HomeMy WebLinkAbout2710 OBELISCO CT; ; CB002353; PermitCity of Carlsbad
06/23/2000 Miscellaneous Permit Permit No:CB002353
Building Inspection Req uest Line (760) 602-2725
Job Address: 2710 OBELISCO CT CBAD
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
Applicant:
MISC Subtype:
2154202700 Lot#:
$4,240.00
REROOF 4000 SF ICBO ER5492
FAKE SHAKE
REROOF
0
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
06/23/2000
JM
06/23/2000
06/23/2000
JOES ROOFING PLASCHKE/JACOBS 1991 TRUST
4027 VISTA CALAVERAS
OCEANSIDE CA 92056
760-724-8180
Total Fees: $116 .00
Miscelaneous Fee #1
Miscelaneous Fee #2
TOTAL PERMIT FEES
lnspector:(11::..
2710 OBELISCO CT
CARLSBAD CA 92009
Total Payments To Date:
1093 06/23/00 0001 01 02
Balance Due:
$11 6.00
$0.00
$116.00
C-PRMT 116-00
$116.00
FINAL APPROVAL
Date: {-)' O ( 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 bmely 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 vou have oreviouslv been aiven a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise exnired.
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
FOR OFFICE USE ONLY
, PERMIT APPLICATION PLAN CHECK NO. 4? 2,3'$3
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST.VAL.~~~~~~~~~~
Plan Ck. Deposit~--------
Validated By_,.,.~......_.,__ ___ .,........,"=-_-1/,___
Date ____ __,~""',,fr--L/-'---'+¥,...::./)1)-=-
1. PROJECT INFORMATION , /
'2.2 I O Ol3EL-, 5 <-O c, ·
Address (include Bldg/Suite #) )
5;µ1r/c rP ,t,v... Y Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units
Existing Use
00
Proposed Use
<V'
SO. FT. #of Stories # of Bedrooms # of Bathrooms
2. CONTACT PERSON (tf different from applicantl
Name Address City State/Zip Telephone# Fax II
3. APPLICANT O Contractor O Agent for Contractor O Owner O Agent for Owner
Name Address City State/Zip Telephone #
4. PROPERTY OWNER 2 7/0 0 &'2.15C o c·-1-.
Name
5. CONTRACTOR • COMPANY NAME
Address
.::i-oE5
City State/Zip Telephone #
(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 violation of Section 7031 . 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [ $ 500 ) . 7.:; c;:,/-
.2. r\ m L/0.2. 7 1 v1 !: 5 t cJ/ • 0:: -2 & O
Name Address City State/Zip Telephone #
('? -=-=e State License# __.7'--'-/ .... (_0'---'7.__../ __ _ license Class -~------2.~-+-----City Business License II --------
Designer Name Address City State/Zip Telephone
State License # ----------
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 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.
[D 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 ~E /u /Vt::J Policy No. I~ 'J.2 f 4' 7-~ r Expiration Date //.-/ -cTV
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$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 t~e orkers'..-mpensation Laws of California.
WARNING: Failure to ecure rkers' compensation coverage i1 unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($10' ,00 , ,n addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees.
SIGNATURE {' t' DA TE h ;2. 'j cf?)
7. OWNER-BUILDE ECLARATION
I hereby tform that am exempt from the Contractor's License 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 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 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 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 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(sl licensed
pursuant to the Contractor's License Law).
0 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 O NO
2. I (have I have notl 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 I address I phone number I 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 I address I phone
number I 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 I address I phone number I type of work): __________________________________________________________ _
PROPERTY OWNER SIGNATURE------------------------
COMPLETE THIS SECTION FOR NON-RESIDENnAL BUILDING PERMITS ONLY
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 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 1 0 YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 1 0 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
8. CONSTRUCTION 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. APPLICANT CERTIFICATION
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 permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work
authorized by such permit is not commenc withi~ days from the date of such permit or ii the building or work authorized by such permit 1s suspended or abandoned
at any time after lhe work is commence or a pe focf of 180 days (Section 106 4.4 Uniform Building Code).
APPLICANT'S SIGNATURE # ( ~ ~---DATE 6' -;2.. ? -~
WHITE: File YELLOW: Applicant PINK: Finance
...
UNSCHEDULED BUILDING INSPECTION
~ 'T~l'W\L.1U\.co~
DATE ':::\-~"O \ INSPECTOR df
PERMIT # ()Q~S0 PLAN CHECK# -----
JOB ADDRESS ~,D 0 ~, s.c u C:l;-
CODE DESCRIPTION ACT COMMENTS
lfl.spection List
Permit#: CB002353
Date Inspection Item
06/27/2000 15 Roof/Reroof
06/26/2000 15 Roof/Reroof
Type: MISC RE ROOF
Inspector Act
JL AP
JL CO
REROOF 4000 SF ICBO ER5492
FAKE SHAKE
Comments
SHEATHING
SEE NOTICE
'-\l ,-.\ 0\
~~~~-:k:d ~~.
~~ w~~ ~ ~"3.\o~
Monday,April02,2001 Page 1 of 1
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDRESS: 2 710 {) BeLL)~ C f-;
2. TYPE OF BUILDING: RESIDENTIAL V ' COMMERCIAL_~
3. ROOF SLOPE: RISE /0 inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) 1 3
5. TYPE OF EXISTING ROOF COVERING woOJtJ SHEATHING y C 5
*6. NEW ROOF MATERIAL /1-CLASS~co WEIGHT PER SQUARE
7. NUMBER OF SQUARES ¥1)
8. TRADE NAME f)f:. 0,€/'( MANUFACTURER J?;Cc;Tc/
9. ROOF SYSTEM LISTING UL No. ICBO No. E g. s yr 2.....
10. IS THE EXISTING STRUCTURAL DESIGN SUFF CIENT 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 install new roof covering.
2. Final Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for
inspection.
Signatu~ 1~,,.,,or:--Date 6 -.2 3 -oc::>
-------
Contr ctor K Owner ____ Contractor Name
*6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up,
Other.