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HomeMy WebLinkAbout2727 LUCIERNAGA ST; ; CB040289; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-27-2004 Miscellaneous Permit Permit No: CB040289 Building Inspection Request Line (760) 602-2725 Job Address: 2727 LUCIERNAGA ST CBAD Permit Type: Parcel No: MISC Subtype: REROOF 2153103601 Lot#: 0 Status: Applied: Valuation: $3,046.00 Entered By: Reference #: Plan Approved: Project Title: HOLTER RES-2000 SF TORCH-DOWN 6 SQRS OF COMPOSITION Applicant: DILS ROOFING CO. 1089 LEUCADIA BL ENCINITAS, CA 92024 619-436-7588 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE Owner: HOLTER VIRGINIA C 2727 LUCIERNAGA ST CARLSBAD CA 92009 Issued: Inspect Area: ISSUED 01/27/2004 RMA 01/27/2004 01/27/2004 $89.00 $0.00 $0.00 $89.00 Total Fees: $89.00 Total Payments To Date: $0.00 Balance Due: $89.00 3864 01./27 /04 ·c,•0(.,:.. .,. __ C:•::J.F·· FINAL APPROVAL Date: 2-3 ~oy Clearance: NOTICE: Please take NOTIC 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 f x i n f hi h h v r vi I b en i n N Tl E hi h he f limit r vi u I ·./.::.. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. 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Deposit------~-- Validated Bv• .,....+-=-----A~f::.=--- Data, ___ 1-,,-.,::,._e.....LJ"'-'=F,--- fa).Address (include Bldg/Suite #) Business Name (at this address) ~2-r 2.7 Lv.c; c.-r-rl./1 c;~ Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Address City State/Zip Telephone # Fax# --=..-a-...-■~-•••e•~•--•~l,-";.,i.,::;,1;,:,:~~i!!l!:)fillj(,•~••·••J}•s•,·,,~:,•·:, ,~it_;!:?~' Name Address City State/Zip Telephone II City S.tate/Zip ---------!!tl~~1.~.t:::!~~-~i~•1~~~1.~f,;:~f;;r:•;,;,;?fi;!ii#!"liiif~t:.i~~:ij:•!i~~~~f:lll1t:~~~ll~::tiij~-•1~1"7.lt.!t1,!fl'.•.-.a1r (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 fQr the alleged exe;qption. 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). / UilS ~OCFir-/G 22:30 '-4/Yl/r.A/Jlt OR. Vi~[/\-C.+ 'IUS,3 3:t,d-SoJ-76'0..J Name Address City State/Zi! ·! ~ne # State License # 6, j 2 '/ {; f License Class C-) 'J City Business license # --i?-;,,c/~'Zunw_~~ '~-~-~ Designer Name ddress City State/Zip Telephone State License # _________ _ tlW,'\WOJi(~t,,fb.mtW4llrw&;!tfW:fd::; ::.}",;sx:vm;;,>t.: -~ •. , ~ ,;,; '.-:;;:\-1::1:,; ;t)·< d:'>;i-¾1f~ . ::;r;tir;;;SJJ:ltit'.CI1fr/it:!:>:c ! · c: :~,~· ·t,t:iiJ}11:;.J::~,~~::f!::~ Workers' Compensation Declaration: I 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. ~ 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: . ;· / ln,u,anceCompany S1ArJ1: FL-\.-i.,\ PolicyNo.'V34-2oOJ Expi,ationDate / o( o5 ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS) f / 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 coverage la unlawfuJ, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars O 00) In >itlon to_~~• coat of compensation, damages as provided for In Section 3706 of the Lr-• r code, lnteryt and attorney's fees. SIGNATURE DATE ~c7-Cl"t" I hereby the the following reason: 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 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). O 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). 