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Home My WebLink About2758 SOUTHAMPTON RD; ; CB031684; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-18-2003 Miscellaneous Permit Permit No: CB031684 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Building Inspection Request Line (760) 602-2725 2758 SOUTHAMPTON RD CBAD MISC Subtype: 2081403000 Lot#: $2,331.00 DEATON RES 2100 SF REROOF COMP TO COMP REROOF 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/18/2003 SB 06/18/2003 06/18/2003 Applicant: PIVA ROOFING, BOB Owner: 77J"J DEATON MICHAEL&BROWN CANDA~18/03 0002 01 CGP 1192 INDUSTRIALAV ESCONDIDO, CA 92029 619-7 45-4 700 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $77.00 Inspector: 2758 SOUTHAMPTON RD CARLSBAD CA 92008 PERMIT FEE Total Payments To Date: $0.00 FINAL APPROVAL Date: &1' I '1'!!) $77.00 $0.00 $0.00 $77.00 Balance Due: Clearance: $77.00 NOTICE: Please take NOT that ap al of your project includes the "Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactio ." 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 imposit"on. 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 connecUon with this project. NOR DOES IT APPLY to any fees ex cti n f which u hav revio sl een iven a NOTICE imilar his or to whic th t t le f limita i ns h revi I oth 02 77,00 PERMIT APPLICATION FOR OFFICE USE~~ (ffit/ PLAN CHECK NO~ EST. VAL. L, S 3/ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. Plan Ck. Deposit-=--==-------- Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel II Existing Use Proposed Use # of Bedrooms # of Bathrooms Name Name Address "' , Address City State/Zip Telephone# Fax# State/Zip Telephone# (Sec. 7031.5 Business end Professions Code: Any City or Countv 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 exe ption. Any viol tlon of Section 7031.5 by any pplicant fo1 a p rmit subjects the appli n to a civil penalty of no.ti mora,.\han five hundred dollars ($5001). . f1vt1 . c I/ d-.. . US f'1.t/ ve (0,) • ~ C/1 Y;:).o-::i_y 7/0-)l/5 .. 7"0 Stat, Llcanse # _d,=~\"'b~9'--:S~"'t __ _ Address City License Class __ c=·-3;~9~-----State/Zip Telephone# City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ ~6:I~itilCtRRE~:sMC:Q.MREf\l,SA t1br,J:i;;}frJ!;~f!iiGF,ib:ar{}J:f~1~l~~~/it,iiTi!:?1if~<':>t:;!ft;, ~i~'.'D, : 1 ;;/:;:,.,:i·" / ", ik\~~::;;;:: i '· Workers' Compensation Declaration: 1 hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certifi.cate 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. C3... 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 ca:r and policy number are: , / / Insurance Company :ftgfe. Ft,iat[ PoHcy No.Pl'1~3 S 5 03 Expi,ation Date b ;/ / 0 1/ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) r I L9--CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, l 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 an employer to criminal penalties and civil fines up to one hundred thousand dollars ($1 000), In ltion to the cost of compensation, damages as provided for in Section 3706 of the La r cod interest and attorney's fees. SIGNA i1.1R0Wr.1t~1'a-CJ1i:ci DATE ~ ~3 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 1, 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 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 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) the following persons to provide the work indicated (include name / address / phone number / type of work): ______________________________________________________ _ Is the applicant or future building occupant reqllired 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 Hazardoi.Js Substance Account Act7 D YES D NO Is the a~plicant 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? 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 AND THE AIR POLLUTION CONTROL DISTRICT. (tfll[~~it[li'<;liQNi,tEtlPJN.GJA<i.~NQY~~tiit&.~::1l1iil~J?&~~:(:::~tt~·llkfbtit¥,'.}k~J:(~1::::;:' .. ~·· I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097H) Civil Code). .LENDER'S NAME _______________ _ LENDER'S ADDRESS ________________________ _ liMi4te,,c4N.:tt{¢Eltl-!F.Jg"(t0r-i~i1£/4i/;:f~1l#ti,;~}i.l~0ifl¼Ul'litir±f4;ii'.};;;;f;:;ll[JiJ!ii;t~iiti,:\lk\;1.F::;::; JJ~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 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. WHITE: File YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS._· _________________ _ 2. TYPE OF BUILDING: RESIDENTIAL z( COMMERCIAL. __ _, 3. ROOF SLOPE: RISE 'f-15 inches In 12 inches; 4, NUMBER OF EXISTING ROOF COVERING (circle one) d) 2 3 5. TYPE OF EXISTING ROOF COVERING CD"1P SHEATHING 7//(, <>5 b. . ' *6, NEW ROOF MATERIAL (oMp CLASS ;:;l30WEIGHT PER SQUARE · 7, NUMBER OF SQUARES d-/ f . •. s. TRADE NAME ..&r k4/oc,d MANUFACTURER fie.IC· 9. ROOF SYS'fEM LISTING UL No. ____ lCSO No. 5'f/l/ 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. . · /7 .,,....... ;t?/y Dofo b /ra/D"3 7 f Contractor ')( Owner ____ C.ontractor Name b'iG f/vq .<'mfrj *6 • Rolled Roofing, Standard/Lite Tile, AsphalUComp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 07/11/2003 Permit# CB031684 Title: DEATON RES 2100 SF REROOF Description: COMP TO COMP Type: MISC Sub Type: REROOF Job Address: 2758 SOUTHAMPTON RD Suite: Lot 0 Location: APPLICANT PIVA ROOFING, BOB Owner: DEATON MICHAEL&BROWN CANDACE Remarks: Total Time: CD Description Act Comment 19 Final Structural Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Inspector Assignment: JE --- Phone: 7607454700 Inspector: ~ Requested By: BOB Entered By: CHRISTINE 06/30/2003 19 Final Structural CA JE BY HOMEOWNER 06/25/2003 15 Roof/Reroof AP JE AP ON 6/24/03