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HomeMy WebLinkAbout2624 LEVANTE ST; ; CB042330; PermitCc \ City of Carlsbad ·&in . · 1635 Faraday Av Carlsbad, CA 92008 06-(}{}4~, /'A':1 1 Miscellaneous Permit Permit No: CB042330 uvf01Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 2624 LEV ANTE ST CBAD MISC 2161804500 $3,552.00 Subtype: REROOF Status: Lot#: 0 Applied: Entered By: Reference #: Plan Approved: ISSUED 06/11/2004 RMA 06/11/2004 06/11/2004 Project Title: THERIAULT RES-3200 SF COMPOSIT Applicant: SAM & SON CONSTRUCTION 3648 MILLIKIN AV 92122 858 458-5972 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $89.00 Inspector: ._JfM J <.: PERMIT FEE Owner: THERIAULT CRAIG E 2624 LEV ANTE ST CARLSBAD CA 92009 Total Payments To Date: $0.00 Date: Issued: Inspect Area: $89.00 $0.00 $0.00 $89.00 Balance Due: $89.00 4197 06/11/04 0002 01 CGP Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. lf you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. 02 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK No.C/){)lf 1J»).Jo EST. VAL. ~ N ;)..____ CITY OF 'CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit Validated~ Date / l l l r, L/U-- Business Name (at this addressl Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Assessor's Parcel II Existing Use Proposed Use Telephone I , ~fit1\tl~~1-:~U~£~~tt1ttI~!~rff$ii~·~ :• ::~f~Ji{:ir~if.~~~tt(1~~~~~l~1~~~~-21 (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 exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a Pjlrjllit subjects the applican o a civil penalty of not more than five hund ed llarp 1$6 01). .l ' ,I.LI~ JfJ ✓ :Cc.. r -H ~ 7).. Address City State/Zip Telephone , wmwUf.tbM~&t~N 7~~J~~~:w~~r~:.~~'~:J;~l:~~~~:~":.-; .1~, ~i~f; ;-f~J!.1.t~.J.tit~~~~t~-:1:1~ i~'f:!; .. ¥!~~~=-~'.:~-~~.:tl:;.l~.-·~ -tJ1: ,:~~;t,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. O I have and will maintain worker~· 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 ($100) OR LESS} ~ 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' Compensetion Laws of California. thouaend dollat• l•100,0001, In addition to the coat of COlmJ~•)lllon, damagea as provided for In Section 08 of the Lab r c e, lntereat and attorn!lv'• feea. WARNING: Failure to Hcure worker•• compenaatlon covere la unlawful, and ahall subject an emplo~to crlmlnal peneltlea and civil flnea up to one hundred X :=~~iitO"iimliililtiMliii.fi .. ii"'iiiiiiiii. iiaiSlld. i, ~· i=::i·•i. i~i·~i-i•. i· i·, .;i;-~i. ·i·t,'lr@~ti.~~·:f,ii.~~~~ii:ii•I~~~m-'lE~;•? ', >;,;~~-~~ .. ~~m~~ I heieby affirm that I am exempt from the Contractor's License Lew tor the 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 tor sale (Sec. 7044, Busineu and Profession• Code: The Contractor's License Lew does not apply to en 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 ottered for sale. If, however, the building or improvement la aold 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}. O I, •• owner of the property, em exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor'• License Lew does not apply to an owner of property who builds or Improves thereon, and contracts for such projects with contrector(sl licensed pursuant to the Contractor's License Lew}. 