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Home My WebLink About2742 LA GRAN VIA; ; CB040886; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-17-2004 Miscellaneous Permit Permit No: CB040886 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: 2742 LA GRAN VIA CBAD MISC 2162204100 $3,330.00 Subtype: REROOF Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Project Title: KANE RES-3000 SF COMPOSITION Inspect Area: Applicant: KANE FAMILY TRUST C/O DOROTHY KANE 3012 BEAR VALLEY PKY S #220 ESCONDIDO CA 92025 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE Owner: KANE FAMILY TRUST C/O DOROTHY KANE 3012 BEAR VALLEY PKY S #220 ESCONDIDO CA 92025 ISSUED 03/17/2004 RMA 03/17/2004 03/17/2004 $89.00 $0.00 $0.00 $89.00 Total Fees: $89.00 Total Payments To Date: $0.00 Balance Due: $89.00 7747 03/17/04 0002 01 02 FINAL APPROVAL DATE SIGNATURE. __ 1-&...=..cO"'----- 89-oo PERMIT APPLICATION FOR OFFICE USE ONLY PLAN CHECK No. CO o L-J of S'b CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ----~P.-~-- B,X,r=.---,-------,---f--&L,___ !j~;it~li'l'iiNlli>JIM,\ITl!IN\k·. • """·''". ,_ 7 :'r 2. I,. I>,. (,.. >4--,A Address (include Bldg/Suite #) Business Name fat this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # ""= P>-.,__ ,:,,c;;-Existing Use \ Proposed Use Description of Work / '2 J. I .l W ", '3 ◊ U SQ, FT. #of Stories # of Bedrooms # of Bathrooms ~-~~ffii:'IIM'nl!llliiililiii11lfo•il11\i ,l:lc. >\c,,,> . ,... ,, " ·;t ·.:;,'i\,:i:t:~vft}).:: ,,,; :·.:0::"u1;:$;,q::F~:i'.7,~¥;fJ;t]'.,tJif:t¥iP~ ~::if't::;,;;t ~;i/fi:~,t}±l;:\'; ift,.y-15, 2..::., Q v, Yff \ t O o:i., \lq).,L £-,,,:_ . Name Address City ~~9J;1~ij~i!E!Jrli:,lif{i~i!lffmf-«li,i,titMi,C:onioiqioi ,,□:q.wnei•• :!ii'iaoml<ifmnar··. Name Address ~L~IW<tV'lii'.llffl.~&~'M·,1:½:'iiTt:·~-f:~~~~k+~;·t;tt'TJG:·)~t'.f';:~·: ::bo~ o,~::\ \Li>,.~E.-L7'\"1.. Name Address i"'"~N'.l!llillll!iilllrellilliili!ir/l!iilillur,,1,,,!;,~,\•:0•,::c,r'>' City City State/Zip Telephone # Fax# State/Zip Telephone# State/Zip Telephone# (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 Professlons 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 [$500)). Name Address City State/Zip Telephone# State License # _________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ iiiz;;~W!'iJm!l$'ifiiMm'lfATION~.1)i*"'.L 0 Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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. 0 I have and wilt 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: Insurance Company_____________________ Policy No. ____________ _ Expiration Date. _______ _ ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100} OR LESSI 0 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 unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages aa provided for In Section 3708 of the Labor code, Interest and attorney's fees. SIGNATURE,____,-,,,,,---,,-,=,--,,-..-c=-===---------,.-,-----,.-----.-,,------------DATE -~-l%'~futlWJffli~81alffl!C~¥iOtr'AEP!i4iit·w~':c~-;1'iZ:1~:!.~1fi1!;,:;.i,1t.;:;;z1/:i,1]-' 0/'.::it: I hei'eby 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 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.~ YES ONO 2. _ 9 / have not) signed an application for a building permit for the proposed work. <t) I have contracted with the following parson (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): ___________ fl------------------------------------------------- PROPERTY OWNER SIGNATURE !lxi.r/!i'1clffmfl1ii1$(dtl!ilil'iFPll"tJ'd.vlll"ts!l> 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 26505, 25533 or 25534 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? D YES D NO Is the facility to bed\lnstructed within 1,000 feet of the outer boundary of a school site 7 D YES D 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. i !iti,i!!:il.ll$T1!U!lt!QN"\!!i!!d1Nq~Gtli1<¼'.,; ! , :t 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 ______________ _ f!il\,ii~Al'l'!d~4NJWtiili.tl~ltAtii>i'l>r:J!i±:•· ''"'''•··• '•'°•" ;, 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 5'0'" 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 commenc 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 commence r a period of 180 days (Section 106.4.4 Uniform Building Code). E, APPLICANT'S SIGNATURE DATE YELLOW: Applicant PINK: Finance . ' City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: .,_ ._ 4 7-1,--&: c,...?--e:A '-' 1 :B- 2. TYPE OF BUILDING: RESIDENTIAL / COMMERCIAL, __ _. 3. ROOF SLOPE: RISE ? Inches in 12 Inches 4. NUMBER OF EXISTING ROOF COVERING {circle one) (b 2 3 .., o,';) S--l r,.\C~S S. TYPE OF EXISTING ROOF COVERING, ___ SHEATHING s7i:::&-E1::i • *6. NEW ROOF MATERIAL A CLASS ",OO WEIGHT PER SQUARE 7. -NUMBER OF SQUARES 3 Do 8. TRADE NAME h7--<i+'-' ':>.\.,~1c .... f:;MANUFACTURER, ........ 'E:~\-=....t'-----~ 9. ROOF SYSTEM LISTING UL No., ___ ~_ICBO No. B.R 5;'\\::'I; 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. Combm;tlble roof coverings of any type or classification are prohibited. I understand the following Inspections are required: ;,i 1. Tear Off/Pre-Inspection prior to instalt'new roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for Inspection. Slgnature,_...i.L~~ll__..fL.~:===:;:,.._ __ Date 3 -I 'J -0 4-- Contractor ___ Owner ____ Contractor Na!f1e _______ _ *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. l(L-f? -?/ City of Carlsbad Bldg Inspection Request ro,. 03f26/2004 '3 -:;)_ It -,:::7 7 Permit# CB040886 Title: KANE RES-3000 SF COMPOSITION Description: Type: MISC Sub Type: REROOF Job Address: 2742 LA GRAN VIA Suite: Lot Location: APPLICANT KANE FAMILY TRUST Owner: KANE FAMILY TRUST Remarks: Total Time: CD Description 0 Act Comment Inspector Assignment: RB --- Phone: 7608074080 Inspector: ---- Requested By: ALEX Entered By: ROBIN 19 Final Structural _ij_£_ ___________ _ Associated PCRs/CVs Inspection History Date Description 03/19/2004 15 Roof/Reroof Act lnsp Comments AP RB