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Home My WebLink About2851 LEVANTE ST; ; CB050433; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-14-2005 Miscellaneous Permit Permit No: CB050433 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference#: 2851 LEV ANTE ST CBAD MISC 2162301400 $684.00 Subtype: REROOF Lot#: 0 Project Title: LUMSDEN RES 600 SF REROOF /-/ __ .. ~COMP TO COMP Applicant: Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: PATRIOT ROOFING LUMSDEN MATTHEW G&TERRY J _/ 10 !NO REAL ENCINITAS, CA 92064 760-577-2935 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $25.00 2851 LEV ANTE ST CARLSBAD CA 92009 PERMIT FEE Total Payments To Date: $0.00 Balance Due: ISSUED 02/14/2005 SB 02/14/2005 02/14/2005 $25.00 $0.00 $0.00 $25.00 $25.00 1789 02/14/05 0002 01 CGP Inspector: fC-Clearance: NOTICE: Please take NOTICE that approval ol your project includes the "Imposition" cl lees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition ot these tees/exactions. II you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack. review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified tees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or seivice fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have nreviouslv been niven a NOTICE similar to this or as to which the statute of limitations has "reviousl11 otherwise ex"ired 02 25" 00 PERMIT APPLICATION FOR OFFICE USE ONI,. Y / OL-{ PLAN CHECK Na(tSo.::::, 3 3 EST. VAL. G ~ i CITY OF-CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit~=-------- Validated Bv•~•~,;,:.·c:.,,"'-.------- Date '.Z / 1::!._ 5 • Business Name lat this address) Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Existing Use Proposed Use # of Bedrooms # of Bathrooms State/Zip City l!llmllliiliMillriiillll!ll»lll!il11Y!l!IAM~!l"': ·,!!ilc'\1'!$'""1.,ffeiiiit•·c.n°ce•ci1 · ,,,,n,,., •., .. , • :•, ,,, · · . :,,.:,·. ,, Telephone# Fax II (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 tha Business and Profassions Code) or that he is exempt therefrom, and the basis for the alleged tio Any viola· of Se ~ion 7031.5 by any applicant for a~ mi subjects the plica"\~ a ~ii pe lty of no more th n five hundred dollars ($50011. 'fl"' -q- City State/Zip Telephone State License # --'-'C,,.,'--'-.,_'1----License Class~~.,__~_,______ City Business License # / ;:J} Lj O' ~ Designer Name Address City State/Zip Telephone State License # __________ _ flaYlQ,8JCUJ!".,;CQMeiNJATIO'Ul.l'~,t, t1::~~:J.1'i~tA. -;~,;;;;JL:';., r> ,:;,, ,,; ':'.,-~. ' ;_ - Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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. 0 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 c°':1nsetion insura-P'e carrie: afld policy number are: /. Insurance Company Jt!lb t:..tdM CL Policy No. / la -Z 7 2 / A Expiration Date / do;;-/ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 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: Fallw■ to ucure worluln' compenutlon coverag■ 11 unlawful, and sllllAI subject an ■mployer to crlmlnal penalties and civil flnea up to one hundr■d thouaand dollar• I 0 , 00>, In• to the colt of compenutlon, damages•• provided for In Section 3706 of the Labor c::, Interest ■nd attom■y'a feH. SIGNATURE DATE ;)-I 'f_-crs- '"'' -~~/;,_~~~~~~J,i.,f: r.~~1fb~4~;f.::1:-:-, '. '. :,i~<i•.;:~;,;;{~~\: \.-t -~: , ·; ~\:'.:'/?-:~:_,: .. _,!;t;.,._. ;~t:-~ I hei-eby affirm that I am exempt from the Comractor's License Law for the following reason: 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, Busineu and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does auch work himself or through his own employeea, provided that such improvements are not intanded or offered for sale. If, however, the building or improvement is sold within one year of completion, th• 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 Cod■: The Contractor's License Law doea not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(a) licemsed pursuant to the Contractor's License Law). D I am exempt under Section ______ Buslnesa and Professions Code for this reason: 1. I personally pJan to provide the major labor and materials for construction of the proposed property improvement. D YES ONO 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide tha proposed construction (include name I adctess / 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 I phone number/ contractors license number): ________________________________________________ _ 5. I will provide acme of the work, but I have contracted (hired) the following persons to provida the work indicated (include name / address / phone number / type of workJ: _______________________________________ ~------------------- PR0PERTY OWNER SIGNATURE_______________________ DATE _________ _ i®li!~iJ;$E(mQNi!'OR:NQIV!/lp/D.fN,~$\l.lillllt-lGl~IIMITlil!N~Y•!il:li~l!lli1iL<M:><l'1ilfilii, 1;.;halCJ.li"'-' ,i c., .' iLii•. fa:,:, . 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 Prasley-Tanner Hazardous Substance Account Act7 -0 YES D NO Is the applicant or future building occupant required to obtain a permit from tha air pollution control district or air quality management district? D YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 D YES O 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. ~t2-~.~RV~IC[fftlil"'.OJNmAGril\l.cyi<aThi~!i".~~tt~~J1.Bt:::LtfiiJ.:'.&i~;c_~:-l:L~-::,', - I hereby affirm that thara is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(il Civil Code). 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 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 bullding or work authorized by such permit is suspended or abandoned at any time after the work is com nc for a perio 180 days (Section 106.4.4 Uniform Building Code). WHITE: FHe YELLOW: Applicant PINK: Finance 7~ I I City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: d8'5I lt\lo.nta st- 2. TYPE OF BUILDING: RESIDENTIAL f' COMMERCIAL, __ ~ 3. ROOF SLOPE: RISE 3 inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) cJ 2 3 s. TYPE oF Ex1sT1NG ROOF covERIN~h,ojl' SHEATHING 14-tJ . *6. NEW ROOF MATERIALC()\}) p shi ~SS __ WEIGHT PER SQUARE 7. -NUMBER OF SQUARES_( .... J.___---" s. TRADE NAMESMtinR I MANUFACTURER~6 ........... 0...,F ___ ~ 9. ROOF SYSTEM LISTING UL No. ~'2,\ ICBO No. , _____ _. 10. IS THE EXISTING STRUCTURAL DESIG~IENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? CV 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 instali'new roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Contractor~Owner ____ Contractor Narrie f?a.Jr/tJi R..a~ *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built u;, Other. ------------------····-··---..... ------·---·--··-···-·