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Home My WebLink About2825 STATE ST; ; CB090252; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-17-2009 Miscellaneous Permit Permit No: CB090252 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2825 STATE ST CBAD MISC Subtype: REROOF Status: Parcel No: 2032940100 Lot#: 0 Applied: Valuation: $3,915.00 Reference #: PC#: Project Title: SATTERLY: 2900SF REROOF = RE PLACE W/ 60MIL FIRESTONE TPO Applicant: ROYAL ROOFING CO 150 NETTLETON RD VISTA CA 92083 760 806-1100 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE Entered By: Plan Approved: Issued: Inspect Area: Owner: SATTERLY FAMILY TRUST A 05-03-91 C/O RUSSELL L SATTERLY 909 ROSEMARY AVE CARLSBAD CA 92011 ISSUED 02/17/2009 JMA 02/17/2009 02/17/2009 $107.00 $0.00 $0.00 $107.00 Total Fees: $107.00 Total Payments To Date: $107.00 Balance Due: _., I ·" FINAL APPROVAL Date-Z-15-c? j Clearance: $0.00 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 Car!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 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 I / x ction f which ou h v revio sl Tl E imilar t hi or a whi h h ta f limi ion h s r i I therwi e x ir d. ,., . City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov Building Permit Application JOB ADDRESS - ' ~8".;;) .5 CT/PROJECT# PHASE# Est. Value Plan Ck. Deposit Date SUITE #/SPACE# /UNIT# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP PROPOSED USE GARAGE (SF) PATIOS {SF) DECKS (SF) FIREPLACE YES □#_ NO □ AIR CONDITIONING FIRE SPRINKLERS YES O NO □ YES □ NOD CONTACT NAME (If Different Fom App/leant) APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # CITY BUS. LIC.# I 2-"2.. {Sec 7011.5 B111ine11 and Proft11ion1 Code: Any City or County: which rtquim a permit to conmuct, aim/ improve, demolish or reJ!air .iny structure, prior to its iuuance, al10 rtquim the ap_plic.iot for 1uch permit to lilt a 1igned statement that h is ricensed _pursuant to the pmision1 of the Contractor's license law {Chapter 9, commending with Section 000 of Division J of the Busine11 and Pro1t11ions Code} or that he is exempt thert fi'om, and the basis for the alltgtll txemption. Any •iolation of Stction 7031.5 by any app~cant for a pumit subjects the applicant to a civil penalty of not more than frtt hundred dollars {$500}). WORKERS' COMPENSATION Workers' Compensation Oeclaratlon: / 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 as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued ~I have and wlll maintain workers' comP.ensatlon , s requir by Section 3700 of the Labor Code, for the performance ol the work for which this permit is issued. My workers' compensation ·nsuran carrier and policy number are: Insurance Co. _ _;)_~h.'c:t::.,_.c1::w'--lh.~----------Policy No. a, '3'.'?1' -323: / -O'fr Expiration Date -1-LJ'-"-'3~.,,_"I---- This section need not be completed ii the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, ! shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, d ed for In Section 3706 ot the Labor code, Interest and attorney's tees. ~ CONTRACTOR SIGNATURE I hereby affirm that I am exempt from 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 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 !or the purpose o! sale). □ 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 !or such projects with contractor(s) licensed pursuant to the Contractor's License Law). □ I am exempl under Section -~---~ Business and Professions Code for this reason 1. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement. □ Yes D No 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. t have contracted with the following person (firm) to provide the proposed construction (include name address I phone/ 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/ phone/ contractors' license number): 5. I wil! provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone/ type of work): ,KS PROPERTY OWNER SIGNATURE DATE 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 Act? D Yes D No Is the applicanl or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D 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. I certify that I have read the application and state that the above infonnation is correct and that the infonnatlon on the plans Is accurate. I agree to comply with an Cify ordinances and Slate laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection pu~s. t 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 permtt is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permtt issued by the Building Official under the provisions of this Code shall expire by !imitation and become null and void W the building or work authOl'ized by such permtt is not commenced within 80 days from the date of such permit or W the building or work aulhon'zed by such permtt is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 100.4.4 UnWorm Building Code). DATE • REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOBADDRESS: ;;l'6'J s,. Sl-e...\-e,-5:r 2. TYPE OF BUILDING: RESIDENTIAL ___ _ COMMERCIAL x 3. ROOF SLOPE: RISE 1 ', ) d-INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) I 2 V 5. TYPE OF EXISTING ROOF COVERING h., i \ :t v-CJ SHEATHING ;1/0 *6. NEW ROOF MATERIAL 1Pa {nO ,,..,.,., CLASS.L'.L_WEIGHT PER sa.fil f b. 7. NUMBER OF SQUARES_;t..,__'-j.___ __ _ 8. TRADE NAME f :f:f?O MANUFACTURER (\";r::e-:$ t~ 9. ROOF SYSTEM LISTING: UL NO. {';(o-55 A I.C.C.E.S. Report# ____ _ ASTM ____ _ Dtri~410J. I 0. IS THE EXISTING STRUCTURALr1?_~~N SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF7 ~ 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 install new roof covering 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signature ~ J2? j Date ;;. /r1 / oq I I Contractor~X"-+---Owner ____ Contractor Name &v a. I ~OOh 4%L *6. Rolled Roofing, Standard/Lite Tile, AsphaltjComp fiberglass, Built Up, Other