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Home My WebLink About2753 INVERNESS DR; ; CB022580; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-30-2002 Miscellaneous Permit Permit No: CB022580 Building Inspection Request Line (760) 602-2725 Job Address: 2753 INVERNESS DR CBAD Permit Type: MISC Subtype: REROOF Status: Parcel No: 2081112600 Lot#: 0 Applied: Valuation: $1,998.00 Entered By: Reference #: Plan Approved: ISSUED 08/30/2002 SB 08/30/2002 08/30/2002 Project Title: Applicant: GOEDERT RES 1800 SF REROOF COMP TO COMP GOEDERT TRUST 12-24-91 2753 INVERNESS DR CARLSBAD CA 92008 Issued: Inspect Area: Owner: GOEDERT TRUST 12-24-91 2753 INVERNESS DR CARLSBAD CA 92008 5273 08/30/02 0002 01 CGP Total Fees: $64.00 Total Payments To Date: $0.00 Balance Due: $64.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES lnspecto. PERMIT FEE Date: Clearance: $64.00 $0.00 $0.00 $64.00 pproval of your project includes the "Imposition" of fees, dedications, reseivations, 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. Fallure 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 seivice fees in connection with this project. NOR DOES IT APPLY to any f • hih Tl· 'hh limi ri xi 02 64-00 FOR OFFICE USE ONLY PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 PLAN CHECK!O. Ct-; C) c. 2. s,--60 EST. VAL. 4--999 Plan Ck. Deposit all,.. Validated By ___ ~="-------- Date ~ -~C) ~(!)c:, Address (include Bldg/Suite #) Business Name {at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use #of Stories # of Bedrooms # of Bathrooms lJ'60 t 0 ' I Si. 0AiLS8A,J Name Address City ;,3t,,\\4'~PtiC~Nt.;;' 0: cdHtr8,bi6r> '.rffiJ\;;·gittttfO'i\'.Qtih·t'.i~JiiOl·;, iLeQ. ;o:wner>; :: ·D. A!Jerit 'fOf· Owner A.Ki. Name :<ii~'ctl!!l~~~'tll'DJIYNER 5 }.JJ,., Address Name Address t,:::i!!C:ti!iltlii(0:,ol!i!:'COi,\~1(1'iy:Jili(M!?f:i,;:'!i'"Cf'.•.::;i:;!: City City State/Zip Telephone# Fax 11· State/Zip Telephone# S.tate/Zip Telephone# (Sec. 7031.5 Business end 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..,f Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [ $5001). ~C ,,o-rr l<--oo F H Name Address City State/Zip Telephone # State License # ----------License Class----------City Business License # -------- Designer Name Address City State/Zip Telephone State License # ---------- 1li,;p)J;Wfii!~~IEOQM~{fj$i(tilil'i'1; ,:;!"; 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 end 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: Insurance Company---------------------Policy No .. ____________ _ Expiration Date, _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 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 Is unlawful, and shall subject en employer to criminal penalties and civil fines up to one hundred thousand dollars 1$100,000), In addition to the cost of compensation, damages as provided for in Section 3706 of the labor code, interest and attorney's fees. SIGNATURE. _____________________________ _ DATE _________ _ '7'l';j;l!c1Wt!~Rl~i)ittlli1/b€cl'Ail1>:'i'lli'f/t' I hefeby affirm that t 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 tor sale (Sec. 7044, Business and Professions Code: The Contractor's License Lew 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 prhving that he did not build or improve for the purpose of sale). l'&l. 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 personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. J (have I have not) signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I 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 I contractors license number),._------------------------------------------------ 5. I will provide some of the work, b t I have contracted (hired) the following persons to provide the work indicated (include name I address/ phone number/ type ofwork): ___________ ./-l'------,lb--1---~------------------------------------- PROPEATY OWNER SIGNATURE -+"-'=~L--"<-:...>.;c.,..A--------------- ;j:ioi'ltif~ltllffif!l)SECfjQNrFO/f!iiON'RES/DEN JAL BUILDiNG'PERMITS:Olll.Y .·· DATE _ _..Y'-----~j~O:_·=O~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 25505, 25533 or 25534 of the Presley-Tenner Hazardous Substance Account Act7 0 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? O 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/,!)iifl:l!tli1RUC"l'iQtJttltl'it;itNG'f1(1leNC~-f':,: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(0 Civil Code). LENDER'S NAME--------------LENDER'S ADDRESS ________________________ _ (9.\ 1;' 'ii«>ii!~ill.CAN.T/,'CEll'tlFIC1(TiONii 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 Cit\! 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 \imitation and become null and void if the building or work authorized by such permit is not co menced within 18 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 com e ced for a eriod f 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE -+-=-=~'--IX.--¥_,....;r='------------------ WHITE: File YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: :J..1S-3 JNJ£1'1.N~~.s 0~. 2. TYPE OF BUILDING: RESIDENTIAL / COMMERCIAL. __ __. 3. ROOF SLOPE: RISE { inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) Q) 2 3 5. TYPE OF EXISTING ROOF COVERING eol.\.?. SHEATHING • *6. NEW ROOF MATERIAL Q.,!'I,..\'. CLAss.±__wEIGHT PER SQUARE 7. 'NUMBER OF SQUARES I Cf 8. TRADENAME. _______ MANUFACTURER ______ ~ 9. ROOF SYSTEM LISTING UL No. ICBO No •. ____ __, 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? (y 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_-+a....,'.ifuc...=---U=..;;,____.,_}1_1H._(,,_J _____ .Date _ _,._%_•_~:.co;__. D=----='.?.~- 1 Contractor ___ Owner / Contractor Narrie __ _;ri:....t_H_•_;'f'._.--,_, __ *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. Inspection List Permit#: CB022580 Type: MISC Date Inspection Item 01/08/2003 19 Final Structural 09/06/2002 15 Roof/Reroof 09/05/2002 83 Roof Sheathing/Ext Shear Wednesday, January 08, 2003 REROOF Inspector Act PS AP PS PS NR CA GOEDERT RES 1800 SF REROOF COMP TO COMP Comments CARD FAXED OVER. PS SAID OK TO FINAL Page 1 of 1