE_P a 4Aa---0yFMJ FINAL APPROVAL Inspector: Date: ______________ 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 lees/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 capactiy 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. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 i PROJECT INFORMATIOl p.J0bI Address (include Bldg/Suite #) I I FOR OFFICE USE 011~~5 PLAN CHECK NO.______ w lEST. VAL. Plan Ck. Deposit Validated By i22't 7f Business Name (at Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use . Proposed Use Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms PERSON Name Address City State/Zip Telephone If Fax N 3 APPUCANT iator DontiaáióO oD .. - Name Address City State/Zip Telephone N r' r A2(sc #.ihdt 1r. (tASb0A 17 nt Name Address City State/Zip Telephone N 5 - CONTRACTOR OMPANYNAMEE ' r .. - •-' 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 itè 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 Codel 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 ($5001). tlbrrk 14' Mhjro.S SI IS 1 c'o4t6rK c, 1zo Z - gq Name Address City State/Zip Telephone N State License N U%SAql License Class 'I, C.,3 City Business License N I'lf Designer Name Address City State/Zip Telephone State License N WORKERS' COMPENSATION ... . ., - Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 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 th,,work for which this permit is issued \ P: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: bisurance Company Policy No._____ Expiration Date__________________ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS I$11001 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 on employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000). in addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees. SlGNATURE . DATE 7.OWNEUI RA ......... ...,.., ........,..... 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 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). o 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). C] I am exempt under Section ____ Business and Professions Code for this reason: I personally plan to provide the major labor snd'materials for construction of the proposed property improvement. 0 YES DNO 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 I address / 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 I 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 / address / phone number /type of work): PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NON'RESIDENTML BUILDING P 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 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 feat 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. a CONSTRUCTION LENDING AGENCY' 9! ' - I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30970) Civil Code). LENDER'S NAME LENDER'S ADDRESS_______________________________________________________ cZ ................................................................. 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 Cite' 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 Building Official under the provisionsof this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 365 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 commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). - APPLICANT'S SIGNATU" DATE WHITE: File 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) 1 2 3 TYPE OF EXISTING ROOF COVERING t.-bX SHEATHING_______ *6. NEW ROOF MATERIALbQ*.55 CLASS - WEIGHT PER SQUARE 23S NUMBER OF SQUARES tj . TRADE NAME MANUFACTURER ELk ROOF SYSTEM LISTING U ASLrM No. t361ICBO No.___________ IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF?'7c 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: Tear Off/Pre-inspection prior to install new roof covering. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Sig Contractor_VOwner Contractor Name V A~~br-ock Tt4~cb *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. UNSCHEDULED' BUILDING INSPECTION DATE 4i ctct - Z///- INSPECTOR PLAN CHECK # DESCRIPTION CODE DESCRIPTION ACT COMMENTS