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Home My WebLink About2729 LA GRAN VIA; ; CB043629; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 :=t \ ·zo+ 9-20-2004 Miscellaneous Permit Permit No: CB043629 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 2729 LA GRAN VIA CBAD MISC 2163200200 $3,660.00 Subtype: REROOF Status: Lot#: 0 Applied: Entered By: Reference #: Plan Approved: Project Title: KENNEDY RES-REPLACE BLT-UP W/ NEW BLT-UP(200Ib/SQ) 30 SQRS (UL#r14943) Applicant: PATRIOT ROOFING 1042 EL CAMINO REAL ENCINITAS, CA 92064 760-577-2935 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $89.00 PERMIT FEE Owner: KENNEDY BETTY 2729 LA GRAN VIA CARLSBAD CA 92009 Total Payments To Date: $0.00 Issued: Inspect Area: Balance Due: ISSUED 09/20/2004 KMT 09/20/2004 09/20/2004 $89.00 $0.00 $0.00 $89.00 $89.00 1536 09 /20/04 0002 01 CGP Inspector: FINAL Date: Clearance: NOT!CE: 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 pennit 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 f s/exacti n fwhi h ouh v r viousl b en iv n NOTICE imil rt hi ora whi h he I flimiai n r vi u I 02 PERMIT APPLICATION CITY OF GARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE O~ / L . Q PLAN CHECK NO. ~()7 3 &J.; I EST. VAL. ,-3, {pu;() - I Plan Ck. Deposit.---------- Validated By ~[)fl:: Date 9 ~o{) -CJ Y Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units I Description of Work #of Stories I of Bathrooms -•• :· ... i' State/Zip Telephone# Fax# t&\f..~t':o.iiTBAC.TQB:!r.C9Jt1P,.AN~.NAMt;l!'~~~~""~!*<::''"~h,~'l.it.'.fi:\','irn~:z•i-T·'~,•ll':s"::~,.-'.' .:.:•;,;.:• ,._ t-,: .:'. ·: •~-~?"·:-:-z<:1,· • ··:-1,,., •.• -:,,-;it-::~; (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 (Chap 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 p Any viol tion of ction 031.5 by any applicant for a permit ubj cts the appli ant tO,f_Ci~enalt f not ore than fiv,-"h}mdred ~ars 1$500)). . ~ I ::R-C ~..J< 7 ~~ City State/Zip Telephone # State License# -+i--Li.<--L-~__.'---License Class...;=---'---'-----City Business License# /2/ t/tJ°;(.p Designer Name Address City State/Zip Telephone State License # __________ _ ~.i~WQ.RJ!,(!IS ~0!'!1~ATl9fiaft,~•-'i...,;,.1<..';:,:., :,,._,,.,.,'..\_.'.;.,.r.;.to,,.,, _ •. . _,_ ~-~t-' · ... , !.-. ,;: ,-;l,. .d ,· 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 3 700 of the Labor Code, for 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, for the performance of the work for which this permit is issued. My worker's ~ptnsattpn insurance carrinnd policy number are: / ~ !( Insurance Company 2.r-... T( VUJ(' c.Y Policy No. /& 7 2 2 L d= Expiration Date _ 2L!' ~ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) / O CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit Is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure o Hcur• worllera' compena■tlon coverage la unlawful, end ah.U aubject en employer to criminal penalties and civil fines up to one hundred thouaand dollar• ($ 0 000), In ad to the coat of compenaatlon, demagea •• provided for In Section 3706 of the Labor code, lnt,,,.t and attorney'• fHI. SIGNATURE:~~b4,,g..~~A~~~---------------------------:--DATE q--'/1) r-() 'f ttli8i.Ow&tii~~ o ~ ~~r~oi"' ~ ~ . ~~.:~~~~t~t.tt,7:i;~~~r~rd~~~-~,tf.~:, .... ~i~t~}·:::·t•:-~_::; ~ .. ,,>?'1:~,-~~ .. l:;·i/J;.:~~ ... 