HomeMy WebLinkAbout2364 ALTISMA WAY; ; CB054159; Permit12-06-2005
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Miscellaneous Permit Permit No: CB054159
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
2364 ALTISMA WY CBAD
MISC
2152403405
$0.00
Subtype:
Lot#:
REROOF
0
CASITAS DE LA COSTA 4900 SF
RELAY EXIST TILE-NEW UNDERLAYMENT
Status: ISSUED
Applied: 12/06/2005
Entered By: KG
Plan Approved: 12/06/2005
Issued: 12/06/2005
Inspect Area:
Applicant:
OILS ROOFING CO.
1089LEUCADIABL
ENCINITAS, CA 92024
619-436-7588
Owner:
HAMMARSTEN DENNIS F
2364 ALTISMA WAY #A
CARLSBAD CA 92009
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
PERMIT FEE $60.00
$0.00
$0.00
$60.00
Total Fees:$60.00 Total Payments To Date:$60.00 Balance Due:$0.00
Inspector:
FINALA
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 "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 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./
EST. VAL.
Plan Ck. Deposit ^1.
Validated By_
Date
Address (include Bldg/Suite #)Business Name (at this address)
Legal Description
Assessor's Parcel #
RfcJ/V/ T'U, -/VfrWy
Description of Work
Lot No. Subdivision Name/Number
Existing Use
OA/L^//^L£L ^00
' ' ' SQ.FT.
z.
tot Stories
Unit No. Phase No.
Proposed Use
# of Bedrooms
Total # of units
# of Bathrooms
(Sec. 7031.S Business and Professions Code; Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to rts
issuance, also requires the applicant for such permit to file a signed statement that he is ticensod 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
exemtion. 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 [$500}).
r\jf
State License * 6 J 7*? ^
Address
License Class
City State/Zip
City Business License #
Address City State/Zip Telephone
Workers' Compensation Declaration: I heraby affirm under penalty of perjury one of the following declarations:
Q 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.
151 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
rissuBd. My worker's compensation insurance carrier and policy number are:
Insurance Company ff "f «^ j-g j^rV-^ Policy No.^ 7 £*~7 " l~?d ~1s<wS Expiration Date
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [41001 OR LESS)
Q 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 trie Workers' Compensation Laws of California.
WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and dvff fines up to one hundred
thousand doflarsU 100,000), In addrtion to th* coat of compensation, damages as provided for hi Section 3706 of tfw Labor code. Interest and attorney's fees.
(SIGNATURE f/-^f^~^- -- DATE
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
Q 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).
Q 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).
Q I am exempt under Section Business and Professions Code for this reason:
1. I personally plan to provide tha major labor and materials for construction of the proposed property improvement. Q YES QNO
2. I (have / 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 / 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):
DATEPROPERTY OWNER SIGNATURE
COMPLETE-
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDRESS:
2. TYPE OF BUILDING: RESIDENTIAL L^~ COMMERCIAL
3. ROOF SLOPE: RISE 4* inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) (j) 2
5. TYPE OF EXISTING ROOF COVERING TTE*. SHEATHING
*6. NEW ROOF MATERIAL ^71^ CLASS_jLWEIGHT PER SQUARE
7. -NUMBER OF SQUARES
8. TRADE NAME V" A/A MANUFACTURER^,
9. ROOF SYSTEM LISTING UL No. _ICBO No..
10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE
WEIGHT OF THE PROPOSED ROOF? YE 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-inspection prior to install new roof covering.
2. Final Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for
inspection.
Signature - Date
Contractor ^^^ Owner Contractor Name
*6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up,
Other.
City of Carlsbad Bldg Inspection Request
For: 06/09/2006
Permit* CB054159
Title: CASITAS DE LA COSTA 4900 SF
Description: RELAY EXIST TILE-NEW UNDERLAYMENT
Inspector Assignment: JM
2364 ALTISMA WY
Lot
Type: MISC
Job Address:
Suite:
Location:
APPLICANT OILS ROOFING CO.
Owner:
Remarks:
Sub Type: REROOF
Phone: 7607276000
Inspector:
Total Time:
CD Description
19 Final Structural
Act Comment
Requested By: CAROLINE
Entered By: CHRISTINE
/fit
Comments/Notices/Hold
Associated PCRs/CVs Original PC#
Inspection History
Date Description
03/03/2006 19 Final Structural
02/28/2006 19 Final Structural
01/18/2006 15 Roof/Reroof
Act Insp Comments
CO JM
CO JM REMOVE DEBRIS FROM ROOF TOP
AP JM OK TO COVER
THIS DOCUMENT HAS A BLUE PATTERNED BACKGROUND