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