HomeMy WebLinkAbout1250 STRATFORD LN; ; CB053528; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-11-2005 Miscellaneous Permit Permit No: CB05352B
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
1250 STRATFORD LN CBAD
MISC
1561644000
$3,402.00
BEST RES-SHAKE TO COMP
Subtype: REROOF
Lot#: 0
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
10/11/2005
LSM
10/11/2005
10/11/2005
AMO ROOFING INC BEST PAMELA O LIVING TRUST 11-23-03
1317 SIMPSON WY
ESCONDIDO CA 92029
760 233-1865
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees:
Inspector:
$89.00
1250 STRATFORD LN
CARLSBAD CA 92008
PERMIT FEE
Total Payments To Date: $89.00 Balance Due:
Clearance:
$89.00
$0.00
$0.00
$89.00
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this pem,it was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified lees/exactklns DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
., .. ···--·--•--"-----
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NO. C!.8 OS S ~~
CLTY OF-CARtSBAD BUILDLNG DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
~4 0 2.-EST. VAL. ___ ....,_ ______ _
Plan Ck. Deposi:::
Validated By_ ..... ~"'-=~"'----,-----
Date I O I 1 ' I O ::::,-
Address (Include Bldg/Suite II Business Name (at this address)
legal Description l ot No • ._$ P-odivision N-ame/Numbdr tlnitNo. Phase No. Totat It of units
Assessor's Parcel I Existing Use Proposed Use
Designer Name Address City State/Zip Telephone
State License I
l§; !Y.P..W~C::QMJiMAUQ ,, :Zii;r'~~™bl.1:!itA!F · • ' · '~.6~lP·'.~~ .. ~:.,:;,o• •~ ". ~~-I
WorRers' Compensatfon Decraratfon:. r hereby affirm under penalty of perjury one of the folrowfng decfarations:
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
f e work for which this permit is issued.
t haw amt wilt maintain workers• compensation, as requiTed by Section 3700 of the Labor Code, for the performan,ce of the wort for which this permit is
d. My worker's compensation insurance ca~ier and olicy number are: ~b\ ~ 77 55 0( 81'(' '3f (/(' l Ob
Insurance Company l 'f.e r'\ Y ?'\-Policy No~?(.) I ~ JB Expiration Date._-'-__ 1_·...!..J \1,-.. __ .
tTHIS SECTION NEED NOT 11£ COMPt:ET If' THE PERMtT IS FOft ONE HtJNDR!O OOttARs-fttOOt OR tESS)
0 CERTIRCATE 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' Compenaation Laws of California.
WARNING: f to • ~ co~ • unlawtu&. Md shd aubjK1 u amptoyar. to-gimlnll JM1R11111N and-clvll flnaa up to-Ofl& llundNMl-
thouund dol O to the cost of compensation, damagH u provided for in Section 3708 of the~code,}hter9'1-.end ett°"'!9Y'• feea.
SIGNATURE DATE __j)./ 0 ~
OWA.~ . ~ . ~"!C'i.ttifab~
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. 1044, Susine.u. and Professions. Coda: The. Conuactac's Ucensa Law does. not apply to. an owner of proper:ty. who builds. or impio.\18$ thereon, and who doas
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 t>roving that he did not build or improve for the purpose of sale).
0 I. IIS-owne, of the Pf0f)8rt\', am excluslv.y. contFaCting-with lic8RS8d contractors to construct the project (Sec. 7044, BtJsifless and Professiofls Cod<r. The
Contractor's License Law doas not apply to an owner of property who builds or improves thereon, and contracts for such projects with contrector(s) licensed
pursuant to the Contractor's License Law).
D I am 8"ffllpt-under-Section-______ Business-and Pr0fessio11s 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 / have not) signed an application for a building permit for the proposed work.
3. ~ have-contracted-_with th1t following-person l·firmt to provide the-proposed construction· (incfuda name / address t phone number / contractors lfcense 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 numbert: ______________________________________________ _
6. 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 o.t wo.ckl:. ______________________________________________________ _
PROPERTY OWNER SIGNATURE
lifQ.~.a:u ~~C.l l.ON"'FOB:iYPlJ.lRDf~J.Y~!t~BMft&ON / 1'.J~:ir-i;ln g~~~"'ii~.:;<, ~,I;.g
Is the applicant or future buitding occupant required to submit a business pran, acutefy hazardous materfals regfstration forin or risk management and prevention
program under Sections 26606, 26633 or 26634 of the Presley-Tanner Hazardous Substance Account Act? 0 YES D NO
Is the epplicant 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 7 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.
