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Home My WebLink About1266 STRATFORD LN; ; CB022939; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-30-2002 Miscellaneous Permit Permit No: CB022939 Building Inspection Request Line (760) 602-2725 Job Address: 1266 STRATFORD LN CBAD Permit Type: MISC Subtype: REROOF Status: Parcel No: 1561643900 Lot#: 0 Applied: Valuation: $8,149.00 Entered By: Reference #: Plan Approved: ISSUED 09/30/2002 SB 09/30/2002 09/30/2002 Issued: Project Title: EMBER RES 2900SF REROOF SHAKE TO LT WT CON TILE Inspect Area: Applicant: PIVA ROOFING, BOB 1192 INDUSTRIAL AV ESCONDIDO, CA 92029 619-745-4700 Total Fees: $153.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Owner: 7449 09/30/02 0002 01 EMBER LAURA TRUST 1996 CGp 1266 STRATFORD LN CARLSBAD CA 92008 Total Payments To Date: $0.00 PERMIT FEE FINAL APPROVAL Date: f-v O -t,...._..,' Balance Due: Clearance: $153.00 $0.00 $0.00 $153.00 $153.00 NOTICE: Please ta roval 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 capacity changes, nor planning, zoning, grading or other similar application processing or seivice fees in connection with this project. NOA DOES IT APPLY to any I i ii r hi r s wh'ch h f imit i n h r vi x ir 02 153,00 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. C!,~o'l.J.-1.St CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 el /t-tq EST. VAL. ______ / ____ _ Plan Ck. Deposit~,..,"<'"'" ______ _ Validated., By---'5""'""-_.L'.._S.,_ ____ _ Date 9/30/ 0 -Z.. Business Name (at this address) Logal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use· Proposed Use Name Address City State/Zip Telephone# r&~QNt.BA~TCJRt;[ CoM~~N:,GNAM'e~~l:~~[.r£1!fS~ri~~'23!'i:~Er{,;~m{~l)Et:1:t::::f.Kf:lli"f:!:~.1:?t~~~~~~?,~~J ~~.~~{S~~~~~!~Z\~~~1t~~~=Rr'1t~~4 (Sec. 7031.5 Business and Professions Godo: 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 tho Contractor's License Law !Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Godo) or that he is exempt therefrom, and the basis for the alleged exemption. Any vi_glati n of Section 7031.5 by any ap licant for permit subjects the a pncan1to civil penalty of not more than five hundred dollars ($5001), b • 1<00 t' !?-. ~r ve c.u,. t> ~dO;)P -;,t:o-7f/S-oo State License # --=~;...,..r..tj....:;...r.o/.=3c...<{.:__ __ _ Address City State/Zip Telephone II License Class -~C=-3~9..______ City Business License # I ~O 3 {~ '8 Designer Name Address City State/Zip Telephone State License # __________ _ (6:ti~w.oRlc'ERS~f cAOMPe'NSATION ;~iT~~;;:y~Dc;;\: ·~~'11~~~~~:1'7~~-~'::i~t{'~~;u~::_;" :.:.,~:-1:1:~f'Jt~t .t~~;~;4~ .~+.t◄;t;;"~J.,,_" ,'\ :~ -;; <:; ~¥; .:: !'1 ~: ' ~ '.;, ... ·· .. ,/ /;; Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 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 of the work for which this permit is issued, ~ I have and will maintain workers' compensation, as required by Section issued. My worker's compensayon insur nee ca rier and policy number are: Insurance Company 'fe '1/l 3700 of the Labor Godo, for the performance of the work for which this permit is Policy No. 1/6-//'r,()J....(J :L Expiration Date tj/03 [THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) ~ 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: Failure to secure workers' compensation coverage is unlawful, and shall subject on employer to criminal penalties and civil fines up to one hundred thousand dollars 00,000), i ddition to the cost of compensation, damages as provided for In Section 3706 of the abor ode, interest and attorney's fees. SIG,NA:f.Ui<fE::~!i:!::~~~::::===--:___-----------------------50 () J.. [7!]'~6WNER~·eu l.!ARA TION ~~;:~'iif!~•~;J7~J}liiffif~Mi:i:;\:[r~1:if~~.