HomeMy WebLinkAbout1733 SCHOONER WAY; ; CB053831; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
11-02-2005 Miscellaneous Permit Permit No: CB053831
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
1733 SCHOONER WY CBAD
MISC
2073202200
$3,528.00
Subtype: REROOF Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Project Title: SIMPKINS RES-2800 SF COMPOSITI Inspect Area:
Applicant:
SIMPKINS TERRY J JR&MICHELLE A
1733 SCHOONER WAY
CARLSBAD CA 92008
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees:
Inspector:
$89.00
Owner:
SIMPKINS TERRY J JR&MICHELLE A
1733 SCHOONER WAY
CARLSBAD CA 92008
PERMIT FEE
Total Payments To Date: $89.00 Balance Due:
FINA
Date: Clearance:
ISSUED
11/02/2005
AMA
11/02/2005
11/02/2005
$89.00
$0.00
$0.00
$89.00
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "lmposi · n" of fe , dedications, reseivations, or other exactions hereafter collectively
referred to as "fees/exactions.ff 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 imposttion.
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 appllcation processing or service fees in connection with this project. NOR DOES IT APPLY to any . . . . . ' . . ir
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE O~ V
PLAN CHECK NO. (J;v ,S) !] \
EST. VAL. Q t f y
Plan Ck. Depos,'t ____ ..,..~---
Validated By , 1 7,F
Date.~/1+/ +{#-->-2,+-i(t,,,_,if=>-----., , ••~•illl~lll-1, ~-1'-)WSIIIBll~e \I \131 -::s<. \.\~'I.~\& w"-'::\' C~}~rn.D Ct.. 5'WOY
/"' Addreu (include Bldg/Suite #) Business Name (at th1a address)
Legal Detcription Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units
Asnssor's Parcel I Existihg Use Proposed Use
#of Stories II of Bedrooms I of Bathrooms
Name Address City State/Zip Telephone I Fax I
II! lilll'•IIFI "llllllllll!lllllnllll-.111 ~
J Name
~l
State/Zip
II
Telephone II
Name ' Addreu ity State/Zip Telephone I
W i I 11111 ti fl l~W-1111!'. 1 m 11 1111111 & £ 1 ta I ,!ti& JR!
(Sec, 7031.5 Business and Professions Code: Any City or. County which requires a permit to construct, altar, Improve, demolish or repair any structure, prior to Its
Issuance, alao requires the appllcant for such permit to file a signed statement that he ia licensed pursuant to the provision, 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
exemption. Any violation of Section 7031.6 by any sppllcsnt for a permit subjects the spplicsnt to• cMI penalty of not more then five hundred dollars (t600U.
Name Address City State/Zip Telephone I
State License ti _________ _ License Class ________ _ City Business License I _______ _
Designer Name
State License I
Address City State/Zip Telephone
. iffiill!!r.,IJliJR!ilJIWW 111 t :il&lllli'lli3£2 &iiiiiiiii,iii!ZZIIIMI Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
D I have and will maintain a certificate of consent to self-insure for workers' compensation ss provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit Is issued.
0 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____________________ Polley No. Expiration Date. _______ _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$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 ss
to become subject to the Workers' Compensation Laws of California.
WARNING: Fabe to HCUre workers' compenutlon coverage Is unlawful, and shel subject an employer to crlmlnal penllltlu and ctvll flnu up to one hundred·:,
thousand dollara Cf100,000}, In addition to the cost of compensation, damagu as provided for In Section 3708 of tha Labor code, lnt..-..t and attorney'• fees.
SIGNATURE DATE
hei'eby affirm that I am exempt from the Contractor's License Law for the following reason:
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 Profeniona Coda: The Contractor's License Law does not apply to an owner of property who builds or improves therlion, and who does
such work himself or through his own employees, provided that such improvements sre 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 bulld or improve for the purpose of sale).
J;8! I, IS owner of the property, am excluaively contracting with licensed contractors to construct the project (Sec. 7044, Business and P;ofessions 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 maj01 labor and materials for construction of the proposed property improvement. 0 YES ONO
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 coordinilte, supervise and provide the major work (include name / address / phone number/ contractors license number):. ________ .,.,. ___________________________________ _
red) the following parsons to provide the work indicated {include name / address / phone number I type
Is the applicant or future building oc required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 26634 of the Presley-Tinner Hazardous Substance Account Act? 0 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 district? O 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 OFRCE OF EMERGENCY SERVICES AND THE AIR POUUTION CONTROL DISTRICT •
• ,,. &I itW :::me&& Hlml-111!£ TililllBIIIIB-
1 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
I certify that I have read the application and state that the above information Is correct and that the information on the plans ls accurate. I agree to comply with all
City ordinances and State laws relsting to building construction. I hereby authorize representatives of the Cltt 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 la required for excavations over 6'0" deep snd demolition or construction of structures over 3 stories In height.
J EXPIRATION: Every permit issued by the building Offlci er the provisions of this Code shall expire by ltmltatiOn and become null and void If the butldlng or work
authorized by such permit is not commenc · 180 ya ro e date of such pennlt or If the building or work authorized by such pennlt IS suspended or abandoned
at any time after the work Is commenced a riod o da ion 106.4.4 Uniform Buildlng Code)./ /
APPLICANT'S SIGNATURE -.;?~~~~~~~Q:.:i,...::::::::==----------DATE ,7t_U ~°C
YELLOW: Applicant PINK: Finance
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOBAoDREss: 1113 sc,,~~1t. ldA~ c.,~q,1..S()J.o <2\ 5"vCRlY
2. TYPE OF BUILDING: RESIDENTIAL J<. COMMERCIAL. __ __.
3. ROOF SLOPE: RISE °t Inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) c!) 2 3
S. TYPE OF EXISTl~G ROOF COVERING "'!J~~,l..,SHEATHING ___ __.
*6. NEW ROOF MATERIAL· ~ CLASS'2..,(0 WEIGHT PER SQUARE
7. -NUMBER OF SQUARES.-----'"'l,::....
1
(,.___ _ ___.
8. TRADE NAME QA,k ell),1,1[, 820 '3t> MANUFACTURER owriu5 <'..bL\(11A, •
9. ROOF SYSTEM LISTING UL No.'1 'Hl ICBO No. £,S' f:R..-S-~~3
10. IS THE EXISTING STRUCTURAL DESIGN 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 instali'new roof covering.
2. Final Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for
inspection.
s;gnatu,. ~. Date_-1/1 J __ c_j i--1/_.o'--"<'----r I
Contractor ___ Owner ____ Contractor Narrie I/ &l--v"N"t1~ ~ 11.l(,
*6 • Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up,
Other.
m. .
. City of Carlsbad Bldg Inspection Request
For: 11/03/2005 .
Permit# CB053831
Title: SIMPKINS RES-2800 SF COMPOSITI
Description:
Type: MISC Sub Type: REROOF
Job Address: 1733 SCHOONER WY
Suite: Lot 0
Location:
APPLICANT SIMPKINS TERRY J JR&MICHELLE A
Owner: SIMPKINS TERRY J JR&MICHELLE A
Remarks:
Total Time:
CD Description ~~\.OComment
15 Roof/Reroof tl'f-:: +~l~---~
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments
Inspector Assignment:
Phone: 7602120053
Inspector: _!ld.._
Requested By: T.J.
Entered By: CHRISTINE