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
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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