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Home My WebLink About2904 LANCASTER RD; ; CB054138; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-05-2005 Miscellaneous Permit Permit No: CB054138 Building Inspection Request Line (760) 602-2725 Job Address: 2904 LANCASTER RD CBAD Permit Type: MISC Subtype: REROOF Status: Parcel No: 1674613300 Lot#: 0 Applied: Valuation: $0.00 Entered By: Reference #: Plan Approved: Project Title: CAPE OF CALAVERAS CONDOS- 6500 SF COMP TO COMP (ALSO 2908,2912,2910) Applicant: PETRONELLA ROOFING CO 2626 NEWPORT BLVD 92627 (949) 548-1645 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE Owner: KIESERMAN RONA L 2904 LANCASTER RD CARLSBAD CA 92010 Issued: Inspect Area: ISSUED 12/05/2005 LSM 12/05/2005 12/05/2005 $153.00 $0.00 $0.00 $153.00 Total Fees: $153.00 Total Payments To Date: $153.00 Balance Due: Ins ector: ·[1,IV~ FINAL APPROVAL Date: 1-c.f',o~ Clearance: $0.00 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 wtth 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 service fees in connection with this project. NOR DOES IT APPLY to any f ih hv I hi r limiinh I FOR OFFICE USE ONL V PERMIT APPLICATION PLAN CHECK NO. 46 0541 ~g CITY OF' CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By ~ Date l~}?t)os- Address !incl de Bldg/Suite Legat Description Unit No. Phase No. Total # of units Proposed Use #of Stories # of Bedrooms # of Bathrooms Name -3~ Designer Name State License # _________ _ •• Wi;IRURS',COMPINSATIOI-!"•. City Address City Address City Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: State/Zit' --:-i , Jjlephone # 2...0( (, 7() Fax# State/Zip Telephone# State/Zip Telephone# State/Zip Telephone O 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 . .,EJ' I have and will maintain workers' compensation, as required by Section 3700 of the labor Code, for the performance of the work for V)f,J,ich this permit is issued. My worker's com a· insur ce carrier an policy number are: . ( p~ 1 5 1 c, _ 2.fjQt'-. . djJ/2..cXJG Insurance Company __ L.,k'.!e:Q~j_ _ _:::.J:=:::~".!1e£!.L_______ Polley No.~~-l~IIL~~l __ __c l_c,.,1, ____ ='.>c Expiration Date_'4f-'---+----/ I (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, WARNINO: FaHure ompensatlon coverage ia unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thouaand dollan ($ to the cost of compenaatlon, damages as provided for in Section 3706 of the Labo7 code!::erest and attorney's fees. SIGNATURE_.,-,l-tt=JLL_:..:.-j,---1---"~c..:_=----------------DATE / 2, fi"./ .0, L 7. I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 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 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. 0 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 I type of work):. ______________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ _ ,nQ,$ECll0N;fl)Jl;fi0/141alDEN11ALBUl!iPING·PEIIMlllH:>NW: 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 Presley-Tanr~er Hazardous Substancti Account Act? D YES D NO Is thtt applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 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 • • , . ~ONSTRUCTIONLfflQING:~QE)ICYi; · I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME _____________ _ LENDER'S ADDRESS, ________________________ _ e;.,,•.,.~·-:noN 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. 1 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 authonzed by such permit 1s not commenced w1th1n 180 da s from the date of such permit or if the bu1ld1ng or work authorized by such penrnt 1s suspended or abandoned at any time after the work ts common tor a penod of 1 days (Section 106 4 4 Untform Butldmg Code). ~ / C:--/ s APPLICANT'S SIGNATURE --.L.4""--V~=-_,_-=c...;;r:-:--=------------DATE / ~ c} IO~ YELLOW: Applicant PINK: Finance - - City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOBADDRESS: ?,_'\0L{,J40o, d--~ \0d'JOJI~ L~ 2. TYPE OF BUILDING: RESl~ENTIA~ V COMMERCIAL. __ ...., 3. ROOF SLOPE: RISE S inches in 12 inches · 4. NUMBER OF EXISTING ROOF COVERING (circle one) (S) 2 . 3 / 5. TYPE OF EXISTING ROOF COVERING. ___ SHEATHING V . *6. NEW ROOF MATERIAL f1~ CLASS __ WEIGHT PER SQUARE 7. -NUMBER OF SQUAf\ES~~~S--~ 8. TRADE NAME i\ '\f'I\\) !2.[ \~ 1).Q..,,.-MANUFACTURER~\7 .... A---'-''r-_· __ __. 9. ROOF SYSTEM LISTING UL No. ___ ~.ICBO No •. _____ _,_ 10. IS THE EXISTING STRUCTURAL DESIGNJ~ICIENT 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 instal(new roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for Inspection. Signature_ ..... ~_..,_.-"--'➔~_.__-__ · ___ .Date._l_?--__,!=-5 __ _ Contractor / Owner ____ Contractor Na!f1e £~ ~ *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. . m City of Carlsbad Bldg Inspection Request . For: 01/05/2006 Permit# CB054138 Inspector Assignment: PD --- Title: CAPE OF CALAVERAS CONDOS- Description: 6500 SF COMP TO COMP (ALSO 2908,2912,2910) Type: MISC Sub Type: Job Address: Suite: Location: 2904 LANCASTER RD Lot 0 APPLICANT PETRONELLA ROOFING CO Owner: KIESERMAN RONA L Remarks: Total Time: REROOF ,10, /11:i CD Description Act Comment 19 Final Structural ·-·· --------------- Phone: 9495021499 Inspector: 6/iJ -~-- Requested By: RAFAEL Entered By: CHRISTINE ·-------·--··------------·· -·-------------- Comments/Notices/Hold Associated PCRs/CVs Inspection History Date Description 12/0712005 15 Roof/Reroof Act lnsp Comments AP PD