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Home My WebLink About2704 LA GOLONDRINA ST; ; CB994504; PermitCity of Carlsbad 12/07/1999 Miscellaneous Permit Permit No:CB994504 ,. Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: Parcel No: Valuation: Reference #: 2704 LA GOLONDRINA ST CBAD MISC Subtype: 2155410200 Lot#: $6,625.00 REROOF 0 Project Title: GORDON RES-2500 SF LT WT CONCR Applicant: SECURE ROOF INC 2210 MEYERS ESCONDIDO CA 92029 760-432-9084 Total Fees: $145.00 Miscelaneous Fee #1 Miscelaneous Fee #2 TOTAL PERMIT FEES FINAL APPROVAL Date: /2 · (7 · f 7 I 6898 12/07 /99 0001 01 ISSUED C-PRHT 12/07/1999 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Clearance: RMA 12/07/1999 12/07/1999 $145.00 NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reservations, 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. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 02 145-00 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas·Dr., Carlsbad CA 92009 (760) 438-1161 FOR OFFICE USE O~L! PLAN CHEC~ No. L:Vjct t..JSoy EST. VAL. ~ (q ~S Plan Ck. Deposit -----,,.-;---- Validated By (cic Date / J..-! 7{Y9 Legel Description Lot No. Subdiviaion Name/Number Unit No. PhHe No. Total # of umts ~•· ., i: Name Address .City State/Zip Telephone II Fax# Name Addrus City State/Zip Tel~phone I ~~l·• !\12% 9 t tr:m~=~~~~~ffllDJ!!~~t~s~~· 14 , :•:..:.,~ lilll. Ad.El ttts¥it itW"!fiZ Jilli( J~ity i ai,diiilitl:ll.~~~•,~~illli,1,.'1,f;;~~~";~;;;;.:..e ,:·~ · Designer Name Address City State/Zip Telephone State Ucense I ~fiKEllll!:ii•Jtiiiiii""~·i'!N;;i· iii~iini.11t:iiiilii&.iiiifJirlraaE1.!!a!!l!ii!WEill .. ;,l. li•• !:!itli!i.~rt\i~.!i!~~~:,:,;.""~""rar:"""";,, ,. . • Workers' Compensation Declaration: thereby affirm under penalty of perjury one of the following declarations: D I have and will fflaintain a certificate of consent to self-inst.ire tor workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit ia issued. o..,....r-h■ve and will maintain "".ork~rs' comp■n■abon, a■ r~quir■d by S■ction 3700 of the Labor Code, for the performance of the work for which this permit is -r..ued. Myworker'acom n■at1on1n■ur■ncecarler1ndpoh number are: . ~cc, l ~()' QCl" . . \ I ~ ~ Insurance Company _..._..IJU...L.L..>, __ _.._,"""..,.-"-+-._____ Pohcy No._>=:U:..,!)..,__.:::,_~..:.-7.,_.:,0::_!Q"""'-_J_.__ I Expiration Date _ J ~ Q !THIS SECTION NEEO NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESSI 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which thia permit is ia■ued, I ■hall not employ any parson in any manner ao as to become subject to the Workers' Compensation Laws of Califomia. WARNING: Falhn to Hcure worken' compenutlon coverage la unlawful, and lhall ■ubject., amployer to crlmtnal panaltiaa and clvll fines up to one-hundred ~=001, n d-ho . 011~:-~::•-~:-:::):,;:~~~;zc,:1:nnd,:::Y:• ~•- I hereby affirm that I am exempt from the Contractor·• Ucen1e 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 s■le (Sec. 7044, Business and Prof■uion■ Code: Th■ Contractor's license Law dou not apply to an owner of prope,ty who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements ■re not intended or offerad for Hie, If, however, the building or Improvement is sold within one year of comp6etion, the owner-builder will have the burden of proving that he did not build or Improve for the purpose of s■le). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Coda: The Contrector'■ Ucense Law does not apply to an owner of property who builds or improves thet'eon, and contracts for suCh projects with conttactorlsl licensed pursuant to the Contractor's Ucen■e L■wl. 0 I am exempt under Section ______ Bu■inna end Professions Code for this reason: 1. I personally plan to provide the major labor and meterials for construction of the propos■d property improvement. 