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Home My WebLink About2501 SOMBROSA PL; ; CB022752; Permit. ¼.? \ c 09-16-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB022752 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 2501 SOMBROSA PL CBAD MISC 2550840400 $5,901.00 Subtype: REROOF Status: Lot#: 0 Applied: Entered By: Reference #: Plan Approved: ISSUED 09/16/2002 SB 09/16/2002 09/16/2002 Project Title: HENSHIWOOD RES 2100 SF RE ROOF REMOVE SHAKE REROOF REPLACE LT WT TILE Issued: Inspect Area: Applicant: Owner: 6317 09/16/02 0002 01 PIVA ROOFING, BOB 1192 INDUSTRIAL AV ESCONDIDO, CA 92029 619-745-4700 Total Fees: $115.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES HENSHILWOOD JAMES A&MARIA J 2501 SOMBROSA PL CARLSBAD CA 92009 Total Payments To Date: $0.00 PERMIT FEE FINAL APPROVAL Date: 0 -! -DJ' 0 3 Balance Due: Clearance: $115.00 $0.00 $0.00 $115.00 CGP $115.00 prova/ of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/ex · ns." o ave 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 pro res set rth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accord e with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure wi/1 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 lT APPLY to any f I x i of whi h I Tl E imil r to this r which th t le f limi ions has r vi usl th rwi 02 115-00 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. ' , PROJECT INFOR~ TION~ 'd:, ':SO ".Pol .bfOSO P/0rce FOR OFFICE USE ONLY PLAN CHECK NO. ____ _ EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date ______________ _ Address (include Bldg/Suite #) Business Name {at this address) Legal Description lot No. Subdivision Name/Number Unit No. Phase No. Total II of units Assessor's Parcel# Existing Use Proposed Use SO. FT. ~1ro #of Stories # of Bedrooms '3 # of Bathrooms s Name Address 0 Age State/Zip Telephone # Fax# 3. ~ Contractor Name 4. · PROPERTY OJ'ER,,. / • I . I A CY'1 lj_e/1-;J!'!tl_WJ,t?,. Name 6. CONTRACTOR:,~ COMPANY NAME II Citv State/Zip Telephone # Address City State/Zip Telephone# (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 exemi:ition. Any violati99 of Section 7031,5 by any a_pplica t for a permit subjects the applicant t~ ~ _Jivil penalty of not more than five hundred dollars [$5001). b ,it4 Koe ,' ~)_ L ' ( Cdntf/(;(" CA 9;2021-'ilfO ~ rs--<f7()0 Address City State/Zip Telephone # State license # --~<-'~-~~--License Class C 31: City Business License II /J.O 3 / <'/ 8 Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS'. COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D J 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. 1::2, 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 insuJjOce carrier and policy number are: -/ / Insurance Company 5Afe rt.111~ Policy No. t/b-//ZQ-;J,-O-:J... Expiration Date 6/ 1/03 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) rf D CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, \ 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 ($10 000J, in addi • to cost of compensation, damages as provided for in Section 3706 of the Lab;r code, interest and attorney's fees. SIGNATURE---"=c;z~IZ'."."::::::;°;l,~t"':===;::;;;;,__ ______ ---,--,--------DATE ~/6 / 0 ;)._ 7; OWNER-BUILD · · . F 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 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 sate. 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). O 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). O I am exempt under Section ______ Business and Professions Code for this reason: 1. t personally plan to provide the major labor and materials for construction of the proposed property improvement. D 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 l have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone number/ type of work): ___________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ COMPLETE THIS .SECTION FOR NON-RESIDENT/Ai. BUILDING PERMITS ONLY 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 25505, 25533 or 25534 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 D 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 ANO THE AIR POLLUTION CONTROL DISTRICT .. 8. CONSTRUCTION LENDING AGENCY 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. APPLICANT CERTIFICATION 1 certify that I have read the application and state that the above information is correct end 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 Cit\' 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 5'0w 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 commen ed for a peri I 18 (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNAT DATE WHITE: File YELLOW: Applicant PINK: Financo City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: ;;., 50 / Se(Y\ b roSoi. fl~ Ce 2. TYPE OF BUILDING: RESIDENTIAL'--...:..f-. __ COMMERCIAL. __ __. 3. ROOF SLOPE: RISE 1 Inches in 12 Inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) 6) 2 3 5. TYPE OF EXISTING ROOF COVERING ___ SHEATHING :X • *6. NEW ROOF MATERIAL W +;/e_ CLASS?.:SOWEIGHT PER SQUARE 7. -NUMBER OF SQUARES~~~/-~ s. TRADE NAME H01.1)5bQ MANUFACTURER H4fl5on 9. ROOF SYSTEM LISTING UL No. 3 7 lf 'i . ICBO No. ·-------' IO. 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. Signa1Ufe o/"~b 7 Contractor 23 Owner ____ Contractor Nanie &h f?;vi1 .foof;·n~ *6 • Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. If l{, -&i3 City of Carlsbad Bldg Inspection Request For: 01/31/2003 Permit# CB022752 Inspector Assignment: JE --- Title: HENSHIWOOD RES 2100 SF REROOF Description: REMOVE SHAKE REROOF REPLACE LT WT TILE Type: MISC Sub Type: REROOF Job Address: 2501 SOMBROSA PL Suite: Lot 0 Location: APPLICANT PIVA ROOFING, BOB Owner: HENSHILWOOD JAMES A&MARIA J Remarks: PERMIT TO EXPIRE IN MARCH Total Time: CD Description Act Comment Phone: Inspector: (!f// --=--- Requested By: CHRISTINE Entered By: CHRISTINE 19 Final Structural _£_ p.:l)<f,#-.. ~No 1;vJP/i'.c no,1/ c/4",/, o,,-, >•TE.., Associated PCRs/CVs Inspection History Date Description Act lnsp Comments 09/30/2002 19 Final Structural CO JE COMPLETE ROOF -RECALL 09/17/2002 15 Roof/Reroof AP JE