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HomeMy WebLinkAbout254 JUNIPER AVE; ; CB022414; PermitCity of Carlsbad &-fx r;;.\.0-'' 1635 Faraday Av Carlsbad, CA 92008 08-20-2002 Miscellaneous Permit Permit No: CB022414 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 254 JUNIPER AV CBAD MISC 2042405509 $3,330.00 Subtype: REROOF Lot#: 0 CASA DE LA PLAYA 3000 SF COMP COMP TEAR OFF AND REPLACE WITH COMP Owner: Status: Applied: Entered By: Plan Approve.d_ Issued: Inspect Area: ISSUED 08/20/2002 SB ~/2012002·-·· 08/20/2002-•.. Applicant: EXCALIBUR ROOFING JOHNSON RAY E&REBECCA W 2447 LA RAMADA LN ESCONDIDO CA 92027 760 275-7384 Total Fees: $89.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Inspector: 615 CORONA CT VISTA CA 92083 Total Payments To Date: $0.00 PERMIT FEE Date: Balance Due: Clearance: $89.00 $0.00 $0.00 $89.00 $89.00 NOTICE: Please take NOTICE th approval of your project includes the ~Im osition" fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions.n You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any f ·n hvrv· I imilr ht! iiin I FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. Ci3o 2"2 '-i It/ ' CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. ___ J"--?_3_0 __ _ Plan Ck. Deposit---,...--------- Validated By ___ ~<l"'------- Date ~-1c,-erz.._ Business Name fat this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use # of Bathrooms s---r.n-... Name Address Chy State/Zip Telephone II Fax# .. v,,e:1~tlt~~#1r-2 :\t::$:-i ;-: ',: ,< ':tv.i:.;f:,.t·;,:;:s0sr:, ::)_:,;;., .. L,-.., 0,,, ('.A, q--un__ 7 71,. o-"i-'-1; 1 :.c ,, 1 Name Name Address Citv S.tate/Zip Telephone # klf!it'®BfUFff0'c}~:Y~ii%5ijim!F~2:-(~~~l~~:tll;;i•;~~~~~:mtllllV1i~ii;.>&;;rt~~.:~;\','-):>\ (Sec. 7031.6 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 e).l'.empt 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 [$50011. f-,( C fl c Ii} <n"L-~f'l N(,-------S /'lY'1'},:: Name Address City State/Zip Telephone # State License # ]O[o~ ! \., License Class C -3 '7 City Business License # 7c,/.p S"( k, Designer Name Address City State/Zip Telephone State License II _________ _ ----,.•~r~,t~?~/i@~ft~~~~~~~~!~~~*~~4(~#tst!,J~~:~~~~£L~AJkhiit,'.;t~1!f,,~~:Y•',:\\;¢,,-; ::ti:,,,;::,,1,~ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and wlll maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit Is issued, 'fr: have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compen.sation insurance carrier and policy number are: f l Insurance Company ...Si: ~ fu rJ ? Policy No. ""'2.... \-'$' ' (L C.1 Expiration Date I ~ f _ 0 "3 ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) D 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 aubject to the Workers' Compenaatlon Laws of California. WARNING: Faffun; to HCura worker,' compen9atlon coverage la unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thouund donara 1•100,0 0), in addition to the coat of compenaatlon, damages•• provided for In Section 3706 of the Labor code, ntereat and attomay's faas. SIGNATURE DATE ~ '-- ,, ... , .. , .... .J. ., .. "" I he;eby affirm that I am exempt from the Contra.ctor's License Law for following reason: 0 I, es 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 impravemfmts are not intended or offered for sale, If, however, the bullding or improvement is sold within one year of completion, the owner•builder will have the burden of prbving that he did not bulld or improve for the purpose of salel. 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 property who builds or Improves thereon, and contracts for such projects with contractorlsl licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ______ Business and Professions Coda for this reason: 1 . I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES D NO 2. I (have / have not) signed an appllcatlon 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 llcenSII number),,_--------------------------------------~--------- 5. I will provide aoma of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number I type of work).:_------------------------------------------------------ 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 25506, 25533 or 25534 of the Presley-Tanner HazardoiJs Substance Account Act? 0 YES O NO Is the appllcant or future building occupant required to obtain a permit from the air pollution control district or eir qua11tv management district? D 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. ILiiii&iiffffiili •a ..... ,~ e ~Q •. E.:f~.i5,;~~ti\14!:~1~0.>%4i>'" .1":;:~r'.-'/>1t1:~!::~t~¾1tt·~;,;i~::.:$~';J. ,_;'e·"' I hereby affirm that there is a construction tending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Clvil Code). LENDER'S NAME LENDER'S ADDRESS, ________________________ _ ~~fl:ii'!i$Jl;!~~f::'tflt'.?l_f&f ;,/4.-,:: ·:'it:·: ,.t .t :7;1:/\r;:\{;,~?'~l~i~lt0<lf~f ,";,:,,:-: r:,:t:\: ::\:-'.:-:,;~::;1t.<,C:~:f "/ I certify that I have read the application and state that tha above information la correct and that the information on the plans is accurate. 1 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 purpases. 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 bulldlng Official under the provisions of this Code shall expire by llmitation and become null and void if the building or work authOrized by such pennlt 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 co~or a period ~80 days (Section 106.4.4 Unifo~ Building Code). / APPLICANT'S SIGNATURE ~ DATE g/ 2_p r D"l-- WHITE: File YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING --Z-"!i'f 1. JOB ADDRESS:__iif" :J"9 oJ, i;,i:,.~ ~ ~ 2. TYPE OF BUILDING: RESIDENTIAL ~COMMERCIAL ~--' 3. ROOF SLOPE: RISE :7 inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) U)' 2 3 S. TYPE OF EXISTING ROOF COVERING ('&Mp SHEATHING (?L+ . *6. NEW ROOF MATERIAL (o/Y\ ¢) CLASS A WEIGHT PER SQUARE 7. -NUMBER OF SQUARES o Cl ()( .•i) 8. TRADE NAME '[LI<-MANUFACTURER U?,Q-+r~<..J--t 9. ROOF SYSTEM LISTING UL No. e_ :,"\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 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. Date __ &'__,_(_'?{:}----'/_0_"--__ Signature % Contractor*Owner ____ Contractor Narre ili ~ CcrJ 7''2.] *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. UNSCHEDULED BUILDING INSPECTION DATE q l I I Io L-INSPECTOR ------ PERMIT# a i -2_1-1 t Lj . PLAN CHECK# ___ _ JOB ADDRESS 2..5Y .._\ u, J'l \ (2AA ON ________________ _ CODE ACT COMMENTS ·--.