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Home My WebLink About2611 EL RASTRO LN; ; CB012458; Permitr • City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 f1 1'-I-SG 07/23/2001 Miscellaneous Permit Permit No:CB012458 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Tille: Building Inspection Request Line (760) 602-2725 2611 EL RASTRO LN CBAD MISC Subtype: 2551131300 Lot#: $7,868.00 RE ROOF 0 HORTON RES-2800 SF LT WT CONCR Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 07/23/2001 RMA 07/23/2001 07/23/2001 Applicant: PIVA ROOFING, BOB Owner: 534 7 07 /23/01 ooo~ HORTON FAMILYTRUST04-11-00 ~ 01 02 1192 INDUSTRIALAV ESCONDIDO, CA 92029 619-745-4700 2611 EL RASTRO LN CARLSBAD CA 92009 CGP 140.00 Total Fees: $140.00 Total Payments To Date: $0.00 Balance Due: $140.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Inspector: .M,.L PERMIT FEE FINAL APPROVAL 'e-<f-()/ • Date: $140.00 $0.00 $0.00 $140.00 Clearance: NOTICE: Please take NOTICE that approval of your project includes the ·1mposition· 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 Co<le Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Cansbad 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 r11ht 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 oreviouslv been aiven a NOTICE similar to this. or as to which the statute of limitations has oreviouslv otheiwise exoired. FOR OFFICE USE ONLY PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 PLAN CHECK NO~ 11.(Sj EST. VAL. 7J:&~, Plan Ck. Deposit -------r'f-.,,- Validated By ___ +-~----r-f-7'~+- Date, ____ --,,:--/,C.:...,,t-~'-,'-,f,':t---f'--- Address (include Bldg/Suite I) Busmess Name (11t this address) Unit No. Phase No. Total II of units posed Use lot Stories # of Bathrooms N1ame Address City State/Zip T eiephone # . . 0••-• R'-.... , .... ~, ... -!'!l!''""',"ttl~"'c'.'"-·=--·-"·-lf"',("~--.. .. ~,_£J'.';t;~h ... ,.., "v.'l~.1...i-?f·.t:;.1-•-.·,,·-..-"'."--........ .,..,~-,·~-. --o,t., ···~~-,--..... . '4.":;7o~.:1'~ .. nE •• ,,. :,:;"St1!''"'";·~"'"}~'!~•7;d .,...,."'"'"''"""" /,,;Is ~,fa6'..-.il(;i.:""'};J.;?f. . 75'3"~··9_:, tz Name Address City State/Zip Telephone I :_6~:.;~CONTRACTOR--~COMPANY'NAM~;\£:,;~r.:i,~'.t;Z:~iif:..~~~:11~~(k"'-,t¥9!£..:;::..,,"'!:;...:<lf;i~~~~~·~[::.C:;::.:·.;'~;: .. ,~:;::7:L:;::+t{·;:;:,_ (Sec. 7031.5 Business and Professions Coda: Any City or County which requires a permit to construct, attar, improve, demolish or repair any structure, pnor to its issuance, also requires the applicant for such permit to file a signed statement that ha la licensed pursuant to the provisions of thl!I Contractor's license Lew !Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Coda) or that ha Is exempt therefrom. and the besis for the alleged exemption. Any v~olation of Section 7031.5 by any applicant for a. permit s~bjects the applicant !o a civil p,~•IJY of not more than five hundred_ d~Uars I $50 1 0]). cl!. ,//,, Rci(,',J, Y u·f 16. .,e L:S,u~d,',{o ,/l. ;ita,(9 7'7S-'t70u Nema Address City Steta/Ztp T alephona II Stoto Licen,e • --";}'-'l-'8''-'-y~]ec. _'zi.e:·c..· __ license Class ~C=_J_9 __ c_5 ___ _ City Business Licanse II I ,,2 6 3 I 1 8' Designer Neme Address City State/Zip Telephone State License # ---------- G~ . -WORKERS': COMPENSATION·.l;,';:\j~;;~~;f":J'i'.t~~;!~r:::~~'.~~~~~-~J;;~..;i:;~"f~-~?'f";:o;;:-:;~~t:;?::.,~~;~:~;".';~:.''."'.=:··: •_: .... ,. :·. ~~;.::: ·.~;: . .' .". :·: ·.':.'~.: ":-·r. Workers' Comparnsation 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 es provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. CE} J have and will m11int11in workers' compensation, as required by Section 3700 of tha Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company J' l A l L Fl.... .V 0 Policy No .. _-''t-"-{-'-7-"7'-"'5-'· 8':"-----Expiration Oate. ___ (_ .. _0_,I.. ___ _ !THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, l shall not employ any person many manner so as to become subject to the Workers' Compensation Laws of Celitomia. WARNING: Failure to aacur. workers' compensation covenige la unl9wful, and &hall sut>;ect an employer 10 criminal penahlea and civil 11naa Up to one hundred thou,and dollars($ 0,0 0), In addition 10 1ha coat of compenutlon, damagu u provided for ln Section 3706 of tha Labor coda, Interest and attorney·, fea1. SIGNATURE DATE 7 'P< 5, -c) I 7. ·::·~bWNER·BUILDER'DfCL:ARATION::.