HomeMy WebLinkAbout1665 SANDALWOOD LN; ; CB043431; PermitCc City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
09-01-2004 Miscellaneous Permit Permit No: CB043431
Building Inspection Request Line (760) 602-2725
Job Address: 1665 SANDALWOOD LN CBAD
Permit Type: MISC Subtype: REROOF Status:
Parcel No: 2051305400 Lot#: 0 Applied:
Valuation: $3,648.00
Reference #:
Project Title: AGRELL RESIDENCE
32 SQUARES OF COMP RE-ROOF
Applicant:
ALL TRADE REMODELING
4485 SUNBURST DRIVE
OCEANSIDE 92056
760 533-7966
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
PERMIT
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
AGRELL DIANE J TRUST 11-25-96
1665 SANDALWOOD LN
CARLSBAD CA 92008
Total Fees: $90.00 Total Payments To Date: $0.00 Balance Due:
ISSUED
09/01/2004
MDP
09/01/2004
09/01/2004
$90.00
$0.00
$0.00
$90.00
$90.00
0201 09/01/04 0002 01
CGP
Inspector: 0b Clearance:
NOTICE: Please take NOTICE that approval of your project includes the 'lmpos ion' 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 capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES !T APPLY to any
f xactions f which ou h v r viou I b n iven N TICE similar t hi r t hi h hes f limit i n r vi I herwi e
02
90. 00
FOR OFFICE U~E UNL Y
PERMIT APPLICATION
. CITY pF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008 ·
PLAN CH¥fEC {)(25~ ~ ~'(?(
EST.VAL.__j_ -~ .
Plan Ck. Depo t .
Validated By __________ _
Date. ______________ _
Business Name (at this address,
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units
Assessor's Parcel I Existing Use Proposed Use
State/Zip Telephone I
~~-~
(Sec. 7031.6 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 slgnad statement that ha is licenaed pursuant to the provisions of the Contractor's License Law
[Chapter 9, commending with Section 7000 of bivlslon 3 of the Business and P_rofassions Code! or that ha Is exempt therefrom,. and the basis for the alleged
e em tion. Any v olatlon f Sectio 70 1 . 6 by any applicant for a per it sub c he applic t to a civil p alty of not more than five hundred dollars I$ 600U. ~ j'f?
Address City State/Zip Telephone
State License I _________ _
~~;,1~tJ.f~Smm~~~!;£',ts.~1mNit''lill"~mm.a:~n-&i~
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-lnswe for workers·; compensation as provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit Is Issued.
O I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for .the performance of the wor·k for which this permit is
issued. My worker's compensation Insurance carrier and policy number are:
Insurance Co,;,pany _____________________ Policy No.,____________ Expiration Date. _______ _
IS SECTION "NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1•100) OR LESS!
CER!Jf.lCATE 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
ecoma aubject to the Workers' Compensation Laws of California.
RNIN0: Failure to wllfken' compenutlon eoveraae la unlawful, and lhall aubjec:t an employ• to criminal lea end clvM fines up to one hundred
thou I, In eoat of compensation, damages u provided for.In Section 3706 of u_,.,_ .. ..,,...,.odl!, Interest and attomay'a fna.
SIGNATURE . DATE Ot .
. ' . ' ~~~~l!I
/,
_., hereby affirm that I am exempt from the Contractor's License Law for the following reason: ·.
~ J / L_O I, ai owner. of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended 9r offered for sale
v'V I,'/ (Sec. 7044, Busineaa and Profe11io.n1 Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, end 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 bwden of proving that he did not build or improve foi the purpose of sale).
,0 I, es owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The
Contractor'• License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractcir(s) licensed
pursuant to the Contractor's License Law).
,0 I am exempt under Section ------'--Buslne11 and Professions Coda for this reason:
. .
1. I personally plan to provide the mejor labor and materials tor construction of the proposed property improvement. 0 YES ONO
2. I (have / heva not) algned en 1ppllc1tlon 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 parson to coordinate, supervise and provide the major work (include name / address / phone
number/ contractors licenH numberl:, ________________________ ~---------------------,.-
6. I will provide some of the work, but I have contracted (hired) the following parsons to provide the work indicated (include name / address / phone number / type
.1/. of work): .
