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HomeMy WebLinkAbout2360 RISING GLEN WAY; ; CB990719; PermitCity of Carlsbad 02/23/1999 Miscellaneous Permit Permit No:CB990719 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: 2360 RISING GLEN WY CBAD MISC Subtype: Lot#: $12,792.00 REROOF 12306SF RISING GLEN APT COMPOSITION SHINGLES EBERHARD BENTON ROOFING 3691 HANCOCK ST SAN DIEGO CA 92110 619-291-6340 REROOF 0 Total Fees: $234.00 Tf>~I Payments To Date'. Miscelaneous Fee #1 Miscelaneous Fee #2 TOTAL PERMIT FEES PERMIT FEES Status: Applied: Entered By: Plan Approved: ISSUED 02/23/1999 DT 02/23/1999 02/23/1999 Issued: Inspect Area: $0.00. ' ' 671.2 02/23/99 0001 01. 02 C-PRMT .;Q'ifMce Due: " s \ ' 4 4 zj •, ? • j *4.00 ';$0.00 q • $234.00 • • , • : , T sa34.oo Clearance: E that approval of your project includes the "Imposition• of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exa ns." 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 proce res 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 Ca~sbad 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 capactiy 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 ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 234--0() J FOR OFFICE USE ONLY PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 PLAN CHECK NO~'t<tD1J'J' EST. v AL. I 2 , 7 '2 ; Plan Ck. Deposit ________ _ Validated By Date 1. PROJECT INFORMATIQN Assessor's Parcel I Existing Use Proposed Use Description of Work SO. FT. #of Stories I of Bedrooms # of Bathrooms "Je.4-e:Rf; Co¥ Q.£)D (LJ ~~~ ~ ,;;)_ 2 CONTACT PERSON (If dht~ntl.6,nui!Pllc•ntl\J 121.30~S,"F Name Address City State/Zip Telephone# Fax I Name 4_, Address ._3~91 State/Zip ~ Telephone # ~ /-~ 3 Lf 0 (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 viojation of ~ection 7031 .5 by any appli nt for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500)). ~ +6 • .J(o c..o ~ Sri-, /2...IIC VI I-0.3 Name Address State/Zip Telephone # State License # _-,_':)--'-/_t_Y__,J-'----License Class __ Q._..,)_j....._ ___ _ City Business License # / 2Q'f '7(ph Designer Name Address City State/Zip Telephone State License I _________ _ . . Workers' Compensation Declaration: I .hereby affirm under penalty of perjury one of the following declarations: 0 I have and will ma'intain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance e 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 ed. My worker's compensation ins~rance carrier and policy number are: / Insurance Company ~\ t:> ~ \~~<LL. Polley No. v,.)C...2.-QS"> It, 9 7 / Expiration Date f / ,12 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS) 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 o ecome subject to the Workers' Compensation Laws of California. WARNING: Failure to Hcure workera' compensation coverage la unlawful, and ,hall aubject an employer to criminal penaltia, and civil finea up to one hundred thou,and doffera ($100, 01, In a It t of compenaation, damagea as provided for In Section 3706 of the Labor code, Interest and attorney's fees. SIGNAT ts""~;-~~~~~~~~;...,,..,~~----==:--=---=-:===-;. DATE d}, ,:;l..3 · 9 7' ?.;:: 0 NER-BUILDl!R DECLARATIO . 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(sl licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ______ Business and Professions Coda 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) slg_ned 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 _____________________ _ COMPL([E THIS S~CTION FOR NON.RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk manegement and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? O -¥ES--g . NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O 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. 8 ONSTRUCTIOPU,ENDING GENC I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097111 Civil Code). LENDER'S NAME 9, Af'PUC~,NT CERTIFICATION I ~ertlfy 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. EXPIRATIO~: Every permit 1s~ued 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 commenc d within 365 days fro the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after t ork Is co enced for a erfod 8 (Section 106.4.4 Uniform Bullding Code). APPLICANT'S SIGNATURE DATE --~----'----=...:::: ___ _ PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: 234D ~ J.-'bl,:{) e'.,,sir-~ /o("'-r\. W~ . 2. TYPE OF BUILDING: RESIDENTIAL ____ COMMERCIALL 3. ROOF SLOPE: RISE~inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) G) 2 3 5. TYPE OF EXISTING ROOF COVERINGc.mvp · SHEATHING pl t/ · *6. NEW ROOF MATERIALSh"i QJ k-CLASS __ WEIGHT PER SQUARE 7. NUMBER OF SQUARES ::;:..'-3 €;:C. . \A3 8. TRADE NAME °''!'flk.,.,/~· MANUFACTURER E,I j( ~~72---. 9. ROOF SYSTEM LISTING UL No . ..3j /.:> ICBO No. . IO. 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 install new roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signature Date ;;2. . .;;}--3 • 7' / Contractor+/ __ Owner ____ Contractor Name.~ &--i7Wl. ~~ ( *6 • Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Inspection Request For: 4/8/99 Permit# CB990719 Tille: REROOF 12306SF RISING GLEN APT Description: COMPOSITION SHINGLES Type:MISC Sub Type: REROOF Job Address: Suite: Location: 2360 RISING GLEN WY Lot 0 O.PPLICANT : EBERHARD BENTON ROOFING Owner: Remarks: GO TO OFFICE TO GET PAPERWORK Total Time: CD Description 19 Final Structural a Comments Inspection History Date Description Act lnsp Comments Inspector Assignment: PY --- Phone: 6192916340 Inspector: ----- Requested By: MIKE/JIM BECK Entered By: CHRISTINE 3/10/99 15 Roof/Reroof AP PY OK TO COVER