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Home My WebLink About2800 ROOSEVELT ST; ; CB002998; PermitJ City of Carlsbad , 1635 Faraday Av Carlsbad, CA 92008 08/14/2000 Miscellaneous Permit Permit No:CB002998 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: • 2800 ROOSEVELT ST CBAD MISC Subtype: Lot#: $11,200.00 RE-ROOF-10,000 SF TORCH DOWN REROOF 0 ,.JAN. '1:>l~k { A""<" c. Applicant: -->.>O -Owner: \<A~I blYKE & ASSOCIATES STEG 28 HAMMOND IRVGINE CA 92618 949 586-3828 Total Fees: $218.00 Miscelaneous Fee #1 Miscelaneous Fee #2 TOTAL PERMIT FEES Inspector: ~ Total Payments To Date: PERMIT FEE Status: Applied: Entered By: Plan Approved: ISSUED 08/14/2000 RMA 08/14/2000 08/14/2000 $0.00 Issued: Inspect Ali@!!§ 08/1,:';/JO 0001 01 Balance Due: $218.00 $0.00 $218.00 Clearance: $218.00 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 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 feesfexactions 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. 02 I FOR OFFICE USE ONLY PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 PLAN CHECK NO.~---- EST. VAL. //4 ¾Qv/)ii' Plan Ck. Dep~t --~A-.----- 1. PRQJ~~T IPifORMATION Lot No. Subdivision Name/Number Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use D~~AfnWork 17YI<. ~ SO. FT. #of Stories # of Bathrooms ~-COf-.lTACTi>EIJSON (If jllfftrent from appll~antl 10,cxe> w- Name Address City State/Zip Telephone# Fax# 3. APPLICANT Ji(_ Contr~ctor 0 Agent tor.Contractor 0 Owner O Ag,nt fat Owner Name ij. City Business License # _______ _ Designer Name State License # ___ ,...~"'------ Address City State/Zip Telephone 6. WOR~ERS' COMPENSATION ;, 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. ~ 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,,qensation insurance carrier and policy number are: Insurance Company ~:e fuvid. Policy No. 2B5-ro Expiration Date 1-l -01 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) 0 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: Failura to secure workers' com thousand dollars ($100,000), in a , ensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred e cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees. 8~I1-ZC>OO O I, as owner of the property or my employees with wages as their compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's Lie aw 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 t uch improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder w· ave the burden of proving that he did not build or improve for the purpose of sale). 0 I, as owner of the property, am exclusive! Contractor's License Law does not apply t pursuant to the Contractor's License La ntracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The owner of property who builds or improves thereon, and contracts for such projects with contractor(sl licensed 0 I am exempt under Section -.'"-----Business and Professions Code for this reason: 1. I personally plan to pro · e the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (have / have not 1gned an application for a building permit for the proposed work. 3. /i have contr ed with the following person (firm) to provide the proposed construction (include name/ address / phone number/ contractors license number): 4. I pla o provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone numb contractors license number):. ______________________________________________ _ 5. I will provide some of the work, but I have contracted (hiredl the following persons to provide the work indicated (include name/ address / phone number/ type of work):. ________________________________________________________ _ PROPERTY OWNER SIGNATURE ------------------------- COJVIPLETE THIS SECTIOl'{_FOR NON.RESIDENTIAL BUILDING PERMITS ON!;Y,,__, __ 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 k{ 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 ~· NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES ~ 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. CONSTRU~TION L_ENPING AGENCY . 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. _______ _._,~;>IIL~-'---------------- 1~_. •Af P!JC.y.lT. CERTIFIC[' TION 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 o EXPIRATION: Every permit issued by the buildin authorized by such permit is not commenced wi in 1 0 at any time after the work is commenced for APPLICANT'S SIGNATURE ·o· deep and demolition or construction of structures over 3 stories in height. nd r the provisions of this Code shall expire by limitation and become null and void if the building or work ro e date of such permit or if the building or work authorized by such permit Is suspended or abandoned a Section 106.4.4 Uniform Building Code). DATE YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING I. JOB ADDRESS: 2 ero ~uel+6sG (CJvt'f?ac{ 2. TYPE OF BUILDING: RESIDENTIAL ____ COMMERCIAL )( 3. ROOF SLOPE: RISE l/2, inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) 1 (]) 3 s. TYPE OF EXISTING ROOF COVERING BUR SHEATHING pl~i.JaJd *6. NEW ROOF MATERIAL HA CLASS 120 WEIGHT PER SQUARE 7. NUMBER OF SQUARES / 00 8. TRADE NAME U6]mec__ MANUFACTURER LlS~c.. . 9. ROOF SYSTEM LISTING UL No. Rq68'i ICBO No. ~rl@t~~1?12 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: 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. ContractorLowner ____ Contractor Name Val/\ Dt:l 4 -h CLtc-k:f-. v *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 8/25/2000 Permit# CB002998 Title: RE-ROOF-10,000 SF TORCH DOWN Description: Type:MISC Sub Type: REROOF Job Address: Suite: Location: 2800 ROOSEVELT ST Lot 0 APPLICANT VAN DYKE & ASSOCIATES Owner: Remarks: PM PLEASE Total Time: CD Description 19 Final Structural ~omments Associated PCRs Inspection History Date Description 8/1812000 15 Roof/Reroof Act lnsp Comments AP TL Inspector Assignment: TL --- Phone: 9495863828 Inspector:~ Requested By: PETER Entered By: ROBIN