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Home My WebLink About2719 LA GOLONDRINA ST; ; CB031440; PermitCity of Carlsbad ' 1635 Faraday Av Carlsbad, CA 92008 05-16-2003 Miscellaneous Permit Permit No: CB031440 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: 2719 LA GOLONDRINA ST CBAD MISC Subtype: REROOF 2155420500 Lot #: 0 $7,025.00 BRAEMER RES 2500 SF REROOF WD SHAKE TO LT WT CON TILE Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 05/16/2003 SB 05/16/2003 05/16/2003 CORONADO ROOFING BRAEMER PETER&KARIN 5330 ◊5/16/03 0002 )1 02 CGF" 200 GIRARD WY 92084 941-2770 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $140.00 PERMIT FEE 2719 LA GOLONDRINA ST CARLSBAD CA 92009 $140.00 $0.00 $0.00 $140.00 Total Payments To Date: $0.00 Balance Due: FINAL APPROVAL Date: 0 S7 &9--:i)? Clearance: $140.00 approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions.ff 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 tees and capacity changes, nor planning, zoning, grading or other similar application processing or seivice fees in connection with this project. NOR DOES IT APPLY to any f infhih I hirtwhi h lhrwi 1:~0"00 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO.C~3 t<-1'-(0 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 7/oz.s EST. VAL. __ ,._ _ _,_ ______ _ Plan Ck. Deposit~~------- Validated Bv.1-....-~.=;:::.~?-"· '""''------- Date >5J{ I,,~ Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Existing Use Proposed Use ~-00 2 # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone# Fax# (/;~i~i~~~~~lfiet!,Jil':::;_~:~~:;,,rtj/'l,si't/3,,l'\;:>,·.\ci cf o~ City State/Zip Telephone# ~ :::e 703 ~Busine=~~~sions co!,~:~~;"~!:;:~:~:•·;~~~~~;:~•:;~:~·\:~:~~:~;~~;:•::~:~::,t~:::;:l:;~~,,=i~:~;!?::::~~~~'.'~;;~~;:~••:t:· 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 exemP. n. Any violation f Section 31.5 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars l$6001). Leo C: 20 .✓,.7..7?'D Name State/Zip Telephone # State Ucense # 7 Z. 0 ~ / '3 License Class __ _,C_.,__.').,_J9c..._ __ City Business License # /2 /J 9 7, f Designer Name Address City State/Zip Telephone ~;~~!~~~~~~1~~~!;f1r3~;;;f~~:',;;;~':~~~;'1;;~;'1,~1i;~~~";~•·'~~;'~?iC{~1~'~!~;;!~:!:;;;~~~:''' D 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______________________ Policy No. Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) \c;("' 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 ~ecome subject to the Workers' Compensation Laws of California. WARNING: failure to 88cu,e workera' compenaatlon cov8J11ge la un ful, and ah11II aubject an employer to crlmlnal and civil fines up to one hundred ouaand dollar• ($100,000), In addldon the coat c pensatlo , mages as provided for in Section 3706 of code, and attorney'• feea. SIGNATURE DATE • I hei-eby affirm that I am exempt from the Contractor's License Law for the following reason: D I, as owner of the property or my employees with wages as their sole compensation, wilt do the work and the structure is not intended or offered fol' 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). D 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). D I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major tabor and materials 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 followlng 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/ 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),._----------------------------------------------------------- PROPERTY OWNER SIGNATURE ______________________ _ DATE ________ _ ~.W!m&HISflEdli'Jtf~etliWO~~.-gJ(QJBit~tf.!L'l£ftJJ•\ilimiE~k¾:?:'.'.f~?JlLi\i?m~lftltk#&;;:{tt:Ffilt'.0±45L&liJt; t'.Glf0-io/A&;0;}:'('.; ;._,,1:/ -,'.', .·:(;_;";: .. ,,·,~f?• 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 26534 of the Presley-Tanner HazardoiJs Substance Account Act7 0 YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D 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. 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). 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 Cit\' 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 bulldlng 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 commenced within 180 days from the date of such permit o if the building or work authorized by such permit is suspended or abandoned f\ }at any time after the work 1s commenced for a penod of 180 ys (Sect' n 106.4.4 Unifo uilding Code). ){ APPLICANT"S SIGNATURE ..:.::::;;*::;::;:::;,,:=:::~S::;,.,_J_;:J~=t'.::~d::.______ DATE s -I{, -'D > PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: Z 7 I '1 Lr:1 Go[o,'-". d,,,v{ l:'la s+' 2. TYPE OF BUILDING: RESIDENTIAL / COMMERCIAL. __ _. 3. ROOF SLOPE: RISE l,..,,( inches in 12 Inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) (Y 2 3 5. TYPE OF EXISTING ROOF COVERING ___ SHEATHING/t;obi¼,[(a:s. •s. NEw RooF MATERIAL rA1 cLAss.£.£ WEIGHT PER SQUARE 7. -NUMBER OF SQUARES Z ,$ uSl • 8. TRADE NAME fv&./,·Jv.µ 7'i'l MANUFACTURER Cdf:>/ e. 9. ROOF SYSTEM LISTING UL No. %$0 2-I ICBO No. 4 (, {, o 10. IS THE EXISTING STRUCTURAL DESIGN ~FICIENT 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 instalfnew roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signature..:=:::::;:::.i,T=-· ... , .... :::..=:§__,J,-::::-;,,,,.(. __µ'::t=.'7J.J~::::::::~--1Date 5 · JC-tD 3 (J ~ Contractor L Owner ____ Contractor Narre hwu'll-t'-J]Ji) ,i;-r,ol-1..J'lt-L *6 • Rolled Roofing, Standar~ Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 05/28/2003 Permit# CB031440 Title: BRAEMER RES 2500 SF REROOF Description: WD SHAKE TO LT WT CON TILE Type: MISC Sub Type: REROOF Job Address: 2719 LA GOLONDRINA ST Suite: Lot O Location: APPLICANT CORONADO ROOFING Owner: BRAEMER PETER&KARIN Remarks: Total Time: CD Description Act Comment Inspector Assignment: TP --- Phone: 7605333272 Inspector: ,1f.-,' Requested By: FERNANDO Entered By: CHRISTINE 19 Final Structural ...f1f_ £,Al.I -n{) eA/J.6 ,,lg' s~ Associated PCRs/CVs Inspection History Date Description 05/19/2003 15 Roof/Reroof Act lnsp Comments AP JE 1127-G4