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HomeMy WebLinkAbout2726 OBELISCO CT; ; CB022724; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-12-2002 Miscellaneous Permit Permit No: CB022724 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: 2726 OBELISCO CT CBAD MISC 2154202500 $16,860.00 Subtype: REROOF Lot#: 0 MORGAN RES/ 60 SO'S LIGHT TILE RE ROOF, REMOVE OLD WOOD SHINGLE Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/12/2002 CB 09/12/2002 09/12/2002 RANCHO ROOFING CO 975 EAST LINCOLN ESCONDIDO CA MORGAN MERRILEE A 6172 09/12/02 0002 01 02 C GP 256.00 92026 739-1926 Total Fees: $256.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES 2802 BELLINI DR HENDERSON NV 89052 Total Payments To Date: $0.00 PERMIT FEE Balance Due: $256.00 $0.00 $0.00 $256.00 $256.00 FINAL APPROVAL Date: //-7" 0 -,:.--Clearance: ------ NOTICE: Please t pproval 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 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 t, PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO.dlhO EST. VAL. Plan Ck. Deposit Validated By_ Date /~2.-a-p Address (include BIdg/Suite If) Oh(^{\^<LO clA- Business Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total If of units Assessor's Parcel # 77 Existing UsfrilmiUiha Ldcroff shc^/f Description of SO. FT. ' lujof ^ vCONTACT-pERSCNirtaftefanTfrohi 'appHcwitL 't' sf Stories i3Aj£. # of Bedrooms # of Bathrooms 3 State/Zip Telephone ff Fax #Name Address City i j0t^r«r8]«torj:ii7^O.Aa?r«.tsi:;JSornfWWcS';sCii^Owi^^ j---' ^UC\K) C^^aS 97 T C L)6^<U)(rM City Cs OA- Telephone 7 4;'.?^PR0PERTY^0WNER •'n 773 ^ n r. " •"..7 '7'' n ftrit OR - COMPANY NAME I ^ State/Zip ^ *7Name S. ' CON (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 end 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 ($5001). Name (To-Address ^7^ C- L/OJCojJt- City State/Zip State License # 70 I ^ f C License Class O 3^ City Business License # Telephone f 7cr<i> 7?^/ Designer Name Address City State/Zip Telephone State License ff ,6, .WdRKERSTC0MPENSAT|0N^^7>5!JV'v7---n n . ^V.,. Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations; Q 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. n n have and will maintain workers' compensation, as required by Section 3700 of the Labor Coda, for the performance of the work for which this permit Is issued. My worker's compensation insurance carrier and policy number are: Insurance Company _ c;4a-/<L ArA^<L Policy No._ Expiration Date ^ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) □ 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 the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensatiort coverage is unlawful, and shall subject an employer to criminal penalties and dvll fines up to one hundredthousand doliarjb($100.000),jCLaddition to the cost of compensation, damages as provhlBd for In Section 3706 of the Labor coda. Interest and attorney's fees.. SIGNATURE (JpftJU- DATE LtJej7^'^^:T)WNBR^LDER DECLARATION'! ■ ''.-r - I hereby affirm that I am exempt from the Contractor's License Law for the following reason: □ 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 doessuch work himself or through his own employees, provided that such Improver^ents 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). |~| 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). -... □ 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. Q YES Qno 2. i (have / have not) signed an application for a building permit for the proposed work. 3. 1 have contracted with the following 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 I 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 I phone number I type of work): PROPERTY OWNER SIGNATURE DATE 'COMPLETE'THIS'SECTION'FQR NOfi^ESfDENTfAL BUILDINO - ■: 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? O VES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ VES □ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q VES Q 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. 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 ■s^ 7APPLICANT CERTlFlCATION-"'"'.r:' ^ - ,•7,7. 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 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 CONSEOUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over S'O" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Official under (he 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 160 days from the date of such permit or If the building or work authorized by such permit is suspended or abandonedat any time after the work is commenced tor a period of 180 days (Section 106.4.4 Uniform Building Code). yV\Q (PU^ DATE / 2^0 2^APPLICANT'S SIGNATURE WHI lie YELLOW: Applicant PINK: Finance I City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. jr^p AnnPFSS; C-t- 2. type OF BUILDING: RESIDENTIAL^^ COMMERCIAL , 3. ROOF SLOPE: RISE ^ inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) (?) 2 3 5 TYPE OF EXISTING ROOF COVERING^^a^^^^HEATHING •6. NEW ROOF MATERIAL_^^CLASSJ^WeIGHT PER SQUARE 7 -number OF SQUARES CO = 8. TRADE NAME MANUFACTURER.^Oik^f:^ 9. ROOF SYSTEM LISTING UL No. _ICBO No..y, r\wwr w i w • —— 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 foiiowing inspections are required: 1. Tear Off/Pre-inspection prior to instail new roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for Inspection. Signature.Date 1 Z/TPo Contractor Owner Contractor Name *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up. Other. City of Carlsbad BldgJj3spection Request For:>002 Permit# CB022724 Title: MORGAN RES/ 60 SQ'S LIGHT TILE Description: RE ROOF, REMOVE OLD WOOD SHINGLE 0 ^Inspector Assignment; PS 2726 OBELISCO CT Lot Type: MISC Job Address: Suite: Location: APPLICANT RANCHO ROOFING CO Owner: MORGAN MERRILEE A Remarks: AM PLEASE Sub Type: REROOF Phone: Inspector:J Total Time: CD Description 19 Final Structural Requested By: JUAN CARLOS Entered By: CHRISTINE Act Comments7j P Associated PCRs/CVs Inspection History Date Description 09/18/2002 15 Roof/Reroof 09/17/2002 15 Roof/Reroof Act Insp Comments AP JE NR JE 4/ P- 0