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. D YES ONO 2. I (have/ have not) 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 / 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 I address / phone number/ contractors license number): ________________________________________________ _ 5. I will provide some of the work, but l have contracted (hired) the following persons to provide the work indicated (include name / address / phone number/ type of work):. ______________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE __________ _ l®MPmtSHii!l(~Ii:tn«iF(U.WP~m/DBlt!A~JHJ.'.1L\Qfr{lfJ!iRMtt~Jtfl,.1.l:LJitfW±lti:WiJ~Gs,~;i,~£::t~YAZ±k:~W~fiifd:1JM!Th1t'.Jri\!dt;IB~klf:~~i~kixtfl ;)t'.t;Y", ;;,y;z:;.:ftjfuiik;,' ' ls 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 26606, 25533 or 26634 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? 0 YES D NO ts the facility to be constructed within 1,000 feet of the outer boundary of a school site7 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 AND THE AIR POLLUTION CONTROL DISTRICT. iii~lltalmLil1JP.1'1---liti.~ .. :~,2'1!6:H:~211!:.Zt'il.:t!~1i?:R~,r;ar~:l\[!j.('.'.!4:~4:~:ui~i_.ii.:iX '~~;;:;::~;.1;:;:,';\;;.i~~~}t-{;;;1·~,: ',,: ~ ·,· .. ' :·.-," ' ~·';,,K/~:;·~-/ ,~.'•; I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30970) Civil Code). LENDER'S NAME _____________ _ LENDER'S ADDRESS,_-'------------------------ Wllll.~ii-......... ~J,h;i.i,9:illel~i~l,jif;;i:.~;·:~i;~~M~i"5'«•~jil,ljiiiWlii~~lil":~~~~jl~!1fei'i~,-i~~·~~:'•Q~--..:1;,ta~~'t'.'i;~;~~WJ:.i~~~~'.ii1.:i.¥'wi~~· 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 6'0" 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 of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is co e ced r a Reriod o 0 days (Section 106.4.4 Uniform Building Code). DATE _ _;_/_---=2"--'-7_-_ct_'/-.:.._ __ WHITE: File YELLOW: Applicant P1NK: Finance , ·----··-----·--·-------- City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOBADDRESS: 272-7 L'-tcrEl2NA-$A: CAa/r/,4-J 'rz.001 2. TYPE OF BUILDING: RESIDENTIAL ~ COMMERCIAL 3. ROOF SLOPE: RISE y4-; 11. 1ncrfes l;{;{tinches . __ _. 4. NUMBER OF EXISTING ROOF COVERJN~ t~ircle one) 1 (2 3 ~ 5. TYPE OF EXISTING ROOF COVErlNG U~,:j,tSHEATHING /Jl;tJ"""'. d-S/J,4-c.._/ *6. NEW ROOF MATERIAC°;t;a0~ CLASS A WEIGHT PER SQUARE .2. S'o -.lf'o 1. -NUMBER OF souAREs 2o o / (n ( ~ 'W'l'>3/. 1 &::i IJ"-A I s..,... .-.-= 8. TRADE NAME t I f !fN , £ C U:::@""MANUFACTURER I,;( ~/II r -c . i.Ail'j,0/1')1\-41-L ~ L.J 9. ROOF SYSTEM LISTING UL No. . ICBO No. .._ ~ 10.Is THE EXISTING STRUCTuRAi7o~kffstiFFICIENT TO SUSTAIN TH~ 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 __ ~,.__. ___ _:~_-_-_______ Date f ~ 2 7--o 4 Contractor __ /_Owner ____ Contractor Na!)'le /) 1 f C /¼oJ. ·7 *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 02/03/2004 Permit# CB040289 Title: HOLTER RES-2000 SF TORCH-DOWN Description: 6 SQRS OF COMPOSITION Type: MISC Sub Type: REROOF Job Address: Suite: Location: 2727 LUCIERNAGA ST Lot 0 APPLICANT DILS ROOFING CO. Owner: HOLTER VIRGINIA C Remarks: Total Time: CD Description 19 Final Structural )£Comment Associated PCRs/CVs lnsgection Histoty Date Description Act lnsp Comments Inspector Assignment: PS --- Phone: 7607276000 lnspector:F Requested By: LUIS Entered By: CHRISTINE 02/02/2004 15 Roof/Reroof CA PS DONE ON FRIDAY 01/30/2004 15 Roof/Reroof AP PS 01/29/2004 15 Roof/Reroof NR PS 01/29/2004 15 Roof/Reroof NR PS