HomeMy WebLinkAbout2625 BANBURY CT; ; CB040222; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Building Inspection Request Line (760) 602-2725
01 -2 1-2004 Miscellaneous Permit Permit No: CB040222
Job Address:
Permit Type: MlSC Subtype: REROOF Status: ISSUED
Parcel No: 2081311000 Lot #: 0 Applied: 01 /21/2004
Valuation: $2,997.00 Entered By: KMT
Reference #: Plan Approved: 01/21/2004 Issued: 01/21/2004 Project Title: RIETFORS RES-REPLACE SHAKE W/ Inspect Area:
2625 BANBURY CT CBAD
COMP. / ICBO#ER5414/DOMAIN ASPHLT COMP.
Applicant: EXCALl BU R ROOF IN G
2447 LA RAMADA LN
ESCONDIDO CA 92027 760 275-7384
Owner: RIETFORS KENNETH A&KIMBERLEY K
2625 BANBURY CT CARLSBAD CA 92008
Miscelaneous Fee #I
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
PERMIT FEE $77.00
$0.00
$0.00
$77.00
FINAL APPROVAL
Insnector: 3 Date: y# ~QY 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 93 days from the date this permit was issued to protest imposition of these feedexactions. 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 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 tight to protest the specified feedexactions 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
feeslexactions of which vou have Dreviouslv been aiven a NOTICE similar to this. or as to which the statute of limitations has Dreviouslv otherwise exdred.
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONLY
PLAN CHECK NO. @,@402a
EST. VAL. dt 2,773.00
Pian Ck. Deposit
Date i)21/Oq
Validated By Kmr
Address (include Bldg/Suite XI
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Business Name (at this address)
Existing Use Proposed Use
Description of Work #of Stories # of Bedrooms # of Bathrooms
(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 Codel or that he is exempt therefrom, and the basis for the alleged
n 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$5001).
2.5947 LGlRda 1% .Gcand:J. CA. %Oz7 7fio.Wl.O'??/ Name / Address City StetelZip Telephone 1
State License # 70CR 1 6 License Class C* 39
Designer Name Address City State/Zip Telephone
City Business License # 12 I I o (7
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarat
0
of the work for which this permit is issued. a
I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
nce carrier and policy number are:
Insurance Company
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$I001 OR LESS)
0 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 secure workera' compenaation coverage la unlawful, and ahall aubject an employer to crlmlnal penalties and civil fines up to one hundred
Policy No. r85 /&e0 3 Expiration Date / /I f OS
3706 of the Labor code, interest and attorney's feea.
DATE / fbf0 Y
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 for the purpose of sale).
0 I, es 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
1.
2.
3.
I am exempt under Section
I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0
I (have / have not) signed an application for a building permit for the proposed work.
I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number):
Business and Professions Code for this reason:
4.
number I contractors license number):
5. of work):
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 I address / phone
I will provide some of the work, but I have contracted (hiredl the following persons to provide the work indicated (include name / address / phone number /type
PROPERTY OWNER SIGNATURE DATE
Is the applicant or future building occupant required to submit e 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 0 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 0 NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 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.
I hereby affirm that there is e construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME LENDER'S ADDRESS am
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 City 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 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 from the date of such permit or if the building or work authorized by such permit is suspended or abandoned
at any time afler the work IS
APPLICANT'S SIGNATURE
(Section 106.4.4 Uniform Building Code).
DATE /.2/*03
HITE: File YELLOW: Applicant PINK: Finance
,
-*
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
2. TYPE OF BUILDING: RESIDENTIAL % COMMERCIAL
3. ROOF SLOPE: RISE3.+to.a inches in 12 inchesdeu-Lr
4. NUMBER OF EXISTING ROOF COVERING (circle one) @ 2 3
5. TYPE OF EXISTING ROOF COVERINGsL;o&e SHEATHING A .
*6. NEW ROOF MATERIAL A CLASS /'WEIGHT PER SQUARE
7. NUMBER OF SQUARES 27
8. TRADE NAME LL-C~Z!~AANUFACTURER G&
9. ROOF SYSTEM LISTING UL No&. zq 15 ICBO NO. E/? s 414
10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE
WEIGHT OF THE PROPOSED ROOF? d@ 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: -,-, I,
1. Tear OfflPre-inspection prior to install'new roof covering.
2. Final Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for
inspection.
Signatu Date // 2/ /Q 4
Contractor 5 Owner Contractor Name L~db~ e .% \T< .
*6 - Rolled Roofing, Standardllite Tile, AsphaltlComp Fiberglass, Built up,
Other.
City of Carlsbad Bldg Inspection Request
For: 01 /29/2004
Permit# CB040222 Inspector Assignment: JM
Title: RIETFORS RES-REPLACE SHAKE W/
Description: COMP. / ICBO#ER5414/DOMAlN ASPHLT COMP.
Type: MlSC Sub Type: REROOF
Job Address: 2625 BANBURY CT
Suite: Lot 0
Location :
APPLICANT EXCALIBUR ROOFING
Owner: RIETFORS KENNETH A&KIMBERLEY K
Remarks:
Total Time:
Phone: 7605804084
Inspector: P-p
Requested By: ERIC
Entered By: CHRISTINE wmment CD Description
19 Final Structural
Associated PCRs/CVs
InsDection History
Date Description Act lnsp Comments
01/22/2004 15 RoofIReroof AP JM OK TO COVER EXISTING SHEETING