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Home My WebLink About1541 SANDALWOOD LN; ; CB012789; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-27-2001 Miscellaneous Permit Permit No:CB012789 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 1541 SANDALWOOD LN CBAD MISC Subtype: 2051304800 Lot#: $3,441.00 GINER -REROOF 3100 SF COMP REROOF 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: PIVA ROOFING, BOB GINER STEVEN D&KARYN A 1541 SANDALWOOD LN CARLSBAD CA 92008 ISSUED 08/27/2001 JM 08/27/2001 08/27/2001 1192 INDUSTRIALAV ESCONDIDO, CA 92029 619-745-4700 8507 08/27/01 0002 01 02 Total Fees: $89.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Payments To Date: $0.00 PERMIT Inspector: /Lh,:f e. · /J-t-:. FINAL APPROVAL Date: 1/2-'lpi-' Balance Due: Clearance: $89.00 $0.00 $0.00 $89.00 CGP 89-00 $89.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, ded"8tions, 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 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 vou have nreviouslv been niven a NOTICE similar to this or as to which the statute of limitations has nrevlouslv otherwise emired. -PERMIT APPLICATION . FOR OFFICE USE ~ I 7 04 PLAN CHECK No.f:i.2_6 _ <A)J EST.VAL. ~i(/ CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 Plan Ck. Deposit-==--------:---- Validated By _ __......,-"---+----,-*-:::::.77 Date __________ Ji<-,,_..=--,.._--, Address !include Bldg/Suite I) Busineu Neme lat this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units Assessor's Parc,i I .I Jt-e 'j.e.~/lau-t ~ Existing Uae Proposed Use Description of Work SO. FT. lot Stories II of Bedrooms. II of Bathrooms Name Addreu Telephone II Fax II Name f6~~.CONTRACT01i-·::C'ct>MPANY.'NAM~~~.;;""~illi~M¾,.,t~~'"!...--:i-me:r.~l~~~'f,;',:;:•7:::~.:-~.L:.-;:+,;,·;~ ... ISec. 7031.5 Business and Professions Code: Any City or County which requires • permit to construct. alter, improve, demolish or repair any structure, prior to its issuance, also requires the epplicant for such permit to file a aigned statement that he Is licensed pursuant to the provisions of the Contractor's License Lew (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 Any iolation of Sectio 7031.5 by any applicant for a rmit subjects tha applicant to a civil p,ial!Jt' of not m re ~•n five hundred dollars ($5001). ,rv-&,,... u-q-• '/1'. /,;-r.·IA. ,(~/ f:--"')(.vr'tJ.ftAu 'J.1..tJJ. 9 71/.S '-I ~o City State/Zip Telephone II State License II -'-'---=-.:....--""'---License Class L:! '.3 9 C S-City Businua Wcanse II (2 ~ '3 I "Jr Oesigner Name Addrea■ City State/Zip Telephone State License I _________ _ ·e:--:~ ... -w0RKERS":CoMPENSATJ0N,J;¥~t:r.~z.,~~~~~~~~::¼::-1ut~:~.~~~.i.~/!·~~~~~~!"l:~.,1:~t::.·:1~),;':~:;:4;"';~··.--;:~t";_;;::.;::·.::•:~::f:~·~:-:~· Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarationa: 0 I have and will maintain a certificate of consent to sell-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. ,8 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 compensation insurance carrier and policy number are: Insurance Company '51'A-7:I:: ,,C--« ,v O Policy No. '7' ~ 7 7 £1{ (THIS SECTION NEED NOT BE COMPLET1:D IF THE PERMIT IS FOR ONE HUNDRED DOUARS ($1001 OR LESS) Expiration Date. __ o_-_C---"d,_,__ __ _ 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so es to become subject to the Workers' Compensation Laws of California. WARNING: Failure to aecure worbn' compenaation coven,ge la unlawful, and ahaD aubject ., employer to criminal penllltlea and civil flnH up to one hundred thou■and doUara ($ ,00 , In llcl ltlon to the colt of compenutlon, damage■ u provided few In Section 3706 of tM Labor code, lnterHt and attomey'a fHa. SIGNATURE___,~~~L-...S..:~==:::::=:====----------·------DATE i!f'-,2 7--. Q / 7. '.F.}Q\vNEJl.aU1iDER·DEctARAt10N:;,;~~~~~~~;{~~.;77:;:_;.11;~;~;;4J~fkl;~1!,::_~-=t~i~~~:~]:~~~C~~f?~;T~{~~~~~~;.:,:.~?