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Home My WebLink About2727 ATHENS AVE; ; CB102116; Permit11-10-2010 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB102116 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: 2727 ATHENS AV CBAD MISC 1673914000 $2,646.00 Subtype: REROOF Lot #: 0 TRIGUBOFF RES- 2100 SF-COMPOSI Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 11/10/2010 RMA 11/10/2010 11/10/2010 Applicant: MIKE JOHNSTON ROOFING 802 GALAXY DR 92083 760 945-6846 Owner: TRIGUBOFF KEIKO R POBOX 117115 BURLINGAMECA 94011 Miscelaneous Fee #1 PERMIT FEE Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES $91.00?; $0.00 $0.00 ; $91.00 Total Fees:$91.00 Total Payments To Date:$91.00 Balance Due:$0.00 Inspector: FINAL APPROVAL Date: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 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 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. ^CARLSBAD CITY OF Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov jC\ J . Plan Check No. Plan Ck. Deposit SUITE#/SPACE#/UNIT# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONST)?. TYPE oca GROUP DESCRIPTION OF WORK: Include Square Feet AIR CONDITIONING ' FIRE SPRINKLERS YES a Noa YES a NOD FIREPLACE YESD # CONTACT NAME (If Different Fom Applicant) ARCH/DESIGNER NAME & ADDRESS (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 theapplicant 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 theBusiness 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 acivil penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: f hereby affirm under penalty of perjury one of the following declarations: O 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. )O I have and will maintain workerg^mpensation,a/required bySegtfori 3700 of the^bor Code, for the performance olthe^ork for which this nsenit is issued. My workers' rompensatoninsurapce carrier and policy f ^ ~' number are: Insurance Co._ workerii«ompensation, a/required by Seation 3700 of the J^ibor Code, for the performance glthejsork for whicho fff^/1? f^esri<£ POIO NO./fry y I This section need not be completed if the permit is for one hundred dollars ($100) or less. O 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' compensation cwerage is unlawful, andi&all subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (4100,000), in addition to the cost of compensation,, danuge>ayprovide4l forj^Section 3706oflhe LaM^code, inteelt and attorney's fees. J&I CONTRACTORSIGNATUREX>^2%^^'^^f/£X J&l^f, '&' OAGENT DATE // /'/ I hereby affirm that I am exempt from Contractor's License Law for the followingreason: O 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 empbyees, 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 contractors) licensed pursuant to the Contractor's License Law). d I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. O Yes O No 2.1 (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 / contractors' license number): 4.1 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 / contractors' license number): 5. t will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address/ phone / type of work): ^PROPERTY OWNER SIGNATURE OAGENT DATE Is the applicant dr future builfling 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? OYes QNo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? a Yes O No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O Yes O No IF ANY OF THE ANSWERS ARE YES, / EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address 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 SO' deep and demolition or construction of structures over 3 stories in height. ^APPLICANT'S SIGNATURE DATE REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESS:. 2. TYPE OF BUILDING: RESIDENTIAL ^ COMMERCIAL 3. ROOF SLOPE: RISE T INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE)<^T) 2 3 5. TYPE OF EXISTING ROOF COVERING ^GOf/ 5^ff#SHEATHING *6. N&W-RQQF-IVIAT-ERIALi': /L- CLASS T WEIGHT PER 7. NUMBER OF SQUARES c2 / / ^/A r / t^ I8. TRADE NAME ///^7g^/ ff/ie MANUFACTURER 9. ROOF SYSTEM LISTING: ULNO. I.C.C.E.S. Report # ASTM 10. IS THE EXISTING STRUCTURAL Q^SJON SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? /YES^J) 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-lnspection prior to install new roof covering 2. Final Inspection I agree to provide a ladder extendino/^at least^ rurjgs above the roof for inspection. Date *Q. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other B-10 Page 5 of 5 Rev. 03/09 City of Carlsbad Bldg Inspection Request For: 11/15/2010 Permit# CB102116 Title: TRIGUBOFF RES- 2100 SF-COMPOSI Description: Type:MISC Sub Type: REROOF Job Address: 2727 ATHENS AV Suite: Lot: 0 Location: APPLICANT MIKE JOHNSTON ROOFING Owner: TRIGUBOFF KEIKO R Remarks: Inspector Assignmen^: Phone: 7608094108 Inspector: Total Time: CD Description 19 Final Structural Act Comments Requested By: MIKE Entered By: JANEAN Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act Insp Comments 11/12/2010 15Roof/Reroof AP PY APPROVED WED 11/10/2010 15 Roof/Reroof AP PY