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Home My WebLink About2409 LA COSTA AVE; A; CB063117; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 ► 10-27-2006 Miscellaneous Permit Permit No: CB063117 Building Inspection Request Line (760) 602-2725 Job Address: 2409 LA COSTA AV CBAD St: A Permit Type: MISC Subtype: REROOF Status: Parcel No: 2162405541~ Lot#: 0 Applied: Valuation: $14,190.00 Reference #: Project Title: UNITS A,B,C,D: 4000 SF TILE/ 1000 SF BUil T UP Applicant: PETRONELLA ROOFING CO 2626 NEWPORT BLVD 92627 (949) 548-1645 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE Entered By: Plan Approved: Issued: Inspect Area: Owner: COLEMAN ELYSE T 2409 LA COSTA AVE #D CARLSBAD CA 92009 ISSUED 10/27/2006 JMA 10/27/2006 10/2712006 $232.00 $0.00 $0.00 $232.00 Total Fees: $232.00 Total Payments To Date: $232.00 Balance Due: L Inspector: 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 pennit 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 waler 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 x in fwhih h rvi I Tl imilr hi r flimiain rvi lohiwisexir FOR OFFICE USE ONLY PERMIT APPLICATION ~ PLAN CHECK NO. ~0b3, il I EST. VAL. llf', lCC D CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit_..,.......,..... _____ _ Validated By __j VYY-\: Assessor's Parcel # Name Name l&• Qmt~O~C.QMJlAtti Designer Name State License # Date < 0 {2-7 lot., Business Name (at this address) Lot No. Subdivision Name/Number Unit No. Phase No. Existing Use cr3V City Business License # _______ _ Address City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Total # of units # of Bathrooms Fax# 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 ot_ o/' work for which this permit is issued. 9' ~ 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 com ensation insurance carri and policy number are: / rA q !m Insurance Company · Policy No. \ T CJ \ ? ~ Expiration Date __ ~ ... /.1~l.,!_l_~~---' (THIS 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 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 11 unlawful, end shall subject en employer to criminal penalties and clvU fines up to one hundred thousand dollars ($100,000), addition to e cost of compensation, damages as provided for In Section 3706 of the Labor c , Interest and attorney's fees. SIGNATURE DATE l () "). ll ,. 'bWNl;J!,fll.!l!iPI1fP:f~l1i: ' ~:sr-;;:.;,·t,:l~:i0ml!!ri"'"'i' ;,~ ~~,.m.''JiJ I hereby affirm that I am exempt from the ontractor's License Law for 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, 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 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): _________________________________________________________ _ PROPERTY OWNER SIGNATURE kQ~H1f.:_sg~'JlONJ•Q~~J!;!!~QINIU'f;BM!J'lt..QN · 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 26505, 25533 or 26534 of the Presley-Tanner Hazardous Substance Account Act? 0 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 district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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.ft; C 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 fi":~i:J.¢Aijt Cl;RTlflg,yl§f,j LENDER'S ADDRESS I certify that I have read the application end 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 ANO 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 lhe provisions of this Code shall expire by limitation and become null and void If the building or work aulhorized by such permit is not commenced wilhin 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 commence r a period 180 days (Section 106.4.4 Uniform Building Code). lb A-J APPLICANT'S SIGNATURE __ __:::..._L..JC..:...:.::...j~__:_,i~---------------DATE -'..:..-l~'---'___,_ /,__ _____ _ YELLOW: Applicant PINK: Finance .. REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESS:._d---=--l-\ ..... o'-9-lo-__,L:;;.,,C\~C....:....><..,;os,.._,i...,:(i\_;..;:........l.8 ... v ..... s'_.1.,1.A:.....-1i,16+,,l,,· c'"'-,· ,_, "-L-0 2. TYPE OF BUILDING: RESIDENTIAL ,/ COMMER~;A;r 1 3. ROOF SLOPE: RISE =1 INCHES IN 12 INCHES ' 4. NUMBER OF EXISTING ROOF COVERIN (C RCLE ONE} 1 2 3 5. TYPE OF EXISTING ROOF ~OVERING1.~ . HEATHING 1/1.. C /)ti,. ·:: ::::::::~,~~ ~··4·t~r·i~ u s. TRADE NAME ~ A2 ClN'\) MANUFACTURER ~ 1~~ rlt;;, LV q b 9. ROOF SYSTEM LISTING UL NO. ____ ICBO NO. '1.hf. i a,J, ~qb 10. IS THE EXISTING STRUCTU~SIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? V 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. Slgnature,_.;::.Jt.~W:./!£~:_ _____ Date I b/)... 7 ____ Contractor Name ~L ~ *6. Rolled Roofing, Standard/Lite TIie, Asphalt/Comp fiberglass, Built Up, Other City of Carlsbad Bldg Inspection Request For 04/24/2007 Permit# CB063117 Title: UNITS A,B,C,D: 4000 SF TILE/ Description: 1000 SF BUILT UP Type: MISC Sub Type: REROOF Job Address: 2409 LA COSTA AV Suite: A Lot: 0 Inspector Assignment: JM --- Phone: Location: Inspector: ---- OWNER COLEMAN ELYSE T Owner: Remarks: can you final this permit? Total Time: CD Description 19 Final Structural Act Comments Requested By: GARY Entered By: CHRISTINE f C ~,A..,_f,=,)__,v'-"-<'"---'-'w""1./----/_,,._j~' -~c.--'_w.-'---'v'-'d~---- Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments 11/02/2006 15 Roof/Reroof AP JM OK TO COVER EXISTING PLY