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HomeMy WebLinkAbout2403 LA COSTA AVE; ; CB070383; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-12-2007 Miscellaneous Permit Permit No: CB070383 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: 2403 LA COSTA AV CBAD MISC 2162405552 $5,625.00 Subtype: REROOF Lot#: 0 MARSELLA 1500 SF LTWHT TILE- 60 SF BUil T-UP RE-ROOF Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 02/12/2007 KG 02/12/2007 02/12/2007 PETRONELLA ROOFING CO LEWIS WILLIAM T&JENELL FAMILY TRUST 01-27-81 C/O LEWIS FAMILY TRUST 2626 NEWPORT BLVD 92627 (949) 548-1645 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $115.00 Inspector: PO BOX 1257 BONSALL CA 92003 PERMIT FEE Total Payments To Date: $115.00 $115.00 $0.00 $0.00 $115.00 Balance Due: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Legal Description Lot No. Subdivision Name/Number Assessor's Parcel # Existing Use Name FOR OFFICE USE o~r_.. PLAN CHECK Nc{JttJ/Q,3R3 EST. VAL. J?e,,;25":: Plan Ck. Deposit ~ Validated By ____ r--r-~---- Date 7,/-07 Unit No. Phase No. Total # of units Proposed Use # of Bedrooms # of Bathrooms State/Zip Telephone# Fax# t$S ~fM¢l:QB-:r, Qo~PAN)i~j ~:S~!j~~~]Lt'.~,..~-:':<:~---,;.%L~l\::.~, _1if~,---~ ~ -~;:~~~~---j~~~~~~~;:[ •• }~~~;if1~~~~ (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 violation of Section 7031.5 by any applicant for a permit subjects the a plicant to a civil penalty of not more than five hundred dollars ($500)). 0 \ S -\~ State License # Lt b O 'l Q J License Class C '?, 9 City Business License # _______ _ Designer Name Address City State/Zip Telephone State License# _________ _ fd~~J~OM!:'ui.fA'fiJlN~~ :ri.,J,~r-~~~~• ;;;;;,;-;;"'· .. ~~:, ~,:' • ·. "'~:t· :,. '' 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. c, 1i('. 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 co~ensation insurance carrie~and policy number are: _ \ <Jo \ 51 q .. C'('\ c _ /1 / t fy~d Insurance Company ~ 'to,j: e.. f lA C\.q Polley No. _ J)__ _ _ _ _ 1. "'-' 7 Expiration Date ~ _ 3 _. J--\NJt- (THIS .SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED.DOLLARS ($1001 OR LESS) / D 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 / 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 llcensa number) .. ·_----------------------------------------------- 6. 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 ______________________ _ tcQM.ffi.i:iijj1~s.,_cJ19ridFQRWi'.!~.i0f.W.d~:1nJJ1J>!NGlPl:BMrt~QN~:Y;.:,;_)<~: .!t-, •. 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 25605, 25533 or 25634 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or futur,3 building occupant reQuired to obtain a permit from the air pollution control district or air Quality managem6nt district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 0 YES O 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,'.".. ~,l ~~-., .. ~- I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(il Civil Code). LENDER'S ADDRESS. _______________________ _ ~~EijI1f1QJl1_9r,l;~~~j.~;~:t;:r; · }"':4'!• ~~k.\, r·, 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 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 provisions of this Code shall expire by limitation and become null and void If the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by s ch permit is suspended or abandoned at any time after the work is commen or a period o 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE _ __,,.,__,---¥---+--=-A-"-_.______________ DATE --'-+.----''---+---'------ YELLO\lt: Applicant PINK: Fin~_nce REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESS:_:X.c~'-1 .... ci .... ~:;__...1k.:::::..._~~;.;..·.;.....,--------- 2. TYPE OF BUILDING: RESIDENTIAL_..,.✓__ COMMERCIAL, ___ _ 3. ROOF SLOPE: RISE 4 INCHES IN 12 INCHES ' 4. NUMBER OF EXISTING ROOF COVER_I~~ (C RCLE ONE)G) 2 3 5. lYPE OF EXISTING ROOF; ~VER NG t I "-~ ~lie SHEATHING (Jf!. '-\SD / br •6. NEW ROOF MATERIAL e, ~~ CLASs--4:..-wEIGHT PER SQ. 7),..u--0 I S 7. NUMBER OF SQUARES-L..Jt~:l..--,t-1_ 8. TRADE NAME ~ 5f f-MANUFACTURER ~tfuo - <r@ '-l~(;O 9. ROOF SYSTEM LISTING UL NO. ~ouWi L\f9b ICBO NO.,~~~.J.ll.L::::.. 10. IS THE EXISTING STRUCTU~D,S!GN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? V NO All roof coverings are required to be CLASS A. Combustlble roof coverings of any type or classlflcatlon are prohibited. I understand the followlng 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 ~ ~ .... if I 7{o 7 Contractor ____ Owner ____ C.ontractor Name P~~~ *6. Rolled Roofing, Standard/Lite TIie, AsphalVComp fiberglass, Bullt Up, Other City of Carlsbad Bldg Inspection Request For: 08/01/2007 Permit# CB070383 Title: MARSELLA 1500 SF LTWHT TILE- Descriplion: 60 SF BUil T-UP RE-ROOF Type:MISC Sub Type: REROOF Job Address: Suite: Location: 2403 LACOSTAAV Lot: 0 APPLICANT PETRONELLA ROOFING CO Owner: Remarks: can you final? Total Time: CD Description Act Comments 19 Final Structural e~--• ---------- Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description 03/02/2007 15 Roof/Reroof 02/21/2007 15 Roof/Reroof Act lnsp Comments AP JM HOUSE PA JM GARAGES Inspector Assignment: JM --- Phone: Inspector: ----- Requested By: CHRISTINE Entered By: CHRISTINE 11#-?-V'j (.~ -__ " ___ ------ ___ " ---" ---------~ ·~ --"