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Home My WebLink About2805 SOMBROSA ST; ; CB063261; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-14-2006 Miscellaneous Permit Permit No: CB063261 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2805 SOMBROSA ST CBAD MISC 2551040400 $8,025.00 Subtype: REROOF Lot#: 0 GOODWIN RES-2500 SF STD WEIGHT CONCRETE W/STRUCT CALCS Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 11/14/2006 RMA 11/14/2006 11/14/2006 URBACH ROOFING, INC. STE D-7 GOODWIN JOHN D&CRYSTAL CARLYN 120 N PACIFIC ST SAN MARCOS CA 92069 760 471-5065 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $153.00 Inspector: 201 BUCK AVE VACAVILLE CA 95688 PERMIT FEE Total Payments To Date: $153.00 Balance Due: Clearance: $153.00 $0.00 $0.00 $153.00 $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any f Ix in fwhih uhv rvi I n ivn N I Esimilrt !hi r ihh s It oflimitain h I PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. -PR'=ecr INFQRMATION -Q 1_ ,.-=r, l __ ----·--------- l"Utl Ul"l"ll,;I:: USE ON Pla11 Ck. Deposit ~~ Vi:ilidated By I/~ Date /1 ~/-/ h~~ l,1-7~,,-,.L.4-----"----- H t r/-6 t;;J. a K 6 S :::, a YY\A) mso,_ ----'-.l_.,--i..==.--r Addrt:1:.s tir1cludt1 Bldg/$uit1;1 II) Buii1ness Namt1 (at 1111s ad1.J1t1ssJ Unit Nu. Ph<1St1 Nu. Tutctl II ut units L1:191:1I Dtiscription Lot ~ Subdivision Nam1:1/Numbt1r ....,a~s.:=:'._'5~1...1.(...!)Li=O.J.:4~0,d_\,_c-::,J__ __ _b-="'eio--1.W"""""--------~".S....;-.,,,a,,._Yh,o_,_____ _____ _ A•-x:~~s Parcel ~ Existing Ustt <:,: f 11 Proposed Ust:1 ~PDX,\-: ;;J5 er: 0 ·1 \:V~;V<u II of Bathrooms bc.,o) 7/-S-O - t1 ephone # Fax # 0 -</7(-od:,,<;,- Telephone II Designer Name Address City State/Zip Telephone State License II _________ _ Lii.,~lWW!lfiG~Tlll!,l:C,-,;,.. . . -• Workers' Compensation Oeclarat'ion: I hereby affirm under penalty of perjury one of tha following declarations: 0 I have and will maintain a certificate of consent to se/f.jnsure for workers' compensation as provided by Section 3700 of the Labor Code, tor the performance of the work for which this permit is issued. Q.-"11,ava and will maintain workars' 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 co,we ation insuranc~ carrier and policy number are: · ~ I / Insurance Company \ '. ~ Polley No. /453'S°"--<j'Q '2.. _. ~@ Expiration Date jlj /Qt;I CTHIS SECTION NEED NOT BE COMPLETED IF Tl1E PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESSJ 0 CERTIRCA TE 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 Wo1kers' Compensation Laws of California. WARNING: Failure to Mcura work .. ' cOJl1jNUINtJon coverage la Wllawful, and aheU subject an employer to criminal penalties and clvU fines up to one hundred thouund dolars t O}, ln,,'41,JltkMl to the cost of companaation, damages u p,ovlded for In Section 3706 of tha Lllbor coda. Interest and attomar•• fees. SIGNATURe ----_i.:-.<'.l,..__________________ DATE { I-I '-I -a{(? ~~ . .. iliti~illi'Ji!i'l'l_,\li,!,V',-1,,i\"\'-·:,c;:,<, '" --,, , :· ' '· I hei-eby affirm that I am exempt from the Contractor's License Law tor the following reason: 0 I, i!.S uwner of the property or my 1::1mployt1es with wages c1s their sole curnpensation, will do thtl wurk. cmd thti structw1:1 is 1101 i11tti1H.ltHl or otttirtii..1 tu, sali, (Si,c. 7044, Busi11ttss 1md Proftissions Cod1:1: The Contractor's Lictt11s1:1 l<1w cloi,s not c1ppiy to an owni,r of proptuty wt10 builds fJf impwv1:1s th1:11bfJU, cmcl wno !Jui,s such work. himsalt or through his own 1;1mploy1:11:1s, provid1:1d tlun such irnprovt:1m1mts 1ue not intended or off1::1red for sale. Jt, howevt1r, the building or improvtm11:1nt is sold within one yt:1c1,r of comphnion, thtt ownt:1r-buildt1r will hav1:1 tht! burden of proving that ht1 did not build or improve tor the purpost1 of sult1). D I, as owner of the propttrty, am exclush1t:1IY contracting with lictlnsed contractors to construct the project (Sec. 7044, Business and Professions Code: Thi; 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 Ucena& Law). D I am exempt under Section ______ l:l1.1siness and Professions Code tor this reason: 1. I personally plan to provide the major labor and materials tor construction of the proposed property improvement. 