HomeMy WebLinkAbout2753 LA GRAN VIA; ; CB053664; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-25-2005 Miscellaneous Permit Permit No: CB053664
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2753 LA GRAN VIA CBAD
MISC Subtype: REROOF Status:
Parcel No: 2163200500 Lot#: 0 Applied:
Valuation: $0.00
Reference #:
Project Title: LINDQUIST RES-4000 SF STD WT
CONCRETE TILE
Applicant:
PATRIOT ROOFING
1042 EL CAMINO REAL
ENCINITAS, CA 92064
760-577-2935
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
PERMIT FEE
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
LINDQUIST ROGER F&SOO Ml
2753 LA GRAN VIA
CARLSBAD CA 92009
ISSUED
10/25/2005
LSM
10/25/2005
10/25/2005
$204.00
$0.00
$0.00
$204.00
Total Fees: $204.00 Total Payments To Date: $204.00 Balance Due:
Inspector:
FINAL
Date: Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the almpo ition" 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 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 . . .
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONLY
PLAN CHECK NO. te.os 3w(a '-/-
EST. VAL. _________ _
Plan Ck. Deposit ________ _
Validated By ___ ~--"K..O.-----,=---
Date ___ ___,_l Q=--+/'""~'-~-"'-+-j _0_~_--__ _
Business Name (at this address)
Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units
Proposed Use
Address City State/Zip Telephone II Fax11
State Ucenae II 2 //o q'J </ License Class C-3, J City State/Zip Telephone II
City Business License II //JJL/o j y
Designer Name Address City State/Zip Telephone
State UcenH II----~-----
-p•n·-~~e~~1!v~~~~~!~l~{::ill'll1Z~~MM~11~~\Ni'~l"i~~.~~~t~id.i"~•~l/~i·,1; .• , ,.:~
O J have and will maintain a certificate of consent to 1elf-ln1ure for worker■' compensation H provided by Section 3 700 of the Labor Code, for the performance
of the work for which this permit 11 l11ued.
O I have and will maintain worker■• compens■tion, as required by Section 3700 of the Labor Code, for the performance of the work for which thia perml is
issu1d. My worker's ompen1■t insurance carrier and policy number are:
Insurance Company Policy No. /J:Yp: Lf 4 LJ
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1•100) OR LESS)
0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which thi■ permit 11 issued, I shall not employ any parson In any manner so as
to become 1ubjact to the Worker■' Companaatlon Laws of California.
WARNING: Fallw to uc:we WOIUI■' compensation co"wage i. unlawful, and lhall subject an employer to criminal penaltlu and cl"U flnu up to one hundred
thouaand dollar, 1 0,000), In tlon to the coat of companaatlon, damagu u pro"lded for In Section 3706 of the Labo, code, interut and attorney'• fen.
SIGNATURE . DATE /~-x 12r
a · · · · . ~~~1&111~~~@Jtj~~~~\~(¼~~tf~f'!1:~ ,: •·ff)! .• :.~t~;i;,,". ,..:.-1. I hereby affirm that I am exempt from the Contractor's LlcenH Law for the following reason:
0 I, 11 owner of the property or my employees with wagas as their sole compensation, will do the work and the structure is not Intended or. offered for sale
(Sac. 7044, BuslneH and ProfeHiona Code: The Contractor's License Law doea not apply to 1n owner of property who builds or improves thereon, and who does
such work himself or through hi• own employee1, provided that ,uch Improvements ere 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 purpoae of sale).
0 I, H owner of the property, am exclusively contracting with llcenaed contractor■ to construct the project (Sac. 7044, Busineaa and Profession, Coda: The
Contractor' 1 Ucanae Law do•• not apply to an owner of property who build• or improv .. thereon, and contracts for such projects with contrector(s) licensed purauant to the Contractor'• UcenH Law).
