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Home My WebLink About2132 PLACIDO CT; ; CB043627; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB043627 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 2132 PLACIDO CT CBAD MISC 2164920200 $2,850.00 Subtype: REROOF Lot#: 0 KEENAN RES-REPLACE WOOD SHNGL W/COMP SHINGLES-25 SQRS Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Applicant: PATRIOT ROOFING KEENAN WAYNE A&NANCY K 1042 EL CAMINO REAL ENCINITAS, CA 92064 760-577-2935 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $77.00 2132 PLACIDO CT CARLSBAD CA 92009 PERMIT FEE Total Payments To Date: $0.00 Balance Due: ISSUED 09/20/2004 KMT 09/20/2004 09/20/2004 $77.00 $0.00 $0.00 $77.00 $77.00 1536 09 /20/04 0002 01. CGP Inspector: Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the "lmposi n" o es, dedications, reservations1 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. 02 77.,-:)0 FOR OFFICE USE ONLY PERMIT APPLICATION ' CITY OF CARLSBAD BUILDING DEPARTMENT PLAN CHECK NO. (}A()t/,3 {J;ci 7 EST. VAL. o2, gsu - 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit .-+-' -=-=-""".....,....----- Validate! By 'f;:JlW Date 91o20 toY Address Hnclude Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Pr osed Use #of Stories I of Bedrooms # of Bathrooms City State/Zip Telephone# Fax# Na e Ad ress l.t!~OIJT.AAqTOB~!>NeANYi)!At,1E111l'.m..'°PJ.'!t~~~!',tt'.:."'~)~~~--ffi:i~;",if;;¢";':!'.'':':i ·:~t"'J:-rt•.7" •. ; -~ ... ,--•·. -:-.,,·.~. (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 the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged pti Any violation of Se ·on 7031.5 by ny applicant for a rm·t subjects the appli~fnt to a civil penalty of not more than five hundred dollars ($5001). ' ~~ ~cyJress J/h11lu 7 / /Q qq '1 License Class ...... f!__..-,"""'-3-'1'------ City State/Zip Telephone # City Business License # } 2,J t./o q ( /] State License # Designer Name Address City State/Zip Telephone Stete License I _________ _ (4!;~W.P..l'.KE8$l,C0!',1!',Et,tS'ATIOfti(:&..,1.;:..,:.4.t,.,__0:\ .. ~~~;.__6;/i:.i;.,,-...,1...,, · .· , •. :.1. ·, ~ : .... ,. · ! ' <;; ,•;•,, ·J,, Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 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. 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 co pe satio insura policy number are: /! Insurance Company --~....JJ."-""-'""~-1-'-'"'"'.:;..:....i.:~--------Policy No. ffo 17111 p:: Expiration Date / d Lt::!. if (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESSI / O 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: Failure to aacura wortiara' companaatlon coverage la unlawful, and ahaU aubjact an employer to crlmlnal penalties and civil fines up to one hundred thouaand dollara ($1 ,0 01, In addlt o the coat of compenaatlon, damages•• provided for In Section 3706 of the Labor code, lntaraJd attorney'• feaa. SIGNATURE:_~C¥,b4~~.W:::::.U..1£":=~---------------DATE ?--w-(/ r:-, fiffli:'OWN.ffi Iii . : g~f,foft!~~~k'~~~f!"q;,H;.~u1r.{'~~~j,.,: •. b-c·~· :,,~~.,;:...;,~±m~~:•<: ;;;;; ~?:f,'4,.,,.r.. A;:-':, I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O 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). O 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 I the following persons to provide the work indicated (include name / address / phone number / type of work):. ____________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ l9QM~LUE~H1,~$eQTIPJti!'P.R'NOl("fl~P8"7UOUJ,PJN.Q1f.'tRMLiltANl:Y~ill.ffii:e.f1.~..1.iii':~~'.i.!ii..i:.:)1:b,i,ldli:.. ;:;;: .. :,lb'. J::ti!i-~ " tsic:::',c •i, · .. ~.ht,'.,,1t;.' :, 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-Tanner Hazardous Substance Account Act?· 0 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 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 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. (§;<:,4F&Q.N~I!\IJ~!~JJ;.l~.!?!l'i<i'A~l"'C.Yi~':~.".'~.;;, i•'--,·~1A::E~L::i..~ilt.~~:t.2°L.,,';.'i'.'L.e,'.tc.,, .... 1.... •• , • ..:. . .:..: .•'.....:.. ..... ---·-·· 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. _________________________ _ (~i~"'•~P,l'.U~A~'l',.(¢.E8.IIBl~fl9l'(~V:~£lliii;i.,&{'ltc.ci'.&'-'·~.k:i.Ji~.:,_~W,_;~i~,;;;~f~~\...,;;£,J:~;....:,;.;_,{.;;,;:i~~·,·::.,;;l\,·:'· ·:. ... ~~-( .A,·.,.,,~;. .. ,.~·,'··•·'.::•➔:.,_,.,~ .. ~·· 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 6'0" 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 end become null and void ii the building or work authorized by such permit is not commen ed within 180 days from the date of such permit or II the building or work authorized by such permit is suspended or abandoned et any time alter the work is commenc !or period of 180 de Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING I. JOBADDRESS: 2-132: Plc,0fdo cJ. 2. TYPE OF BUILDING: RESIDENTIAL )(' COMMERCIAL __ ___, 3. ROOF SLOPE: RISE 2 inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circll;l pne) (Y 2 3 ~D':,l'\.ln'\v 5. TYPE OF EXISTING ROOF COVERING "4@;;v SHE!ATHING ljt:':,> . *6. NEW ROOF MATERIA :>~tl~S~WEIGHT PER SQUARE 7. 8. TRADE NAM #'V'-MANUFACTURER (9A F 9. ROOF SYS,TEM LISTING L No. /z1: ) ICBO No. _____ ~ 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. ; 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. Signature 4riJ.~ ;, Date CJ-?JZ}"Oif Contractor ~ Owner ____ Contractor Narrie f n..Jn a f JP~ *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Bu;u;, Other. ----"--"""""" City of Carlsbad Bldg Inspection Request For: 1 0/06/2004 Permit# CB043627 Title: KEENAN RES· REPLACE WOOD SHNGL Description: W/COMP SHINGLES-25 SQRS Type: MISC Sub Type: REROOF Job Address: 2132 PLACIDO CT Suite: Lot 0 Location: APPLICANT PATRIOT ROOFING Owner: KEENAN WAYNE A&NANCY K Remarks: Total Time: CD Description Act Comment Inspector Assignment: RB --- Phone: 7605222285 Inspector: Requested By: AILEEN Entered By: CHRISTINE 19 Final Structural ~----------- Associated PCRs/CVs Inspection History Date Description 09/23/2004 15 Roof/Reroof Act lnsp Comments AP RB 1147-F2