HomeMy WebLinkAbout2656 LEVANTE ST; ; CB031256; Permit/
City of Carlsbad ~ 1635 Faraday Av Carlsbad, CA 92008
~-30-2003 Miscellaneous Permit Permit No: CB031256
Building Inspection Request Line (760) 602-2725
Job Address: 2656 LEVANTE ST CBAD
Permit Type: MISC Subtype: REROOF Status:
Parcel No: 2162202500 Lot#: 0 Applied:
Valuation: $4,218.00 Entered By:
Reference #: Plan Approved:
ISSUED
04/30/2003
SB
04/30/2003
04/30/2003
Project Title: TIETGE RES 3800 SF REROOF
WD SHAKE TO COMP
Applicant:
CHRISTIAN ROOFING INC.
360 EAST RENETTE AVE. 92020
619-401-9607
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOT AL PERMIT FEES
Total Fees: $102.00
Inspector:
PERMIT FEE
Owner:
TIETGE VOLA M
2656 LEV ANTE ST
CARLSBAD CA 92009
Total Payments To Date: $0.00
FINAL APPROVAL
Date: Q "= Q t( ...-P,)
Issued:
Inspect Area:
3922 04/30/03 0002 01
CGP
$102.00
$0.00
$0.00
$102.00
Balance Due:
Clearance:
$102.00
NOTICE Please take N a proval of your project includes the "Imposition" of tees, dedications, reservations, or other exactions hereafter collectively
referred to as "tees/exactions." Yo ave 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 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 OOES 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
I fhih hvril I iii w·h lii'n lhi i
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02
FOR OFFICE USE ONLY
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
PLAN CHECK No.C~3{Z...,,-(.
EST. VAL. 4,,Z. /'?,
Plan Ck. Deposit.,..,--------
Validate~ ~-S"..::...."'P:.._ _____ _
Date ½130("0
Business Name (at this address)
Legat Description lot No. Subdivision Name/Number Unit No. Phase No. Total II of units
I Proposed Use
#of Stories # of Bedrooms # of Bathrooms
t,
State/Zip
(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 Code) or that he is exempt therefrom, and the basis for the alleged
exemption. Any violation of _section 7 31.5 ~ any ap~licant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001),
G\ o,A-; ,
Name -, 1 1 ,...., 'l. '7 Addr s "\ c;ty State/Z;p ;;,,., T,elepho?l' #
State License#-~ /_., __ a,.. __ ✓~---license Class (. ..... "'? City Business license# I}--Lt:.l (e'r) I-if
Designer Name Address City State/Zip Telephone
~ 7 iState License #
v\ ~!~~;;:~~~7;i~~:tl!~0£f;i~r~:~{~ of perjury one of the following declarations:
D 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.
E I have and will maintain workers' compensation, as required by Secti n 3700 of the Labor Code, for the performance of the work for which this permit 1s
ed. My worker's compensation insuranc earner and hey numb re: . Z,/ '},,,'2,-q-i,6 p'L 2 ,_ / _. d--{
ranee Company JP I' ( Pohcy No._____________ Exp1rat1on Date __ ~✓------
tTHIS SECTION NEED NOT BE COMPLETED IF TH MIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS)
D 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 Lews of California.
WARNING: Failure to secu workers~c satlon coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to ona hundred '\J thousand dollar• ($100,0 , a t e cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest and attomey's fees.
]'-SIGNATURE · DATE
iimiWftN WP~~
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 ha did not build or improve for the purpose of sale).
0 I, as 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 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. D 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 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 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D 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 BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
,,t!l'til!r!ffl.!!:fflll'i;fiijf-l,~'ffi:i;i(ijlf'li<IEN~:'l:im:~i~,I ''"'ii' ·
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30970) Civil Code).
LENDER'S NAME-~------------
;jfj!~~li_r;f.f\ffl'.~R'.fJl;Jfl;t'.(dNit!mft~\'. :::.:;?::(;;; <;t::i?:il:::'?./:,.:
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 for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the ing 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 comme within 1 BO s from the date of such permit or if the building or work authorized by such permit is suspended or abandoned _ t any time after the work is comma 180 days S · n 106.4.4 Uniform Building Code).
rxAPPLICANT'S SIGNAT =.c~:="ll'1=::!i1::::.~-==:-::::---:=:~:-::-~:::::==---::::-:::--~--DATE ____________ _
·-· "-1--.... ·-
f
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
I. JOB ADDRESS: ~ 5 0 -~------------------
2. TYPE OF BUILDING: RESIDENTIAL ?9 COMMERCIAL. __ _,
3. ROOF SLOPE: RISE_i__inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) 1cJ) 2 3
5. TYPE OF EXISTING ROOF tV:ERING j'l,,/'.~I SHEATHING rJll .
*6. NEW ROOF MATERIAL CLASS 1 4vEIGHT PER SQUARE
7. -NUMBER OF SQUARES 0.L .
8. TRADE NAME {{,.{, 'c/4•«: {/.J'-MANUFACTURER ll?
9. ROOF SYSTEM LISTING UL No. ____ lCBO No. ____ __.
IO. IS THE EXISTING STRUCTURAL DESIGtUitJFlFTCIIENT TO SUSTAIN THE /Es WEIGHT OF THE PROPOSED ROOF NO
I
All roof coverings are required to be LASS A. Combustible roof coverings
of any type or classification are prohi ited.
I understand the following inspections are required: •.-, ,,
1. Tear Off/Pre-inspection prior to instalfnew roof covering.
2. Final Inspection
I agree to provide a ladder extending ,,.t,.1r..J..st 2 rungs above the roof for
ln,pacti~-~ r:;z_·.__. ------
Signature__.,~.,.__ ____________ .Date __ -:-----#-
Contractor ~ Owner ___ -=~~m;ro?"t<hl"f!'H~...::~::!:_·· :'.~~l.,(IJ1~i.· _i_~::-
*6 • Rolled~. Standard/ e Tile #\sphalt/Comg iberglass, Built up,
Other.
UNSCHEDULED BUILDING INSPECTION
DATE 5.;)_ •O s INsPEcToR Tc
PERMIT# fD 2 /,2 5?_a PLAN CHECK# ___ _
JOB ADDRESS c::2 it S]e Le-v~ &+
DESCRIPTION ________________ _
CODE DESCRIPTION ACT · ·COMMENTS
15.__ kg~rq;: ftmi. '