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Home My WebLink About2703 SOUTHAMPTON RD; ; CB131528; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-24-2013 Miscellaneous Permit Permit No: CB131528 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type Parcel No: Valuation: Reference #: PC#: Project Title: Applicant: 2703 SOUTHAMPTON RD CBAD MISC Subtype: 2081541500 Lot#: $2,867.00 KAITANGIAN RES-21 DO SF COMPOS REROOF 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: PACIFIC REMODELERS SD INC STE D KAITANGIAN JOHN R&DONNA E 9770 CARROLL CENTRE RD SAN DIEGO CA 92126-6504 858-866-0183 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $101.00 Inspector: 2703 SOUTHAMPTON RD CARLSBAD CA 92010 PERMIT FEE Total Payments To Date: $101.00 FINAL APPROVAL Date 7· 2.. · f :1 Balance Due: Clearance: ISSUED 06/24/2013 RMA 06/24/2013 06/24/2013 $101 .00 $0.00 $0.00 $101.00 $0,00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reseivations, 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, rading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any f s exactions of which which th st tut of limi · · · · d. .. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITEI/SPACEI/UNITI □BUILDING □FIRE # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) GARAGE (SF} LcJ · EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # PATIOS (SF) DECKS (SF) FIREPLACE, YES[:!'11( AIR CONDITIONING N□D YESON□D APPLICANT NAME (Secondary Contact) ADDRESS CITY STATE ZIP PHONE FAX EMAIL CTOR JIUS,J!AffE C / ~ . ;-;~.,,,. FIRE SPRINKLERS YES0N□D (Sec_. 7031.5 Business and Professions Code: Any City or Coun_ty 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 B_usiness and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a cIvII penalty of not more than five hundred dollars ($500)). WiUI K'llllH' ~o Ml!Jl:N s AU a N Workers' Compensation Declaration: / 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. D I have and wlll maintain workers' compensation, as required bv Section 3700 of the Labor Code, for the performance of the work for wtlich this permit is issued. My workers' compensation insurance carrier arid policy riumber are: lrisurance Co____________________ Policy No. _______________ Expiration Date _________ _ Jl!i,§,seclion need not be completed if the permit is for one hundred dollars ($100) or less LJ Certificate of Exemption: I certify that in the performance of the work for wtlich this permit is issued, I shall not employ any persori iri any manner so as to become subject lo the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensat~on, damages as rovided for In ction 3706 of the apor code, Interest and attorney's fees. 6$ CONTRACTOR SIGNATURE f\___ □AGENT 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 sae (Sec. 7044, Business and Professions Code: The Contractor's License law does not apply lo 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 wrthin 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). 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), I am exempt under Section _____ ,Business and Professions Code for this reason: 1. I personally plan lo provide the major labor and materials for construction of the proposed property improvement. Oves 0No 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 I 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 I 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 I address/ phone I type of work): ~ PROPERTY OWNER SIGNATUR; ~, □AGENT DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevenijon program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Acr? Yes No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air Quality management district? Yes No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes 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. 1 certify that I have read the appllcatlon and state that the above information is conact and that the Information on ttle plans Is accurate. I agree to comply with all Cily ordinances and State lav.s relating to building constnx:tion. I hereby authorize representative of the City of Carlsbad to enter up::m the above mentioned property for rlsprlon purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HAAMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CCT<SEQUENCE Of THE GRANTING OF THIS PERMIT. OSHA: Ari OSHA permrt is required for excavations over 5'0' deep and demolltion or oonstruction of structures over 3 stories in he'Jhl. EXPIRATION: Every permit issued by the Building Official under the proviskins of this Code shall expire by limitation and berome null and void if the building orv.ork authorized by sucl1 pemiit is not commenced wthin 180 days from the date ofsudl permit or if the building or'AOrk authorized by sucl1 permit is suspended or abandoned at any tme after the oork is commenced for a perbd of 180 days (Section 106.4.4 Unibnn Building Code). ~ APPLICANT'S SIGNATURE DATE ~-----------------------------------------------------~- STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg . .1) OCCUPANT (Listed above) MAIL/ FAX TO OTHER: _______________ _ A$ APPLICANT'S SIGNATURE ASSOCIATED CB#------------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESS: 'r} 70·6 ~~:,,o·fl\ ~·t.1ffJ i<d. 2. TYPE OF BUILDING: RESIDENTIAL __ 7___ COMMERCIAL ___ _ 3. ROOF SLOPE: RISE 12 ~ I z ✓ INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE)l2J 2 3 G,,c., - 5. TYPE OF EXISTING ROOF ~~VERING'Sb,~k; ~, SHEATHINGf~y/4/ct'~ *6. NEW ROOF MATERIAL 5b,1 '!:J/.;-,., CLASS h WEIGHT PER SQ. a$," . '1 7. NUMBER OF SQUARES a ( ':=><'y 8. TRADE NAME ________ MANUFACTURER (?R,..J /'::''-'"% C";-4-N'2"-s:.. B-10 9. ROOF SYSTEM LISTING: ULNO. J 'J0 ASTM r I a g I.C.C.E.S. Report# ______ _ 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 install new roof covering 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signature-~\{,,¼.._,.\ \.} ;c;.\c\ "'""" J ~ Date G 2 4 -J -s Contractor Owner Contractor f,r..C. i (t c. ~e.-1c\)>.' (e /l S 7 j) 1AJC · Name};: e\,,, '1 -\ I A jc;..b :\) .;> IJ G ,.J H . *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other Page 4 of 4 Rev. 02/11