~:~r-~s;.•{1~:i~;(-#<';/:::;;,:.:z~-rz~~!k?.;~~~~';~'.:·-::,-::-:.J.i?;.~"'.'~j;~~:::;"2:;;:;;:~:~~~;:-;~.-~;.:;,~r-.~.:-:;_c::-.:~£:~.i'.!'.,'.'"_ifJ}"t(~ I h11r11by 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 Coda: The Contractor's license Llw does not spply to an owner of property who builds or improves thereon, end who does such worl. himself or through his own employees, provided that 1uch improvamants are not intended or offered for sale. If, however. the building or improvement ia sold within one year of completion, the owner•buildar 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 tha 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 pur&usnt to the Contractor's License Law). 0 I am exempt under Section ------Bu1iness and Professions Code for this reason: 1. I personally plan to provide the major Hlbor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (have I heve 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 I address I phone number I 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 maier work (include n11me f address/ phone number/ contractors license number).,_------------------------------------------------- 5. I will provide soma of the work, but I heve contracted (hired) the following parsons to provide the work indicated !include name/ address f phone number I type of work):------------------------------------------------------------ PROPERTY OWNER SIGNATURE----------------------- Is th11 applicant or future building occupant required to submit a businu1 plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tannar Hazardous Substance Account Actl-Q · VE& 0 NO . Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality msnagemam 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 DF THE ANSWERS ARE YES, A ANAL 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 POUUTION CONTROL DISTRICT. s~::::coNSTRUCTlON LENDING'AGEN·cv?~~J:!~~~~ftR,11,;~;!~;~.»,e~Z,·:t-"'J,'.5.:t~ZE~l.'1'2?[::;:;;::·':::::;;::::·· I hereby affirm that there is a construction lending agency tor the performance of the work for which this permit is issued (Sec. 3097(0 Civil Code). LENDER'S NAME-------------- I certify that I have read the eppiic:ation and state thet the above information is correct and that the information on the plens is accurate. J agree to comply with ell City ordinances and State laws r11latmg to building construction. I hereby authorize representatives of the Citt of Car1sbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU LIABILITIES. JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAJO 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 m height. EXPIRATION: Every permit issu_ad by the Building Official under the provisions of this Coda shall expire by limitation and become null and void 1f the building or work authorized by such permrt is not co_mmenced wrthin 365 days from th11 date of such permit or if the building or work authorized by such permit 1s suspended or abandoned at 11ny time after the ork I commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE " ~~ DATE 7-~ 5"0/ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 08/03/2001 Permit# CB012458 Title: HORTON RES-2800 SF LT WT CONCR Description: Type:MISC Sub Type: REROOF Job Address: Suite: Location: 2611 EL RASTRO LN Lot APPLICANT PIVA ROOFING, BOB 0 Owner: HORTON FAMILY TRUST 04-11-00 Remarks: Total Time: CD Description Act Comments Inspector Assignment: GG --- Phone: 7607454700 Inspector: ----- Requested By: PETER Entered By: BARBARA 15 19 Roof/Reroof Final Structural 11$:.~~~~~~~~- -f1JL.~~~~~~~~~~~~ Associated PCRs Inspection History Date Description 07/25/2001 15 Roof/Reroof 07/24/2001 15 Roof/Reroof Act lnsp Comments AP GG AP GG