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Home My WebLink About2419 SACADA CIR; ; CB022670; Permit. ('-.~\ \v\ . <J ~ ' City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-08-2002 Miscellaneous Permit Permit No: CB022670 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: Building Inspection Request Line {760) 602-2725 2419 SACADA CR CBAD MISC 2161903200 $2,220.00 Subtype: REROOF Lot#: 0 GEORGE RES-2000 SF COMPOSITION Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: A-1 BUDGET ROOFING ISSUED 09/08/2002 RMA 09/08/2002 09/08/2002 GEORGE ROBERT R&NOELLE.J.!Ol 09 :>ij• /09/02 0002 01 02 PO BOX 301406 ESCONDIDO CA 92030 760 480=4697 Total Fees: $77.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Inspector: 2419SACADACIR CGP 77,00 CARLSBAD CA 92009 Total Payments To Date: $0.00 PERMIT FEE Date: Balance Due: Clearance: $77.00 $0.00 $0.00 $77.00 $77.00 NOTICE: Please take NO , t approval of your project includes the "Imposition" fees, edications, reservations, or other exactions rereafter collectively referred to as "'fees/exactions." Y u 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 orth 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 seivice fees in connection with this project. NOR DOES IT APPLY to any f V i i I i r w· h .. 'n i I . . FOR OFFICE USE ONLY rPERMIT APPLICATION PLAN CHECK NO. ____ _ EST. VAL. A ?--/'J......O CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Depos it --------.4---,<i Validated By ___ ~.....,..._-+--H-11,+v- Date. ______ _;_-'--'~l-l--1-.1....,1. __ _ Business Name (at this address) Unit No. Phase No. Total # of units Assessor's Parcel # Proposed Use Deo/'4.iiption of Work /"' SQ. FT. #of Stories # of Bedrooms # of Bathrooms t'f -c...rC,d ,-- ~-',QNT~CI.,PE~Of,I (If plffettQt frpmJ!ppllcant) Name City State/Zip Telephone# Fax# Address Contractor D Agent for Contractor -1.:!.d~~=--~--.f:~~~~-=--c:::==-=-· ~:'.!.::2.£.J.!.~==----..6.:::2~~~~~~~~~~~2...6~~4':'.fJ~t?; Address 3. Na e 5. Address City S.tate/Zip Telephone # (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 A violation of Section 7031.5 by any applic~t for a ermit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). ~'...... ,,,a.,.,-.., __ ~ C::> q~9;7 a e State License # 76 S 1/Cj-State/Zip Telephone # City Business License # / 1/ 5 C!> ~7 Address City State/Zip Telephone 6. I hereby affirm under penalty of perjury one of the following declarations: 0 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. 'GI 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 iCsued. My worker's compen?tio:::urance carrier and policy number are: _ Insurance Company S' -r-,, r:_~ ~ Policy No. /5:J, t: 0 ,'> r: Expiration Date // /a 2... (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS) / O CERTIFICATE OF EXEMPTION: I certify t hat 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 d -.,,.-~.,..,.. n, dama es aa provided for In Section 3706 o erest and attorney's fees. SIGNATUR '+,-?,.:t.::.!~~~~--...!::.~~,::::;;~z:=------------c:c-c:c-DATE _.......__~c...... ___ -z_.-= 7. O)VNE . .. .,........,.._,,,,....,...... 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 t he 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 project s with contractor(s) licensed pursuant to the Contractor's License Law). 0 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 O NO 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 _________ _ COMPLETE THIS SECTION FOR NON-/j_ES/DENT/AL BUILDINCtf.ERMl'I'.,~ 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 H 0 azardous 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. 8. CONSTRUCTIO_N LENDING AGEN.CY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) 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 t o 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 co menced for a period of 180 days (S 106.4.4 Uniform Building Code). DATE _ ...... 9..,__-___..9=---C!:> __ -=2-=--- WHITE: File YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: ?, tf/ 7 5a ~ Lfr-?---/c 2. TYPE OF BUILDING: RESIDENTIAL ,K COMMERCIAL __ _. 3. ROOF SLOPE: RISE ~r inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) u) 2 3 5. TYPE OF EXISTING ROOF COVERING2¼k_ SHEATHING~~ *6. NEW ROOF MATERIAL J:-l-CLASS.3',::DWEIGHT PER SQUARE 7. -NUMBER OF SQUARES :2---~ _-.-, ,--I -,,--, 8. TRADE NAME0u-,/2eclin< MANUFACTURER 1...>-#r 9. ROOF SYSTEM LISTING UL No., ___ ~,ICBO No. ____ __,_ 10. IS THE EXISTING STRUCTURAL DESIG®)CIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? YES 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 instali new roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signature 1 0~ z;~ -=== Date J:~ ---,:;;;-z__ ContractorLowner ____ Contractor Name ______ _ *6 • Rolle,ro~fing, Standard/Lite Tile, Asphalt/Com~ Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 09/13/2002 Permit# CB022670 Title: GEORGE RES-2000 SF COMPOSITION Description: Type:MISC Sub Type: REROOF Job Address: Suite: Location: 2419 SACADA CR Lot APPLICANT A-1 BUDGET ROOFING 0 Owner: GEORGE ROBERT R&NOELLE M Remarks: Total Time: Inspector Assignment: JE --- Phone: 7604804697 Requested By: BOB Entered By: CHRISTINE CD _D_e_s_c-ri-pt-io_n _______ J_·Act Commeµn1 15 Roof/Reroof Cj_ ~ Associated PCRs/CVs Inspection History Date Description 09/10/2002 15 Roof/Reroof Act lnsp Comments AP JE