/V _t PROPERTY OWNER SIGNATURE DATE _________ _ t'~Mft~~mumr -·-"" · -. -~ · , ~~~~;~w~
Is the eppllcent or future building occupant required to submit a busina11 plan, acutely hazardoua materials registration form or risk management and prevention
program under Sections 26606, 26633 or 26534 of the Presley-Tanner Hazardous ~ubstance Account Act?-· 0 Y.ES O NO
Is the applicant or future building occ_upant required t~ obtain a permit from the air pollution control district or air quality management district? 0 YES O NO
la the facility to be corustructed within 1,000 f1111t 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 MEETIN0 THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
~A-~Q--W-~Wh~WlfBm~~~filiml~fi•U~~!l~~~t~li¼~f±~i:ft:~~~LUllill~:;;mrr.t~~i~~~~
I hereby affirm that there is a construction landing agency tor the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code).
LENDER'S· NAME ______________ _ LENDER'S ADDRESS _____________________ ;__ ____ _
W ~IIM2r.._.,,.~Bffi~dt~~,'1/~T-~
'I .certify that I have read tha 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 raprasantatlvas of the Cltt of Carlsbad to enter upon the above mentioned
property tor inspection purpos111. 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 fo_r excavations over 6'0" deep and demolition or constructi~n of structures over 3 stories In height.
EXPIRATION: Every permit Issued by the building Official under ihe provisions of this Code shall ·expire by limitation and become null and void If the building or work
authorized _by such permit Is not com nc within 180 days from the date of such permit or If the building or work authorized by sue; permit Is suspended or abandoned
at any time after the work Is e for a p f 180 d (Section 106.4.4 Uniform Building Code).
WHITE: Fila YELLOW: "Applicant PINK: Finance
t
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDREss:/66.5" ta,dk~· /4. rcµdacl
2. TYPE OF BUILDING: RESIDENTIAL f COMMERCIAL __ ~
3. ROOF SLOPE: RISE S° inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) Cf) 2 3
5. TYPE OF EXISTING ROOF COVERING ___ SHEATHINGQ,(" /5
*6. NEW ROOF MATERIAt¥,.lta,,.,.;cLAss.Lf__wEIGHT PER SQUARE
7. -NUMBER OF SQUARES 11--
8. TRADE NAME 1i;i.ld--1L MANUFACTURER_,_{;;.;L.,&..41,..<J=:c..._ __ __,
9. ROOF SYSTEM LISTING UL No. ___ ~ICBO No. ____ __,_
10. IS THE EXISTING STRUCTURAL DESl~ICIENT 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: •.-,
( (
I. Tear Off/Pre-inspection prior to instalfnew roof covering.
2. Final Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for
inspection.
Signatu~~ Date ~C(
Contractor~Owner ____ Contractor Narre /jUJ/1 · lt.u7Q
*6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up,
Other.
City of Carlsbad Bldg Inspection Request
For: 09/09/2004
Permit# CB043431
Title: AGRELL RESIDENCE
Description: 32 SQUARES OF COMP RE-ROOF
Type: MISC Sub Type: REROOF
Job Address: 1665 SANDALWOOD LN
Suite: Lot 0
Location:
APPLICANT ALL TRADE REMODELING
Owner: AGRELL DIANE J TRUST 11-25-96
Remarks: LADDER ON SIDE OF HOUSE, NEAR SHED
Total Time:
CD Description Act Comment
Inspector Assignment: JM ---
Phone: 7605337966
ln,spector: ~
Requested By: KEVIN
Entered By: ROBIN
19 Final Structural ~------
Associated PCRs/CVs
Inspection History
Date Description
09/03/2004 15 Roof/Reroof
09/02/2004 15 Roof/Reroof
Act lnsp Comments
AP JM OK TO COVER
CO JM FALL ON RAFTER