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Home My WebLink About2564 STATE ST; ; CB002667; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07/19/2000 Miscellaneous Permit Permit No:CB002667 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: 2564.STATE ST CBAD MISC 2031012900 $8,400.00 Subtype: REROOF Lot#: 0 Status: Applied: Entered By: Plan Approved: Issued: ISSUED 07/19/2000 RMA 07/19/2000 07/19/2000 Project Title: RE-ROOF-7500 SF HOT MOP Inspect Area: Applicant: NORTH COUNTY ROOF PO BOX 795 BONSALL CA 92003 760 726-6692 Total Fees: $174.00 Miscelaneous Fee #1 Miscelaneous Fee #2 TOTAL PERMIT FEES Inspector: Owner: GLOCKLER HERRMANN J&HIL TRUD I 1245 FEATHER WAY RENO NV 89509 Total Payments To Date: $0.00 PERMIT FEE FINAL APPROVAL Date: '61 \, \00 Balance Due: $174.00 $0.00 $174.00 Clearance: $174.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" 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 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 you have nreviouslv been aiven a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise exoired. -··· ·--···~-··-----·-·~··-•-------· .'~ '"} ,;.:.. PERMIT APPLICATION FOR OFFICE USE O~ Y PLAN CHECK NO. l)Ja,dkb 7 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit -----f'-T---il---::--- 1. !>ROJECT INFORMATION -2::f t 't Address (include Bldg/Suite #) s-+. Business Name (at this address) L~al Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units 03 -IJ#- Assessor's Parcel II /J Exist?~~() I Proposed Use .--k e. t2c<:?0 ➔ Description of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms ~-~RSON (If dlffarapt from appllcantl v 11/+'i CO· Address Telephone# Fax# Name 3. ~~~~~~~~c.-...h..~-1~~~~i.±.ll_~L_2_~~(.Q::_.7.JJ.~6C/2, _p:::1,~e::L.A.lJ{__-'P,_L.'-!....l,.__£::.~.!.!,(l.,,::::.._...!.1--=~:........:...'f-=~:.__...:........::..:..:=.~.=-:::::......1~~~==~~~...Q.,-~L=-.L.......,~.L....JL::::.--"~~::o.-'3 Name Address 6. COl!ITR,ACTOR • COMPANY NAME , (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 that he is exempt therefrom, and the basis for the alleged y violation of Section 70~5 by,Jny applicant for permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$50011. l t10 rv fC,tJO f (: "-() () o 'f) fS o tV :, 4' // C!./. ~,2..,'lO ~ ~ t> 7 Z...6 -G, ,q l -L.ILL<:.U.::.L:...L---'-~!!...!.:~-+-=~-':-Ad7d:-"re~ss.::..:... _ _,____;=.......;:::..=...c.:...........,~-:C~itc...:y _.:::____;_--:Sc-'ta=-te=--::/Z:::-ip-~:::.:..:'=Te.::.le_p.,..ho-'ni....e -=-, ___;_.!..._..==-=._ State License # l-, ( U C b ) License Class _..,e~_1...__q...._.:.• ___ _ City Business License II _______ _ -Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION Wor~ Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: a:r" 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 of the 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 this permit is issued. My worker's comJJP"Jation insurance carrier and policy number are: / Insurance Company } z_ )::, f V £v ;yd Policy No. L--/ Lf tf/ 1.f I, Expiration Date / 0 .--) -D l) (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 of California. WARNING: Fail~re secure work s' compensation coverage Is unlawful. and shall subject an amployer to criminal penalties and civil fines up to one hundred thousand dollars ,9l)OI, in ad · ion to th c st Jlf compensation, damages as provided for in Section 3706 of tha Labor code, interest and attorney's fees. SIGNATURE ~ -DATE / -/ df -t).:::!) 7. OWNER-BUILDER DECLARATION 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 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). O 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 . D 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 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 (hired) the following persons to provide the work indicated (include name / address / phone number / type of work):. ____________________________________________________________ _ PROPERTY OWNER SIGNA TURE ______________________ _ DATE _________ _ COMPLETE THIS SECTION FOR NON-RESIDENnAL BUILDINQ PERMITS ONl,;Y Is the applicant or future 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 Act7 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. 8. CONSTRUCTiON L_El\l[?I_NG 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. APPLICANT CERTIFJC~TION 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 or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Offi I under the provisions ol this Code shall expire by limitation and become null and void if the building or work authorized by such permit Is not co enced within 18 d ys from th d te of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is co cedz: peri do 80,i;!_ays ~n 106.4.4 Uniform Building Code). 7 -/d "2Co 0 APPLICANT'S SIGNATURE \,,....«::::.:_~::::::...-..4L...r......Lir,Lit.,.dl.i.d~::!::::!!...._________ DATE ·; - WHITE: File YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: d}<,c.e:). -~cf ;s.~._.("'a.. S,f-- 2. TYPE OF BUILDING: RESIDENTIAL ____ COMMERCIAL __ __, 3. ROOF SLOPE: RISE--/4-inches in 12 inches w~, .... 4. NUMBER OF EXISTING ROOF COVERING (circle one) 1 2 3 5. TYPE OF EXISTING ROOF COVERING ___ SHEATHING . *6. NEW ROOF MATERIAL. ____ C.LASS A WEIGHT PER SQUAR':_ M~ 7. NUMBER OF SQUARES . 3 t> '-.j w / C4.,p ~s .j,&~+--- 8. TRADE NAME~ Rf MANUFACTURER GA-1=" 9. ROOF SYSTEM LIS,;G UL No. ~ ICBO N;-(2. l '3, c, C, . 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 install new roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signature ______________ Date ______ _ Contractor ___ Owner ____ Contractor Name ______ _ *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 8/16/2000 Permit# CB002667 Title: RE-ROOF-7500 SF HOT MOP Description: Type:MISC Sub Type: REROOF Job Address: Suite: Location: 2564 STATE ST Lot 0 OWNER GLOCKLER HERRMANN J&HILTRUD I Owner: GLOCKLER HERRMANN J&HILTRUD I Remarks: AM PLEASE Total Time: CD Description Act Comments 19 Final Structural _00__~ Associated PCRs lns~ection Histo~ Date Description 813/2000 15 Roof/Reroof Act AP lnsp Comments SR Inspector Assignment: SR --- Phone: 7607266692 Inspector: SQ t Requested By: NO COUNTY ROOF Entered By: CHRISTINE 7/21/2000 15 Roof/Reroof 7/20/2000 15 Roof/Reroof AP NR SR APPROVED AT 2562 STATE ST. 2564 IS STILL NOT READY SR