0 YES ONO 2. I lhave / have not) signed an apptic■tion for a building permit for the propos■d work. 3. l have contracted with the following person lfirml to provide the proposed construction Unclude 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):, ______________________________________________________ _ ;::;~ij=~i, --~•iirrir:iii-rii .. r.i:1iNi.iii1iiii1Nillffl.11ii!C_ iii-ii· iii.iii• -· iiiaiiiliiiii-iiiiiiii~iii!i-i·iii .. ~.::.~;,T:;E~;;;;. ,,;;;~;;;. c.;;,,;:f;::;,,;;:~,c;;::_,_;;-:'.['::;:";'.;;:,,_:::,,-:::,.-;::,.0:;_~;i,2': "·· Is the applicant or futu,e building occupant required to aubmlt a bu■ineu plan, ■cutely hazardous materials registration form or risk management and prevention program under Sections 25505, 26533 or 26534 of the Pruley-T■nner Hazardous S~ance Account Act? 0 YES O NO ls the applicant or future building occupent required to obtain • permit from the eir pollution control district or air quality management district1 0 YES O NO Is th■ 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 CERTIRCATE OF OCCUPANCY MAY NOT IE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. if:!'~.~i'jb:~l;ii~,~i~:-.;"'~-,;,.;.;;:.,;,;\~~,,;c ..•.. ,:· I hereby affirm that there is a conatruction 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 111:~~~-""!i!il!lllffi,.;;;;.;_;;,;,.;;:;;,,,;,;,;;mu;~;;;.;;;;;;:_;;;:11"'~""· ;;;; ....... ~ .. -_.;;;~;;; .. :.:-::;;.~;;;;: ;;;;,;;;;;:_,r::;;,,~ .... :;::;.,,<;:::;.,:;::;.;--::>--::.:;: ••. c:::c .. ::-c-::-,---- 1 carttty that I have read the appllc■flon and state that the above information ls correct and that the information on the plans is accurate. t agree to comply with all City ordinances ■nd State law■ relating to building construction. I hereby authorize representatives of the Cttt of Carlsbad to enter upon the above mentioned prope,ty for inspection purposn. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CrTY 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 excavation■ over s•o• dnp and demolition or construction of atructuru over 3 stories in height. EXPIRATION: Every permit iHued by the Building Official under the provisions of this Code shall axpire by limitation and become null ■nd void if the building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permtt is suspended or abandoned at any time ■ r the work is comm ced for a period, of 180 divs !Section 106.4.4 Uniform Building Code). Lj r--, 1 C\ ~ APPLICANT'S SIGNATURE .!...!...l._..s..L..:=.::~~C::::.!..::C::::;,c____________ DATE ----'--__ r_,_ __ I ____ _ ELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING I. JOB ADDRESS: ~~ LC\ C£:i'::>-+o-... Ave. 2. TYPE OF BUILDING: RESIDENTIAL / COMMERCIAL. __ _, 3. ROOF SLOPE: RISE 4:-inches in 12 inches 4. NUMBER OF EXISTING ROOF COVER~~.Jf.U'~l one) (D 2 3 5. TYPE OF EXISTING ROOF COVERING~ \2-ccl<... SHEATHING . *6. NEW ROOF MATERIAL ½\~ CLASS f\ WEIGHT PER SQUARE S, ') 7. NUMBER OF SQUARE~ ~ . 8. TRADE NAME E~ MANUFACTURER E~\Q.. 9. ROOF SYSTEM LI~ UL No. ICBO No. ~ (e[) 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? e 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. 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. Signature m ' 8 · OJl ~ Date Contractor ___ Owner ____ Contractor Name ~ ~ ~ *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. ~ity of Carlsbad Inspection Request For: 12/15/1999 Permit# CB994504 Tille: GORDON RES-2500 SF LT WT CONCR Description: Type:MISC Sub Type: REROOF Job Address: 2704 LA GOLONDRINA ST Suite: Lot 0 Location: APPLICANT SECURE ROOF INC Owner: GORDON ROBERT A JR&TONI L Remarks: Total Time: CD Description i Comments 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Associated PCRs Inspection History Date Description 12/9/1999 15 Roof/Reroof 12/8/1999 15 Roof/Reroof Act lnsp Comments AP PD PREVIOUSLY AP PD Inspector Assignment: PD --- Phone: 8003386868 Inspector:£~ Requested By: TERESA Entered By: CHRISTINE