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HomeMy WebLinkAbout2804 SOMBROSA ST; ; CB994610; PermitCity of Carlsbad 12-14-1999 Miscellaneous Permit Permit No:CB994610 Building Inspection Request Line (760) 438-3101 Job Address: 2804 SOMBROSA ST CBAD Permit Type: MISC Subtype: REROOF 0 Status: ISSUED Parcel No: 2551020200 Lot#: Applied: 12/14/1999 Valuation: $5,664.00 Entered By: MDP Reference #: Plan Approved: 12/14/1999 Issued: 12/14/1999 Project Title: FRAUSTEIN RESIDENCE 24 SQUARES OF EAGLE LITE lnspectA7W 12/14/99 0001 01 C-PRMT Applicant: SECURE ROOF INC 2210 MEYERS ESCONDIDO CA 92029 760-432-9084 Total Fees: $131.00 Miscelaneous Fee #1 Miscelaneous Fee #2 TOTAL PERMIT FEES Inspector: Owner: FRAUSTEIN ROBERT J&CHERYL L 2804 SOMBROSA ST CARLSBAD CA 92009 Total Payments To Date: $0.00 Balance Due: PERMIT FINAL APPROVAL $131.00 $0.00 $131.00 Clearance: $131.00 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 otl1er 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 capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 02 131-00 PERMIT APPLICATION FOR OFFICE USE ONLY I I PLAN CHECK NO. 11 ~ v6f Q CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. ?.feG 'f ,Zr 'J / Plan Ck. Deposit ________ _ Validated By __________ _ Date, _____________ _ Address (include Bldg/Sutte I) BUStneu Name tat this addressl Legal Description Lot No. Subdiviaton Name/Number Unit No. Phase No. Total # of umts ~ PropoHd Use I of Bathrooms Name State/Zip Designer Name Address CitV State/Zip :;:~~;•;~,;,:ieo~· ~M;;;;PEll;;;;;!ilt:lffl;;;;;o~l'E11E~-;;;;;;;B;,·,ti:~;;i;a~· ,,:,. ,,:r?'c-~.~,,..,~-~ •. &.~ .• !..."'-,=5'.~~~;;;E~~!:B'..~~~C::~!.:".:'1:-~:,~~~"!~-:-·:;-'":; ;·. _. Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Telephone II Fa,c # Telephone D I have and will mltintain a certificate of coruia:nt to self-insure for workers' compensation as provided by Section 3700 of the labor Code, for the performance of the work far which this permit is issued. O I have and will maintain workers' compensation, H reqUirad by Section 3700 of the Labar Cade, for the performance of the work for which this permit 1s issued. My worker's co?•"-::::: iJ5UAnca carrier and policy number are: 0 ,c-/ ' r 8 1 _ Q Q. . . I l 1 l OC, Insurance Company ~ K:t,/\::)ct PalicyNo.80...> _ '1 lY I f Exp1rat10nOate. ________ _ !THIS SECTION NEED NOT BE COMPLETED IF THE PERMrrti FOR ONE HUNDRED DOLLARS (t100J OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this pennit is issued, I shall not employ' any parson in any manner so as to become subject to the Workers' Compensation Laws of Callfomia. WARNING: Failure to 18cure workan' comptnNtlon coverage la unlawful, and ahaD aulliect an employer to criminal penalties and civll finu up to one hundred ~~:~7v::·" (810 ,000), In~ of cc,mpenution, damagu u provided far In Section 3~:~: the ~l!'i-ICr and attorney's fua. ··-···o·r.-a, ··-c·"·' -;;.,..,.._,_ "'""'-........ ' ~r.:-...-·· ........ ,, ______ ... ~ -, . -~ <j _, --7. ~• .' n11ER•IIUl11.ucru,11!~A:11un.~~'\\>l~• •-/1'._,,c, ,,wr.:;...~.~-~ • .:a _., , .,..,, ~ ~ • -, ~ .,. .. _ , ' ~ r ' I hereby affirm that I am exempt from the Comrector'a Ucenae Law for the following reason: 0 I, as owner of the property or my employees with wages as their sole compensation, wlll do the work and the structure is not intended or offered for sale (Sec. 7044, Business end Pr0f•uions Code: The Contractor'• License Law does not apply to an owner of propeny who build• or improves thereon, and who does such work himself or through his own emplayeas, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sotd within one year of completion, the awner•builder will have the burden of pro\ring th■t he did not build or imp,ove for the purpose of sale). 0 I, es owner of the propeny, am exclusively contracting with licensed contractors to construct the projact ISec. 7044, Buaineas and Profeuions Cade: The Contractor's License Law does not apply to an owner of prape,ty who builds or improves thereon, and comracts for such projects with conttactor(s) licensed pursuant to the Contractor's Licenae Law). 