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Home My WebLink About2821 CACATUA ST; ; CB021015; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 04-03-2002 Miscellaneous Permit Permit No: CB021015 Job Address: Permit Type: MISC Subtype: REROOF Status: ISSUED Parcel No: 21 53702600 Lot #: 0 Applied: 04/03/2002 Valuation: $2,861 .OO Entered By: MDP Reference #: Plan Approved: 04/03/2002 Issued: 04/03/2002 Project Title: TRYGSTAD RESIDENCE Inspect Area: 2821 CACATUA ST CBAD 27 SQUARES OF COMP Applicant: PRENTICE ROOF CO 2917 ANAHEIM ST ESCONDIDO CA 92025 760 737-9636 Owner: 4352 04/03152 9002 $3. 02 .77 " 5.2 TRYGSTAD JEAN W TR CGF' 2821 CACATUA ST CARLSBAD CA 92009 Total Fees: $77.00 Total Payments To Date: $0.00 Balance Due: $77.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees ' TOTAL PERMIT FEES L. PERMIT $77.00 $0.00 $0.00 $77.00 Inspector: WLW 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 Weeslexactions." You have 90 days from the date this permit was issued to protest imposition of these feedexactions. 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 feedexactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nof 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 I FOR Of FlCE USE ONLY Plan Ck. Depobit Validated By Date Address (include BldglSuite #) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total t of units Assessor's Parcel # Existing Use Proposed Use # of Bedrooms Description of Work Business Name (at this address) <.y.. D # of Bathrooms 3 57w & SQ. FT. #of Stories CONTACTPERSON Wtliffe~t from &ptiMtj - taF &4- -73 c2s.iP Name Address City Statelzip Telephone X Fax X Name Address City StatdZip -'Telephone # ONTRACTOR - 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 lChaDter 9. commendinn with Section 7000 of Division 3 of the Business and Professions Code1 or that he is exempt therefrom, and the basis for the alleged .. subjects the applicant to a civil penalty of not more than five hundred dollars 1$5001). zadQ,& -. 7637379 c-d Name Address City Statelzip License Class Qe ZQ City Business License # Designer Name Address City Statelzip Telephone State License # Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 of the work for which this permit is issued. s ued. My worker's corn ensation insurance carrier and policy number are: Insurance Company (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 161001 OR LESS) 0 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 aecum workers' compensation coverage is unlawful, and shal subject m employw to criminal penalties and clvll fines up to one hundred WORKERS' COYPENSATlON 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 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 h5 Policy No. hc 2 J'//?#kz7 Expiration Date 9 -1 -0-2- 2t 3706 o DATE 0 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 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). 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 contractorls) licensed pursuant to the Contractor's License Law). 0 1. 2. 3. 4. number I contractors license number): 5. I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0 I (have I have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number): 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 I address I phone I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address I phone number I type Business and Professions Code for this reason: of work): PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NO UlLDlNQ PERMITS ON Is the applicant or future building program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 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 R ONTROL DISTRICT. 0 YES 0 NO a 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 Citp. 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 CONSEOUENCE 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 at any time after the work IS hin 180 days from the date of such permit or if the building or work authorized by erio 0 days (Section 106.4.4 Uniform Building Code). DATE E: File YELLOW: Applicant PINK: Finance APPLICANT'S SIGNATURE T< City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. 2. 3. 4. 5. JOB ADDRESS: ZYZ( c4c4p+f +q-- TYPE OF BUILDING: RESIDENTIAL 1/' COMMERCIAL ROOF SLOPE: RISE '# inches in 12 inches NUMBER OF EXISTING ROOF COVERING (circle one) 0 2 3 TYPE OF EXISTING ROOF COVERING%-SHEATHING SFL, P . "6. NEW ROOF MATERIAL mr'' 7. NUMBER OF SQUARES %-7 8. TRADE NAME 9. ROOF SYSTEM LISTJNG UL No. ICBO No. io. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE CLASS 4 WEIGHT PER SQUARE 3- mu&'* MANUFACTURER &Wdg @&kk WEIGHT OF THE PROPOSED ROOF? mJ 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: ;:i 1. Tear OfflPre-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 &w Date {bf- Contractor I( Owner Contractor Name ? ,-=*& *6 - Rolled Roofing, Standard/lite Tile, AsphaltlCornp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 04/09/2002 Permit# CB021015 Title: TRYGSTAD RESIDENCE Description: 27 SQUARES OF COMP Type: MlSC Sub Type: REROOF Job Address: 2821 CACATUA ST Suite: Lot 0 Location: APPLICANT PRENTICE ROOF CO Owner: TRYGSTAD JEAN W TR Remarks: Total Time: Inspector Assignment: RCB Phone: 7607379636 Inspector: 1 [A Requested By: CHRIS Entered By: CHRISTINE CD Description Act Comments Associated PCRs InsDection Historv Date Description Act lnsp Comments 04/05/2002 15 RooWReroof AP RC OKTOCOVER 04/04/2002 15 RooWReroof PA RC OK TO SHINGLE NORTH SIDE ONLY