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Home My WebLink About2705 SOMBROSA ST; ; CB060925; Permit.. .... City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 ' ' 04-04-2006 Miscellaneous Permit Permit No: CB060925 Building Inspection Request Line (760) 602-2725 Job Address: 2705 SOMBROSA ST CBAD Permit Type: MISC Subtype: REROOF Status: Parcel No: 2551070600 Lot#: 0 Applied: Valuation: $8,025.00 Reference #: Project Title: CHEN RES-2500 SF CONCRETE TILE Applicant: PATRIOT ROOFING 1042 EL CAMINO REAL ENCINITAS, CA 92064 760-577-2935 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE Entered By: Plan Approved: Issued: Inspect Area: Owner: CHEN KUO-CHUN&LIU MAN-LIN 3213 FORTUNA RANCH RD ENCINITAS CA 92024 Total Fees: $153.00 Total Payments To Date: $153.00 Balance Due: Inspector: FINAL Date: Clearance: ISSUED 04/04/2006 LSM 04/04/2006 04/04/2006 $153.00 $0.00 $0.00 $153.00 $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" off , 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 service fees in connection with this project. NOR DOES IT APPLY to any hi h h v i I I imil hi r fl'mi i l FOR OFFICE USE C'NL Y P£RMIT APPLICATION PLAN CHECK NO.c'.13O0 ~"t;.s- CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit -..--r---.--- Validated By _ _,,-,~'--..... ~---- Date, ___ -f--4/_'f;-l--l-'/Q.,._..-ta.,__ __ _ Business Name (at this address) Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel /I Existing Use Proposed Use #of Stories # of Bedrooms II of Bathrooms ~rvre ,, L-& ·!'";: '\:(:;;t; },;;!r10;;t_: \S!0i_,1i;;; ?1:J;r;:}J!fli{'Fi,;f-' ·:~;s.':,'i!; ;i;;r :.:t:. ':;:,e:A:· :,;:(:!~·,',;fa City State/Zip Telephone# Fax# (Sec. 7031.5 Business and ProtessionS 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 red dollars ($5001). N . State License• 1 / lotzcz y y St /Zip Telephone # City Business License # l O:l tJ O :,. (e Designer Name Address City State/Zip Telephone State License II _________ _ iii,t-iilfACfN!lf'&±fllif?:)iffJL):;,Til;'.,}:hFd:i;~V; ;/i:i:?r:ci::;;; Workers' Compensation Declaration: I hereby affirm under penalty of perjury one 0 I have end 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. 0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which issued. My worker's co policy number are: Insurance Company -A,!JU.IL<:~-1-lJI.JcLl..!L-/-+.2'..ll6"U.l..!CS'Ut. Policy No. 1 ZL/ 'J1/,y y Expiration Date,_+-1--""''/-.... '--~ (THIS SECTION NEED BE COMPLE ED 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: Failure to ncure work81'11' compensation coverage Is unlawful, and shaN subject an employer to crlmlnal pan and clvU fine• up to one hundred thousand dollars ($1 ,0 01, In 11ddltl the cost of compensation, damagas as provided for in Section 3706 of the • Interest and attorney's fees. SIGNATURE lii~I DATE I hei'eby affirm that I am exempt from the License Law for the 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 proparty 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 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. 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 1 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 SIGNATURE_______________________ DATE-,-,,---,--,..,,...,------.,--,. --~8Ift/lllll1.JMlafnMr!~-,~i£i,f4f;l2t¥2 :i<t±l;A,Jr::,,;~SiD~h§:;m¼lSMJ$f~1:filtw'!t~?M?~1ff~~1:r~~t1tt:l~t;;;;~t:7§i!'t,~ 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 26505, 26633 or 26534 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES O 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. B~liiiill~Nl~i!l'A'll~ftki:l1:i:r~0r[,~.,::i:.:i•.:, .. ., ... ,,,," ,w. ,,,,., 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 ADD~EBB ______________________ _ ------ie1:~~1:~·,!~~~iir.¾~i~~;;;,,..,·~H'~~:,:il~:~;::;;;~;:;,1,ifJ:;:::i;:lt~1'.·,::){:::} ~•·if!lt'!:i~~:1:.ii~·;;'i~~-~iJ/;'ili~l~~~~~J21f;~tf1,~~'.u~7:~/~~!,ailil:~t 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 ANO 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 Official under the provisions of this Code shall expire by llmitation and become null and void if the building or work authorized by such permit Is not c me need within 180 days from the date of such permit or if the building or work authorized by sue It is suspended or abandoned at any time after the work is co e for a of 180 days (Section 106.4.4 Uniform Building Code). WHITE: File YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: JJ 05 Jol'.Y) ru till M . , 2. TYPE OF BUILDING: RESIDENTIAL Y COMMERCIAL. __ _, 3. ROOF SLOPE: RISE £ inches in 12 Inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) @ 2 3 . 5. TYPE OF EXISTING ~S?RE.C-R'YJRINGS1:)MU SHEATHING ~ •s. NEW ROOF MATERtAL ____ cLAss]W WEIGHT PER SQUARE 7. -NUMBER OF SQUARES 'd,; . 8. TRADE NAMEfa.0.,Lt ll~U-MANUFACTURER £:~l., 9. ROOF SYSTEM uiT1NT UL No. . ICBO No. q-c U lJ IO. IS THE EXISTING STRUCTURAL DESIG~ICIENT 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: /i 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 '4tA_,(,O,AI\ ~' Date_½'+lf.....,i,=-· _,&"----- Contractor v· Owner ____ Contractor Nal!'e f flc/n;; I l&ofi ~ *6 • Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 04/21/2006 Permit# CB060925 Title: CHEN RES-2500 SF CONCRETE Description: TILE Type: MISC Sub Type: REROOF Job Address: 2705 SOMBROSA ST Suite: Lot 0 Location: APPLICANT PATRIOT ROOFING Owner: CHEN KUO-CHUN&LIU MAN-LIN Remarks: Total Time: Act Comment Inspector Assignment: PY --- Phone: 7605222285 Inspector: ----- Requested By: AILEEN Entered By: CHRISTINE CD Description 19 Final Structural g_ ____ _ ----·--· ---·-------------------------·-·-----·--.-- Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description 04113/2006 15 Roof/Reroof Act lnsp Comments AP PY