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Home My WebLink About2664 LA GRAN VIA; ; CB040996; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-?5-2Ci04 Miscellaneous Permit Permit No: CB040996 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 2664 LA GRAN VIA CBAD MISC 2162205000 $3,330.00 Subtype: REROOF Status: Lot#: 0 Applied: Entered By: Reference #: Plan Approved: ISSUED 03/25/2004 SB 03/25/2004 03/25/2004 Project Title: LAUFER RES 3000 SF REROOF COMP TO COMP Applicant: LAUFER DONALD R 2664 LA GRAN VIA CARLSBAD CA 92009 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE Owner: LAUFER DONALD R 2664 LA GRAN VIA CARLSBAD CA 92009 Total Fees: $89.00 Total Payments To Date: $0.00 Inspector: FINAL Date: Issued: Inspect Area: $89.00 $0.00 $0.00 $89.00 Balance Due: $89.00 8387 03/25/04 0002 01 C(3p Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reseNations, 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. 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. 02 89 .oo FOR OFFICE USE ONLY PERMIT APPLICATION CITY OP CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 PLAN CHECK NO.~cl 996 EST. VAL. 2 3,3c:) Plan Ck. Deposit ________ _ Validated ~y 4~ Date ,'3(2 ~ Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use j?: , /'J as1#~1-t.ce Name Address City Proposed Use State/Zip Telephone# aw111t~lfflfi11illtm~f['gjlUi~~Tlali~~;w1f Pt:~;-iGJ;: ; li(::;;t,1iWtf:Iti~~i'it:t~ :;;:-1f,:;:1:1~~S;i)~.~0L:tc· :,·J, -5 '· Name Address City State/Zip Telephone# Fax# S::-'t ,;,t,;," >Z-/SGS-'f (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 viol~ on ion 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars !$500)), Name City State/Zip Telephone# State License # _________ _ City Business License # _______ _ Designer Name City State/Zip Telephone State License # _________ _ ll;t~~-ifaffl&1£~~itJti1JE;l;i[;t1;t!gfJ!{&i~]i?id0,~.~~~fri :~·:J:-:!L,x''. \1A&i ~~4t::~,i;:;:;;c:Gt'.195;Q,;fi1!il .. ::;pr,;~-f</GY>t <' • ' e 1•1 ;L i F, -· Workers' Compensation Declaration: I hereby affirm under penalty 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. D 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 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 ($1001 OR LESS) if CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as ~ecome subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workera' compenaatlon coverage la unlawful, and ahall aubject an employer to criminal penalties and civil fines up to one hundred thouaand dollar•($ 000), In ltlon to the at of co penaatlon, damagu •• provided for In Section 3706 of the Labor code, Interest and attorney's feea. SIGNATURE DATE .,e..,c. I hei'eby affirm that I am exempt from the Contractor's License Law for the following reason: r,I 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 isec. 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). D I, aa 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 sn owner of property who builds or improves thereon, and contracts for such projects with contractor(&) licensed pursuant to the Contractor's License Law). D 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 / have not) signed an application for a building permit for the proposed work. 3. l 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):, _________ _,...,,,,_ ____ 77_-c.-----,:~---=------------------------------ PROPERTY OWNER SIGNATURE DATE ~~~-ttiillilllull:IRmMJ/1! 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 25605, 25533 or 25534 of the Presley-Tanner Hazardoi.Js Substance Account Act? D 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 D NO Is the facility to beribnstructed 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. -·--~--l!~l~t.aizi~r~,-'.!:J~~~iiN!•~IDf?!J]~{~i~-lAt~:;~-i,f}i;?(:i/t':;,f:!:di:/.!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(i) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS ________________________ _ llliil(---•-,1~;a•1--~1;;;;..i;,~~ritl;jlli~ifiillllf;aJ\1iM~:iflii·•~~~~;:11i:M:~i.;;F-.illiii;~,i/;:t\ii'.~(;:;:?.;~;:):J1:;,~':•!'l:~:;dit~}~-;·j,;1:, ':,~).';;:/~:,!~:r;: I certify that I have read the application and state that the above information is co'rrect 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 ls 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 tlf'1e after the work is comma d for a period of 180 days (Section 106.4.4 U orm Building Code). APPLIC.t , T'S SIGNATURE DATE ? WHITE: File YE OW: Applicant PINK: Finance " , . '· City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: 266'1 Le cfr4-1,c_ i(;'r-c 2. TYPE OF BUILDING: RESIDENTIAL 'f COMMERCIAL . 3. ROOF SLOPE: RISE ___ lnches in 12 inches r .f_jt]-. f-i /rz...... 4. NUMBER OF EXISTING ROOF COVERING (circle one) 6) 2 3 s. TYPE OF EXISTING ROOF COVERING t "isHEATHING sfi,."'c-t-:r__ *6. NEW ROOF MATERIAL Asp iuJI--CLASS ,4. WEIGHT PER SQUARE ~ 7. -NUMBER OF SQUARES ;;,w7!.€: -- 8. TRADE NAME £/k htfu.e MANUFACTURER £ / K 9. ROOF SYSTEM LISTING UL No. 8 311'>~ ICBO No. El? '>'flt 10. IS THE EXISTING STRUCTURAL DESIGN ~ICIENT 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: •;, i ,- 1. Tear Off/Pre-inspection prior to instalfnew roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. s;gnatu,e Q.-..f'.f' 4 /¥-Dato Contractor ___ Owner )° *6 -Rolled Roofing, Standard/Lite Tile, Other. Fiberglass, Built up, . ·. m City of Carlsbad Bldg Inspection Request For: 07/13/2004 . Permit# CB040996 Title: LAUFER RES 3000 SF REROOF Description: COMP TO COMP Type: MISC Sub Type: REROOF Job Address: 2664 LA GRAN VIA Suite: Lot Location: APPLICANT LAUFER DONALD R Owner: LAUFER DONALD R Remarks: Total Time: CD Description 19 Final Structural 0 ~ Comment Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Inspector Assignment: JM --- Phone: 00000000000 Inspector: Requested By: DON LAUFER Entered By: ROBIN 05/06/2004 15 Roof/Reroof AP JM OK TO COVER