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HomeMy WebLinkAbout2808 LA DUELA LN; ; CB002539; PermitCity of Carlsbad 07/10/2000 Miscellaneous Permit Permit No:CB002539 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: 2808 LA DUELA LN CBAD MISC 2551010300 $6,360.00 Subtype: REROOF Lot#: 0 Status: Applied: Entered By: Plan Approved: Issued: ISSUED 07/10/2000 RMA 07/10/2000 07/10/2000 Project Title: CROSS RES-2400 SF LT WT CONCRE Inspect Area: Applicant: PACIFICA ROOFING INC 1615 VALENCIA OCEANSIDE, CA 92054 760-966-2600 Total Fees: $145.00 Miscelaneous Fee #1 Miscelaneous Fee #2 TOTAL PERMIT FEES Owner: + Cf40~M'iW!'1.l;tJCE W&DARLENE A •· · · '" ' : . • · 2376 07/10/00 0001 01 • " s 2ijj LA DUEL.A L/t.l :. · C-PRMT • • . • $ARl,.Se!AD CA ~b~g 4 ~ t ~ • , '• • ' . . ' .. Tote{ Payments To Dale: ) ' ' $0.00. $145.00 :~ERMIT FEE . ' ' • ' ' $:lii5.00 ', $0.00 '.$145.00 Inspector: a>._S....._R"-"',---- FINAL APPROVAL Date: "'1 ld~}QO 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 Car1sbad 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 vou have nreviousfv been niven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise exnired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 02 145-00 , -/CJJO PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 1, PRo.iECT IN'3RMATION -280 ~ Address (include Bldg/Suite #I FOR OFFICE USE O~ Y PLAN CHECf NO. f_,/;IJQ EST. VAL. (9 J (;.c) Plan Ck. Deposit~ Validated By , ~ Date 7(ic( C9'...,_ 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 DesRE.,RoO'O r .2. CONTACT PERSON ·m different fronuppllcant) .J~N/J <!A(?J.J,J SQ. FT. ~.L/OCY #of ;o~iet T I of f.uT Name Address State/Zip Telephone II Fax# ·o-:Agenffo'i COm:rector " oO Name City Telephone# 4. ·PROPE'!J?'·OWNER · LA~~Y<::!ROS:S- Name 030 9~ ~53-2'88 City Stat/Zip elephone # 6. · 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 basts 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). ,P~,c:-,C-4 Rorv-"7dC c4tt:'. t(ALEA?ttA o•s,pE' 9-l::ll5)l S"l< • 2t,oo Name Address City State/Zir Telephone # State License# ? / ~~ 6 License Class C a 9 City Business License# /c::X'c-J3?',;2 Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 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. ~ 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 .STA~ .A;;)t,,/D Policy No. :J/j!;-00 /~ 8 9 Exp;,a,;on Date/-.J-0/ !THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$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 work • compensation coverage la unlawful, and ahall subject an employer to crtmlnal penalties and civil fines up to one hundred thousand dollars ($100,000), in a I the cost of compensation, damages as provided for in Section 3706 of the Labo?Ode, inter~ and attorney's fees. SIGNATURE:=-===-==-==~-tJ,:::;:;i=====-------------DATE )/ ;Ol<JJJ 7. OWNER-BUILDER DECLARATIO • / I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D l, 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 contractorfs) 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 tabor and materials for construction of the proposed property improvement. 0 YES ONO 2. t (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 I address/ phone number/ contractors license number): 4, I plan to provide portions of the work, but 1 have hired the following person to coordinate, supervise end provide the major work (include name I address I 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 P.ERMITS 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 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO Is the applicant or future building occupant reciuired to obtain a permit from the air pollution control district or air quality management district? 0 YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A ANAL 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. APP1.ICANTCERTIFICATION, .. 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 reciuired for excavations over 5'0" deep end demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building O I 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 65 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 men a period of 180 days (Section 106.4.4 Uniform Building Code). DATE ____,Jc:....,1/.~li~~__,.,OC\LO __ APPLICANT'S SIGNATURE ,. LLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS:_-=-2-=---a..__a=---.-e<---=l.'-'--A-=b=....,\2...__.if',~lA~---- 2. TYPE OF BUILDING: RESIDENTIAL ~ COMMERCIAL __ -' 3. ROOF SLOPE: RISE ~ inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) (!) 2 3 5. TYPE OF EXISTING ROOF COVERING ~f\SHEATHING S"'~.AS-j:' ..l) *6. NEW ROOF ~T~L Tit..-S CLASS-A WEIGHT PER SQUARE S9:) 7. NUMBER OF SQUARES .:216 . 8. TRADE NAME Qa:b'.l#L. I ti?'MANUFACTURER ~b. L 'If::' 9. ROOF SYSTEM LISTING UL No. ____ lC~O No.s-:1,s?, • 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 ____ --,,§):2-9-----=---==----Date Contractor ~wner ____ Contractor Name *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 7/27/2000 Permit# CB002539 Title: CROSS RES-2400 SF LT WT CONCRE Description: Type:MISC Sub Type: REROOF Job Address: Suite: Location: 2808 LA DUELA LN Lot APPLICANT PACIFICA ROOFING INC 0 Owner: CROSS LAWRENCE W&DARLENE A Remarks: PM AFTER 12 NOON PLEASE Total Time: CD Description Act Comments 19 Final Structural .fQ___\="~ Associated PCRs Inspection History Date Description 7/19/2000 15 Roof/Reroof Act lnsp Comments AP SR Inspector Assignment: SR --- Phone: 7609662600 Inspector: _9£_ I Requested By: N/A Entered By: ROBIN