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HomeMy WebLinkAbout2821 LA NEVASCA LN; ; CB040580; Permit4-,\\\) \ v' ' • City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-20-2004 Miscellaneous Permit Permit No: CB040580 Building Inspection Request Line (760) 602-2725 Job Address: 2821 LA NEVASCA LN CBAD Permit Type: MISC Subtype: REROOF Status: ISSUED 02/20/2004 SB 02/20/2004 02/20/2004 Parcel No: 2551030300 Lot#: 0 Applied: Valuation: $0,00 Reference #: Project Title: TRAVERS RES 1900 SF REROOF SHAKE TO LT WT CON TILE Applicant: DOO RITE CONSTRUCTION 751 SESAME ST 91910 800 525-7929 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE Entered By: Plan Approved: Issued: Inspect Area: Owner: TRAVERS JOHN G&LORI J 2821 LA NEVASCA LN CARLSBAD CA 92009 5B12 02/20/04 0002 01 CGF" $115.00 $0.00 $0.00 $115.00 02 Total Fees: $115.00 Total Payments To Date: $0.00 Balance Due: $115.00 SIGNATUR.E --· - PE,.,.,:· I' -:, \_:·., ( i. SECTION ICU, ,,4 ACCORDANCE WITH U.!lC D.1.TE.....i..,~~h-~IGNAnlRE. OPkC 115-00 o.reJrf,,S~,, tt;- 1-,7,ci; b,(b~~- PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ~ PLAN cHEc-5:,---lloSti:) EST. VAL. °3, 2 7 Date Business Name (at this address) Unit No. Phase No. Total # of units Assessor• s Parcel # Proposed Use #of Stories # of Bedrooms # of Bathrooms ~ 3 State/Zip Telephone# Fax# Telephone# Telephone# Address City State/Zip Telephone I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance f he work for which this permit is issued. I have and wolvim inta,n workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. My worker' c mpensation '.nsura ce carr' r and policy number are: !·/ Insurance Company u..-Policy No,d,5--0D$°b'/-;;;_ Expiration Date ~LL f....P J tTHIs SECTION NEED NO BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) 1 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. to secure worker•w.• com enaatlon coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred 1 0 00 ), In addltlo tot e oat compensation, damages as J)rovlded for In Section 3706 of t~abor code, Interest ~'}II attorney's fees. DATE -d-0 -/J't:_ 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 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 w ith 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 __________ _ [CQMPLE~.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 26605, 25633 or 25634 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? D YES D 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 AND THE AIR POLLUTION CONTROL DISTRICT. [8 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME:::=----:::::::::::::==:::::::------------ 9 L!C~JIFlCATION 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 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 ol this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not c mmenced within 180 da~ 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 co enced or a period I 8 ays ( ction 106.4.4 Uniform Building Code). ...., 1/ APPLICANT'S SIGNATUREr:::::.::i.c::........:::..:_ ___ .\.L-=-iL:::...-="'-'--------------DATE c::f--;;J-i) ....-d _ WHITE: File YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: ,;)_f?,;2 / ~ ~A ~. 2. TYPE OF BUILDING:~$ DENTIAL . ~MMERCIAL 3. ROOF SLOPE: RISE :.;<inches in 12 inches . 4. NUMBER OF EXISTIN ROOF COVERING (circle one) G) 2 3 5. TYPE OF EXISTING ROOF COVERIN~SHEATHING,~ • *6. NEW ROOF MATERIAL~ CLAss_&::wEIGHT PER SQUARE 7. -NUMBER OF SQUARES 19 . 8. TRADE NAME U-4:z MANUFACTURER Z~ 9. ROOF SYSTEM LIS1iNG UL No. . ICBO No. %& 6 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: ,:,;i 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. Signatu~ u} .MJ!_ Date ;;1· -~ /" c/ Contractor ___ Owner ~ Contractor Narre M -& V>ui#~ *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 04/13/2005 Permit# CB040580 Title: TRAVERS RES 1900 SF REROOF Description: SHAKE TO LT WT CON TILE Type: MISC Sub Type: REROOF Job Address: 2821 LA NEVASCA LN Suite: Lot O Location: OWNER TRAVERS JOHN G&LORI J ?~~RA_V_i?_RS JC>HN G&LORI J · Remarks: PM PLEASE '· Tomtalt'Fifm~=====-- Inspector Assignment: JM --- ,.,E Inspect : Requested By: BARBARA Entered By: CHRISTINE CD _D_e_s_c-rip-t-io_n _______ AM_o_m_m_e_n_t ________________ _ 19 Final Structural 1 ~ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments 11/04/2004 19 Final Structural CO JM ROOF COMPLETE. SHEETING NOT INSPECTED