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HomeMy WebLinkAbout2709 ABEJORRO ST; ; CB041257; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 Oi-13-5004 Miscellaneous Permit Permit No: CB041257 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as 'feeslexactions." You have 90 days from the date this permit was issued to protest imposition of these feeslexactions. 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 feeslexactions DOES 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 ~ Job Address: Permit Type: MlSC Subtype: REROOF Status: ISSUED Parcel No: 2153003402 Lot #: 0 Applied: 04/13/2004 Valuation: $666.00 Entered By: RMA Reference #: Plan Approved: 04/13/2004 Issued: 04/13/2004 Project Title: SIMON RES-600 SF COMPOSITION Inspect Area: 2709 ABEJORRO ST CBAD Applicant: HARBOR ROOFING 962 ALYSSUM RD 92009 760 931-9108 Owner: SIMON FAMILY TRUST 12-15-97 2709 ABEJORRO ST CARLSBAD CA 92009 Miscelaneous Fee #I Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $60.00 $0.00 $0.00 $60.00 Total Fees: $60.00 Total Payments To Date: $0.00 Balance Due: $60.00 PERMIT APPLICATION kITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY - EST.VAL. 416 b Plan Ck. Deposit Validated By Date Name Address City Statelzip Telephone # Fax # (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9. commending with Section 7000 of Division 3 of the Business and Professions Codal or that he is exempt therefrom, and the basis for the alleged State License # License Class City Business Lice:::: Designer Name Address City Statelzip Telephone State License # 0 of the work for which this permit is issued. '$I 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 I have and will maintain workers' comDensation. as reauired bv Section 3700 of the Labor Code. for the Derformance of the work for which this DermitIs 2/ Expiration Date] - 81 &bed. My worker's c and policy number are: e Insurance Company Policy No. (THIS SECTION NEED N~T BE COMPLETED~IF THE PERMIT IS FOR ONE HUNDRED DOLLARS rsiooi OR LESS) work for which this permit is issued, I shall not employ any person in any manner so as and shall subiect an emdover to criminal aenalties ad civil fines UD to one hundred WARNING: Failure to thousand dollars (6 as provided for In Sec;lon- 3706 o I hereby affirm that I 0 I, as owner o e 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, Busi e 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 hims f r 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 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 1. 2. 3. exempt from the Contractor's License Law for the following reason: ar of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). Business and Professions Code for this reason: kr" I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES UNO I (have I have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number): 4. number I contractors license number): 5. of work): 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 I address I phone I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number I type PROPERTY OWNER SIGNATURE DATE 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? 0 YES 0 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 NO Is the facility to beconstructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 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. DIN@ 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). LENDERS NAME LENDERS ADDRESS 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 Citv 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 EXPIRATION: Every permit ' authorized by such permit is at any time after the work is APPLICANT'S SIGNATURE DATE s over 3 stories in height. WHITE: File Y cant PINK: City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: 2704 2. TYPE OF BUILDING: ENTIAL g- COMMERCIAL 3. ROOFSLOPE: RISE inches in 12 inches 4. NUMBER OF EXISTING ROOF 5. TYPE OF EXISTING ROOF *6. NEW ROOF MATERIAL 7. NUMBER OF SQUARES 8. TRADENAM 9. ROOF SYSTEM LISTING UL No. PrF IO. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? 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 OfflPre-inspection prior to installnew roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for Date 42 Owner Contractor Name -. Standardllite Tile, AsphaltlComp Fiberglass, Built up, Other. t City of Carlsbad Bldg Inspection Request For: 04/19/2004 4 Permit# CB041257 Title: SIMON RES-600 SF COMPOSITION Description: Type: MlSC Sub Type: REROOF Job Address: 2709 ABEJORRO ST Suite: Lot 0 Location: APPLICANT HARBOR ROOFING Owner: SIMON FAMILY TRUST 12-15-97 Remarks: Total Time: Inspector Assignment: \I Phone: 0000000000 Inspector: Jk Requested By: JIM Entered By: ROBIN & Comment CD Description 19 Final Structural Associated PCRs/CVs Inspection Historv Date Description Act lnsp Comments 0411 612004 15 Roof/Reroof AP JM OK TO COVER ~~ ~ SD POLICYHOLDER COPY ,STATE P.0. BOX 807, SAN FRANCISC0,CA 94 142-0807 ' C~MPENSZ~~ION INSURANCE F U N D CERTIFICATE QF WORKERS COMPENSATION 1NSURANCE ISSUE DATE: 11-ai-2003 We wilf-,afso give you WIFE EMPLOY EMPLOYER HARBOR ROOFING 962 ALYSSUH RD CARLSBAD CA 9200