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Home My WebLink About2612 LA DUELA LN; ; CB052666; Permit.b {_ C " ~o '{\~{\ City of Carlsbad • , · ·J \A' 1635 Faraday Av Carlsbad, CA 92008 07-20-2005 S I Miscellaneous Permit Permit No: CB052666 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 2612 LA DUELA LN CBAD MISC 2550921800 $10,150.00 Subtype: REROOF Status: Lot#: 0 Applied: Entered By: Reference #: Plan Approved: ISSUED 07/20/2005 RMA 07/20/2005 07/20/2005 Project Title: SMITH RES-3500 SF LT WT CONCRE Applicant: PRENTICE ROOF CO 2917 ANAHEIM ST ESCONDIDO CA 92025 760 737-9636 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $179.00 Inspector: PERMIT FEE Owner: SMITH IAN&PERDITA 2612 LA DUELA LN CARLSBAD CA 92009 Total Payments To Date: $0.00 AL Date: Issued: Inspect Area: Balance Due: $179.00 $0.00 $0.00 $179.00 $179.00 29B2 07/20/05 0002 01. CGP Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imp on" 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 infonnation 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 x in fwhih r i I n ivn N Tl i ilr hi r whih flimi in h I hrwi 02 179-00 PERMIT APPLICATION FOR OFFICE USE a ... 0 h /' /1 PLAN CHECK NO. lJ_s-'tX, b b CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit _______ .....,,.H- Validated By ____ ....,... __ ~__,e.'-""'--f Date ______ ___,f-+--,,~b'-,f-cH-- 1 ! ,,.P1UMJCJ' lt.lFO~TION. ;,_; .' t." Legal Description Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use SO. FT. #of Stories # of Bedrooms 3,ret ..... ft.:~l"", ~,,iv('" # of Bathrooms { ' . Name Address City State/Zip Telephone# Fax# ~--.' ~CAfit , Q <;on~rtqt9r , El!A11.tn! f.9J_C:0'!1!'11.0.tor;l 0 Owner; -~ Agent for Owner 1 ~+?7::c:Nw>:> '/euc,n'z::, 8 I 3 (, ISf&µe~, 72[';, _s;;.et r.c>~ Name Address City •' 'e, ,.t:~\ VA,t.S,9' OJ,. f1f>2 8:56-96: c"&-y State/Zip Telephone # '4. ' 1: ¢/', SA-M5 i-,.: 'tf~;t~\ .. ,_;e.rJ , ,. , 2bO -73?-9-G(; ~· t ('. Name Address City _,,. ~ ,' State/Zip Telephone# . :, ., (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 ~on. Any violatio!58ction 7031.5 by any applicant for a p'!'mit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). ~41-v·oE l~F: G A ,UAfft4tlf4=-5'1-.,g,~,._,l>,2R> CA., Name Address City State/ZiP. ) Telephone # State License # ')/ /6 2 ~( License Class C., 3 9' City Business License # / V'\_ / A CJ77 Designer Name Address City State/Zip Telephone State License # _________ _ te •. ~Y&ll~M.IIKl)M ~.i.¼i,,~J~~~t :;:...:,•,""' ~;1~~\ ( ~,:.~~.""(~-/':~,~~,,:_,.~~;j,"~i: '1". ,,J:. I ~ J.w,; +-~1!>.:Ll 'J. 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. D 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: Insurance Company_____________________ Policy No. ____________ _ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) J4. 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 aecur• workera' companaatlon coverage la unlawful, and ahall aubjact an employer to criminal penaltlea and clvU fines up to one hundred thousand dollar• I 00,0 OJ, In addition the coat of companaatlon, damages aa l)l'Ovlded for In Section 3706 of the La code, I ereat and attorney's fees. SIGNATURE:....:::S::=a'.11.J.~4-:~IL-:-"!..:.~~~~--:--:---:--:--:-:---:-------DATE_,,,__,'---'""-""'-,,._,,_"'--"'""-- t/zJ," ~di! 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 Law does not apply to an owner of property who builds or improves thereo~. 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. 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________________________ DATE _________ _ ~~TBlll.l.GIIOB!.EOttN«l'llfffl1>~1!}.!u;g,1N1u~.1;0.11;1~~ifut-,..t,i.Jr1~i'.tii .~'il :..,~"t.l.:¼rilJ~:.i;;...iwl?Uili .,,,,.., ~-"'. ,... ;, · 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 D 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 ANO THE AIR POLLUTION CONTROL DISTRICT. l!ll" . lN!!Jr.Bli~QN.:~RlttU.<iffl~ ,,. ll;);'.f ~1f;. {; ... { .~:• .. ttl ,.Jr .: ·.....:.,' I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 309701 Civil Code). LENDER'S NAME ----------------LENDER'S ADDRESS _______________________ _ l~.Q.Uffi~D!Uf 'i~~;~~~~,;;; ... 1.. ·.1i·· ,.,.,,:i:,,\ut .. i.~t,,,...i;"',}.fuJ:,,4~b,:~i~~~, · i:,1iJ',..·-¼i. · .:' :;.1; ..,,.,~~:,,\ _1,,,., , •· , ,, 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 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 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 lhe building or work aulhorized by such permit is not commenced within 180 days from the date of such permit or if lhe building or work authorized by such permit is suspended or abandoned at any time after the work is com:7:e: lo~ of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'SSIGNATURE ~✓Aue~ ic-~ DATE 2/20/4s- WHITE: File YELLOW: Applicant PINK: Finance ( 7 '-~------~ ~·- City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: t,l,5 3 he.tr£/? G&. cG(z__ LA'{)._y,:. t 6/ l_v. 2. TYPE OF BUILDING: RESIDENTIAL --COMMERCIAL __ _,_ 3. ROOF SLOPE: RISE 6 inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) 0 2 3 5. TYPE OF EXISTING ROOF COVERING,$A-f<'2 SHEATHING sw,f *6. NEW ROOF MATERIAL ::d 1 E tl,1'CLASSS2Q__WEIGHT PER SQUARE 7. -NUMBER OF SQUARES 3v 8. TRADE NAME /-1r.c; l=AG-1--E-MANUFACTURER GA'=,LF: 9. ROOF SYSTEM LISTING UL No. ___ ~ICBO No. Et? 5 f?ol1.l> 7_8 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: x, 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_"'"'A'-'-...,.. ..... ~~"""l"'";-"a,.w-~""'· _ .... /4-"&,,<q,e=""''.4:2=·..._· ___ Date_~2..,.,/'---"-ze=-,1,__;;_o...:5:___ Contractor ,,,-,----Owner ____ Contractor Na!f!e _______ _ *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. ·-····,. •• ··•.• ... ~.-::~.·.·.·.;.· .• · •• City of Carlsbad Bldg Inspection Request For 08/02/2005 .. Permit# CB052666 Title: SMITH RES-3500 SF LT WT CONCRE Description: Type: MISC Sub Type: REROOF Job Address: Suite: Location: 2612 LA DUELA LN Lot APPLICANT PRENTICE ROOF CO Owner: SMITH IAN&PERDITA Remarks: Total Time: CD Description 19 Final Structural 0 A£-Comment Associated PCRs/CVs Inspection History Date Description 07/21/2005 15 Roof/Reroof 07/21/2005 15 Roof/Reroof Act lnsp Comments AP PC AP PC Inspector Assignment: BN --- Phone: 7605354422 Inspector: Requested By: CHRIS Entered By: CHRISTINE