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Home My WebLink About2520 LA GRAN VIA; ; CB003791; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10/12/2000 Miscellaneous Permit Permit No:CB003791 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: 2520 LA GRAN VIA CBAD MISC 2162508900 $2,600.00 Subtype: REROOF Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Project Title: SPORL RES-2500 SF COMPOSITION Inspect Area: Applicant: PATRIOT ROOFING 1042 EL CAMINO REAL ENCINITAS, CA 92064 760-577 -2935 Owner: BUSH WILLIAM D&PAMELA F 2520 LA GRAN VIA CARLSBAD CA 92009 ISSUED 10/12/2000 RMA 10/12/2000 10/12/2000 ,p .. _;•,,,'--').:... Total Fees: $87.00 Total Payments To Date: $0.00 Balance Due: $87.00 Miscelaneous Fee #1 Miscelaneous Fee #2 TOTAL PERMIT FEES Inspector: 1l j PERMIT FEE FINAL Af PRC Date: f 0 J-'-f VAL al) Clearance: $87.00 $0.00 $87.00 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 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 capactiy 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 vou have nreviouslv been niven a NOT!CE similar to this, or as to which the statute of limitations has nreviouslv otherwise exoired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 1. PROJECT INFORMATION '9 520 CA G:f:2..A ,-J Vi f\ FOR OFFICE USE ONLY PLAN CHECK NO. lflllO 37q ( EST. VAL. __________ _ Plan Ck. Deposit----~~--- Validated BY-,---,--,f'£.l-~---- Date [a/fl/../(t:O 1 Address (include Bldg/Suite #) Business Name (at this address) SF • Legal Description lot No. Subdivision Name/Number SFi Unit No. Phase No. Total # of units Assessor's Parcel # 1'-f-Roof-" Exis~e Proposed Use "3· Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON (If different from applicant) Re~ -n--1-o,.,,.-;o/'J Name ',7ATJ2iOT )2.00!=i;..JGr Add,ess iO'i-2-µ, €..L C'A-M1N<:)~L fcl-)L State/Zip'l2.Di'.'i1°hone~~-'7,:~x_'7b6 3 3. APPLICANT O Contractor i)IAgent for Contractor D Owner O Agent for Owner T ~'t 11£>a ~!X) q x:t ..-.e?!?t:::T:?:£?:T:ili".! ~~ .... , 2 ~ -;;klil!i;? '-If~ Name Address City State/Zip Telephone # 4. PROPERTY OWNER S\?6 R k ai. 5 :i.6 LAc ~ VlA. Name Address Citv State/Zip Telephone # 5. CONTRACTOR ~ COMPANY NAME (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 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 exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001). 'l"ATR-tol T-2--0 0 ,-, NC,. I rvC . i oc.j,7 1,)-£1 C A-M ,,._,o \21'iA-L '.11-~4-0~ Ge NC q;w:z-1} Name IAddress City State/Zip Telephone# State License# _·_1_1 b~lj~t.;~4--_-____ License Class _C._•_-:Z,~q~----City Business License# / ;>,-~ 6 { tJ.:. S Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION 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 is issued. My worker's compensation insurance carrier and policy number are: I J lnsuranceCompany 12-t'C-i..J'l...;.IUC.f; 1NI(, , PolicyNo. ,-.JWA-0(\11fo8'-0h ExpirationDate \~?f 1cl0 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS I $1001 OR LEssl O CERTIFfCATE 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 aecure workers' compensation coverage is unlawful, and shall aubject an employer to criminal penalties and civil fines up to one hundred thousand dona~ 1 CU),000). In~~ to tl]e coat of compensation, damagu u provided for In Sectk>n 3706 of the Labor ~• I~ and attomay's fen. SIGNATURE '-~ '1J~ DATE to/ro_crv I 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor'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. D YES ONO 2. I (have / have not) signed an application for a building permit for the proposed work. 3, l have contracted with the following person (firm) to provide the proposed construction (include name I 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 provi~e 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 ________________________ _ DATE __________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDINQ PERMITS ONLY Is the applicant 01 furure buiiding occupant required to submit a business plan, acuteIy 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 D 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 D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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. 8. CONSTRUCTION LENDING AGENCY 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 _____________ _ LENDER'S ADDRESS ________________________ _ 9. APPLICANT CERTIFICATION I certify that t 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 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time~ t~e ...... work is commen9{'d for a P8Jiod of 180 days {Section 106.4.4 Uniform Building Code). APPucANrs s1GNATus,----~--"'-" ~ DATE 10/ro I (ft) WHITE: File YELLOW: Applicant PINK: Finance I I . ' City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: c!) 5:2._ () LA WMJ V i A_ 2. TYPE OF BUILDING: RESIDENTIAL "(J COMMERCIAL. __ _, 3. ROOF SLOPE: RISE i: inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) 6)2 3 5. TYPE OF EXISTING ROOF COVERING S(.\AU. SHEATHING 1<l . *6. NEW ROOF MATERIAL C0 M.'P CLASS___h_WEIGHT PER SQUARE 7. NUMBER OF SQUARES .;i~ 8. TRADE NAME \,JE;A'.fl-1£i.'f5b w001) MANUFACTURER 0A f 9. ROOF SYSTEM LISTING UL No. R. 2.. I ICBO No., ____ __,_ 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 ~ following inspections are required: GJear Off/Pre-inspection prior to install new roof covering. C_::Jinal Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signature c-0~ ,1') ~ Date I o -i 2 -o o Contractor I{:, Owner _ Contractor Name ·p~tv wt ~,oF,,,..'"), t,~ · *6 • Rolled Roofing,€~d~rd/Lite Tile,' sphalt/Comp Fiberglass, Built up, Other. ------- City of Carlsbad Bldg Inspection Request For: 10/23/2000 Permit# CB003791 Title: SPORL RES-2500 SF COMPOSITION Description: Type:MISC Sub Type: REROOF Job Address: 2520 LA GRAN VIA Suite: Lot 0 Location: APPLICANT PATRIOT ROOFING Owner: BUSH WILLIAM D&PAMELA F Remarks: Total Time: CD Description 19 Final Structural Associated PCRs Inspection History Date Description 10/16/2000 15 Roof/Re roof Act lnsp Comments AP TL Inspector Assignment: TL --- Phone: 8586937663 Inspector: <{L- Requested By: N/A Entered By: ROBIN