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Home My WebLink About2809 CEBU PL; ; CB031438; Permit05-16-2003 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No CB031438 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 2809 CEBU PL CBAD MISC 2153203002 $7,892 00 Subtype REROOF Lot# 0 2811 CEBU PL ALSO 22 SQUARES OF TILE/22 SQUARES TOURCH DOWN Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 05/16/2003 MDP 05/16/2003 05/16/2003 Applicant FALLBROOK ROOFING CO PO BOX 1207 92088 728-9598 Owner TU CHIN Yl FAMILY LIVING TRUST 09-13-91 5325 05/16/03 0002 01 127CALLEHUERTO VISTA CA 92084 Miscelaneous Fee #1 PERMIT Miscelaneous Fee #2 Additional Fees $141 00 $000 $000 TOTAL PERMIT FEES $141 00 Total Fees $141 00 Total Payments To Date $000 Balance Due $141 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/exacborrs 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 .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?]. FOR OFFICE USE ONLY PLAN CHECK NOi-— EST VAL / Plan Ck Deposit Validated By Date Z 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 #Proposed Use Description of Work oirv SQ FT Stories 3. # of Bedrooms # of Bathrooms Address City Mjir^ntTactor^ State/Zip Telephone Fax Name 'Crf/PROPERTY "OWNER Address City State/Zip Telephone Name Address City State/Zip Telephone # TC'OMPANY;NAME^T^"*&&$4~'l~ l^t'iCl>> T"'1/K 1Vlr£'' 11"i J^'.".'••I'.1->i 1 -" ft.'.U'," JTi„?>l!JSS'.;JJ,is%:•>>-('•< C315 (Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct, alter, improve demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the pro/isions of the Contractor s License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged exemption Any violation of Section 7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars IS5001) Name State License # ~? 7 ¥2- Address License Class City State/Zip Telephone # City Business License # /e3j_O fa Designer Name State License # Address City State/Zip Telephone irOMPPHRATinM ( - 'in I •"•,">. »t»-^>-. .»... ™..- .,., .«p » - •• % • ••"» ,«>| -,s> >™ « ' » "> -n "'i i B if, j> p 'i ' r ! «!!'[*!? WVjyirClllOM I IV/I"«^&:, a ^ fc Iw.&^.s * •*.?' .^ W i . . £.(. . . . '*<•$ a~.£ twt'l-*:' >^ * " .^ * ". : ^ i-. : >H ->^ , ~~! >; K <". . ™t- t . i. . ! . m 8 ! '•**'• , s . ..' d .; & . .- .. Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations (~1 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 Q I have and will maintain workers' comnensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued My worker's compejjsajtion Vsurancl carriet and policy number are Insurance Company /C^Tt^r^^*]^***\ Policy No ^* y O • * ^^ ^a- Expiration Date_ (THIS SECTION NEED NOT BE C^MP^ETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) Q 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 shell subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), In addition to the cost of compensation damages as provided for in Section 3706 of the Labcr code, interest and attorney's fees SIGNATURE DATE I hereby affirm that I am exempt from the Contractor's License Law for the following reason Q 1, 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 bmlds 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 thu purpose of sale) Q 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) Q 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 Q \ ES (~lNO 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 1 have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work) PROPERTY OWNER SIGNATURE DATE 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 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 !l8XrcbiNStRU<rnON\ENblNG AGENCY*^ |- V v ' L, 'i"* !' "l I/ ; r!F ^".""E«' » >, \ * ' , 61 ( ' , . •» V , <! !" , , € " " ', " !* I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued {E>ec 3097d) Civil Code) LENDER S NAME _ LENDER'S ADDRESS _ I certify that 1 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 City 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 limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned al any line after ihe work is commenced for a period of 180 days (Section 106 4 4 Uniform Building Code) APPLICA-JT S SIGNATURE -K ---DATE WHITE File YELLOW Applicant PINK Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOBADDRESS: SiS* Cftl^S-lt f.<-fa P/ __ 2. TYPE OF BUILDING: RESIDENTIAL *i COMMERCIAL _ 3. ROOF SLOPE: RISE 1 inches in 12 inches 7 S/H 7 / 2_ 4. NUMBER OF EXISTING ROOF COVERING (circle one) (T) 2 5. TYPE OF EXISTING ROOF COVERING ±f\*_ SHEATHING *6. NEW ROOF MATERIALQM^ CLASS WEIGHT PER SQUARE 7. tiUMBER OF SQUARES M 5" 8. TRADE NAME D.ki-oMANUFACTURER 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 iroof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signature ^^y^t^MJ^ ' Date £//t>J$ 3 "/ Contractor Owner Contractor Name *6 - Rolled Roofing, Standard/Lite Tile, As ph a It/Com p Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For 09/24/2003 Inspector Assignment ,JE Phone Permittf CB031438 Title 2811 CEBU PL. ALSO Description 22 SQUARES OF TILE/22 SQUARES TOURCH DOWN Type MISC Sub Type REROOF Job Address 2809 CEBU PL Suite Lot 0 Location Inspector APPLICANT FALLBROOK ROOFING CO. Owner TU CHIN Yl FAMILY LIVING TRUST 09-13-91 Remarks CAN-YOUFINAL? CMA Total Time CD Description 19 Final Structural Act Comment Requested By CHRISTINE Entered By CHRISTINE ^ Associated PCRs/CVs Inspection History Date Description Act Insp Comments 05/21/2003 15 Roof/Reroof AP JE 1127-H5 05/19/2003 15 Roof/Reroof CA JE BY PHONE AM 05/16/2883 12:19 7607289591 -' JAX M 2003 1)32PM STATE IWU823 P, I/I CERTIFICATE HQIO&R COPY fcEKTFHCATE OF WORKER3' CDMPENSATON INSURANCE , 2003 COHTMCTORfl SlflTB LICENSE WORKBS.S' P 0 BC* 2SOOO CA . S; 31-2003 01-01-3003/01-03-200-1 03DISTRICT ^fiftw th)i ii tc cer% thetjwe navft ffisusd • vaild Worker's CompprBtrton ItfeAc* pp'lav in « farm approved by the Cni!1brnia iiwDwmis CornrntofttonftV ID** ernpic(y»rn«m«J Drtowferths goltey part^friili^ert Thfe prilt^ is not auHj*# m ctncalfaHoft by trie purtd 6»««ot upon 1Q (tevaadVwWYfttftfnTwthjainv Wt vrftl ado gl'js you f 0 deyg ea^ncs notlc* ^^oi^ld fhla palley be «nwftttf prlnrto KB normal aJifttrattn, Tns ocrtlfloflie of insurarroeite net an ftwuranM pcuicy and Coea not smana.polirtto Jlat&d toiiinl KoiwUhartwnflng ary r^quIrimnH, urm or cqndltofl et raspaotftj «HWi thlw ccrtfflcatB flf bwuraifce mny B» H*lWti or nwy perlajft, Wft mwtincs affgnfttf by tha puflddMtfbed twain to Sut^dte 911 th0 »m. *ccn«h3rw. ana condltlofw, of sucft poUeits. as LltABILITlf t»DM,t Ittd,UDXUO COSTS- 91r6flOpOOQ PSR IoE, <Kji JR, BOTE NW PQ »OX 130? ' CA 93QSQ