HomeMy WebLinkAbout2875 LEVANTE ST; ; CB023414; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Miscellaneous Permit Permit No: CB023414
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
Applicant:
2875 LEVANTE ST CBAD
MISC
2162302900
$12,926.00
Subtype: REROOF
Lot#: 0
POTTER RES4600 SF REROOF WOOD
REMOVE REPLACE W/ LT WT CON TILE
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
11/13/2002
SB
11/13/2002
11/13/2002
URBACH ROOFING, INC.
STE D-7
POTTER AUBREY H&VIRGINIA11Jli>9 11/13/02 2f!~i:!11
120 N PACIFIC ST
SAN MARCOS CA 92069
760 471-5065
Total Fees: $204.00
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
-
Inspector: .JV'-".
2875 LEVANTE ST
CARLSBAD CA 92009
Total Payments To Date: $0.00
PERMIT FEE
Balance Due:
Clearance:
$204.00
$0.00
$0.00
$204.00
$204.00
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/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
x i n i h h iv n N T 'mil r w i h h atut I Ii i n h r vi I
02 204,00
FOR OFFICE USE ONLY
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
PLAN CHECK NO. C.'3e>"Z. 3'[ { '1
EST. VAL. / "t... t ', 2(:.
Plan Ck. Deposit _________ _
Validated sy~S.:c....J.73"'-------
Date R{_:-/)-02
Business Name (at this address)
Unit No. Phase No. Total fl of units
Proposed Use
#of Stories II of Bedrooms It of Bathrooms
·2: CONTACT PERSON:llf·different trom·epplk:antl
Name Address City State/Zip Telephone II Fax It
3. APPLICANT ~ntractor D Agent" tor Contractor 0 Owner D Ageot for Owner
Name Address City State/Zip Telephone#
•• PROPERTY OWNER
Name Address City State/Zip Telephone #
6. CONTRACTOR -COMPANY NAME
Name
State License # License Class __ C""'"-'"3--"_9_. __ _
City State/Zip Telephone IJ
City Business License I t '1, ( ;,o ~ 4c°(
Designer Name Address City State/Zip Telephone
State License II _________ _
6, WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of psrjury one of the following declarations:
O I have and will maintain a certificate of consent to se.lf-insure for workers' compensation as provided by Section 3700 of the Labor Code, 1or the performance
of the work for which this permit is issued.
~have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, tor the performance of the work for which this permit is
issued. My worker's compensation insurance carrier and policy number are:
lnsu'8nce Comp,ny S\:a, :\-e H 1e:Jd Policy No. ol 8'$ 9.o,?;;;r:x::o Expi,ation Date /-03-CJS
!THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS)
D CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for whieh this permit is issued, I shall not employ any person in any manner 50 as
to become subject to tha Workars' Compensation Laws of California.
WARNING: Failure to aecure workers' compensation coverage i• unlawful, and ahaH subject 1111 employer to criminal penaltiu afXi civff finas up to one hundred
thousand dollars ,000), ln • n to cost of · , damage aa provided f« In Section 3706 of the Labo°Jcode. if11areat and attorney's fees.
SIGNATURE'~2u::l!?;lf!:d...__,?44,.-'9...,~::..,____________ DATE / / } 3 /0 -z___..,
7. •7 •
I hereby affirm that I am exempt from the Contractor's License Law for the followfflg reason:
D I, as owner of Iha propeny or my employees with wages as thair sole compensation, will do the w01k 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 fot sale. If, however, the building or improvement is
sold within one year of completion, the own&r•builder w&ll have the burden of p,oving that h.e did not btald or imp,ove for the purpose of sale!.
0 r. as owner of the pmperty, am exclusively contracting with licensed contractors to construct tha 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 pt"Ojects with contractorls) licensed
pursuant to the Contractor's license Law}.
0 I am exempt under Section ______ Business and Professions Code for this reason:
1. I personally plan to provide ttHI major lebor and materials for construction ot the proposed property improvement. D YES ONO
2. I (have I have notl signed an application for a building permit fo, the proposed work.
3. I have contracted with the following petson (finnJ to provide the proposed construction (lndude nama / 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 {mctude name / address / phom
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 I address I phone number / typ,
of work).,_----------------------------------------------------
PROPERTY OWNER SIGNATURE _______________________ _ DATE _________ _
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BIILDING,PERMITS'ONLY,
Is the applicant or future building occupant required to submi1 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 O NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management OJStrict? O YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 0 YES O NO
If ANY OF THE ANSWERS ARE YES. A ANAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR JS MEETING THE
REQUIREMENTS Of THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT.
8. CONSTRUCTION·LEHDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued {Sec. 3097(il Civil Code\
LENDER'S NAME ______________ _ LENDER'S ADDRESS. _________________________ _
9. APPLICANT CERTIFICATION
I certify that I have read the application and state that the above information is correct and that the inforrnatian on the plans is accurate. I agree to complv wtth all
City ordinances and State laws relating to buUding construction. I hereby authorize represantativas of the Citt of Carlsbad to enter upon the above mentioned
propenv for inspection purposes. t ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU LIABILITIES.
JUDGMENTS, COSTS ANO 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 exehations over s•o• deep and demotition or construction of stqicturas over 3 stories in height.
EXPIRATION: Every permil issued b the buiding Offrcial under lh8 provisions of this c.ode shaU expire by llmitatia, and become null and void H the building or work
aulhorized by such permit is nol c enc d witt'in 180 days from lhe date of such permit or if the building or work authorized by sueh pe ·1 is suspended or abandoned
at any time alter the work is or a period ol 1 ys ( ·oo 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE
WHITE: File YELLOW: Applicant PINK: Finance
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDRESS: ,;J ~ 7 5 l-e\ JQJ'.}te S-+reci
2. TYPE OF BUILDING: RESIDENTIAL'--_>L. __ COMMERCIAL. __ __.,_
3. ROOF SLOPE: RISE t.j inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) (j)) 2 3
5. TYPE OF EXISTING ROOF COVERING ?ltA..sHEATHING 7/41p DSf!:;
*6. NEW ROOF MATERIAL A .CLASSl.'Z..CWEIGHT PER SQUARE
1. -NUMBER OF SQUARES '-th . r
s. TRADE NAME ______ MANUFACTURER eagle,
9. ROOF SYSTEM LISTING UL No. __ ~_ICBO No. 4 UJ{l)Q
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: ... ,
"
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.
Signature ai½ ~----------Date ! I /2 3/{) c
ti k ~C.H ~t>OF $6 ,r,,,,c,
Contractor X Owner ____ Contractor Narrie Af Y'1= k.,k Ll .,J
*6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up,
Other.
City of Carlsbad Bldg Inspection Request
For: 01/07/2003
Permit# CB023414
Title: POTTER RES4600 SF REROOF WOOD
Description: REMOVE REPLACE W/ LT WT CON TILE
Type: MISC Sub Type: REROOF
Job Address: 2875 LEVANTE ST
Suite: Lot 0
Location:
APPLICANT URBACH ROOFING, INC.
Owner: POTTER AUBREY H&VIRGINIA M
Remarks:
Total Time:
CD Description
19 Final Structural
A(i Comment
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments
Inspector Assignment: JM ---
Phone: 7608014085
Inspector: ----
Requested By: JOSE FLORES
Entered By: CHRISITNE
11/14/2002 15 Roof/Reroof AP JM OK TO COVER