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Home My WebLink About2775 OCEAN ST; ; CB013667; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-28-2001 Miscellaneous Permit Permit No:CB013667 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: 2775 OCEAN ST CBAD MISC 2032350200 $7,770.00 Subtype: REROOF Lot#: 0 Status: Applied: Entered By: Plan Approved: Issued: ISSUED 11/28/2001 AMA 11/28/2001 11/28/2001 Project Title: BEACH TERRACE INN-7000 SF COMP Inspect Area: Applicant: DILS ROOFING CO. 1089 LEUCADIA BL ENCINITAS, CA 92024 619-436-7588 Total Fees: $140.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Inspector: r:2.L Owner: TOBOINVESTMENTS 2785 ROOSEVELT ST CARLSBAD CA 92008 Total Payments To Date: $0.00 PERMIT FEE 5457 J.2./:~8/01. 0002 01. Balance Due: $140.00 $0.00 $0.00 $140.00 CC,F' $140.00 FINAL APPROVAL Date: / -/ ( -0 1.,.-Clearance: _____ _ NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, rese1Vations, or other exactions hereafter collectively referred to as "fees/exactions.~ You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Ca~sbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which "OU have "reviousl" been, iven a NOTICE similar to this or as to which the statute of limitations has nreviousl11 otherwise exnired. FOR OFFICE USE ONLY ' < PERMIT APPLICATION PLAN CHECK NO. a()(?{/ 7 EST. VAL. ,-;;, 2 :Z0 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit----~---- Validated Bv , ~ 44= Date !/ ( :J p,~ / 1. PRQJECT INFORMATION Address (include Bldg/Suite #) '.E fA-GJl '.'.3f P,JV,,:C.E Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use '.KJ=;.n+rN €: 'a IA,AII'.£. s ,i.K1Sy141r... e.ot...lD ( WSl'r--A::::L-i Description of Work SQ. FT. #of Stories ,, # of Bedrooms # of Bathrooms ~. co'r.rTACT Pl;RSON '.(lt,:dlffaf~iit-t,om:·aPp_licant) (. Address 3. APPLICANT JQ..con~rao:tor O Agenflor·contract:or O:0wner :J>(L$ '.g,£<7 7.2-3:,) LklA110,,_l)Ay{2 Name Address 4. PROPERTY OW""E,R City 0 Atienc(or -owner ll I S:t:A-C4- City State/Zip Telephone# Fax# State/Zip Telephone# 'TQ'.fi o f N \I £..SU c-N 't:5 1 77 5 oc!'AJJ 2,-, C5S D CA-72.."z-2? 3 D Name Address City S.tate/Zip Telephone# 6. CONTRACT0~0,COMPANYNAM~ (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 penalty of not more than five hundred dollars ($5001). State Ucense # ~'1=>~':l~Cl~"~{~- Designer Name ----- State License # • ~ 6. WOR~ERS' CC>MP,NSATIQN Address License Class ~c_ ... -_'3.,__q_,_ ___ _ Address City State/Zip City Business license # City State/Zip Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Telephone# LL tr tffS Telephone D 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. p{J__ 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: \ Insurance Company 2t4't::E Fu, A.fl) Policy No./) 4-(12 .... 0 ( Expiration Date -\-o--i_ (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: Failur secure kers' pe satlon coverage Is ur,ra,wful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollar $10 , 00), d on o cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest end attorney's fees. s1GNATURE_~;z:l2~~;_/:,~ ........... =----,----:,_--,---,--.,--DATE I I-2.-to I 7. 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 ttale (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 own~r-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). 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, D 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): __________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ COMP.L~TI; :THIS· S:ECTION:-F-OR NON../lES/DENTiAL BUll.PINO·:PERMlts·.ol\fLY 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-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? 0 YES O 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 ANO 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. 3097(i) Civil Code). LENDER'S NAME _______________ _ LENDER'S ADDRESS ________________________ _ ,9. AP.PUCANT CE"TlflCATlON° 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 ANO 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 wilhi 80 da,vR-"""''"e 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 c e d for a p d of 1 0 djY action 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ~--,,::.._~::_.c.,,~ __ _.'.(kc'./-~!,!,_------------DATE l!-2-&-cJ / ' YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: 2, ,7 5 Q G£A:A/ > 1 2. TYPE OF BUILDING: RESIDENTIAL. ____ COMMERCIAL .)( 3. ROOF SLOPE: RISE 4 inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) (i) 2 3 5. TYPE OF EXISTING ROOF COVERING>l-t\L SHEATHING S'oU T). *6. NEW ROOF MATERIAL A CLASS 21/'i WEIGHT PER SQUARE 7. -NUMBER OF SQUARES_7~O~-~ 8. TRADE NAME CJ) lJA f MANUFACTURER (f f :CA::• N.:;-{i# . 9. ROOF SYSTEM LISTING UL No:J> -3.A42 '2.,. ICBO No. Cl A5S ';t\ ', . IO. 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 instalfnew roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Contractor ,')(__ Owner ____ Contractor Narr;plL> ~ *6 • Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. -"-'-·--~~-. ----··-- City of Carlsbad Bldg Inspection Request For: 01/17/2002 Permit# CB013667 Title: BEACH TERRACE INN-7000 SF COMP Description: Type:MISC Sub Type: REROOF Job Address: Suite: Location: 2775 OCEAN ST Lot APPLICANT DILS ROOFING CO. 0 Owner: TOBO INVESTMENTS ET AL Remarks: Total Time: Inspector Assignment: PD --- Phone: 7607276000 lnspecto,£ Requested By: BRENT Entered By: CHRISTINE CD Description Act Comments 19 _F_i_na_1_s_1_ru_c_t_u_ra_1 _____ 1---------------------- Associated PCRs Inspection History Date Description 12/07/2001 15 Roof/Reroof 11/30/2001 15 Roof/Reroof 11/29/2001 15 Roof/Reroof Act lnsp Comments AP PD FRONT BLDG PA PD REAR BLDG CA PD