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