0 YES ONO 2. I (have/ have not) signed an application tor a b.dldlng permit for the proposed work. 3, I have contracted with the following person (firm) to proll"lde the proposed construction (include name I address I phone number / contractors license number): 4, I plan to provide portions of tha work, but I have hired the following person to coordinate, superll"ise and provide the major work {include name/ address/ phone oumbe, I contractors llcense number),,_------------------------------------------------ 5, I will provide some of the work, but I hav1:1 contracted (hired) the following persons to proll"ide the work indicated (include name/ address/ phone numbt1r / tVPe ot work}cc_ ------------------------------------------------------ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ ICQl\l!!t:lifi!!,flli.1~HTIOr,l1FQffWli!N4!Jill:/Qfi!111,olt·aµ1gp1Nti;PERl\llrS•ON,v 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, 26533 or 26634 of the Presley-Tann1:1r 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 managemt1nt district? O YES O NO Is the facility to b8?onst1ucted 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. '~,,, __ : gp.!j,T~~l<TIQN ~EN!l!Nll'./\<lENCY. - I hereby affirm that there is a construction ltlnding agency tor tht:1 pt1fforn1ilnct:1 of the work. for which u1·1s p1mnlt ·1s issu1:1d (S1:1c. '.30970) Civil Cuu1:1J. LENDER'S NAME ________________ _ LENDEH'S ADDRESS _________________________ _ 1fi, ·. -,AP,PIJC/\N1'-CliRJlflCAtiON i' I c1::1rtify that I have read tht:1 ilpplication and state th1:1t the abovtt information is correct and that thtt information un tht1 plans is accuratt1. I agrt1e 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 mentionttd property tor inspection purposes. I ALSO AGHEE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CtTY 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 peimit is required for excavations ov111 6'0" deep and demolition or construction of structures over 3 stories in height, EXPIRATION: Every permit issued by the building Official under the proll"isions of this Code shall expire by limitation and become null and void ii the building or work authorized by such permit is not comme ed within 180 days from the date of such permit or ii the building or work authorized by such permit is suspended or abandoned a1 any time after the work is comma d I , peri of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE / [-IL/-o<e • WHITE: Fil1:1 YELLOW: Applicant PINK: Finance City Of Carlsbad SU PL MENTAL BUILDING PERMIT APPLICATION FOR REROOFING ._(I 1. JOB ADDRESS: o2 805 Som ½cosa,Stree} 2. TYPE OF BUILDING: RESIDENTIAL_✓.,.__ __ COMMERCIAL __ ~ . 3. ROOF SLOPE: RISE l-f inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle .fne) u) 2 3 5. TYPE OF EXISTING ROOF COVERING 7/uo''O~AEATHING __ _... *6. NEW ROOF MATERIAL T1 le: CLASS __ WEIGHT PER SQUARE 7. -NUMBER OF SQUARES ci-S 8. TRADE NAME 2a,aj0 MANUFACTURER, _____ ~ 9. ROOF SYSTEM LISTING UL No. . ICBO No. Y (e l.e.O 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. Signature._..._(Jb~_ ..c.....,..-..;Q_g=-"-_______ ,Date //-/4-0 &z ti If ~c./{ Rt>OF /ivt. .TA-- Contractor X Owner ____ Contractor Narrie Afff'4c /4,,k .LJ.J *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For 11/27/2006 Permit# CB063261 Title: GOODWIN RES-2500 SF STD WEIGHT Description: CONCRETE W/STRUCT CALCS Type: MISC Sub Type: REROOF Job Address: Suite: Location: 2805 SOMBROSA ST Lot APPLICANT URBACH ROOFING, INC. 0 Owner: GOODWIN JOHN D&CRYSTAL CARLYN Remarks: Total Time: CD Description 19 Final Structural h Comment Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments Inspector Assignment: JM --- Phone: 7604715065 Inspector: ----- Requested By: AMBER Entered By: CW 11/1512006 15 Roof/Reroof AP JM VERIFY -GARAGE ENGINEERING@ FINAL