0 I 1m exempt under Section ______ Bualne11 and Profe11iona Code for this reason:
1. I peraon■lly plan to provide the major labor and material• for construction of the proposed property Improvement. 0 YES ONO
2. I (have / have not) algned an appllcatlol'I 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 portlona of the work, but I have hirad the following person to coo,dinate, supervis11 and provh111 tile, m11jor work (include m,ine / adcirt,s~; phone number/ contractor■ 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
W~lilU'Gfi~lil~~S,~-l1U&'f•~·--.. -. -_, -.--•• -~-... -. --~-. ;1-~--..• -,W-l-,\ii'ti.i'"£Jti:.i\1~~{;IB•'I:;
la th• applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 25606, 26633 or 26634 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO
ls the applicant or future building occupant required to obtain • permit from the air pollution control district or air quality management district 1 O YES O NO
la the facility to be con1tructed within 1,000 feet of the outer boundary of a school site 1 O YES O 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.
t1W driu:in>:flt1miIW8ItJN.'M:ffiifF.:1:ffi~W.:t,m)Jt1~~-~:rm-:a,,..:;;.§Wi!.L\;Jt~~--~~1~i~:r~it~J,ii!:(¥t::ri;:0 i1.,,..:;,:i'f:mt{~}r.ii .;,•\· . .:, .. , .....
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 Coda) .
...... iaiiiwiiiiiii· ,,-~-, -. -.. --. ~-~;;~~~=~---~-::-, -.. -.~---.. -[.-· .-... -,~--~-. --1-I~-~---~---.-•. -~-·\IW----r~-.-IJ&i-.-~-.-~-.-. -... :i:-.•. ~-.:-. -~-'ii:<!-.. ~-.-~-1:1/,j-~-~.-~-! ~-'!i.i/.-.,,11;;,
I ~•rtlfy _that I have rHd the app 1catl?n and lt~t~ that the ebo_ve Information 11 cor~•ct and that the Information on the plan, 11 accurate: I ■gr88 to comply with ■II
£1ty ord1nenc11 and State laws relating to budding construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned
property for Inspection purpo,... I ~LSO 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 pe_rmlt Issued by the bui~dl~g Official under the provisions of this Code shall expire by limitation and become null and void If the building or work
authorl~ed by such permit Is not co menced w11h1n 180 days from the date of such permil or ii the building or work aulhorized by such permil is suspended or abandoned
at any time alter the work Is com nc d for a peri lBO days (Section 106.4.4 Uniform Building Code).
WHITE: File . YELLOW: Applicant PINK: Finance
DATE __ /J_~ x"'---='_-0.;;:~:__ __ _
I
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDREss: ,;}753 l o A-vat1 ilita.
2. TYPE OF BUILDING: RESIDENTIAL }( COMMERCIAL. __ ~
3. ROOF SLOPE: RISE 1/ ) Inches in 12 Inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) d) 2 3
5. TYPE OF EXISTl~S,71.omcq_v~RINGSha .k. p SHEATHING a 01:1 e •
*6. NEW ROOF MAT~RIAL. __ r_,_cLAsst03cJ WEIGHT PER SQUARE
7. -NUMBER OF SQUARES ✓0
s. TRADE NAMES-tel. UJ-r MANUFACTURER Mon1 14
9. ROOF SYSTEM LISTING UL No .. __ ~_I,CBO No. tf{p )fa
10. IS THE EXISTING STRUCTURAL DESIGN ~ICIENT TO SUSTAIN THE
WEIGHT OF THE PROPOSED ROOF? 'E3/ 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: x,
1. Tear Off/Pre-inspection prior to instalrnew roof covering.
2. Final Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for
Inspection.
Signature 7itb./JM · f(}lLtf!J Date /J~ VL
Contractor ~ Owner ____ Contractor Narpef.c./y/tJ i /ho{; ~
*6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up,
Other.
----~ ..... _____ '
•
City of Carlsbad Bldg Inspection Request
For 01/29/2007
Permit# CB053664
Title: LINDQUIST RES-4000 SF STD WT
Description: CONCRETE TILE
Type: MISC Sub Type: REROOF
Job Address: 2753 LA GRAN VIA
Suite: Lot 0
Location:
APPLICANT PATRIOT ROOFING
Owner: LINDQUIST ROGER F&SOO Ml
Remarks: CAN YOU FINAL THIS PERMIT?
Total Time:
CD Description Act Comment
Inspector Assignment: JM ---
Phone:
Inspector: ----
Requested By:
Entered By: CHRISTINE
19 Final Structural ~------
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments
01/24/2006 15 Roof/Reroof PA JM OK TO COVER EXISTING PORTION OF HOUSE. ADD ON YET TO BE
APPROVED.