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Home My WebLink About2410 APPIAN RD; ; CB993249; Permit08/30/1999 City of Carlsbad Miscellaneous Permit Permit No:CB993249 Building inspection Request Line (760) 438-3101 Job Address: Permit Type: 2411) APPIAN RD CBAD MISC Subtype: REROOF Status: ISSUED Parcel N.?;. 1673813700 Lot #: 0 Applied: 08/30/1999 mation: 57,420.00 Entered By: JM Reference #: Plan Approved: 08/30/1999 Issued: 08/30/1999 Project Title: REROOF 2800 SF LITE TILE#3748 Inspect Area: 3457 oe/3o/w mal 01 02 Applicant: PlVA ROOFING, BOB 1192 INDUSTRIAL AV ESCONDIDO, CA 92029 619-745-4700 C-PRMT m.00 Miscelaneous Fee #I ; Miscelaneous Fee #2 TOTAL PERMIT FEES FINAL APPROVAL Inspector: Date: ot IasQ Clearance: NOTICE Please take NOTICE that approval of your project includes the ‘Imposition” of fees, dedications, resewations, or other exactions hereafter mllectively referred to as ”feedexadmns.” You have 90 days from the date this permil was issued to protest imposiion of these feeslexactmns. If you protest them, YOU must follow the protest procedures set forvl in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in amdance wnh Carlsbad Municipal Code Section 3.32.030. Failure to timelyfollow that procedure will bar any subsequent lqlai action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified feeslexadins DOES NOT APPLY to water and sewer Connection fees and caPaC6Y changes, nor planning. zoning, grading or other similar application processing or Service fees in mnnedon with this project NOR DOES IT APPLY to any feeslexactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has PreviouSIv otherwise expired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palrnas Dr., Carlsbad CA 92009 (760) 438-1161 FOR OFFICE USE ONLY PLAN CHECK NO. I EST. VAL. 6. CONTRACTOR : COMPANY ?JAME (Sac. 7031.5 Business and PfOfBSSims Cdde: Any City or Cmy which requires a permit to ~on~lmct, alter, improve, demolish or repair any structure, prior to its issuance. a150 requires the applicant for such permit to fila a signed statement thl he is licensed pursuant to the provisions Of the Contractor's License Law IChapter 9, commanding with Section 7000 of Division 3 of the Business and PmfeSsiOnS Codel or that he is exempt thereffom, and the basis for the ailegod exemption. An violation of Section 7031.5 by any applicant for e permit subjects the applicant to B civil penalty of not more then five hundred dollars 1$5001l. Name 304 Abh iOdC,i,, //% /,vJk,+r,,A/ he. Fs<o,~d,'da (A. 9~aa~p 7y5--.~/7du Address City Stat*lzip Telephone X state License x 2 / SF 3 T License class E 3 9 5- Designer Name Address City StatelZip Telephone State License X 2 I $3 9 3 S 8. WORUERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penally of perjury one of the following declarations: City Business ticensa X /d 0 3 9 8 I have and will maintain a canificats of Consent to self-insure for workers' Compensation as provided by Section 3700 of the Labor Code, for the performance fi I have and will maintain worken' compensation, IS required by Section 3700 of the Labor Code, for the performance of the work for which this permit is of the work for which this permit is issued. issued. My worker's Compensation insurance Carrier and policy number are: Insurance company ?/:/le x16 uk PolicyNo. bL 3OU7Yc/7%' ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT is FOR ONE HUNDRED DOLLARS l$lOOl OR LESS1 Expiration Date 6- 0 0 CERTIFICATE OF EXEMPTION: i Certify that in the performance of the work for which this permit is issued. I shall not employ my person in any manner 60 as KO become rubiem to the Workers' Cornpansation Laws of California. WARNINO: Failure 10 secure worken' comcmn.nion owwage is dawful. and shall subjm an srnpbvn to sriminal cmndlles and civil fines up 10 om hu"I OlX con of compsnsstion. damages as provided for in Section 3106 of tM Labor code, imams1 and momy's f-s. DATE s" 30. PF 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's license Law for the foilawing ranson: I. as owner of the property or my empioyees with wages as their sole compensation. will do the Work and the structwe is not intended or Offered lor 1.18 15ec. 7044. Business and PrOfessiOnS Code: The Contractor's License Law does not apply to an owner of property who builds 0, improves thereon, and Who does such work himself or through his own employees, provided that such improvements are not intended or offered for de. If. however, the building or improvement is sold within one year of campietion, the owner-buildst will have the burden of proving that he did not build or improve for the purpose of de1. 