HomeMy WebLinkAbout2122 SERENO CT; ; CB022005; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-05-2002 Miscellaneous Permit Permit No: CB022005
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
2122 SERENO CT CBAD
MISC
2164850800
$2,220.00
Subtype: REROOF
Lot#: 0
Status:
Applied:
Entered By:
Plan Approved:
Issued:
ISSUED
07/05/2002
CB
07/05/2002
07/05/2002
Project Title: DOUGHERTY RES/ INSTALL 20 SO'S
COMP SHINGLE ROOF/ REMOVE SHAKE
Inspect Area:
Applicant:
SAN DIEGO ROOFING
615 NORTH AVE
VISTA, CA 92083
760-758-1800
Total Fees: $77,00
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
lnsoector:
Owner: ')676 07/05/02 0002 '.)1
DOUGHERTY MICHAEL L&SHANNON C CGP
2122 SERENO CT
CARLSBAD CA 92009
Total Payments To Date: $0.00 Balance Due: $77,00
PERMIT FEE $77.00
$0.00
$0,00
$77,00
EXPIRED PERMIT
PERMIT HAS EXPIRED IN ACCORDANCE WITH U.B.C.
SECTION 106.4.4
oATE 'I" le s1GNATURE '""1B~AAJ1:1.:.... ___
FINAL APPROVAL
Date: Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reseivations, 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 IT APPLY to any
.-• • ··-·· • -'··--" ~, ....... ,,..,.. <>imil<>r to thi<> or ::,i,;: to ,11hi,-.h ·• • • · • ,..__ • _,,.. __ ._, __ -··-·
'\" .A-•
FOR OFFICE USE ONLY
P[RMIT APPLICATION PLAN CHECK No.L /8()7~
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. __________ _
Plan Ck. Deposit----------,---
Validated By_ .... C._-.:::B..,_"'-------
Date ---;-S--02-
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Proposed Use
#of Stories # of Bedrooms # of Bathrooms
2. CONTACT PERSON (If different from appllcantl
State/Zip
cA-.
State/Zip
;,· ~T~~?~~~.J a l~ d---)£/'e vQ cA jJoo L c ,4
Name J ( Address City State/Zip
Designer Name
State License #
8. WORKERS''COMPENSATION
Address City
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
State/Zip
Telephone# Fax#
Telephone#
Telephone#
Telephone
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
~,, 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 t ·s permit is
issued. My worker's comp:::tion ins~ce carrier and policy number are: , 9 ,.,,.--.e:-_
Insurance Company ~c I t:: Policy No. Co -u ..:> }OD,-Expiration Date / ~
(THIS SECTION NEED ,NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 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 f California.
WARNING: Failure to secure wor c pensatlo coverage Is unlawful, and shall subject an employer to criminal penaltie~a d civil fines up to one hundred
thousand dollars ($1 dd Ion to the cost f ensation, damages as provided for in Section 3706 of the Labor~ inteoNt and attorney's fees.
'1_s1GNATURE. __ "C'7.C..,:::-:::---~±::::-::::-----=----=----------------:::---::::-DATE L._/0 l:z: OWNER-BUILDER DECLARA .
I hereby affirm that i am exempt from the Contractor's License Law for the following reason:
O I, es 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).
O 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) 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 ONO
2. I (have I 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 I 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 I address I 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 I address / phone number I type
of work):_~-----------------------------------------------------------
PROPERTY OWNER SIGNATURE _______________________ _ DATE __________ _
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk menagement and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous 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.
[ii. CONSTijUCTIONLENDING 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. ________________________ _
9, Af:'PLICANT 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 to 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 r construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the building Official under visions o is Code shall expire by limitation and become null and void if the building or work
authorized by such permit is not commenced within 1 BO days fro e date of s permit or 1f the building or work authorized by such:zer /4t is s pended or abandoned
at any time after the work Is commenced for a · ys action 1 . niform Building Code). / _
~PPLICANT'SSIGNATURE ------~---~:..,__....:..._ ___________ DATE /, L) Vd--..
WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad
■=11 ■■n ■ I ,1·1 ·14·Elii ,,14,11
December 6, 2002
MICHAEL & SHANNON DOUGHERTY
2122 SERENO CT
CARLSBAD CA 92009
RE: BUILDING PERMIT EXPIRATION
PERMIT TYPE: MISC
Permit Number:
Issue Date:
ADDRESS: 2122 SERENO CT
CB022005
7/5/02
PLEASE CALL FOR AN INSPECTION IF WORK IS
COMPLETE
Our records indicate that your building permit will expire by limitation of time on 1/1/03.
The provisions of UBC, Section 106.4.4 as amended by the Carlsbad Municipal Code state: "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 (unless issued prior to 7 /1/99 which is one year from date of permit), or if the
building or work authorized by such permit is stopped at any time after the work is commenced for a period of
180 days or if the building or work authorized by such permit exceeds three calendar years from the issuance
date of permit. Work shall be presumed to have commenced if the permittee has obtained a required inspection
approval of work authorized by the permit by the Building Official within 180 days of the date of permit
issuance. Work shall be presumed to be stopped if the permittee has not obtained a required inspection
approval of work by the Building Official within each 180 day period upon the initial commencement of work
authorized by such permit.
Before such work can be recommenced, a new permit shall be obtained to do so, and t4e fee, therefore, shall
be one-half the amount required for a new permit for such work, and provided that no changes have been made
or will be made in the original plans and specifications for such work, and provided further that such
suspension or abandonment has not exceeded one year. In order to renew action on a permit after expiration,
the permittee shall pay a new permit fee.
Any person holding an unexpired permit may apply for an extension of the time within which work may
commence under that permit when the permittee is unable to commence work within the time period required
by this section for good and satisfactory reasons. The Building Official may extend the time for action by the
permittee for a period not exceeding 180 days on written request by the permittee showing that circumstances
beyond the control of the permittee have prevented action from being taken. No permit shall be extended more
than once.
Please check below indicating your intentions and return this letter to us.
Project abandoned. A new permit will be obtained prior to commencing work.
No fee extension requested for 180 days. (attach a letter of explanation)
Renewal permit requested.
If the project has been completed and only a final inspection is needed, please call the inspection request line at
(760) 602-2725.
If you have any questions, please contact the Building Inspection Departtnent at (760) 602-2700.
PAT KELLEY
Principal Building Inspector
1635 Faraday Avenue• Carlsbad, CA 92008-7314 • (760) 602-2700 • FAX (760) 602-8560 @
Building Counter• (760) 602-2719 • FAX (760) 602-8558