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Home My WebLink About2801 CAZADERO DR; ; CB012984; Permit09-14-2001 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No CB012984 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 2801 CAZADERO DR CBAD MISC Subtype REROOF 2153205202 Lot # 0 $2,220 00 TERELL RES-2000 SF COMPOSITION Applicant CUSTOM ROOFING #127 500 HACIENDA DR 92083 Status ISSUED Applied 09/14/2001 Entered By RMA Plan Approved 09/14/2001 Issued 09/14/2001 Inspect An Owner TERRELL ANNM 2801 CAZADERO DR CARLSBAD CA 92009 Q'?/i4/Ql 0002 01 02 CGP 77-00 Total Fees $7700 Total Payments To Date $000 Balance Due $7700 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $7700 $000 $000 $77 00 Inspector FINAL APPROVAL Date 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 capacfiy 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 1 PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO (Mri/v/ EST VAL Plan Ck Deposit Validated By Date 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 ing Use Description of Work * 2 CONTACT PERSON (If different from applicant) Proposed Use SO FT #of Stones of Bedrooms # of Bathrooms Name Address City 3 APPLICANT. Ey Contractor O Agent for Contractor Q Owner Q Agent for Owner State/Zip Telephone #Fax ff Name 4, „ PROPERTY OWNER Address City State/Zip Telephone ff Address City Stat a/Zip Telephone #Name 5 CONTRACTOR - COMPANY NAME , ' . (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/^ Section 7031 5 by any applicant for a permit subjects.the applicant toya civil penalty of not more than five hundred dollars [S500]) Name State License # Address License Class City Stats/Zip City Business License 1( Telephone # Designer Name Address City Stata/Zip Telephone State License # _ _ __. i| 6. WORKERS' COMPENSATION 'f Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations '' fj I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3"'00 of the Labor Code, for the performance of the work for which this permit is issued Q 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 __ Policy No __ Expiration Date _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS I$100] OR LESS) ; 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 become subject to the Workers' Compensation Laws of California , WARNING Failure to^ocuce worker*' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil frnes up to one hundred thousand dollars {$10o,00p), in additio;rto*tbe cost of compensation, damages as provided for in Section 3706 of the Labor code interest and attorney s fees SIGNATURE _ ^—^^ / f /L*>~ _ DATE _ '_ f ~~ /_ <0/ 7 OWNER-BUILDERyOECLARATION I hereby affirm that (am exempt from the Contractor's License Law for the following reason " Q I, as owner of 'pie 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 MIS own employees, provided that such improvements are not intended or offered for sale If, however, the building or improvement <s 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) |~) 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 foi such projects with contractors} licensed pursuant to the Contractor's License Law) (l Q I am exempt under Section _ Business and Professions Code for this reason J 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement D YES QNO 2 I (have / have not) signed sn application for a building permit for the proposed work 3 I have contracted with trie 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 COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY ' 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 25506. 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Q YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q 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'ISec 3097{i) 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 1 agree to comply with all City ordinances and State laws relating to building construction I hereby authorize representatives of the CitV of Cailsbad 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 reduired for excavations over 5 0' deep and demolition or construction of structures over 3 stories in height EXPIRATION Every permit issued by theJ)Uilding 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 no! commg«red withjylSO days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at anytime after the work is cofr\rt^rKeji\for_a^Bfiod of 180 days (Section 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance City Of Carlsbad i[ SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: 2. TYPE OF BUILDING: RESIDENTIAL ^" COMMERCIAL 3. ROOF SLOPE: RISE -> inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) ££) 2 5. TYPE OF EXISTING ROOF COVERING SHEATHINGA-*6. NEW ROOF MATERIAlP^^ • CLASS ^WEIGHT PER SQUARE- _. — 7. -NUMBER OF SQUARES 8. TRADE NAME //K^ MANUFACTURER 9. ROOF SYSTEM LISTING UL No. _ ICBO No. 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? YEs 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 <^ ^- -- > _ Date _ ' T~W~O f Contractor X Owner Contractor Name *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For 09/18/2001 Permit# CB012984 Title TERELL RES-2000 SF COMPOSITION Description Inspector Assignment R CB Sub Type REROOFType MISC Job Address 2801 CAZADERO DR Suite Lot 0 Location APPLICANT CUSTOM ROOFING Owner TERRELL ANN M Remarks AM-EARLY AS POSSIBLE Phone 7609401288 Inspector Total Time CD Description 15 Roof/Reroof Act Comments Requested By FIDEL i[ Entered By KAREN Associated PCRs Inspection History Date Description Act Insp Comments City of Carlsbad Bldg Inspection Request For 09/17/2001 Permittf CB012984 Title TERELL RES-2000 SF COMPOSITION Description Type MISC Sub Type REROOF Job Address 2801 CAZADERO DR Suite Lot 0 Location APPLICANT CUSTOM ROOFING Owner TERRELL ANN M Remarks WILL BE READY AT 10AM Inspector Assignment n O / Phone 7609401288 Inspector Total Time CD Description 15 Roof/Reroof Act Comment ftp O . Requested By FIDEL Entered By KAREN Associated PCRs Inspection History Date Description Act Insp Comments