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Home My WebLink About2620 ROOSEVELT ST; ; CB101728; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-21-2010 Miscellaneous Permit Permit No: CB101728 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 2620 ROOSEVELT ST CBAD MISC 2031022800 $5,418.00 Subtype: REROOF Status: Lot#: 0 Applied: Entered By: Reference #: Plan Approved: ISSUED 09/21/2010 KG 09/21/2010 09/21/2010 PC#: Project Title: Applicant: HARRISION-RE-ROOF 43 SQ-COMP TO COMP SHINGLE Issued: Inspect Area: Owner: ROYAL ROOFING CO HARRISON KEITH&SARA 150 NETTLETON RD VISTA CA 92083 760 806-1100 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $137.00 Inspector: PERMIT FEE PO BOX 231594 ENCINITAS CA 92023 Total Payments To Date: $137.00 FINAL APPR VAL Date: 2 .. -3 UJl I $137.00 $0.00 $0.00 $137.00 Balance Due: w ,y,,/<... c..,,-,,-,,, / /,Al C,...1-p-~- Clearance: $0.00 NOTICE: P!ease take NOTICE th 1 approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions.n 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 !11rth 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, gr a.ding or other similar application processing or seNice fees ln connection with this project. NOA DOES IT APPLY to any fees/exactions of which ou have reviousl en iven a NOTICE similar to this or as to which th statute of limitations has reviousl otherwise ex ired. .«~'fr> Building Permit Application Plan Check No. ( ~ / 0 / 7 2-8(' ~ CITY OF CARLSBAD JOB ADDRESS CT/PROJECT# 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 PHASE# Fax: 7 60-602-8558 www.carlsbadca.gov #BEDROOMS SUJTE#/SPACE#/UNIT# # BATHROOMS DESCRIPTION OF WORK: Include Square Feet of Aftect&d Area(s) Est. Value "51// /s. Plan Ck. Deposit --)./--I 0 SWPP APN CONSTR. TYPE OCC. GROUP GARAGE (SF) PATIOS (SF) AIR CONDITIONING FIRE SPRINKLERS NOD YES □ NOD YES □ NO □ CONTACT NAME (ff Different Fom Applicant) APPLICANT NAME ADDRESS so Ale ADDRESS ,,. /Su CITY STATE CITY CA FAX -1100 PROPERTY OWNER NAME _, /.. ~art-1 s <Yv CONTRACTOR BUS. NAME ADDRESS ?6 -;),.._q s-f STATE ZIP CA' FAX ARCH/DESIGNER NAME & ADDRESS STATE LIC. # / (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 {hat 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 {$500)). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby efflrm under penally of perjury one of the following declarations: □ I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor COOe, for the performance of the work for which lhis pem,it is issued. ~I have and will maintain work.._!l:l'}_~mp:satl~s r~~red by Section 3700 of the Labor Code, for the pelformance of the wo~hich this_piPjil is issued. My workers' compensation insurance rrier and policy numberare:lnsuraoceCo._:2_.,_,_,@_,,,.~u.«--_,;b.::u.•~==----------Policy No. ;;;J-rF·'iL.2._/ Q":J_ Expiration Date / 0 / This section need not be competed if the pemiit is for one hundred dollars ($100) or less. □ Certiftcate of Exemption: I certify that in the performance of the worl( for which this permit is issued, I shall not employ any person in any manner so as to become subject to lhfl Workers' Compensation Laws of California. WARNING: Failure to secure workers' ensation coverage is unlawful, and shall subject an employer to criminal penalties and cMI fines up to one hundred thousand dollars (&100,000), in ges r ded for in Section 3706 of the Labor code, Interest and attorney's fees. ~GENT I hereby affirm that I am exempt from Contractor's Ucanse Law for the following reaS-On: □ 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 v.tlo 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). □ 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) l~nsed pursuant to the Contractor's License Law). □ I am exempt under Section ----~Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials fa construction of the proposed property improvement. □ Yes □ No 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. t have contracted with the following person (finn) to provide the proposed construction (Include name address I phone/ contractors' license number): 4. I plan to provide portions of the work, but I have hired the fo!lowing person to coordinate, supervise and provide the major work (include name I address I phone I contractors' license number): 5. I will provide some of the wonr:, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work): ~ PROPERTY OWNER SIGNATURE □AGENT OATE COMPLETE THIS SECTION FOR NON•REHDENTIAL BUILDING PERMITS ONLY Is !tie applicantoor Mure 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? □ Yes D No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management dislrlct? O Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ 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 ANO THE AIR POLLUTION CONTROL DISTRICT. I hereby affinn that there 1s a construction lending agency for the perfonnance of the work this perrmt 1s issued (Sec 3097 (i) CIVIi Code) Lender's Name Lender's Address 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 Cit¥ ordinances and State laws relatlngto building construction. I hereby authorize representawe of the City of Carlsbad ti enter upon the above mentklned property for llspecoorl purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AC.<\INST 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 constructbn of structures (J,/8f 3 stiries 11 he(jht. EXPIRATION: Every permit issued by the Building . er the provisbns of this Code shall expire by linilaOOll and become null and void W lhe buidhg or work authorized by such permit is not corrmenced YMhil 180 days from the date of such pem1il er· buid' or authorized by such permit is suspended Of abandoned at anytime after lhe work is OJmmenced for a period of 180 days (Secoon 106.4.4 Unibm &iikling Code). _L5 APPLICANT'S SIGNATURE lo 8-10 REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESS: 62G ') 0 f< oo Seue / I-"'St- 2. TYPE OF BUILDING: RESIDENTIAL X COMMERCIAL. ___ _ 3. ROOF SLOPE: RISE4: f';) INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) Q) 2 3 5. TYPE OF EXISTING ROOF COVERING $''1,,&(-e,, SHEATHING\IBS 'v 7 *6. NEW ROOF MATERIAL Sf.,,, '"€,(e., CLASS __ WEIGHT PER SQ. __ 7. NUMBER OF SQUARES_q~5 ___ _ 8. TRADE NAME$0 1(1...,-C.otq2 MANUFACTURER ;V}a, I o.r"kt,\j I 9. ROOF SYSTEM LISTING: UL NO. -d~li->~---I.C.C.E.S. Report# _____ _ ASTM _____ _ 10. IS THE EXISTING STRUCTURAL 9~ 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 ----· . . . . . ----- tending at least 2 rungs above the roof for inspection. Contractor X ? Owner Contractor ----- Name Kct/J / Koo{, 1,--= Co *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other Page 5 of5 Rev. 03/09 City of Carlsbad Bldg Inspection Request For: 02/22/2011 Permit# CB101728 Title: HARRISION-RE-ROOF 43 SQ-COMP Description: TO COMP SHINGLE Type:MISC Sub Type: REROOF Job Address: 2620 ROOSEVELT ST Suite: Lot: Location: APPLICANT ROYAL ROOFING CO Owner: Remarks: Total Time: 0 Act Comments Inspector Assignment: I Phone: 8583953408 Inspector: ---- Requested By: KEITH HARRISON Entered By: CHRISTINE CD 19 Description Final Structural µt... __ .:.,W'-"'~..:::.,.::,,,'-'C.o""'_ ,,_..,..,,.,...,~f'---"U_"""""_/'---------"(.AJ=;_J:d""-· c.J'L...::.."' <.,<.A=---- £,,,-, j~ Date Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Description Inspection History Act lnsp Comments S Av1? T¢s -pA-feL f /P-.<c,L KMf (;... ( JJ