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Home My WebLink About2681 OCEAN ST; ; CB042888; Permit~\C) City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 v~b 07-2 -0~ Miscellaneous Permit Permit No: CB042888 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2681 OCEAN ST CBAD MISC 2031402600 $3,219.00 Subtype: REROOF Lot#: 0 HAWTHORNE RES-REPLACE BUR W/ W/ PVC ROOFING [UL# R8992(N)] Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 07/27/2004 KMT 07/27/2004 07/27/2004 EBERHARD BENTON ROOFING HAWTHORNE FAMILY TRUST 03-10-89 3691 HANCOCK ST SAN DIEGO CA 92110 619-291-6340 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $89,00 P O BOX 120708 SAN DIEGO CA 92112 PERMIT FEE Total Payments To Date: $0.00 $89.00 $0.00 $0.00 $89.00 Balance Due: ~f-1 ;' ," -~•' $89.00 1/) FOR OFFICE USE ONLY PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1 &35 Fa'raday Ave., Carlsbad, CA 92008 PLAN CHECK No.Ct,oi?tPf3 EST. VAL. , q_c{/9 ..--1 Plan Ck. Deposit----.......,.--,----,--- Validated By ___ ___,_....;;JJ ....... ~"--"-'---· _ Date __ ____._~_/2=7-+/ ..... C>-lf __ _ \re,5s (include Bldg/Suite I) f'1 ts w T'10aue. Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Assessor's Parcel I PII< Existing Use Z d I Proposed Use 'f SO. FT. #of Stories I of Bedrooms I of Bathrooms :r.CO'.taAC11'1~RSPNtllfi~ff,n,i~froll),appl(centl ··', '!~it l:,{,;,1t,:-it~-.;:,;)-~~lt•. ,,., .' !,•~ ~ ~i;c ,;;:1/.::,~ ···~·~-••,h · me Address City State/Zip Telephone I Fax I .wAU~lCAtq,,~Elit o'intfqto >1.,~~gent,fP!'l~001(fg!Otl,,.,C):Q.wner_k;;GT ~g111.t'for ~ner . Lo.. vr~,v vJr, c;;_ 1 ~ c;. D' Name Address City l&~4lCOJ,lJJIACT08atQ!)..MPAtf~, NA.M11;:r21,.J1W...~;~ ""''f'~!'"' ., .. ~):t'.l, ·-~~~~-!'r.~':i:.[ • 7'.:: ~'., '~ ,I!• "!;;l" · ,',.';',.,, ••• , ,::-.. , "'•;~·\ ,,':..' -:, · • ;. , · • "'-• ~-!"'· (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 tion of Section 7031 .5 ~ any plicant for a permit subjects the applicant to a civil 11enaltv of not more than five hundred dollars ($50011. r -K, We k 7 J! ; C'tf P State License I _/....:......3_} _7_'-{...,_Z. __ _ City State/Zip Telephone I License Class ('. -3 'f City Business License II ~(,gif ~ Designer Name Address City State/Zip Telephone State License I _________ _ 8 WORJ(JRS' COMe,ff!!SATIOI'( ..,_ • ,.._.,._ ., . . .', Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: gJ 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. ;g) 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 <;Ta t e f CJ -a . Policy No./{;. 7Z. 79' 5"-i!_eJO q Expiration Date __ /_-_/'----0_~-- (THIS SECTION NEED NOT Bf COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($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: Failure to aac:ura wOt'ken' companaatlon coverage la unlawful, and ahell aubjact an employer to criminal panaltiea and civil flnea up to one hundred ouaand dollars ($1 ,000), In addition to t e CQst t companaatlon, damage• H provided tor In Section 3706 of the Labor coda, lntareat and attorney', feea. SIGNATURE -DATE 7 -Z.?-0 '-f J:!WNtil1i.Ullli.1U,~tH:Htl .;· · . ·~~--· ;f~i°"~:::..~;~-• t.1t:"·:•;,.:fr•--:::f· .' :'""'••~,.. .. ~."'~· , hereby affirm that I am exempt froin the Contractor's License Law for the following reason: O I, as owner of the property or my employees with wages es their ·sole compensation, will do the work and the structure is not intended or offered for sale (Sac. 7044, Business and Professions Coda: The Contractor's License L'lw 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 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Coda: The Contractor's Llcanae Law doea 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). 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 property Improvement. 0 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 portloM of the work, but I have hired the following person to coordinate, supervise and provide the major work (includa nama / address / phone number / contractors license numbar): ______________________________________________ _ 6. I will provlda some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / addrass / phone number / typa of work): ________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ Is tha applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 26606, 26633 or 26534 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 schC?ol site? 0 YES O NO IF AHY 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. (1.1,£•&9..NU!I.UC.I!Q.tti.~!Jll;mi<rAq_EN_CJ .. ::;u.:~L:..:_c.,:.:.i..._ ··~.:.~~--~~~:.:..:.~~-.; _____ ~--·-·-· •. -- 1 hereby affirm that there is a construction lending agency for the parformance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENOER'S NAME ______________ _ LENDER'S ADORESS __________________________ _ 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 permll Issued by the building Official under the provisions of this Code shell expire by limitation end become null end 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 after the work is c~=period of 1~0 daJS (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ~ l-t,/~ I-DATE ?-2 ?-v'/ WHE:Ftte YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: U.081 OcenV\.. slu-e+ 2. TYPE OF BUILDING: RESIDENTIAL X COMMERCIAL --~ 3. ROOF SLOPE: RISE / inches in 12 Inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) 1 (i) 3 s. TYPE oF Ex1sT1NG RooF covERING 50R SHEATHING so\id. *6. NEW ROOF MATERIAL\,? \I(,,, CLASS_.i_WEIGHT PER SQUARE Z ZO II:,.$ 7. -NUMBER OF SQUARES J°IQ() . 8. TRADE NAME Sa'(>J\C) rd MANUFACTURER SCArV\c;f I 9. ROOF SYSTEM LISTING UL No. g'a9'32 &,) ICBO No .. ____ __,_ IO. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT 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: -.·, ,·.- 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. Signature ~ t!~ Date 7 -2 7-0i./ Contractor X Owner ____ Contractor Narre £'4erl-,J~ 8e,uzoN f!o 0 {;,.JJ *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 02/09/2005 Permit# CB042888 Title: HAWTHORNE RES-REPLACE BUR W/ Description: W/ PVC ROOFING [UL# R8992(N)] Type: MISC Sub Type: REROOF Job Address: Suite: Location: OWNER 2681 OCEAN ST Lot 0 HAWTHORNE FAMILY TRUST 03-10-89 Owner: HAWTHORNE FAMILY TRUST 03-10-89 Remarks: Can you final? Total Time: Inspector Assignment: JM --- Phone: Inspector: Requested By: CHRISTINE Entered By: CHRISTINE CD Description 19 Final Structural Act Comment j ~~ ~ j r....:.!L -----.AA~~--'-----,7'6.=6'-4'--------"--L"-"'1;-"-'II'.-'--' --- Associated PCRs/CVs lns(lection History Date Description Act 08/10/2004 15 Roof/Reroof AP 08/04/2004 15 Roof/Reroof NR 08/03/2004 15 Roof/Reroof PA lnsp Comments JM OK TO COVER GARAGE & NORTH SIDE OF RIDGE JM JM ok to cover south side of ridge