HomeMy WebLinkAbout2511 LEVANTE ST; ; CB052101; PermitCity of Carlsbad
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1635 Faraday Av Carlsbad, CA 92008
06-06-2005 Miscellaneous Permit Permit No: CB052101
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Applicant:
Building Inspection Request Line (760) 602-2725
2511 LEV ANTE ST CBAD
MISC
2161900400
$3,420.00
Subtype: REROOF
Lot#: 0
TH ER FORD RES 3,000 SF COMP
COMP RE-ROOF
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
06/06/2005
KG
06/06/2005
06/06/2005
SECURE ROOF IN RUTHERFORD NANCY D TRUST 04-12-02
7356 TRADE ST
SAN DIEGO CA 92121
800 338-6868
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees: $89.00
2513 LEV ANTE ST
CARLSBAD CA 92009
RE-ROOF PERMIT
Total Payments To Date: $0.00 Balance Due:
$89.00
$0.00
$0.00
$89.00
$89.00
9913 06/06/05 0002 01
CGP
Inspector:
FINAL APPROVAL,......
Date: t, r lb ~ ., 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 '1ees/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 . .
02
39 .,{)()
PERMIT APPLICATION
ClrY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONL V
PLAN CHECK NoC.f{t521 O /
EST. VAL. '?;)L{')..._0,
Plan Ck. Deposit ~
v,1;dated By £~ /
Date h -_-::f:2'5:_ _
Address (include Bldg/Suite #) Business Name (at this address)
Legal Descriptio Subdivision Name/Number Unit No. Phase No. Total of units
Assessor's Parcel #
Description of Work SO. FT. #of Stories # of Bathrooms
Name Telephone#
~--t:K.~,Jf!tl/:.'~E
Name
liix .~ONTM~l«l!B~•iCOtt1PAN't'..I\Wdlh '. •·''•• ' ,.
City
-{,-.
State/Zip • T~l~phone '76D ~3 2. 2.,.J6'
~ ~;:r: l.! 1o, !!1. ;"i.~:-: · ,~ "'.".'" ~:.t ~.-; . t;'•'
Designer Nama Address City State/Zip
State License # _________ _
lt,; ' 8~'.i:.P.MPINl'AUQfii.,.,1' ~-,.,>. :..f ,,; " .. ..,:,:: ,., . ,•: , :,tc .. ,: ' '" . ·, ,, ·
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.
~ 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
~ssued. My worker's compensation insurance carrier and policy number are: _ ,6
Insurance Company S[if-/E e~ D Policy No. 2-sS l'f-!6 0 3 Expiration Date I -I C,
(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' corn~aetlon coverage la unlawful, and shall subject an employer to criminal penalties end civil fines up to one hundred
thousand dollars ($100,000) addl coat of compensation, damages•• provided for In Section 3706 of th• Labor code, lnt4!!!11t and attorney's fee1.
SIGNATURE .--~ DATE h -6 -06::7
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 _____________________ _
[~Q~.JJ\!ili.1~.CJIQft;fQflNQ~O.A'n.44:.0iJ.!IJl!NB.'.Pf:1™U'l'.Qf111l.V:,;;:,i,i/' t f
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? 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.
tt,-~9~iJBV~PtH~Q.!NG·~G~C , .,~·•;. Lo:; ,.,;'.. ;, ,, \. -'· '. ;,, i;:; : X
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097Ii) Civil Code).
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 10 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 ANO 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 le 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 e · d of 180 days ti 06.4.4 Uniform Building Code).
~w.-:1 ~PLICANT'S SIGNATURE ----~,,l:::.1.£~-~::±e-:z....::__:__:_ _________ _ DATE
YELLOW: Applicant PINK: Finance
' City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDRESS: .,J..'3/ :5 kL!<ll/4. • 21"
2. TYPE OF BUILDING: RESIDENTIAL yJ COMMERCIAL .
3. ROOF SLOPE: RISE 1 inches in 12 inches · ,/<"\
4. NUMBER OF EXISTING ROOF COVERING (circle one) ~ 2 ~
5. TYPE OF EXISTING ROOF COVERING_ro___SHEATHING Al() .
*6. NEW ROOF MATERIAiCtJ'~( CLASS A WEIGHT PER SQUARE
7. -NUMBER OF SQ~,.ARES :32>
8. TRADE NAME#ew ~~--M~ANUFACTURERC),gy,,r C,.,.,,,~/j
9. ROOF SYSTEM LIST~ UL No. ___ ~.ICBO No. _i:;"i/J/ 3
10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE
WEIGHT OF THE PROPOSED ROOF? (3) 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 __ 2-~-='-'~"'--'--"'~r.c..1..· ,,__· _:_ _____ Date 6 -6 ,.... ~ 6
Contractor ___ Owner ____ Contractor Na!!'e~~::.:e::cu,,r~__.:::e:£'~~-
*6 • Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Buil up,
Other.
City of Carlsbad Bldg Inspection Request
For: 06/16/2005
Permit# CB052101
Title: RUTHERFORD RES 3,000 SF COMP
Description: TO COMP RE-ROOF
Type: MISC Sub Type: REROOF
Job Address: 2511 LEVANTE ST
Suite: Lot
Location:
APPLICANT SECURE ROOF INC
Owner:
Remarks:
Total Time:
CD Description
0
Act Comment
Inspector Assignment: BN ---
Phone: 7605460254
Inspector: "A.)
Requested By: CHARLA
Entered By: CHRISTINE
19 Final Structural 4ct,fro£
29 Final Plumbing
39 Final Electrical
49 Final Mechanical
Associated PCRs/CVs
Inspection History
Date Description
06/08/2005 15 Roof/Reroof
Act lnsp Comments
AP BN