~-:~:.:;~~;t~~~jfiilff.W.: 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 es their aola compensation, will do the work and the structure is not intended or offered for sale ISac. 7044, Businus and Professions Coda: Th• Contractor's Weens• Law does not apply to an owner of property who builds or improves thereon, and who dou such work himself or through his own employees, provided that auch improvements are not intended or offered for sale. If, however, the building or improvement ia sold within one ye■r 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· ISac. 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). 0 I am exempt under Section ______ Buainess 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 lhave / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following parson lfirm) 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 lhired) the following persons to provide the work indicated (include name / address / phone number / type of work): _____________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ _ COMPt.:ElETI:flS SECTION"F0R NO/uiESIDENrJAi;. JIUIU>INO]•ERM(r~;Q~~r~~=:rlf..t:.~\.':::".::::..::-:1,c,.~~:::.::·-.. ·:;~;..:l::::::'.,:~1tc:: DATE __________ _ Is the applicant or future building occupant required to submit • businua plan, acutely hazardous material• registration form or risk management and prevention program under Sections 26505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Actl'-EJ---¥EG----Q-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 ba constructed within 1,000 feet of the outer boundary of a school 1ite7 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A ANAL CERTIACATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AJA POLLUTION CONTROL DISTRICT. s::c:c~NSTRuCT10,(teNo1NG~AGEN~f~~~at~if~~~!;l;tw-ir-Z~~~1m~=tr~~~l-~~;,;:~:R":H~~;:-:·~-'~~ ... :.~-'.4~;.;..~~~-:·:: .. : ·~:.;~i;:_~--~ 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 =====;:;::::;;;;~~:;;:;::;::;;:;;;::-,_;L:.;E;:;N~DER'S ADDRESS ________________________ _ -s:~~~;AP.PIJCAHl-'CERTIRCA'.110N~:~1?.~~;;.~~~~;J~~.:Z..v~f.w1tf!@t.~~~~~r~.~~S[.~~:..::..:.::;::··. ·;:~::~:·...:~--~~::~~-:· I certify that I have re■d the application end 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 Cit~ of Car1sbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU. LIABILITIES. JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAJO CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is reQuired for excavations over s•o• 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 it the building or work authonzad by such permit is not commenced within 365 days from the date of such permit or if the building or work authonzed by such permit is suspended or abandoned et any time after the rk i com enced for a period of 180 days (Section 106.4 .4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance . . .. City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS; /S-'i I >c,..pde I w~J /4 ...ve 2. TYPE OF BUILDING: RESIDENTIAL j>( COMMERCIAL,__ _ _. 3. ROOF SLOPE: RISE 'i inches In 12 inches 4, NUMBER OF EXISTING ROOF COVERING (circle one) a) 2 3 s. TYPE OF EXISTING ROOF COVERING %m ke, SHEATHING 5 )L, Y . *6. NEW ROOF MATERIAL ,&';J,q CLASSA_WEIGHT PER.SQ~E 2 '30 7, NUMBER OF SQUARES '3 / , ,,,--, y L-\ 8. TRADE NAME "" '-r-MANUFACTURER c L,K ',, 9. ROOF SYSTEM LISTING UL No •. ___ -'ICBO No. S-</1 t-/ , 10, IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? ~ NO All roof coverings are required to be ~LASS A. Combustible roof coverings of any type or classlflcatlon are prohibited. I understand the following Inspections are required: 1. Tear Off/Pre-lmipectlon prior to install new roof covering. 2. Flnal Inspection I agree to provide a ladder extending at least 2 rungs above the roof for Inspection. Signature a L---> Dafe &;-;l '7-0 J Contractor )< Owner . · Contractor NamePJ I / Jtr~ I u u ~ *6 • Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. Inspection List Permit#: CB012789 Type: MISC REROOF GINER -REROOF 3100 SF COMP Date lnspe_c_ti_o_n_lt_e_m ________ l_ns~p~e_c_to_r __ A_c_t __ C_o_m_m_e_n_ts_ 09/10/2001 19 Final Structural RCB AP FINAL 08/31/2001 15 Roof/Reroof RCB AP OK TO COVER Tuesday, January 29, 2002 Page 1 of 1