0 I am exempt under Section ______ Business end Professions Code for this reason: 1. I peraonally 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 contracted ,with the following person (firm} to provide the proposed construction (include name / address / phone number / contractors license number}: 4. I plen 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}:. ______________________________________________ _ 6. I will provide some of the work, but I have contracted (hired I the following persons to provide the work Indicated (include name / address / phone number / type of work): ________________________________________________________ _ PROPERTY OWNER SIGNATURE _____________________ _ DATE _________ _ tg'filMiitfr.e&i-ftm~.¢.:riiim~Q!\YlfQoo-'.@~1e:~1tEPmQft!JMLt~,Qti!I.t~~11lli~~L"L~~11~~~,:~™11..ilii,~~1,,1t&~iililiB~lffil\~t:r~~J~~ 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 26505, 25633 or 26534 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 O NO Is the facility to be~nstructed 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. [Q~gJ2Mtil.~P..II<l~~ltffi.~.-~9-~~m ~~lJ~~:~L~i:i~[~t~l1:4!~~~~~~~~tJ~~~~:~1Utf~f1•~~i~:Ji~~~:J:1ilif1[:Jj~~~~:-!~.io":.:J~21~~~:~c~~::~~~:;~~~LJ~~~~l~tiJ.;f:T:~~~1i.~~~~ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1} Civil Codel. LENDER'S NAME ______________ _ rt:· m lS!'eANltr~Blifl.¢.A~~~~i'.'.iw.~~~ ,.,;~,.~i.••:.i;'• .. ,~it•1\l~l·~;;;,,;,:.,·,,r.;\::1:1,;;~;;: .• :d)~f~t::.:c~JJ~·!i,••,,;..:, •J:'ib~~~{~~J'.1.ii\~~~ 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 tor excavations over 6'0" 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 180 days f m 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 commenced for a period of 18 cla Section 106.4.4 Uniform Building Code). /, ,/ y APPLICANT'S SIGNATURE --------,~ J.,. ~e::: ~'-b,¾A.~,~ ~:~==-'ffi-;;.:--=;Ei....,,._._ _______ ~ DATE ~~/jot., PINK: Finance /\ , City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS:_ ..... U~ .... P .... IJ'---___,L=E ..... J1'-'"A±--?.L.L.='->.7_.£ ________ _ 2. TYPE OF BUILDING: RESIDENTIAL. _ ____.,.::::.<-:;__COMMERCIAL. __ _. 3. ROOF SLOPE: RISEg,-,S inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) (D2 3 5. TYPE OF EXISTING ROOF COVERING W'.,.,.PQ SHEATHING ___ _. *6. NEW ROOF MATERIAL ~ CLASS __ WEIGHT PER SQUARE 7. -NUMBER OF SQUARES '.?:, 9,. 8. TRADE NAME. _______ MANUFACTURER. ______ _. 9. ROOF SYSTEM LISTING UL No. ___ ~ICBO No. _____ _,_ 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? YES 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 instalf'new roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signature __ x=· .... ~,.c....,t.-e..-J,<:;_;;_:=·.,__ ___ D.ate_.....:~::,,,«:....:'dc,-,,Y /4"-"'"-"-'7+--'--- ContractoLowner (}z,..»yzy Contractor Na!)1e ~~ *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 10/27/2004 Permit# CB042330 Inspector Assignment: JM --- Title: THERIAULT RES-3200 SF COM POSIT Description: Type: MISC Sub Type: REROOF Job Address: 2624 LEVANTE ST Suite: Lot Location: OWNER THERIAULT CRAIG E Owner: THERIAULT CRAIG E Remarks: Total Time: CD Description 19 Final Structural 0 Act Comment -8:: /(/4 Phone: Inspector: J\y\ Requested By: CHRISTINE Entered By: CHRISTINE ke<Go ✓j 4Li Associated PCRs/CVs lnsQection Histo!:Y Date Description Act 06/25/2004 15 Roof/Reroof AP 06/24/2004 15 Roof/Reroof co 06/23/2004 15 Roof/Reroof NS 06/22/2004 15 Roof/Reroof co 06/21/2004 15 Roof/Reroof co 06/18/2004 15 Roof/Reroof co 06/15/2004 15 Roof/Reroof CA lnsp PK RB RB JM JM JM JM Comments AGAIN, SEE NOTICE CLEARANCE @ CHIMNEY & UNCOVER ROOF FOR REINSPECTION NO ACCESS (2) ATTEMPTS OSB TO FALL ON RAFTER 1/8 GAP BY CONTRACTOR