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HomeMy WebLinkAbout2277 PLAZUELA ST; ; CB043742; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB043742 Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 2277 PLAZUELA ST CBAD MISC 2163404400 $8,207.00 Subtype: REROOF Status: Lot#: 0 Applied: Entered By: Reference #: Plan Approved: Project Title: STINE RES-2830 SF STAND WEIGHT CONCRETE TILE Applicant: URBACH ROOFING, INC. STE D-7 120 N PACIFIC ST SAN MARCOS CA 92069 760 471-5065 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE Owner: STINE L YLE&LOIS 2277 PLAZUELA ST CARLSBAD CA 92009 Issued: Inspect Area: ISSUED 09/30/2004 RMA 09/30/2004 10/07/2004 $153.00 $0.00 $0.00 $153.00 Total Fees: $153.00 Total Payments To Date: $0.00 Balance Due: $153.00 2818 10/07 /04 0002 01 Inspector: FINALp~Ppil)Q AL Date: I. 1 .A /"l/ Jil/ Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of f~es, 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 service 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 nrevio··sl" otherwi""' "X"ired. 02 1'33-00 PERMIT APPLICATION cItv OF'CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 S- FOR OFFICE USE 0~ PLAN CHEg NO.l4).tl l( I 7 Lj J...__ EST. VAL. ~1d..CIJ Plan Ck. Deposit ~ Validated ~: ~. __ 4 Date __L_, J a/ _ri Business Name (at this address) Unit No. Phase No. Total I of units ~Q__; Proposed Use I of Bedrooms I of Bathrooms Descript;on of Work _ L-/ c ti r . J:-l 6HT ~SON(lf-fri>ma-& ., •· Name Address City State/Zip Telephone I Fax I 3. APPLICANT :Z,c,onC 0Contr8ctor.·. -□-Agiint·torton~~-,Q'.ow,n_8(,. □·AgentforOwner . l 1.,,,r\::iQ,(l>b -\o)C IA.,) ¥)QJ1A£i c_ 5+ D:::z Name &' Address City State/Zip Telephone # 4. PROPERTY OWNER i k?f le :± L66 Name St I )'.\e., Address · rb""-~-i >l City State/Zip Telephone I + 5. i:ONTR.ACTOR • COMPANY NMIE (Sec. 7031.5 Business and Professions Code: Any City or Coooty which requires a permit to construct, attar, 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 the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Wion 7031.5 by any applicant for a perr;rnt sub~s the appltcant to a civil penalty of not more than five hundred dollars f$500J). l ,1 rbCLC1o \Li:X>½~ \nc -\ ao N voc.,\~~c:.. St-0 t S<1n Mo.rc95 (,tpo)Lj1t S:ul.,-:: Name 16.ddress /) Q City State/Zip TeJephone I State license# /o0,J37 5?: License Class \..'.., 3 J CltyBusmessLicense# fdQO;;I. ?'1 Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: 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 of the work for which this permit is issued. 'Nf" I have and will maintain workers' compensation, as required by Section 3700 of the LaR,O!SC~e, for the per_tormance of the w«k for which this permit is ~ued. My worker's ~•tion insuranc~arrier and policy number are: 2.-<r,! OOOO<jt) z_ Insurance Company ':;):.\-a :l-e. \-::t " /{\ d Pof"'v No. an '.)Qµj' @?'texp;,a,;on Date / -/ -a :s {THIS SECTION NEED NOT BE COMPLETED IF THE PERMrr IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which thts 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: Failure to aecure worfcan' compensation coverage ill unlawful, and ahal sulljact • employer to criminal penalties and civil fines up to one hundred ==~& ;:;;zt of compensatb\. ~~ _ .. _provkted form Secdon 3~:~:• tM ~2-a; ;,:7?[d attorney's fees. 7. OWNER-"'11Lt1ER't1Eet,\l!ATIQN . . .. . . ... . . -, I hereby affirm that I am exempt from the Contractor's Ucense Law for the following reason: 0 I, as owner of the property or my emptoyees with wages as their sole compensation, will do the work and the structUfe is not intended or offered for sale (Sec. 7044, Business and Professioos Code: The Contractor's License Law does not appfy 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 o, 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 Ucense 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 Ucense Law). 0 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 folowing person to COOldinate, supervise and provide the major work (inciude name I address / phone number J 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 _________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMIJS ONLY · Is the applicant or futU1'e building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 26605, 25533 or 25534 of the Presley-Tanner Hezardoi.Js Substance Account Act7 0 YES O NO Is the applicant or future buHding 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? O YES O NO IF ANY OF THE ANSWERS AR£ YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT K ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AJA POLLUTION CONTROL DISTRICT. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a const,uction lending agency for the pe,fo,mance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME _______________ _ LENDER'S ADDRESS, ________________________ _ 9. APPLICANT CERTIFICATION I cenify 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 constructk>n. I hereby authorize representatives of the Citt of Cattsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU 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 pennit issued by the building Official under lhe provisions of this Code shall expire by limitation and become nuH and void if the buik:llng or work authorized by such permit is not commenced within 180 days from the dale of such permit or if the building or work authorized by such permit is suspended or abandoned at any ti1ne after the work is comme~ for a period of 180 days ( ion 106.4.4 Uniform Building Code). -1-,· \ APPI..ICJ ,rs SIGNATURE ___ ·_.,,~l.Cl..--!..'1LU'..IL!..(.~l..<'-------------DATE _Cf~-~3~0~-..._0_,_L.,_,j'------ YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: ~a7 7 0\07, H::,\o She,.,+ 2. TYPE OF BUILDING: RESIDENTIAL Y COMMERCIAL. __ ~ 3. ROOF SLOPE: RISE Lf inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) (!j 2 3 5. TYPE OF EXISTING ROOF COVERING ___ SHEATHING ___ ~ *6. NEW ROOF MATERIAL . ¢ss __ WEIGHT PER SQUARE 7. -NUMBER OF SQUARES J '>?. '?,,;) .. , .. ,., I\ J_ 0 8. TRADE NAME. _______ MANUFACTURER (, ~ 9. ROOF SYSTEM LISTING UL No. ___ ~ICBO No. Lj I 4, le C, 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 instalfnew roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof f~r inspection. , Signature Ct{~ Date C} -:;) 7 -6 L/: Contractor )( Owner ____ Contractor Nanie :::'.¥:x2a OJ< l \ t· \ 't •, K' L, 6 u *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. . ··•·•·•·•-·-·------- City of Carlsbad Bldg Inspection Request For: 12/15/2004 Permit# CB043742 Title: STINE RES-2830 SF STAND WEIGHT Description: CONCRETE TILE Type: MISC Sub Type: REROOF Job Address: Suite: Location: 22n PLAZUELA ST Lot OWNER STINE L YLE&LOIS Owner: STINE L YLE&LOIS Remarks: Total Time: CD Description 0 Act Comment Inspector Assignment: JM --- Phone: 7604715065 Inspector: ~ Requested By: AMBER Entered By: CHRISTINE 19 Final Structural #-------- Associated PCRs/CVs Inspection History Date Description 11/19/2004 15 Roof/Reroof 10/18/2004 15 Roof/Reroof Act lnsp Comments AP JM OK TO COVER EXISTING PLY CA JM BY CONTRACTOR