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HomeMy WebLinkAbout2750 LA COSTA AVE; ; CB001369; Permitj City of Carlsbad 04-11-2000 Miscellaneous Permit Permit No:CB001369 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 2750 LACOSTAAVCBAD MISC 2162802000 $3,605.00 SANDS RESIDENCE Subtype: Lot#: REROOF 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 04/11/2000 MOP 04/11/2000 04/11/2000 35 SQUARES OF COMP. RE-ROOF Applicant: SECURE ROOFING 7356 TRADE STREET SAN DIEGO CA 92121 Total Fees: $102.00 Miscelaneous Fee #1 Miscelaneous Fee #2 TOTAL PERMIT FEES + t 0 .-~ , ' • • t, 0 %¼ ' '(' Inspector: 1L $0.00 Date: • • +. '~ ; '+ .. ·--$~el2.00 · ., .. -:•-$0.00 ? 0 ...... _ 11 , G.,; • • .,..,,. . · ; 'i: ,·,102.00 ~ ' ! .... ,' 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 capactiy 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 ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 102-00 PERMIT" A'pPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 1. PROJECT INFORMATION :Iv ..r,fi" LJ! l'1-&p. /UJcF FOR OFFICE USE ONLY PLAN CHECK NO. ____ _ EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date ______________ _ Address (include Bldg/Suite #) ~ Business Name (at this address) ,:i-~':;l) t-lr ca,,,., legal Description ..._ ,,-,Fr Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Description.,of Work AJ..I) JJ/IJ:G (l(){)F 713A i'., OF11J(7;,HA.-~,/. I 2. CONTACT PERSON Of dlltenmt fhf'ffl.~Ucant) #of Stories # of Bedrooms i-# of ~throoms Name 3 E, (U,1 ll,i;:: RC<,F' / NC,., Address 7 3 56 7 l'Jrf: € <";. City 5. l), State/Zip ( ~ Telephone # 3. APPLICANT E Contractor 18 Agent for Contractor O Owner O Agent for Owner Name 5-rF..V( S,#//)5 4. PROPERTY OWNER Name 6. CONTRACTOR -COMPANY NAME Address City LA ca;r,+ A-vf' Address Cf ,:i.19/ State/Zip CA 1:Jlrt-t 348 -(,/13 -76/B 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 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 a civil pen tty of not mor,-,than five hundred _dollprs.[$50011. / / ,::-_ ,(-J.lc,, :;t,, 71Ut 'l)e' 5r; S , b , ,:i. .P-/ c'A S-,f -c1•· ~ -7 /X)3 Name State License # __ 5_1_b_8'_~_~1/ __ _ Address City State/Zip J e~hone # License Class t,, '5'7 City Business License# //Jb~b..5 :;J Designer Name State License # 6. WORKERS' COMPENSATION Address City Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: State/Zip Telephone -::::JJil#" I have and will maintam 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. ave 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 My worker's compensation insurance earner and policy number are: { / 9 /-/ -/ Insurance Company .. ) 71'rfC-Flt N /) Policy No. a,&5 I l/ 8'6 "/ Expiration Date. __ -'----'--- (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS! D CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage i■ unlawful, end shell subject an employer to criminal penalties and civil fine■ up to one hundred thousand dollars I$ 100,000), In addition to the C08t of compensation, damage■ ea provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE______________________________ DATE ________ _ 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D 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). 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 contractor(s) licensed pursuant to the Contractor's License Law). D I am exempt under Section ______ Business and Professions Code for this reason: 1. I person811y 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. t 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 I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone number/ type of work): ___________________________________________________________ _ PROPERTY OWNER SIGNATURE ________________________ _ DATE _________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or futu,e building 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? D YES D 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 be constructed within 1,000 feet of the outer boundary of a school site? 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. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097li) Civil Code). LENDER'S NAME _______________ _ LENDER'S ADDRESS ________________________ _ 9. APPLICANT CERTIFICATION 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 commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time aft1u the work is comme/i_ced for/a period of 180. days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE \... 7v~ <t!lt-,--f,_JC4.-I (X. 7 "-r-• I DATE ,./. -ff-O-U WHITE: File YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: ,',ri 5 l! /Ji {j,0$7A ,4-y-'~ 2. TYPE OF BUILDING: RESIDENTIAL X COMMERCIAL. _ __, 3. ROOF SLOPE: RISE 1/-inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) (]) 2 3 5. TYPE OF EXISTING ROOF COVERING 5#At£-SHEATHING yes ·. *6. NEW ROOF MATERIAL ~CMP CLASS A WEIGHT PER SQUARE 7. NUMBER OF SQUARES ;;Js~ 8. TRADE NAME .3H tfKt-W/Jt() MANUFACTURER Ei.../< 9. ROOF SYSTEM LISTING UL No. K?'j/$" ICBO No .. ____ _., 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. Combustible roof coverings of any type or classification are prohibited. I understand the following inspections are required: 1. Tear Off/Pre-inspection prior to install new roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signature G,fu A.----~~;,,,.~-n--Date 4 -I/ -07.., Contractor ?':· Owner ____ Contractor Name c.lf=<'-Ul<-E .fuJt-~ I Ai&• *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 4/18/2000 Permit# CB001369 Title: SANDS RESIDENCE Description: 35 SQUARES OF COMP. RE-ROOF Type:MISC Sub Type: REROOF Job Address: Suite: Location: 2750 LACOSTAAV Lot OWNER SANDS STEVE Owner: ANANTAKUL ANCHULEE Remarks: Total Time: 0 CD Description 19 Final Structural '/)!J_ Comments Associated PCRs Inspection History Date Description 4/12/2000 15 Roof/Reroof Act lnsp Comments AP TL Inspector Assignment: TL --- Phone: 8003386868 EX 102 Inspector:~ Requested By: TERESA Entered By: CHRISTINE