_. _JU~~.T J!~_QW[(~l!QLPf~AGEN~~~~!.4i''f.~~w,~~~~~:tI.i.i£'!;f,:;.;-I:;,;f ._ "--;:. ..:•:~-~ -~"";;_ ~:-+ :,".':~,,
I hereby affirm that thtleJs,41 ~on lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code).
LENDER'S NAME l . ...,.._ ~ LENDER'S ADDRESS
=~.r.in?i•t.~,.A~O ' ··..ti:~---· .. ,,,.,;.-..;.i,,.,,;,.....,,.~-. -,,_-~--"'!11-,,.-...,_>«-------. ....,-,,.,-,..---,,,...--.-~-,.-,-.-,-.-•ft-•--....,,,-.• -,,..,,-,.,,,""""--.,-_-f~~w_~eyi~~li-11.•.1..,:-b', ·tJ_O-~ ,-i,fr:,.:,ffi;,'M.ltia:.:.bt~·.dit~:,tli~~at~~·~:-~~a. ~ ~"7',il.:J.;•,-'"?-_;;.,.~ ·,•-~~~.-i:tt ' ~-t' ,. ~ ► ,.~4:ir.·..J.~~~""' -~~~ .,.
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 Citt of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALS.0 AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES,
JUDGMENTS. COSTS ANO EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required far excavations over 6'0" deep and demolttion or construction of structures over 3 stories in height.
EXPIRATION: Every permit Issued by t building Official under the provisions of this Code shall expire by limitation and become null and void If the building or wor1<
authorized by such permit ls not comme d within 1 BO days fl'Ol'Q the.date of such permit or if the building or work authorized by such permit ls suspended or abandoned
at any ti,r, · after the wor1< is com · 180 days (Section 106.4.4 Uniform Building Code).
WHITE: Fite YELLOW: Applfcant PINK: FTnance
DATE _ __,_/i_.:;,_O+-/ .f-...J/ ()'-'-+-'/ !2""'--"5'----1 I
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDREss: 1 d"so 6tru± f D r:d ln .
2. TYPE OF BUILDING: RESIDENTIAL X COMMERCIAL ·--~
3. ROOF SLOPE: RISE l:( Inches in 12 Inches
4. NUMBER OF EXISTING ROOF COVERING (circle one)U 2 3
5. TYPE OF EXISTING ROOF COVERING :5I-MJ£c. SHEATHING .
*6. NEW ROOF MATERIAL~phtt+Sn1~1iiss3(,Q. WEIGHT PER SQUARE
7. -NUMBER OF SQUARES O'\ .
s. TRADE NAME.-~-'-f:rF-L-____ MANUFACTURER C+--gtv;{ S~uo' ( a_
9. ROOF SYSTEM LISTING UL No. . ICBO No. _6~ L\-b .
10. IS THE EXISTING STRUCTURAL DESIG~WICIENT TO SUSTAIN THE
WEIGHT OF THE PROPOSED ROOF? u 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 instalfnew roof covering.
2. Final Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for
ln,pactlon. ~
Signature~~---~~~-------Date
Contractor )< Owner ____ Contractor Naf!1e &m. ~ iedo Rn5
*6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up,
Other.
-----······. -------·
m . ·city of Carlsbad Bldg Inspection Request
For: 11/09/2005 .
Permit# CB053528
Title: BEST RES-SHAKE TO COMP
Description:
Type: MISC Sub Type: REROOF
Job Address:
Suite:
Location:
1250 STRATFORD LN
Lot
APPLICANT AMQ ROOFING INC
0
Owner: BEST PAMELA O LIVING TRUST 11-23-03
Remarks:
Total Time:
CD Description
19 Final Structural
~Comment
Inspector Assignment: PY ---
Phone: 7602331865
Inspector: -----
Requested By: CHARLA
Entered By: CHRISTINE
---------··-------------
Comments/Notices/Hold
Associated PCRs/CVs
lns12ection Histo[Y
Date Description Act lnsp Comments
11/01/2005 15 Roof/Reroof AP PY SHEATHING@ ONE AREA ONLY ALL ELSE EXISTING SHEATHING
10/31/2005 15 Roof/Reroof NR PY
10/24/2005 15 Roof/Reroof CA PY