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HomeMy WebLinkAbout2706 LA DUELA LN; ; CB012030; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06/12/2(01 Miscellaneous Permit Permit No:CB012030 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 2706 LA DUELA LN CBAD MISC 2550922100 $83,810.00 INZANO RESIDENCE Subtype: REROOF Lot#: 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/12/2001 MDP 06/12/2001 06/12/2001 29 SQUARES OF CLA YLITE Applicant: URBACH ROOFING, INC. STE D-7 120 N PACIFIC ST SAN MARCOS CA 92069 760 471-5065 Total Fees: $154.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Inspector: TC Owner: INZANO DONALD T&PATRICIA A 2706 LA DUELA LN CARLSBAD CA 92009 Total Payments To Date: $0.00 PERMIT FINAL APPROVAL Date: 5::)9 /o J Balance Due: $154.00 $154.00 $0.00 $0.00 $154.00 1744 ()6/.12/01 :l002 )1 "'' Clearance: 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 I\Jht 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 vou have nreviouslv been niven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise exoired. PERMIT APPLICATION CITY bF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Validated By __________ _ Date. ______________ _ Address (include Bldg/Suite I) Business Name (at this address) Legal Description 'I Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units ;J.S S -0 ,:)-.;z,/ -t:JO Proposed Use Description of Work # of Bedrooms # of Bathrooms Name :jt ,.• APPLICANT .,... Name 4. PROPERTY OWNER ' Oo ...... -;c.,.,_+..._"'-0 Name ij, ·. CONTRACTOR • CO.MPANV NMotE Address Addre&S City 0 ~e,,i loi·Ow~erc: . · t 1 ,.J,-1. ... ., .... :s C.o...-ls[o....C . City State/Zip Telephone II Fax# State/Zip Telephone# State/Zip Telephone II (Sec. 7031.5 Business and Professions Code: Any City or County which requires a pecmit 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 Sect on 7031.5 by any applicant for a permil subjects the applicant to a civi\_penalty of not more than five hundred dollars 1$600]). ~ 1,,..__ t>., -v-G--I ;J.r, /J p,.._J!;.. ~ -0-7 s .. .,. /\1,..., '-A 't 1 /-Sot Address City State/Zip Telephone # State License I lo O .;l :\ 7 Jr License Class ~ 3 J City Business License I I ~ ,,:2 1/" °I Designer Name Address City State/Zip Telephone State license # ________ _ 8. WO.R~ERS' COMPENSATION 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 wo,kers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. C, 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 in~e carrier and policy number are: Insurance Company S1::::-J::i: F U...---tl.. Policy No. ;i. rs -o ;;J... Expiration Date / -o .:2., (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$100] OR LESS) 0 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 ncure workers' compensation coverage la unlawful. and shall subject an employs to criminal penaldu and civil flnH up to one hundred thoUliand dollars ($100,000), in addition to the cost of compenlltion, damagu as provided for In Section 3708 of the Labor code, interest and attorney's fees. SIGNATURE______________________________ DATE _________ _ 7. · OWNER,BIIILOER:OECLARATION 1 hereby affirm that I am exempt from the Contractor's Ucense Law for the following reason: D 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 em~oyees, 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 wiU have the burden of proving that he 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 p,oject (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(sl licensed pursuant to the Contrae1or'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 mat•ials 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 portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number/ contracto,s license number): ____________________________________________ _ 5. I will provide some of the work, but I have contracted I hired) the following persons to provide the work indicated (include name / address / phone number / type of work): ______________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ COMRLETI! THIS SECTIONIFOR NON,IIESIDENTIAL' BUILl>iNO,i>EiiMitS!J>N(Y, ' ' Is the applicant or future building occupant required to submit a business plan, acutety hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 0 YES O NO ls 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 withHl 1,000 feet of the outer boundary of a school sitel O 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. ·a •. ,(,ONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME _____________ _ LENDER'S ADDRESS. ______________________ _ ·9, .<IPPLICANT CERTIFICATION• I certify that I have read the application and state that the above information is correct and that the infa,mation on the plans is accurate. I agree to comply with all Citv ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Cartsbad 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 tor excavations over 5•0• deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every pennit issued by the building Official under the provisions of this Code shall expire by Umitation and become null and void if the building or work authorized by such pennit is not comme within 180 days from the date of such pennit or if the building or work authorized by such permit is suspended or abandoned at any time after the work Is comme period o ys ( n 106.4. nifonn Buildklg Code). / / / APPLICANT'S SIGNATURE __ l.,t_~fz-:._:;J~~'.'.._~~.&&~~:::::::::::::______ DATE ef, .1 Z _ {) _ YELLOW: Applicant PINK: Finance CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. Job address: d I O (c Lee ./ 2. Type of building: Residential. __ _ Commercial. __ _ 3. Roof Slope: Rise 'j__ inches in 12 inches N•-•· ,/21.. 4. ~i I r 0of existing roof covering ( circle one J:..V L 3 \ v_ I "o"'n . 5. Type of existing roof covering S ""-"-IL-sheathing 7 I lP ..:,~ *6. New Roof Material T,/ L--Class __ A~--weight per sq. 51 D 7 Number of Squares ;;)_ 9 8 Trade name IA.:S T, ~ cl--, \.\..t Manufacturer L,.._ ~ 'r1 / ~ 9 Roof system listing UL# ______ ICBO # " 3 'i I k 10 Is the existing structure design sufficient to sustain the weight of the proposed roof? g) 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 install new roof covering 2 Final inspection I agree to provide a ladder extending at least 2 rungs above the roof for the inspection. Signature £,u) ~ Urbach Roofing Inc. Roger Urbach President * Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass. Built Up, Other City of Carlsbad Bldg Inspection Request For: 08/08/2001 Permit# CB012030 Title: INZANO RESIDENCE Description: 29 SQUARES OF CLAYLITE Type:MISC Sub Type: REROOF Job Address: 2706 LA DUELA LN Suite: Lot O Location: APPLICANT URBACH ROOFING, INC. Owner: INZANO DONALD T&PATRICIA A Remarks: Total Time: Description Act Comments Inspector Assignment: JC --- Phone: 7604715065 -.-:, ) n Inspector: _ _ i..____ ___,..,.,--== Requested By: JOE Entered By: CHRISTINE CD 19 Final Structural JJE_ _____ _ Associated PCRs +-------------------- Inspection History Date Description 0711712001 15 Roof/Reroof Act lnsp Comments AP RC