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HomeMy WebLinkAbout2409 APPIAN RD; ; CB102013; Permit11-01-2010 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB102013 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: 2409 APPIAN RD CBAD MISC 1673810300 $3,906.00 Subtype: REROOF Lot #: 0 COPELAND RES- 3100 SF COMPOSIT Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 11/01/2010 RMA 11/01/2010 11/01/2010 Applicant: COPELAND KATHY A TRUST 09-02-06 2409 APPIAN RD CARLSBAD CA 92010 Owner: COPELAND KATHY A TRUST 09-02-06 2409 APPIAN RD CARLSBAD CA 92010 Miscelaneous Fee #1 PERMIT FEE Miscelaneous Fee #2 Additional Fees $106.00 $0.00 $0.00 TOTAL PERMIT FEES $106.00 Total Fees:$106^00 Total Payments To Date:$0.00 Balance Due:$106.00 FINAL APPROVAL Inspector: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 you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. Building Permit Appli< 1635 Faraday Ave., Carlsbad, CA N^ CITY OF 760-602-2717/2718/27 f*"*ARI ^RAD Fax:760-602-8558V-.iT\r\l_jD/AL/ www.carlsbadca.gov __ JOB ADDRESS™ , , - _ /3 /? // o "> V C?^ X^ / 'V f r f $&) /<s $f fiftjls^ftft O CT/PROJECT# LOT* PHASE # #"OF UNITS # BEDROOMS Plan Check No. C^Jjl O <7\ 0 /Jcation \r 92008 Est. Value {fOfa 19 W -*-^ Plan Ck. Deposit (A/K Date // /^ / f ^ SWPP SUIT£#/SPACE#/UNIT# APN # BATHROOMS TENANT BUSINESS NAME CONSTR.TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) >. x> y ' . /""I 1 f EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (If Different Font Applicant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME 6&~ *flj, J /$ * / ADDRESS ^ J 5/j> *? /# /^r //? *^> $ ft » CITY STATE ZIP PHONF , IFAX g,j ^ £$ *y *•/ ' fy 3 J J EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC.# PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESD # NOD YES D NO D YES D NOD APPLICANT NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL CONTRACTOR BUS. NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL STATE UG.# CLASS CITY BUS. UC.# (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 appjicant 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 aicivil penalty of not more than five hundred dollars ($500}).L5 by any applicant for a permit subjects the applicant to a Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: G 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. O 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 workers' compensation insurance carrier and policy number are: Insurance Co. ; Policy No. Expiration Date This section need not be completed if the permit is for one hundred dollars ($100) or less. O 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 (8,100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. >£f CONTRACTOR SIGNATURE OAGENT DATE I hereby affirm that I am exempt from Contractor's License Law for the following reason: D 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 tor the purpose of sale). D 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 y^roperty who builds or improves thereon, and contracts for such projects with contractors) licensed pursuant to the Contractor's License Law). GT I am exempt under Section Business and Professions Code for this reason: / 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement, a Yes D No 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address /phone / contractors' license number): 4.1 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 / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): xS&ROPERTY OWNER SIGNATURE '/OAGENT DATE x/X/X/^ 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? a Yes ONo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes G No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes H No IF ANY OF THE ANSWERS ARE YES, i EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name • Lender's Address I hereby authorize representative of Ihe City of Carlsbad to enter upon Die above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OFCARLSBAD 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 Ihe 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 at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). >e$APPLICANr-SS1GNATURE ' DATE REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESS:--j:--,.v-n,--.--, yi 2. TYPE OF BUILDING: RESIDENTIAL X COMMERCIAL 3. ROOF SLOPE: RISE L/ INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) ©23 5. TYPE OF EXISTING ROOF COVERING SHftktoS SHEATHING *6. NEW ROOF MATERIAL Si»*ili$S CLASS A WEIGHT PER SQ. / 7. NUMBER OF SQUARES 3 / _ 8. TRADE NAME _ _____ MANUFACTURER & /9 F / ^ 9. ROOF SYSTEM LISTING: UL NO. 7^^ I.C.C.E.S. Report* _ ASTM f)7 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? tj|§) 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-lnspection 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. J •—-y ,-~-3^"""' Ss s / •*"*Signature /^^a^z £^S<^-> Date /£> /£ tf // & Contractor _ Owner / Contractor Name *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other B-1 0 Page 5 of 5 Rev. 03/09 CITY OF CARLSBAD UNSCHEDULED BUILDING INSPECTION B-44 Development Services Building Division 1635 Faraday Avenue 760-602-2700 DATE: {f-1 <> -fO PERMIT #: JOB ADDRESS: DESCRIPTION: INSPECTOR CONTACT: PHONE #: CODE DESCRIPTION ACT COMMENTS Bldg Inspection Form Page 1 of 1 Rev. 06/09