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Home My WebLink About1206 STRATFORD LN; ; CB042331; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 I 06-23-200~ Miscellaneous Permit Permit No: CB042331 Building Inspection Request Line (760} 602-2725 Job Address: 1206 STRATFORD LN CBAD Permit Type: MISC Subtype: REROOF Status: Parcel No: 1561644600 Lot#: 0 Applied: Valuation: $2,664.00 Entered By: Reference #: Plan Approved: Project Title: VIVALDI RES-2400 SF COMPOSITIO Applicant: GALLOWAY ERIKA A 1206 STRATFORD LN CARLSBAD CA 92008 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE Owner: GALLOWAY ERIKA A 1206 STRATFORD LN CARLSBAD CA 92008 Issued: Inspect Area: ISSUED 06/11/2004 AMA 06/11/2004 06/11/2004 PD $77.00 $0.00 $0.00 $77.00 Total Fees: $77.00 Total Payments To Date: $77.00 Balance Due: Inspector: FINAL Date: Clearance: $0.00 NOTICE: Please take NOTIC at 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. FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK No.C(}o '-/ 2.1..J/ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit _________ _ Validated J , l,A: Date {9-/ I l ( 6 e,( LAV€ Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use #of Stories # of Bedrooms # of Bathrooms (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 exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). Name Address City State/Zip Telephone# State License # _________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone I hereby affirm under penalty of perjury one of the following declarations: O 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. O 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_____________________ Policy No.____________ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) O 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: FaUura to Hcure workers' compensation coverage la unlawful, and ahaU aubject an employer to criminal penaltlea and civil fines up to one hundred thouaand dollara 1$100,000), In addition to the coat of compensation, damagea ea provided for in Section 3706 of tha labor coda, Interest and attornay's fees. SIGNATURE DATE lmuliI~QN I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O 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 Professlpns 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 &ale). --6(\ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sac. 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 Coda for this reason: 1. 2. 3. I ~lly plan to provide the major labor and materials for construction of the proposed property Improvement. 0 YES QgNO l~hava not) signed an application for a building permit for the proposed work. I ha e co tractad wit the fol wing A son (firm) to provide the proposed construction (Include name / address / phone number / contractors license number): 4. I pan to provide portions of the work, but I ve hired the following person to coordinate, supervise and provide the major work (include name / address / phone number/ contractors license number): ______________________________________________ _ 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 f work): ' Is the applicant or future building occupant raq · ed to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 26605, 26533 or 25634 of the Presley-Tanner Hazardous Substance Account Act? 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 ANO THE AIR POLLUTION CONTROL DISTRICT. 8 CO ST ~~C,Y,. • ~ .. ,. u .... , • & .._ ____ _ 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 (i p 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 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 6'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit Issued by the building Official under the provisions of this Code shall expire by limitation 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 if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced r a period of 180 days ( tion lo6.4.4 Uniform Building Code). ✓ -j 7', APPLICANT'S SIGNATURE ~ -~.DATE ---~ /( ( D 1 PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: / 2 0 f..-s re B T£or 'D I /ii I,,) b 2. TYPE OF BUILDING: RESIDENTIAL J', COMMERCIAL. __ _, \ 3. ROOF SLOPE: RISE ___ inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERIN (circle one) 1 2 3 5. TYPE OF EXISTING ROOF COVERINl.:f:,,,l~~~SHEATHING ,,t/ 0 *6. NEW ROOF MATERIAL~. CLASS40 WEIGHT PER SQUARE 7. -NUMBER OF SQUARES. ___ __. Y~- 8. TRADE NAME. _______ MANUFACTURER ______ __. 9. ROOF SYSTEM LISTING UL No .. ____ lCBO No. _____ _, 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 instalfnew roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Slgnatu,v~ ~= Date 0/20-< oµ Lj Contractor ___ Owner /\,, Contractor Na!)1e _______ _ *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. m' City of Carlsbad Bldg Inspection Request . For: 06/22/2004 . Permit# CB042331 Title: VIVALDI RES-2400 SF COMPOSITIO Description: Type: MISC Sub Type: REROOF Job Address: 1206 STRATFORD LN Suite: Lot Location: APPLICANT GALLOWAY ERIKA A Owner: GALLOWAY ERIKA A Remarks: Total Time: CD Description 19 Final Structural 0 Act Comment ~f Inspector Assignment: PD --- Phone: 9167470875 Requested By: GARY Entered By: CHRISTINE -------------------~ Associated PCRs/CVs Inspection History Date Description 06/14/2004 15 Roof/Reroof Act lnsp Comments AP PD