HomeMy WebLinkAbout2722 ATHENS AVE; ; CB043658; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Miscellaneous Permit Permit No: CB043658
ing Inspection Request Line (760) 602-2725
Subtype: REROOF Status: ISSUED Lot#: 0 Applied: 09/22/2004
Job Address: Permit Type: MlSC
Parcel No: 1673922600
Valuation: $3,306.00 Entered By: KMT
Reference #: Plan Approved: 09/22/2004
Issued: 09/22/2004 Project Title: MEYERS RES- REPLACE SHAKE W/ Inspect Area:
2722 ATHENS AV CBAO
29 SQRS COMP TILE
Applicant:
HETHERINGTON ROOFING CO
3265 VALLEY ST CARLSBAD CA 92008
Owner:
MEYERS MICHAEL N&GOFFREDO-MEYERS MARIE
4821 WINDJAMMER WAY CARLSBAD CA 92008
Miscelaneous Fee #I
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
PERMIT FEE $89.00
$0.00 $0.00
$89.00
Total Fees: $89.00 Total Payments To Date: $0.00 Balance Due: $89.00
1709 09/22/04 0002 (11. M
CGP
Inspector: ziz 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 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.
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
I FOR OFFICE USE ONLY
PLAN CHECK NO. 4368
EST.VAL. 3:3oc(.
Plan Ck. Deposit
Validated By
Date
Address (include BldglSuite XI
Legal Description Lot No. Subdivision NemelNumber Unit No. Phase No. Total X of units
Assessor's Parcel # Existing Use Proposed Use
Description of Work SO. FT. #of Stories # of Bedrooms t of Bathrooms
Business Name (at this address)
&7>2- ,A 07 C-3 L/ c
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter. improve. demolish or repeir 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 Codel 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 1S50011. /+=m rsLr--4. P-2.- flF9- 32 &J-- v5//cy e--7c3 e+ 92csck 7 a/.-J-/ rC
Name 1 I Address I City Statelzip Telephone t
State License I 47 G 3 7 Licenseclass @ - J Y City Business License x / -L 0 ;j 7 C f
Designer Name Address City StateIZip Telephone
Stete License t
0 of the work for which this permit is issued.
0 issued. My worker's compensation insurance carrier and policy number are:
lnsurence Company Policy No. Expiration Date
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS IS1001 OR LESS)
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' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
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
or to cdmhd ponekies and civil ties up to OM hundred
3706 of the Labor code. Intereat and attorney's fees.
zhcome subject to the Workers' Compensation Laws of California.
DATE 7 - 2 7 -0 y
0 1, as owner of the property or my employees with weges as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Bueiness 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 himaelf 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 1, as owner of the property. am exclu&vely contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The
Contractor's Licenre Law does not apply to an owner of property who builds or improves thereon, end contracts for such projects with contractor(s) licensed
pursuant to the Contractor's License Law).
0
1.
2.
3.
I am exempt under Section
I perronally plan to provide the major labor and materials for construction of the proposed property improvement. YES ON0
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 / phone number / contractors license number):
Business and Professions Code for this reason:
4. number I contractors license number):
5.
of work):
PROPERTY OWNER SIGNATURE DATE
I plan to provide portions of the work, but I have hired the following person to coordinate, supervise end 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
bmit a businass
program under Sections 26505, 25533 or 25534 of tha Presley-Tanner Hazardous Substance Account Act? - 0 YES
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
Is the fecility to be constructed within 1,000 feet of the outer boundary of a school site? 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.
0 NO
0 YES 0 NO
LENDERS NAME LENDERS ADDRESS
I certify that I have read the application and state thet the above information is correct and that the informetion on the plans is accurate. I agree to comply with all
City ordinances and Stete laws releting to building construction. I hereby authorize representatives of the City 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 commenced within 180 days from the date 01 such permit or if the building or work authorized by such permit is suspended or abandoned
at any time after the work is commenced for a pq$d of 1BO days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE DATE 9 - y
WHITE: File YELLOW: Applicant PINK: Finance
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDRESS: 2 7 z?, / TAE.NJ+ 8V€
2. TYPE OF BUILDING: RESIDENTIAL / COMMERCIAL
3. ROOF SLOPE: RISE y inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) 0 2 3
5. TYPE OF EXISTING ROOF COVERING WbB# SHEATHING &/A/@ .
WEIGHT PER SQUARE *6. NEW ROOF MATERIAL CLASS
7. NUMBEROF SQUARES 2 ?e.
8. TRADENAME TL 30 MANUFACTURER GBF
9. ROOF SYSTEM LISTJNG UL No. ICBO No.
10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT 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: --,
/I @ Tear OfflPre-inspection prior to installnew roof covering. 6 Final Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for
inspection.
Signature 9 *- Date 9- A;!-@'\
*6 - Rolled Roofing, Standard/Lite Tile,
Other.
Con tractor Owner /' Contractor Nape/S/k & /f6.E4/>@7@M
p Fiberglabuilt up,
City of Carlsbad Bldg Inspection Request
For: 09/24/2004
Permit# CB043658
Title: MEYERS RES- REPLACE SHAKE W/
Description: 29 SQRS COMP TILE
Inspector Assignment: MP
Type: MlSC Sub Type: REROOF
Job Address: 2722 ATHENS AV
Suite: Lot 0
Location:
APPLICANT HETHERINGTON ROOFING CO
Owner: MEYERS MICHAEL N&GOFFREDO-MEYERS MARIE
Remarks:
Phone: 7604193808
Inspector: E
Total Time: Requested By: HEATHERINTON ROOF
Entered By: CHRISTINE 2 Comment
CD Description
19 Final Structural
Associated PCRs/CVs
Date
Inspection History
Description Act lnsp Comments