HomeMy WebLinkAbout2405 LA TINADA CT; ; CB031423; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
05-21-2003 Miscellaneous Permit Permit No: CB031423
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
2405 LA Tl NADA CT CBAD
MISC Subtype: REROOF
2550701000
$6,463.00
PAPA RES 2300 SF REROOF
WD SHAKE TO LT WT CON TILE
Lot#: 0
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
BUKOVE MICHAEL L&REBECCA A
ISSUED
05/14/2003
SB
05/14/2003
05/14/2003
JE
DILS ROOFING CO. 560)~ }5.: 21.. ,J?, )002 :?.L
1089 LEUCADIA BL
ENCINITAS, CA 92024
619-436-7588
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees: $188.00
2405 LA Tl NADA CT
CARLSBAD CA 92009
PERMIT FEE
RE-INSPECT FEE
Total Payments To Date: $128.00
FINAL APPROV~,5
Date: t?E~-R\
$128.00
$60.00
$0.00
$188.00
Balance Due:
Clearance:
$60.00
oval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
exa · ns." Y ave 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
edures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
process· rdance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, et aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exacUons 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
f I xa i fwhi h ouhav i ! b n iv Tl E imilar i r t which h flimitai h I · x ir
PERMIT APPLICATION
FOR OFFICE USE ONLY ,z
PLAN CHECK No.L@/lf Z,;,
CITY OF CARLSBAD BUltDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. __ (D.--1/'-G/....__.6<..).,__ __ _
Plan Ck. Deposit-·'---------
Validated _By __ 1:=>_---"'i3::._ _____ _
Date £/J '( 1/ o '3,
Cl:-
Address (include Bldg/Suite #) Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units
Proposed Use
# of Bedrooms # of Bathrooms
Name Address City Fax#
:~~litd."El ,l<lilll~Aior,-,,Ffl;lt~ifu:,111~-«.g~}m:i,liir:ii, Elt~nofo/!;pllJ!~oiii/to~.6\,irieri .. , .•
Name Address City State/Zip Telephone#
{Sec. 7031.6 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
exempti . An viola ·o~ 1:section 7031.522.any aolicant for a permit s bjects u a~plic\J:o a civil p~~y of~2 more than fiv~/inoed do1?1 [$50~)h C
Name Address City State/Zip Telephone #
State license # / E 9 9 6 / license Class (201 {rD / l,u1 / /4j {' 1 City Business licensy / / Q 6 1s '1f 5
Designer Name Address City State/Zip Telephone
State License # _________ _
-~~!Jll!J:j;)?~~iiiilJiii:;Jkl~Af:10~:1:,.;10:1':;" : :'-:: '\ >t3S: '.0'.,.t:!{;;;c:;J;;J/i: ,:;!>". ;-·
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
O 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 1s
issued. My worker's compensatton i~urance earner and policy number are:
lnsuranceCompany Sbk -t'ern.pclM;A\..\on \Y),S. kio\"\A PollcyNo. Q009l3~ '2.fJ03 Expiration Date 01-0 1-2°0 '4
ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS)
0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit ls issued, I shall not employ any person in any manner so as
to become subject to the Workers' Compensation Laws of California.
WARNING: FaUure to se re workera' compensation coverage 111 unlawful, and shall aubject an employer to criminal penalties and civil fines up to one hundred
thousand dollars 1$100, 0), Ii lt19n to the cost oytompensatlon, damages aa provided for In Section 3706 of the Labor code, interest and attorney's fees.
(
SIGNATURE 1./1'5 £v DATE
~11
I hereby affirm that I am exempt from the 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, end 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.DYES 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 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/ 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 I address / phone number / type of work): __________________________________________________________ _
ls 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 25534 of the Presley-Tanner Hazardous Substance Account Act7 D YES O NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management di~tricti' D YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site i' D YES D 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.
1!1Jf,ilfil!ii!:.N!li1:!lifl;!ffff{1~(!jt-j'~Q~Jl!~)'/icly!/i i1
•
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).
LENDER'S NAME ______________ _
1::i~~tt'iii!WJ.t~•n~n1:n1z111t>.r.:? :,J:1tr:t,,:: ';' ~':<we::;;;:,
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 such permit is suspended or abandoned
APPLICANT'S c :JNATURE
at any time afte• the work is commence or a period of 180 days (Sectio 106.4.4 Uniform Building Code).
='/4 < -/& -03 DATE __ .,,, ___ _:/:_ _ __:=-----'-
WHITE: File YELLOW: Applicant PINK: Finance
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDRESS: _J <; 0 5 L C\ "YlC\ k c_ + '
2. TYPE OF BUILDING: RESIDENTIAL. _ _.._X~_COMMERCIAL. __ _,
3. ROOF SLOPE: RISE 4 inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) Ci) 2 3
5. TYPE OF EXISTING ROOF COVERING S ~\leSsHEATHING S \l.1 I" ?-'A C.
I 13 ~ ~ T 1 '-L *6. NEW ROOF MATERIAL~ I 1 \e. CLASS__A__WEIGHT PER SQUARE
7. -NUMBER OF SQUARES l 2-3/4 .
8. TRADE NAME U ~ ( l C\ y MANUFACTURER _____ __.,_
9. ROOF SYSTEM LISTING UL No. __ ~_ICBO No. 3 5 Z 3
10. 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 are prohibited.
I understand the following inspections are required: -.-, ,-..
1. Tear Off/Pre-inspection prior to instalfnew roof covering.
2. Final Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for
inspection.
Signature_<--/4-.:c.'-"'5_-...:....&-1--C/-'--/4-'-q _______ Date __ 5_-_l_y_-_0_3_
,41 c.n;...
Contractor ___ Owner ____ Contractor Na!J1e J;>;/2 ~" f,nfJ
*6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up,
Other.
City of Carlsbad Bldg Inspection Request
For: 05/28/2003
Permit# CB031423
Title: PAPA RES 2300 SF REROOF
Description: WD SHAKE TO LT WT CON TILE
Type: MISC Sub Type: REROOF
Job Address: 2405 LA TINADA CT
Suite: Lot 0
Location:
APPLICANT DILS ROOFING CO.
Owner: BUKOVE MICHAEL L&REBECCA A
Remarks:
Total Time:
CD Description
19 Final Structural
Act Comment ~
~ %\no...
Associated PCRs/CVs
lns(.!ection Histoty
Date Description Act lnsp Comments
Inspector Assignment: JE ---
Phone: 7607276000
Inspector:
Requested By: BRENT
Entered By: CHRISTINE
05/21/2003 15 Roof/Reroof AP JE OK TO COVER
05/20/2003 15 Roof/Reroof NR JE PAY $60 REINSPECTION FEE 1147-G3
05/16/2003 15 Roof/Reroof NR JE NO WORK DONE