0 I, as owner of the propsrty. am exdusively contracting with licensed contractors to construct the project ISec. 7044. Business and Professions Code: The Contractor's License Law doer not apply to an owner of propeny who builds or improves thereon, and ont tracts for such projects with COntlaROrbl licensed pursuant to the Contractor's License Law). I am exempt under Section Business and Pr~fe~~i~ns Code for this reason: 2. I lhsve I haw not) signed an application for a building permit for the proposed work. 1. I personally plan to provide the major labor end matarials for co-ructian Of the propo?ied propony impovement. YES ON0 3. I have contracted with the following person Ifirm) to provide the proposed Construction lindude name I address I phone number I contraclors license number): 4. I pian to provide POniOm of the Work, but I have hired the foilowing parson to coordinate. supervise and provide the major work linciude name I address I phone number I cornrectors license number): 5. I will provide some of the work. but I have contracted (hired) the following pefsons to provide thlt work indicated linciude name I address I phone number I type COMFUTETHIS SECTIQN FOR NOKRESIDEMllAL BUILDING PERMES ONLY PROPERTY OWNER SIGNATURE DATE program under Sections 25505. 25533 or 25534 of the Prerlev-Tanner Hazardous Substance Account Am? YES NO Is the applicant or future building oc~upant required to submit a business plan. acutely hazardous materials registration form or risk management and prevention is the applicant or future building OCCUpmt required to obtain a permit from the air pollution Control district or air quality management distnctl 0 YES NO 1s the facility to be constructed within 1.300 teat of the outw boundary of a school site? YES 0 NO IF ANY OF THE ANSWERS ARE YES. A FiNAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AN0 THE AIR POLLUTION CONTROL DISTRICT. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency tor the performan~e Of the work for which this permit is issued Sac. 3097W Civil Codel. 9. 'WKICANT CERTIFICATION LENDERS NAME LENDER'S ADDRESS I Cenify that i have read the application and State that the above information is correct and that the information on the plans io accurate. I agras to comply with all City ordinances and State laws relating 10 building c~n~tr~cti~n. I hereby authorize represnnlativeo of the City of Carfrbad to enter upon the above msntionsd propmy for inspection pu~poses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABILiTIES, JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. EXPIRATION: Every permit issued by the Building Official under Ihe provisions Of this Code ahail expire by limitation and become null and void if the building or OSHA An OSHA permit is required for excavations over 5'0' deep and demolition or conStt(ucti0n of structwes over 3 stories in height. work authorized by such permit is not commenced within 365 days from thlt date of such permit or if the building or Work authorized by such permit is suspended 07 abandoned at any time after the work is commsncsd for a period of 180 days ISectian 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE AL DATE 8- 3d -?y I WHITE: File YELLOW Applicant PINK: Finance __ ~ City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING I. JOB ADDRESS: 2 y/o FA RJ. 2. TYPE OF BUILDING: RESIDENTIAL x . COMMERCIAL 3. ROOF SLOPE: RISE t' inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) & 2 3 5. TYPE OF EXISTING ROOF COVERING s<> SHEATHING &dod.sLke *6. NEW ROOF MATERIAL A CLASS-WEIGHT PER SQUARE 7. NUMBER OF SQUARES 2 8 8. TRADE NAME. &P-%dSf - MANUFACTURER . fiweeR 9. ROOF SYSTEM LISTING UL No. ICBONo. 37Yg 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 OfflPre-inspection prior to install new roof covering. 2. Final Inspection I agree to provide aladder extending at least 2 rungs above the roof for inspection. Signature Date g- 3 b Contractor )c Owner Ed4 bKA fagdd A$ *6 - Rolled Fiberglass, Built up, Other. City of Carlsbad Inspection Request For: 9/21/99' Permit# CB993249 Inspector Assignment: SR Title: REROOF 2800 SF LITE TILE#3748 Description: Type: MlSC Sub Type: REROOF Job Address: 2410 APPIAN RD Suite: Lot 0 Location: APPLICANT PlVA ROOFING, BOB Owner: FRAZEE JOHN C&DIANNE M Remarks: Phone: 7607454700 Inspector: SR Total Time: Requested By: PETER Entered By: CHRISTINE CD Description Act Comments 19 Final Structural Inspection History Dale Description Act lnsp Comments 9/9/99 15 Rwf/Rerod AP PD