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Home My WebLink About2622 MALLORCA PL; ; CB053564; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-13-2005 Miscellaneous Permit Permit No: CB053564 • Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: 2622 MALLORCA PL CBAD MISC 2161801500 $0.00 KENT RES-2000 SF BUILT UP Subtype: REROOF Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Owner: SAN DIEGO ROOFING KENT LARRY M TRUST 08-18-93 615NORTHAVE VISTA, CA 92083 760-758-1800 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: Inspector: $77.00 2622 MALLORCA PL CARLSBAD CA 92009 PERMIT FEE Total Payments To Date: $77.00 Balance Due: Date: Clearance: ISSUED 10/13/2005 LSM 10/13/2005 10/13/2005 $77.00 $0.00 $0.00 $77.00 $0.00 NOTICE: Please take NOTICE that approval of your project includes the ~Imposition" of ees, 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 Garlsbad 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 ir . . . . FOR OFFICE USE ONLY PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1~35 Faraday Ave., Carlsbad, CA 92008 PLAN CHECK NO. 0/o OS 8 Sla'-1- EST. VAL. B 7CO Plan Ck. Depo~ Validated By_~..JJ.....;::;..;,_ ____ ~-- Date /0 [ 13/0 5 Address (include :;~~i~#) f"'\4'//0I.C,A . Business Name (at this address) legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Assessor's Parcel I Existing Use lM L--,-...J(' -~ ~ '\.'.T J{ Proposed Use Description of Work sa. FT. #of Stories # of Bathrooms ?)CJ:X) ;)_ ~ City State/Zip Telephone# Fax# i tY\c. ,, \ ocr a... Name Address City State/Zip Telephone# I (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 70~of Divi · n 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. An ·olation ~~tion 7031 by an applicant for a permit subj s the aljt)licant to a '2il penalty of not more than five hundred dollar~$~0..QJ). 14tv \-" I -r -oe~~ I-fl /fJ-o--Cl-I--t~ Name Addres City State/Zip Telephone # State License , ---~ ....... ~--'---License Class ----------City Business License , l a 1 9 <e , :5;; Designer Name State License I 8 Workers' Compensation Declaration: Address City State/Zip Telephone 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. issued. My worker's compensation insuranc,-..carrier and policy number are: tSS f CXJ-J ~ I have and will maintain workers' compensation, as required by Section 3700 of the Labor C_odt!rfr-B~ie;aymance of the work for which this per it is Insurance Company ~C,.. ('\::: Policy No. • ~ ' {' Expiration Date /. 0 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) 'J ~J, le:> 0 CERTIFICATE OF EXEMPTION: I certify that in the perfor of the work for which this permit is issued, I shall not employ any person in any ann so as to become subject to the Workers' Compensation Laws of ,tor · . WARNING: Failure to secure workera''__!ij~!Ntfiia11o1 thouaand doUara ($100,000)~-eddffigR"<ci lawful, and ahaH aubjact an employer to criminal penaltlaa on, damages •• provided for In Section 3706 of the labor code SIGNATURE DATE l ~-~m~ulil>~-_,,., ____ ~iBifi:O..N ~ ~: ~-~. I he;eby 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 tor 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 con_tracted _with the following ·per. on (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 Unclude name / address / phone number / type of work):. ________________________________________________________ _ PROPERTY OWNER SIGNATURE rc0Mffieil'H1~_tc!IQM.EQRJ{ga .. 11aa>P1ZMl JtlH~f!BM!.u.:.91f.!lX~l--2:.ll~......::~.;;..;;i~;;;:;:]~~~.z:r..w~.:;;;;:.-.-..... 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 Act7 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 7 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 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 ~~~:i=.~~;;;::::::;;;;::;;;:;;;;;;:;;;;;;;;;;;;;;:::,_::,:_ ~8IIB,CAD9Jtl '· ....,.,.;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 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 rov· · this c-e shall expire by limitation and become null and v d If the building or work authorized by such permit is not commenced within 180 days fr ate of such pe · or If the building or work authorized by such permit · su ended or abandoned at any time after the work is commenced for a period o ays (Se lion 106.4.4 Building Code). PINK: Finance .l City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICAJION FOR REROOFING 1. JOB ADDRESS: ;}CtJJ)-!f,.-.../Jo/ cfr 2. TYPE OF BUILDING: RESIDENTIAL' ~ COMMERCIAL. __ ~ 3. ROOF SLOPE: RISE 1 inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERl~G (circle one) 1 (i) 3/• I 5. TYPE OF EXISTING ROOF COVERIN~~,\--SHEATHING ,SQ I t. *6. NEW ROOF MATERIAL°"(OR:,V' -~u{ss__A:.._wEIGHT PER SQUARE 7. -NUMBER OF SQUARES ;;JO 8. TRADE NAME_1)-=-•-, \:)-"'--'-'. _\.e_V" __ MANUFACTURER 9. ROOF SYSTEM LISTING UL No. ____ lCBO No. _____ _. 10. IS THE EXISTING STRUCTURAL DESIG~ENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? C!!.V 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 instali'new roof covering. 2. Final Inspection ::::;::rnvl~::;:~•••• 2 roogs abova tha~o:! Signature , ~ Date /, 1~~ Contractor vCner ____ Contractor Narre :f,,r-/ /)i·zv~✓.; *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 02/07/2006 Permit# CB053564 Inspector Assignment: JM Tille: KENT RES-2000 SF BUil T UP Description: Type: MISC Sub Type: REROOF Job Address: Suite: Location: 2622 MALLORCA PL Lot APPLICANT SAN DIEGO ROOFING 0 Owner: KENT LARRY M TRUST 08-18-93 Remarks: CAN YOU FINAL? Total Time: CD Description 19 Final Structural Act Comment & IJA • -------·-··---------------~- Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description 10/14/2005 15 Roof/Reroof Act lnsp Comments PA JM UPPER ROOF --- Phone: Inspector: ---- Requested By: CW Entered By: CHRISTINE tu£/yl e,eAI d