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HomeMy WebLinkAbout2728 MORNING GLORY LN; ; CB030735; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB030735 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: MQ ROOFING INC Building Inspection Request Line (760) 602-2725 2728 MORNING GLORY LN CBAD MISC Subtype: REROOF 1561205700 Lot#: 0 $1,776.00 KHAYAT RES 1600 SF REROOF WD SHAKE TO COMP SHINGLE Owner: KHAYAT PAULA H Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/12/2003 SB 03/12/2003 03/12/2003 1317 SIMPSON WY ESCONDIDO CA 92029 760 233-1865 2728 MORNING GLORY LN CARLSBAD CA 92008 0173 03/12/03 0002 01 CGP Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $58.00 Inspector: permit fee Total Payments To Date: $0.00 FINAL APPROVAL~ Date: 0 z~..2 (r~eJ 9' $58.00 $0.00 $0.00 $58.00 Balance Due: Clearance: $58.00 that appr al f your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively s." You ha days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest pr res set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any f fwhi ii r hi fli h r h i • 02 SB. 00 FOR OFFICE USE ONLY PLAN CHECK NoCl>l>>O 7'$~ PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. l 7 7tp , 1 Plan Ck. Deposi_.t_, _______ _ Validated By_..5::;._,,:,.\..:::°5;...,_ _____ _ Date ~ .,... I C -0 3 Address (include Bldg/Suite #) / Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Existing Use Proposed Use Cc:i> ~e #of Stories dL # of Bedrooms ....3 # of Bathrooms ~ State License Designer N e Address City State/Zip Telephone State License # Rlf!;~R=.s.;;;:;;::;;;;:;;:":t;;;:;;;:;:;;:;;:=~==-... ----•"" ---•·•-·-:..,"",.,.1.,·":,...,....,""' ... ---~-... -... -... ---- Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 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 ork 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: c! !NI_ Insurance Company £7A77:: C!.'OA!lf ,WS · ru@ Policy No.,tlf}!£:l/33"43 Expiration Date_,,,_L!:__6_✓.,,_z_c.~ __ _,_ __ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) 1 f 0 CERTIFICAT 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 su · ct to e Workers' Compensation Laws of California. WARNING: Fallure to ecura worker•' satlon coverage Is unlawful, and ahall subject an employer to criminal penalties and civil fines up to one hundred thousand d Iara ($100 000), In e co t of compenhtlon, damages as pr vlded for In Section 3706 of the Labo coda, terest and attorney's fees. SIGNATURE;ii;i~!~~~5~~;;:;;~~~~~~~~~~~~!;':?:;;:::;;;;;;;;:;.-_ DATE Qg OW~\11 __ ,.lii;C _ J!.A._!'.L~• .. ....._......,_.._.._.....,.......;.-.....,__..._.. ....... ..;1.,...,.....,....,..._...,""""""'"......__,,.;.._..;._,,,_,__..,,,_..., __ I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 1 0 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). 0 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. 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 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 / 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): ________________________________________________________ _ 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 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 O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O NO 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). LENDER'S NAME I\J Iii_ LENDER'S ADDRESS A_j /A. ~ ae.eJ.ICAl'il.,C!;B]IFJ.CJUl(j _......,._,,......., ;::, ......... ..-... ... ...,..,_i3;:,~z.-:::-1,_...~-----::;;:;;;;;-:;:-----:------:--;;:;-::::--;:--=::=--:;;- I certify that I have reed 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 ALS_O 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. YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: ()__'l~ MCJRNl$_{!f;i~ LANE 2. TYPE OF BUILDING: RESIDENTIAL~_V ___ COMMERCIAL. __ --= 3. ROOF SLOPE: RISE 4 inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) (£) 2 3 5. TYPE OF EXISTING ROOF COVERING.51/Af<l: SHEATHING --5fAC!£Q *6. NEW ROOF MATERIAL C.0Mf CLAssA__WEIGHT PER SQUARE 7. -NUMBER OF SQUARES ,-2.,.2__, (::z~) 8. TRADE NAME 7iME.§?LJ~l; ...tJY,,e. MANUFACTURER._G._A--"-F--,---~ ICBO No. /V /1-j WEIGHT OF THE PROPOSED ROOF? -..,,,___. __ __. ICIENT TO SUSTAIN THE 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: ,:,c, 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 inspectio *6 -Rolled Roofing, Standard/Lite Ti , Asphalt/Comp Fiberglass, Built up, Other. ----·---------------------- . //r; (, _ l_ ,y City of Carlsbad Bldg Inspection Request For: 03/21/2003 Permit# CB030735 Title: KHAY AT RES 1600 SF REROOF Description: WD SHAKE TO COMP SHINGLE Type: MISC Sub Type: REROOF Job Address: 2728 MORNING GLORY LN Suite: Lot O Location: APPLICANT MQ ROOFING INC Owner: KHAYAT PAULA H Remarks: Total Time: CD Description 19 Final Structural Act Comment/ ~ F1~ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Inspector Assignment: JE --- Phone: 7604976566 Inspector: '.)~ Requested By: LOUIS Entered By: ROBIN 03/13/2003 15 Roof/Reroof AP JE OK TO COVER