~J~t;~;-;,1, ; ;' \ · ' 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). 0 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 tho major 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 porson (firm) to provide the proposed construction (include name / address / phono 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) tho following persons to provide the work indicated (include name / address / phone number / type of work): ____________________________________________________________ _ PROPERTY OWNER SIGNATURE________________________ DATE _________ _ Lc:o'M)fC~re;t,81srs~c.i'foNrF,6i:riJoi.(R£SfDE,V.77~ll~liµf(ort•.fi:;"jP,°ERMii.s;oNL'r'.~C~'7'~1'2it:J:~t· ., :J'; ,'.1( •]t:ttt;..~,?.,,·:;, :t.:,.t ~~· , , . : ' ; :; ' · .. · !·i.::c;,;; ·~ :.,.,;{;:;..'.,~ 1 .. 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 7 0 YES O NO ls the facility to be constructed within 1,000 feet of the outer boundary of a school site7 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 ANO THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is e construction lending agency for the performance of tho work for which this permit is issued (Sec. 3097(i) Civil Code). .LENDER'S NAME ______________ _ LENDER'S ADDRESS _________________________ _ f9~~7i(@'~LlCANtrcEFii'1F,1C1ATiPN;n::t~ ~:J:;;::=i~~;r,i~;f~[~:::~l'JX:W~ti~t~T<}:(;:\i/, -:·)i .. :: :·~:;. T~. :. > ':.~~~ •;::: '~~i"f.:~~~=-r.·:; ') :·i•1·~.,l}J,r.f.#;;1,:·· )~ ,~tr·:;;·,_: ..• ?-~-·' \; ~·.;:r~-:~~:,:1 I certify that I have reed 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 tho Cit\' of Carlsbad to enter upon the above mentioned property· for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is requirod_for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Otticial under the provisions of this Code shall expire by limitalion 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 or ii the building or work authorized by such permit is suspended or abandoned at any time after the work Is commenc for a period O d (Section 106.4.4 Uniform Building Code). DATE L'.":O. }I"\ APPLICANT'S SIGNATURE ~7..,f~~{~+:/5:._v~cJ-,~-------- YELLOW: Applicant PINK: Finance . ,· City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1, JOB ADDRESS; /::).6'.{ ~td {_o,,/(2_ 2. TYPE OF BUILDING: RESIDENTIAL X COMMERCIAL ,___..,_ 3, ROOF SLOPE: RISE -/ inches In 12 inches 4, NUMBER OF EXISTING ROOF COVERING (circle one) ~ 2 3 5. TYPE OF EXISTING ROOF COVERING Sfu ke SHEATHING __ __,_ •s. NEW ROOF MATERIAL +,le cLAss!i60wetGHT PER SQUARE . 7, NUMBER OF SQUARES d--9 8. TRADE NAME flegd,,y«J, M~NUFACTURER GJae/ite 9. ROOF SYSTEM LISTING UL No,, ____ ,ICBO No. ?,{5£ 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 classlflcation are prohibited. I understand the following inspections are required: 1. Tear Off/Prealnspection 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:=~.i::;-~~_,,..,,:;:/:...~.:::·:...__/_O,... ____ D,afe ? /40)0 0-~ 7 7 Contractor__i_owner ____ Contractor Name Bob P;va. f? =+-> 113 *6 • Rolled Roofing, Standard/Lite Tile, AsphalUComp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 11/05/2002 Permit# CB022939 Title: EMBER RES 2900SF REROOF SHAKE Description: TO LT WT CON TILE Type:MISC Sub Type: REROOF Job Address: Suite: Location: 1266 STRATFORD LN Lot APPLICANT PIVA ROOFING, BOB 0 Owner: EMBER LAURA TRUST 1996 Remarks: Total Time: CD Description 19 Final Structural il..--Comments Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Inspector Assignment: JE --- Phone: 7607454700 Inspector: .J7?:.-. Requested By: BOB Entered By: CHRISTINE 10/24/2002 15 Roof/Reroof AP JE OK TO COVER -ESISTING OR TO USE PERM PETERSON 10/23/2002 15 Roof/Reroof CA -----··-·---, --·-