0 I em exempt under Section ______ Buaina■a and Professions Code for this reason: 1. I personally plan ta provide the major labor and materials tor construction of the proposed property improvement. 0 YES ONO 2. 1 {have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following ~rsan (firml to provide the proposed construction (include name/ address / phone number/ contractors license number): 4 I plan ta provide panions 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 wa,k, but I have contracted (hired) the following paraons to provide the work indicated (include name I address I phone number/ type of work): ______________________________________________________ _ PROPERTY OWNER SIGNATURE COMPLm7HIS9ECT1DN1'0R•N~1'f!. , .. DATE Is the applicant or future building occupant requirad to submit • buainess plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 ar 26534 of the Praley,-Tenner Haz~rdous S~at•nc• Account Act7 D YES O NO Is the applicant or future building occupam required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility ta be constructed within 1,000 fut of the outer boundary of a school slta7 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT IE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT. 1· if,7:'.:'.'1:0NSTRtrCTi0PfiEND1Nl:tA'(B'~~f'i\?i.~S~~~~~~.,::..;;fJ8t~:~;:;::~~~;;,;;.,;;;:; -~:-~:A~Y,-:1~:"::: --.. - I hereby affirm that there is a construction lending agency for the performance of the work tor which this permrt is issued (Sec. 30970) Civil Codel. ~~~~:~~:~,iCERaii?1;R~c:ATIO;.;·~·;~~,i:.i,~;ii_,~,ij.,~ffliJ1.!mBiiifl·iiiii.~r,.:,::;•-~:,;;;ijj1iiii. ;~.,,;N~~~~:;~:: ... =,,::,,::-,~::·~=,="::~:::._,_:::_,_::,::~::. :: . .,-l'i.-.<:::'9:::,:::.t::-:c-".,.--.. -. ---,---------- 1 certify that I have read the application and state that the above Information Is correct and that the information on the plans is accurate. 1 agree to comply with all City ordinances end State laws relating ta building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned prope,ty 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 s•0• deep and demolition or construction of structures over 3 stories ,n height. EXPIRATION: Every permit issu_ed by the Building Official under the provisions of this Coda ■hall expire by limitation and become null and void if the buitd1ng o• work authorized by such Permit 1s not commenced within 365 days from the date of such permit or tt the building ar work authorized by such permit 1s suspended or abandoned at any time after the work 1s commenced for a panod of 180 days {Section 106 4.4 Uniform Burldmg Code) APPLICANT'S SIGNATURE OJ · 0 • Q_Q_ ~ DATE J '2_ /, l/ I 1 J' WHITE: File Y~OW: Apphcant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING I. JOB ADDRESS: ~~o lj '&om 'oYD.Sq S+- 2. TYPE OF BUILDING: RESIDENTIAL ( COMMERCIAL __ _,_ 3. ROOF SLOPE: RISE 't inches in 12 inches 4. NUMBER OF EXISTING ROOF COVER~cle one) 0 2 3 s. TYPE OF EXISTING ROOF COVERING ___ SHEATHING ___ _,_ *6. NEW ROOF MATERIAL ~:€r, CLAss5•¥ WEIGHT PER SQUARE 7. NUMBER OF SQUARES 2-4 8. TRADE NAME £°"*~ MANUFACTURER (c0-_* 9. ROOF SYSTEM LISTING UL No. 4CofQO ICBO No. ----~ 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: I. 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 Contractor ✓ Owner ____ Contractor Name *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Inspection Request For: 12/27/1999 Permit# CB994610 Title: FRAUSTEIN RESIDENCE Description: 24 SQUARES OF EAGLE LITE Type:MISC Sub Type: REROOF Job Address: 2804 SOMBROSA ST Suite: Lot 0 Location: APPLICANT SECURE ROOF INC Owner: FRAUSTEIN ROBERT J&CHERYL L Remarks: Total Time: ----- CD Description Act Comments Inspector Assignment: DM --- Phone: 8003386868 EX 102 Inspector: ~ Requested By: TERESA Entered By: CHRISTINE 19 Final Structural _f}f _________ _ -----+---------- Associated PCRs Inspection History Date Description 1211611999 15 Roof/Reroof 1211511999 15 Roof/Reroof Act lnsp Comments AP DM NR DM