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HomeMy WebLinkAbout2632 LA GRAN VIA; ; CB052948; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB052948 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: 2632 LA GRAN VIA CBAD MISC 2162503100 $9,951.00 MCCORMICK RESIDENCE Subtype: REROOF Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: 1 SQUARES OF DURA LITE ICBO 2656 042 EL CAMINO EAL CINITAS, C 92064 7 ·577·29 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $167.00 Owner: MCCORMICK MICHAEL J&LINDA M 1364 TRITON AVE SAN DIEGO CA 92154 PERMIT Total Payments To Date: $0.00 Balance Due: ISSUED 08/12/2005 MDP 08/12/2005 08/12/2005 $167.00 $0.00 $0.00 $167.00 $167.00 4585 08./.12105 0002 01 CGF" FINA C-'-1- Date: Clearance: NOTICE: Please ta tha approval of your project includes the "I pos· onM of fees, dedications, reservations, or other exactions hereafter collectively referred to as 'foes/exactions." You have 90 days from the date this permit was ssued 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 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 wtth this project. NOR DOES IT APPLY to any I x in lwhi h v r vi I iv n N Tl r hi r i h h \·-· 02 167 ,,{)0 FOR OFFICE USE ONL V _ PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. --4----L-=--'--+--.<.-::=-~ Plan Ck. Deposit ________ _ Validated By __________ _ Date _______________ _ Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use #of Stories # of Bedrooms # of Bathrooms ,, ' •. L.,.., . , . ~.::, ,",,"-lj,· ~h .i?f:•c~""l', • ,-.-" 3,.·.••'• ,,, ._,,(' . l"-1."'',-,.4_'._ "W '·. }( 4-, Name Address City State/Zip Telephone # Fax# ;'AQ!~t'(er•cci"n1r,ewr1-.:: O'.0i'<1.1eri"·, Q J.Agtnt for OINrier Address ~!¥;;:,., C'.QNJ:M~TU .l®.'1!PAN'fiNM'IE '>,::&.di;•~,. Jt• · , "'· Designer Name Address City State/Zip Telephone State License # _________ _ l.(!;·;;.J;.Y&i~cj,;.t,nNIMlQ ·,.\i1it5,i~• -:~.u~tv,..,._: .·-· .tfr.: .. '~ .. 1·...;:;,JJ!.,,,·..::r?i.t,fr'½-,.: i"' 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. CJ..---r1,ave 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 c ensation insurance carrier and licy nu er e: J/ ~ 0 ! / Insurance Company 11 Policy No. W C..'2 r;l) //) '::/-0 f{)f):JtJ &piration Date · / /..P) {THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS ONE HUNDRED DOLLARS ($100JOi LESSJ / 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 ••cur• workers' compensation coverage la unlawful, and shall subjact an employer to crlmlnel penalties and civil fine• up to one hundred thounnd dollars $ 1 0,000), addition to tha coat of compensation, damagH aa provided for In Section 3706 of the Labor code, lnterHt and attorney's faes. ,!1~NAT~RE ., .· ~ ._., .. •Ma, ;(j;~"··~~~~--it~¼li~~ ~,.,. .• ,,,. _. , , • o~TE ~-(?::,.9F:,. .. ~~:1 .... _ .Jit!JJ · -~T:tQN .-· -,~ 1 .~. · d..th. _ t, · .. -;;."' it. __ ,,,,,, . .,;"~ 1~.._1o>1i:'1;·vi-·~•,.--r~~3~~-~-#-,;)·,W-;~.1 _k~.)!;;~4, ~.:·~'..;. ;t <-::t.<A\1~~,~._t,-: .:~_;t>. · I hereby 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 for the purpose of sale), 0 I, as owner of tha 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(&) 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 / hava notl signad 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): ________ -'-------------------------------------------------- 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, 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 O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 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. Lll,'1uligQ_~~JJ!\,(~'[JQN '!;.fflQ.ING~q_~i;~~i1li,;tJ;' ~,~ '1: t ·. "' · r .. 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 CodeJ. LENDER'S NAME ______________ _ lt-ciR-iil~~1.~;,*-~ :p__ ~~~i~i-~Dlh.i1tl.t"ii-{sJL,t~1~;-~,1t;.~;ir;i;;•J\"t{~\:>~~11~:µ~~ if/::,.t!.:~Jiav~t:4if~:-~~"•!h ~i:;,;~/~;~'4 ,~r~:. .. _ ~i,::/·; :i -~!'-•· :r. 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 provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit Is nol 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 after the work is comma ed I r a period of 18 days (Section 106.4,4 Uniform Building Code). DATE WHITE: File YELLOW: Applicant PINK: Finance I City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: Jh? 2 (A. {sn&Aa ,/;·?q 2. TYPE OF BUILDING: Rlf lDENTIAL t? _ COMMERCIAL 3. ROOF SLOPE: RISE Inches in 12 Inches · . 4. _ NUMBER OF EXISTING ROOF COVERI, G (circle one) ;?) 2 3 . 5. TYPE OF EXISTING~~OFJfVERIN _ . SHEATH'nfG · ?1Ct.j2 *6. NEW R'OOF MATERU.L ~{'t>Vl<e·LASS~WEIGHT PER SQUARE 7. -NUMBER OF SQUARES ~ _. • s. TRADE NAME, IJUA~ u.;tp ___ MANUFAcruRER Mo 11 \.i/1 9 •. ROOF SYSTEM LISTING UL No., ___ ~,ICBO No. L[(P5p 10. IS THE EXISTING STRUCTURAL DESIGN ~CIENT 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 lnstalf'new roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for Inspection • . Slgnature;;Jcµ/J}M;_,,/Ju.y Date j'~ /:;J -os Contractor~wner ____ Contractor Narpe-,U,-'--'..L..!.:.!::...L-.A1.L1.l;J'.-.. *6 • Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. --------- m ' . City of Carlsbad Bldg Inspection Request For: 09/06/2005 . Permit# CB052948 Title: MCCORMICK RESIDENCE Description: 31 SQUARES-STANDARD WT TILE-ICBO 2656 Type: MISC Sub Type: REROOF Job Address: 2632 LA GRAN VIA Suite: Lot 0 Location: APPLICANT PATRIOT ROOFING Owner: MCCORMICK MICHAEL J&LINDA M Remarks: Total Time: Inspector Assignment: PS --- Phone: 7608456191 lnspector:rp Requested By: EILEEN Entered By: JANEAN CD Description 19 Final Structural p__om_m_e_nt _______________ _ ------------~------------------------- Associated PCRs/CVs Inspection History Date Description 08116/2005 15 Roof/Reroof Act lnsp Comments AP PS