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Home My WebLink About2142 PLACIDO CT; ; CB021609; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-28-2002 Miscellaneous Permit Permit No: CB021609 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 2142 PLACIDO CT CBAD MISC 2164920100 $8,992.00 BERRY RES/ REMOVE SHAKE Subtype: REROOF Lot#: 0 REPLACE W/ LITE CONCRETE TILE ROOF SHINGLE Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 05/28/2002 CB 05/28/2002 05/28/2002 Applicant: SECURE ROOF INC BERRY DANIEL T&JUDITH A 8067 0S/28102 0002 0l 7356 TRADE ST SAN DIEGO CA 92121 800 338-6868 Total Fees: $153.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Inspector: 2142 PLACIDO CT CGP CARLSBAD CA 92009 Total Payments To Date: $0.00 PERMIT FEE FINAL APPROVAL Date: fa/;;))-/ /0~ Balance Due: Clearance: $153.00 $0.00 $0.00 $153.00 $153.00 NOTICE: Please take NOTICE that approval of your project includes the ~Imposition~ of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any i . 02 153-00 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK No.c;.BoZ//pOC/ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit ________ _ Validated By. _ __,C,.....:~=-------- Date :r=-z fl=-07 1, PROJJCT INFORMATION ~Ji7-!)... p I-A-C.. I l> tJ Address (include BldQ[Suite #) sr-o Business Name (at this address) Legal Description Unit No. Phase No. Total # of units Assessor's Parcel # l.,, / J _ 'f2-lrD F L-1 re Proposed Use Description of Work # of Bedrooms # of Bathrooms ~-1,ON"(ACT PERSON (If diff9rei:uJro1J1 appJicanO 1 ............ ,_,_;.0;;__.i,1...,..,_,...,,...;~,·. .:!iA-mG A--$ A-P/>LI CAiv Name Address City State/Zip Telephone# Fax# .3. APPLICANT O .ConJractor 'ji8 Agent for Contractor O Owner ~.D Agent for Owner St w I<£ "iQ-ov 'F I Y'I C -~.a-rr a,rn L.rY> ~ . Name Address City State/Zip 4. PROPERX,:( OWNER. j2&1lP-f Name Address City S.tate/Zip Telephone# 5. (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 exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001) . .$.A-m ~ ~ .Al? PL/ c..AN T Name State License # _5,_~~0~f'~f,,_ ___ _ Address / License Class __ C. __ ?_,__ ____ _ City State/Zip Telephone # City Business License # _______ _ Designer Name State License # _________ _ Ad~ City State/Zip Telephone 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: a? 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 Jt the work for which this permit is issued. ~ 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 com~nsation insurance ~!r~er ao/> policy number are: 4 d , / Insurance Company fA TE ,-UN Policy No. Zf'S/ </-Yb -6' ;;..._ Expiration Date #!"/0 ;L 31s SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS) / JZl. CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars($ O, 0 additilli\to tha.1;ost of Cqmpensation, damages as provided for in Section 3706 of the A cod~!terest and attorney's fees. SIGNATURE ~ DATE ~f"f.!:2... 7. OWNER~BUl!,.P~!tPECJARATl.91<1 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). O I, as owner of the property, am exclusively contracting with licensed contrac construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who · s or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ------::,;;;; ,. 2. 3. or and materials for construction of the proposed property improvement. 0 YES ONO ~ 1th 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 I address / phone number / type of work):. ________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ COMPLETE THIS ~ECTION FOR .NON-RESIDENTIAL SUILDJNG Pj;aMITS ONLY 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 te,et 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 ANO THE AIR POLLUTION CONTROL DISTRICT. 8, COt;lSTRUCTIO.N LENDING ~-G~NCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3og7(i) 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 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 Cit\' 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 building or work authorized by such permit is suspended or abandoned at any time after the work is ~~d for a period,?'\ 180 daylJ (Section 106.4.4 Uniform Building Code). r/.. v j APPLICANT'S SIGNATURE ~----'------~-------------------DATE ~ '.:J.,!'Lc)2 WHITE: File YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING I. JOB ADDRESS: ~ 1¢.a f ~AC 11>0 C, · 2. TYPE OF BUILDING: RESIDENTIAL ~ COMMERCIAL~-~ 3. ROOF SLOPE: RISE L/-inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) G 2 3 5. TYPE OF EXISTING ROOF COVERING S/..Mu SHEATHING M *6. NEW ROOF MATERIAL ~U-CLASS Pc WEIGHT PER SQUARE 7. -NUMBER OF SQUARES J:;i.. 8. TRADE NAME 1>13y&,L-1'r2N ~ANUFACTURER ~ 9. ROOF SYSTEM LISTING UL No. ___ ~ICBO No. 'f/p~ ~· IO. IS THE EXISTING STRUCTURAL DESIG~CIENT 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: •.·, /~Tear Off/Pre-inspection prior to install .~ew roof covering. Vinal Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signatureo:Ji..,.._ ~ ' 1-j.e,,,,..T Date ___ S""_-_2._f_-_o_:J. __ Contractor \j'J Owner _____ Contractor Na!fle _______ _ *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 06/21/2002 Permit# CB021609 Inspector Assignment: SR --- Title: BERRY RES/ REMOVE SHAKE Description: REPLACE W/ LITE CONCRETE TILE ROOF SHINGLE Type:MISC Sub Type: REROOF Job Address: Suite: Location: 2142 PLACIDO CT Lot APPLICANT SECURE ROOF INC 0 Owner: BERRY DANIEL T&JUDITH A Remarks: Total Time: Act Comments Phone: 7605460254 Inspector: SQ. Requested By: SECURE Entered By: CHRISTINE CD 19 Description Final Structural ~---'--'F~,:_;_-=--=--------- Associated PCRs Inspection History Date Description 06/14/2002 15 Roof/Reroof 06/13/2002 15 Roof/Reroof Act lnsp Comments AP SR INSPECTED ON 6-13-2002 AP SR OK TO COVER