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Home My WebLink About2634 LEVANTE ST; ; CB043882; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB043882 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: 2634 LEVANTE ST CBAD MISC 2162202700 $6,670.00 Subtype: REROOF Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Project Title: KOCH RES-2300 SF LT WT CONCRET Inspect Area: Applicant: PATRIOT ROOFING 1042 EL CAMINO REAL ENCINITAS, CA 92064 760-577-2935 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE Owner: KOCH BRENT R&JENNIFER E 2634 LEV ANTE ST CARLSBAD CA 92009 ISSUED 10/14/2004 RMA 10/14/2004 10/14/2004 $128.00 $0.00 $0.00 $128.00 Total Fees: $128.00 Total Payments To Date: $0.00 Balance Due: $128.00 3236 10/14/04 00()2 01. Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the "\mp ition of fees, dedications, reservations, or other exactions hereafter collective~ 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 Carlsbad Municipal Code Sect·on 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 lee /exac ions of w I h u h v reviousl b n iven N TICE si ilar o t is s o hich th a te f nm· i ns h s r vie \ ()2 128 ~ {) PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE opyl PLAN CHEqK ~o. [{J /) Y 3f fl EST. VAL . .tl !o1 Q Plan Ck. Deposit l Validated By t JA--- Data l l? \ L'::j . £2 q~ Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No·. Total I ot units 2 cries Proposed Use # of ~drooms # of Bathrooms Name State/Zip Telephone# Fax I Na te~DIA.QfiBBQMMlil~Ui&~~·: ··::1~::~~.~~".o::.'!11:_t_;';'·:,:t -iii:-;~i.y;;:·!c-•,~v: ;·:_-:•;;\ ,. ,, ":./;,1-:·-•-,, 'tt'-iii:·· 1,:-?~;-:--" -·:.·-:;:,,;r,,.-_, ~-;;:_-::_i/it~·:,:."':· (Sac. 7031.5 Business and Professions Coda: 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 tChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Codel or that he is exempt therefrom, and the basts for the alleged axe Ar,y v·olatl of Se ion 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars l$5001). I . Address /1 License Class ~L_,_:'.!,.,_:7__,_ ____ _ City State/ip Telephone I City Business License # J / L/{) 'J /.a Designer Name Address City State/Zip Telephons State License I _________ _ tl~W.QRKEUM:.OMeDI.MTJO'Utli~:,1~4~"e:ifr1~/~, >1./~i:/,.,._c? ~-.,.-, --··· , ·,.,. . .-, ~-· Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O 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 w111 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 co"ation insuran? carrier 8rf1 policy number are: ln.uranceCompany _4J;t.4 h }:l.A,.t/1 cJJ... Policy No. {(JJJ·1,?} 2:-Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS! O 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: FaRura o ucurt1 workers' compenntlon covlll'age la unlawful, and shall .,.,,_ct an amployer to criminal penalties and clvU fine■ up to one hundtad thousand dollars (t 000), In a to the cost of compensation, demllge■ u provided for In Section 3706 of the Labor code, interest and attorney'■ fHa. SIGNATURE . DATE ({) -/'f:CJ t./ li8i)B.lffi'il1 , mrr:e1rr1s1w••~~~•nr-.,-c;tr~~"'t ,.i.,,.,,.;,".; ~..., .... _,~-: ~ ,r.,., "'~'" ~::~'1 t ; ·,· •~'"' •• ;,: ,, I hei-eby affirm that I am exempt from the Contractor's License Law tor the following reason: O 1, as owner of the property or my employee■ with wages as their sole compensation, will do the work and the structure is not intended or offered for sale ISec, 7044, Business and Profession■ Code: The Contrector'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 ha did not build or improve for the purpose of sale). O J, 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 doe■ not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractorls) licensed pursuant to the Contractor'■ License Law). O 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 propertv improvement, 0 YES ONO 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contractad with the following person (firm) to provide the proposed construction (include name / address I phone number / contractors license number): 4. I plan to provide portions of the \"'Ork, but I 1'!3ve hired ~he following person to coordinate. supervise and provide the major work (include name I address I phone number/ contractors license number): ________________________________________________ _ 6. I will provide some of ttie work, but I have contracted (hired) the following persons to provide the work indicated !include name / address / phone number I 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 26605, 25533 or 26634 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 quaWty management district? 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 IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT isE ISSUED UNLl:SS THE A .. PLICANT HAS MET OR IS MEETir..G THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. f8iJ-illg"P~$.tfllJ~:rrU:»t:t,il:.tJI.OJ.r.i<ll\'0.1;NC:t'.®~~;,\;•:·V,¢~~t:i,~ScL?::i.t!~~:it±!b:;~. -~~,;~~ :,'. :.: :,:: ...... •.-·.;,;:,. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued !Sec. 3097(il Civil Code). LENDER'S NAME______________ LENDER'S ADDRESS. ________________________ _ l~PPIU.¢AN~8tu;r~no~~-~~•1Q1ai.#l.~:J;;<,W~~~A~;;;.W..,;~~~~m~~~~e.~h''.~~';:,f'.1~x .. ~s:t6>•·•·.,~~:~;;~:,.,•,·'J-,. I certify that I have read the application and state that the above Information i1 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 Cftt 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 Officlal under the provisions of this Code shall expire by limitation and become null and void it the building or work authorized by such permit is not commenced within 180 days from the date of such permit or it the building or work authorized by such permit is suspended or abandoned at any time after lhe work is comm c for a per" of 180 days (Section 106.4.4 Uniform Building Code). / O j ~ J ,, APPLICANT'S SIGNATURE _.,z.µ~,X,:~:'...(LJi~:::'.!!~---------------DATE _ // _{.d. y, r ,, WHITE: File YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESs:2{;3L/ l-e \Jf,UrLi:R 2. TYPE OF BUILDING: RESIDENTIAL X COMMERCIAL 3. ROOF SLOPE: RISE_Linches in 12:Ches __ _, 4. NUMBER OF EXISTING ROOF COVERING (circle one) (Y 2 3 5. TYPE OF EXISTING ROOF COVERINGShti}(f SHEATHING, __ ------'. '6. NEW ROOF MATERIAL li'h b'li CLAsssqo WEIGHT PER SQUARE 7. 'NUMBER OF SQUARES..,,J_....;i __ ______, a. TRADE NAME Duro,/dv MANUFACTURER JAoV1uL 9. ROOF SYS_TEM LISTING UL No. ____ lCBO No. ')JJJ 57,11 JO. IS THE EXISTING STRUCTURAL DESIGN ~ICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? CY NO All roof coverings are required to be CLASS A. Combustible roof coverings of any type or classification are prohibited. ; understand the following inspections are required: I. Tear Off/Pre-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. Date /tJ· JLj-o 1/ Contractor V Owner ____ Contractor Narre &.me! t f!oot/vij '6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 12/01/2004 Permit# CB043882 Title: KOCH RES-2300 SF LT WT CONCRET Description: Type: MISC Sub Type: REROOF Job Address: 2634 LEVANTE ST Suite: Lot 0 Location: OWNER KOCH BRENT R&JENNIFER E Owner: KOCH BRENT R&JENNIFER E Remarks: Total Time: CD Description 19 Final Structural "Je__Comment Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Inspector Assignment: JM --- Phone: 7605222285 Inspector:~ Requested By: AILEEN Entered By: CHRISTINE 11/24/2004 19 Final Structural 11/19/2004 15 Roof/Reroof CO JM REROOF NOT COMPLETE AP JM OK TO COVER