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, Busine11 and Professions Code: The Contractor's License Law does not apply to an owner of property wtio builds or improves thereon, and who does suc;:h 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) the following persons to provide the work indicated (include name / address / phone number / type of work):. ____________________________________________________________ _ PROPERTY OWNER SIGNATURE_______________________ DATE _________ _ iP6MP.roi;~ftl~)t<:Ti.Pti!FOB'lili?N:'llffi08'll,4~J\JJ~JN.Q\Pt.RMltfS'...Q.NliY:&!fu:i:::ti.~:i\,:r.tl1h;!i.li6ltr.f~ ~ ... ;h:1,l~~.;(.il ,1' •. J.,'.:~i.:i:.i:ci.::t', ,..;,t ..• l '. · ,·,·~!i!.-2· :: 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 tho facility to bo constructed within 1,000 feet of the outer boundary of a seh~ol site 7 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. tffl'.6 ~Q.N~JB.Y~IJ~_J;_~NQlli~AG~cy.:)~~l .. ~~',;i,i'•e~'·~~.;:;W .. :i.:\~~~-it'!:!°c:,, .. ~'-'--'· .. ::.. .... .:.....~~.: .. ._.~ •. :l ..... _ ,....... . ..: ..... . 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. ________________________ _ t~.~AP.l'i;JJ::At(T/~-~8l'llii~~!l.i0Jl ~~.,-~l,.J&i~Jl&~1.tii·,~~~;.,.; .,;;,i,di~~~~~lJh,1~~""~"'~ ,i{/i,,~;..,..!',;.:; :-.irl•· ~;,:;;;,:,.,:,, ,, · ;, ·• ,-,,.>•' • ~.--•• "~" ,,,,, , ,. •h.-.• .. ,,., .. _ .. ~-_; , I certify that I hava read the application and state that the above information ia 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 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 ls not co ed within 180 days from the date of such permll or if the building or work authorized by such permit Is suspended or abandoned al any lime after the work is com for a period 80 days (Section 106.4.4 Uniform Building Code). d:.-?7>-~d~/ DATE -~''---··-~c.....;;__ __ +,T _____ _ WHITE: File YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING I. JOBADDRESS:dJJtj L111. &fAM v'/.e; 2. TYPE OF BUILDING: RESIDENTIAL V COMMERCIAL 3. ROOF SLOPE: RISE/'fL f inches in~nches ·--~ 4. NUMBER OF EXISTING ROOF COVERING (circle one) 1 @3 5. TYPE OF EXISTING ROOF COVERING~~HEATHING nUJ1.I . •s. NEW ROOF MATERIAL rc.,iA. CLAss~WEIGHT PER sauARE 7. 8. TRADE NAME_,.,__,.CJ.£1!...~"---'~-UFACTURER u ,) fn1Je, UL NoJ2.} ~ q ~ ~ ICBO No. _____ ___, 9. ROOF SYSTEM LISTING ' 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: I. 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 7~ .... oa ,A e Date q~ ;)V~CJ<j' Contractor ~wner _____ Contractor Narre /?~~ 7 /.2.o,1 {:, ~ *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, U Other. G . . City of Carlsbad Bldg Inspection Request For: 1 Qt:2004 . Permit# CB043629 J Inspector Assignment: JM Title: KENNEDY RES-REPLACE BLT-UP W/ Description: NEW BLT-UP(200Ib/SQ) 30 SQRS (UL#r14943) Type: MISC Sub Type: REROOF --- Phone: 7605222285 Job Address: Suite: Location: 2729 LA GRAN VIA Lot APPLICANT PATRIOT ROOFING Owner: KENNEDY BETTY Remarks: Total Time: CD Description 0 Inspector: "--r\ lY\ • le Requested By: AILEEN Entered By: CHRISTINE Act Comment 15 Roof/Reroof fL_ A #If Associated PCRs/CVs lns12ection Histo[Y Date Description Act lnsp Comments 10/07/2004 19 Final Structural co JM SAME 10/04/2004 19 Final Structural co JM NOT COMPLETE 09/27/2004 15 Roof/Reroof AP JM OK TO COVER EXISTING PLY