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HomeMy WebLinkAbout2833 CACATUA ST; ; CB994034; Permitf City of Carlsbad 10/27/1999 Miscellaneous Permit Permit No:CB994034 Building Inspection Request Line (760) 438-31 01 Job Address: Permit Type: MlSC Subtype: REROOF Status: ISSUED Parcel No: 21 53702500 Lot #: 0 Applied: 10/27/1999 Valuation: $10,070.00 Entered By: JM Reference #: Plan Approved: 10/27/1999 Issued: 10/27/1999 Project Title: REROOF 3800 SF-LITE TILEM660 Inspect Area: 2833 CACATUA ST CBAD FINAL APPROVAL Inspector: Date: /I ' 1 7 * ?,? 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 "feeslexactions." You have 90 days from the date this permit was issued to protest imposition of these feeslexactions. 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 feeslexactions 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 feeslexactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 . PERMIT APPLICATION CITY OF CARLSBAD BUILDING Plan Ck. Deposit . J Validated By / Date lvl Legal Description Lot No. Subdivision NameMumber . Unit No. Phase No. Total X of units 2 Existing Use \qoo Description of Work - SQ.FT. #of Stories X of Bedrooms X of Bathrooms NTACT PERSON Uf mt kom s@anU statemp Telephone X Fax# 7 2&!LcLbE- &%t&UbJ N Cfl[V9S--OYJb Name Address cnv 3. APPUCANT IJcomnctor OAgontforconmctor mr D~gmforCwmr Name Address City Statemp Telephone I 4. PROPERTYOWNER Name Address cnv Statemp Telephone X Tk(Z, sk- - 6. CONTRACTOR - COMPANY NAME ISec. 7031.5 Business and Professions Code: Any Cny or County whch requires a pmnn to construct, alter, improve, demolish or repair any structure, prior to its issuance. elso requires the applicant for such permit to file a signed statement that he IS licensed Pursuant to the provistons of the Contractor's License Law IChapter 9, commanding with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, end the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permn subjects the applicant to a civil penalty of not more than five hundred dollars 155001). Name Address City Stateltip Telephone X State License I bcense Class City Business License X Designer Name Address city StatdZip Telephone State License X 6. WORKERS COMPENSATION Workers' Compensation Decleration: I hereby affirm under penalty of perjury me of the following declarations: 6 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, es required by Section 3700 of the Labor Coda, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number ere: Insurance Company Policy No. Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ipiooi OR LESS) CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ eny person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation cowmge ia unlawful. apd ahall subj.ct an ompkm to ubnhml pmalths and cMI fi~~ up to one hundmd ion to the cost of compensation. damages as pr0vid.d for in Sactior( 3706 of the Labor EO e, int mat and attorney's fees. SIGNATURE - DATE ,&J/9$ 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contrector's License Law for the following reason: 5 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, em exclusively contracting wnh 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) licensad pursuant to the Contractor's License Law). 1. 2. 3. I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES 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): Business and Professions Code for this reason: DNO 4 number I contractors license number): 5 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 I address I phone number I type of workl: -- PROPERTY OWNER SIGNATURE DATE ,&?/2.?/p9 COMPLETE THIS SECnON FOR k0-a BUkDINQ PERMITS ONLY Is the applicant or future building occupant required to submn e business plan, acutely hazardous matenals registration form or risk manegement and prevention 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 distrtct, Is the facility to be constructed within 1,000 feet of the outer boundary of a school me? 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 REOUIREMENTS 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 (Sac. 3097(i) Civil Code) LENDERS NAME LENDERS ADDRESS 9. APPLICANT CERTIFICATION 0 YES 0 NO I certify that I have read the application and state that the above informetion is correct and thet the information on the plans is accurate. I agree to comply with all City ordinances and State laws releting to building construction. I hereby authorize representatives of the Ci 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 shell expire by limitation and become null and void if the building or work authorized by such Parmit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time a APPLICANT'S SIGNATURE .-- DATE f0/2 7[94 a penod of 180 days (Section 106.4.4 Uniform Building Code). -. - - ..___/~ - City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING c&ywr4 3-t G-445w 1. JOBADDRESS: 2833 2. TYPE OF BUILDING: RESIDENTIAL L/ COMMERCIAL 3. ROOF SLOPE: RISE b inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) 2 3 5. TYPE OF EXISTING ROOF COVERING ?? SHEATHING *6. NEW ROOF MATERIAL CLASS WEIGHT PER SQUARE 7. NUMBER OF SQUARES 39 9. ROOF SYSTEM LISTING UL No. ICBONo. %bo 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE 8. TRADE NAME MANUFACTURER a Owpor-os.t 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. Sign at u re -. Contractor Owner Contractor Name *6 - Rolled Roofing, Standard/Lite Tile, AsphaltlComp Fiberglass, Built up, Other. , City of Carlsbad Inspection Request For: 1 1 /I 5/99 Permit# CB994034 Inspector Assignment: Title: REROOF 3800 SF-LITE TILEM660 Description: Type: MlSC Sub Type: REROOF Job Address: 2833 CACATUA ST Suite: Lot 0 Location: APPLICANT HERMANN GEORGE L LIVING TRUST 09-27-96 Owner: HERMANN GEORGE L LIVING TRUST 09-27-96 Phone: 8582925304 lnspecto & . Remarks: Total Time: Requested By: LINDA CD Description Act Comments Entered By: CHRISTINE 19 Final Structural Inspection History Date Description Act lnsp Comments 1 1/4/99 15 RoofIReroof AP PD