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Home My WebLink About1420 YOURELL AVE; ; CB050310; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-01-2005 Miscellaneous Permit Permit No: CB050310 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: 1420 YOURELL AV CBAD MISC 1560510300 $2,166.00 POULOS RES RE-ROOF FROM Subtype: Lot#: REROOF 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Project Title: ()\Applicant WOOD SHAKE TO FIBERGLASS SHINGLES ~ SAN DIEGO ROOFING 615 NORTH AVE VISTA, CA 92083 760-758-1800 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $77.00 Owner: POULOS THALIA E 11448 BURTON DR WESTCHESTER IL 60154 Total Payments To Date: $0.00 Balance Due: ISSUED 02/01/2005 KG 02/01/2005 02/01/2005 $77.00 $0.00 $0.00 $77.00 $77.00 EXPIRED PERMtlo11os 0002 01. CGP Inspector: PERMIT HAS EXPIRED IN ACCORDANCE WITH C.B.C. SECTION 106,4.4 AS AMENDED BY C.M.C.18.04.030 DATE :71,!r.l\oPIGNATURE a.0J) FINAL APPROVAL Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition'' o! fees, dedications. reservations, or other exactions hereafter collectively referred to as '"lees/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 torth 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 speciiied lees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or seJVice fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have nreviousl\/ been niven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exnired 02 77 ,00 FOR OFFICE USE ONLY PERMIT APPLICATION CITY OF. CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 PLAN cHEcK NL fry2u3 Iv EST. VAL. .:z/w, Plan Ck. Deposit----,,,,------ Validated By ___ ~""'',/-,,L.,---,--- Dat 1. PROJECT INFORMATION Cl\ Legal D~tion Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units /")(R' 02 /. tJ 3 ° o Assessor's Parcel # ~ ·h El?ng Use (' l _ j I / Proposed Use ------l-8'""""-'tbD....LI A.d >u.i0C'-'0"-'Q...,Sc.c_.,,.,.Cj..,.Q"---':+o="'---'-±.!..>,....,ccl7f'--'-c(1;/lt/S,S: Sn < Ylfj e S D~c~n o~~o~\foJ \ <:.h~""\ 1 >~~~\\~TO\) UTo''iStodes # of Bedrooms ti of Bathrooms -2. C.QNTACT-PERSON:(lf different from ai>'i½sicant) ~~ Name 3. APPLICANT 0 Contraotor . / Address l!J Ag'ent for Contractor O Owner City D Agent for Owner 2 State/Zip 2. Telephone# Fax# Name 4. Add,ess '51).. \l-UL '( ':,T City Qc..ea...wii,1d.c.... State/Zip c},. Telephone# "1{.'0 '2... (7..-<::x) l ~ Name Address City State/Zip Telephone# 5. CO_NTRAC,TOR • COMPANY'·NA,ME· (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 Se ion 7 31.5 by gny applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). "2>"-"" b,-c. o l~'S\ Bro €.L C '<>-CA--Q.( (.\'{ 4 o-~ I'-&' Name State License # _(o-=-'i$b _ _:3=-:!8'"'---- Address License Class __ c __ '!>_~-'----- City State/Zip /}... reJ~;,8_ #('J\ City Business License #~~V lA rlJi7'-,£~~ Designer Name State License # $, WORKERS' CQMPE"!SATION Address City Workers' Compensation Declaration: J hereby affirm under penalty of perjury one of the following declarations: State/Zip Telephone 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. ~ 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 \nd.~~ '> ~ St:>~l r&v,"1 Policy No. 't.S51<Xb IO~l Expiration Date (a_, -·OS: (THIS SECTION NEED NOT B~OMPLETED IF TH~ FOR ONE HUNDRED DOLLARS ($100] OR LESS) D 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 secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($1 0 0 in addlti to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATUREc_+-,/....k.~~~,_~..,_.µ_1.,i!~~---------------DATE \ ->i-0$" 7. I hereby affirm that I am exempt from the Contract icense Law for the following reason: D I, as,, owner of the property or my emP, ees with es as their sole compensation, will do e work an the structure is not intended or offered for sale (Sec. 7044, Business and Professions Co : The Contractor License Law does not apply to an o er of property who builds or improves thereon, and who does such worJ< himself or through his own e loyees, provided tha such improvements are not intende or offered for sa • If, however, the building or improvement is sold with n one year of completion, the wner-builder will have e burden of proving that he did no build or improve f r the purpose of sale). ~ D I, a owner of the property, am/ elusively contracting wit licensed contractors to constr ct the project (Sec. 044, Business and Professions Co e: The Contract r's License Law does not ~p ly to an owner of proper who builds or improves the eon, and contracts to such projects with contractor(s) licensed pursuant o the Contractor's License L w). ' D I a exempt under Section -~L ___ Business and Profess s Code for this reason: ,/ 1. I pars ally plan to provide t major labor and materials for constructio ~C.!'2!.llL'""'~·d property improvement. D YES NO 2. I (have / H e not) si 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):. ________________________________________________ _ 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 of work):, ______________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ COMPLETE·THI~ SECTION·FDR0NON~RESIDENTIAL BUILDING PERMITS'ONLY Is the applrcant or future burld1ng occupant required to submrt a busmess plan, acutely hazardous materials ~form or nsk management and prevention program under Sectmns 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Acco~ D YES D NO Is the applicant or future bulldmg occupant required to obtam a permit from the atr ~d1str1ct or air qual!ty management district? 0 YES D NO ls the facility to be constructed within 1,000 feet of the outer bou~~I site? D YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICA OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY CES AND THE AIR POLLUTION CONTROL DISTRICT .• 6. CONSWUCTION ~ENDING A 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 ADDRESS __________________________ _ 9. APPUCAl'IT CERTIFI.CATION 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 5'0H 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 al any time after the work is com en,ieg for a period of 0 days (Section 06.4.4 Uniform Building Code). APPLICANT'S SIGNATURE _1.c,.LV~(t''..1:~;)-~~*1{L~r._.j,_""-----------DATE \ -)l-C)5 PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING I. JOB ADDRESS: l'1.2P Yowr:-e.-1~ k tCQd~6a& 1:CA 920~ 2. TYPE OF BUILDING: RESIDENTIAL V---COMMERCIAL __ _, 3. ROOF SLOPE: RISE 4 inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) <3) 2 3 5. TYPE OF EXISTING ROOF COVERING vJ~oL SHEATHING .sf?444,. ('J ',,«, \4 ,S t;; = T" *6. NEW ROOF MATERIAL "b1o,¾\«, CLASS_A_WEIGHT PER SQUARE 2fs5"Lb1 7. -NUMBER OF SQUARES \. q -~--~ 8. TRADE NAME £.l.J.L..140-:tv MANUFACTURER._£:=L,:.iyt_=---~ 9. ROOF SYSTEM LISTING UL No. ___ ~,ICBO No.,--=5'--4'-'/_,'-t __ _,_ 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. Contractor ___ Owner ____ Contractor Narrie ¼ 11:e<jv ~ , *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 02/10/2005 Permit# CB05031 O Title: POULOS RES RE-ROOF FROM Description: WOOD SHAKE TO FIBERGLASS SHINGLES Type: MISC Sub Type: REROOF Job Address: Suite: 1420 YOURELL AV Lot 0 Inspector Assignment: Phone: 7602770015 Location: Inspector: OWNER POULOS THALIA E Owner: POULOS THALIA E Remarks: Total Time: CD 19 Description Final Structural Act Comment Associated PCRs/CVs Inspection History Date Description Act lnsp Comments ---- Requested By: NICHOLAS Entered By: CHRISTINE