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HomeMy WebLinkAbout2817 SOMBROSA ST; ; CB054024; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-22-2005 Miscellaneous Perm it Permit No: CB054024 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 2817 SOMBROSA ST CBAD MISC 2551030100 $0.00 Subtype: REROOF Status: Lot#: 0 Applied: Entered By: Reference #: Plan Approved: Project Title: Applicant: TROEBER RES 2000 SF REROOF WD SHAKE TO STAND WT CON TILE Issued: Inspect Area: Owner: PATRIOT ROOFING TROEBER CHARLES J&KAREN J 1042 EL CAMINO REAL ENCINITAS, CA 92064 760-577-2935 Miscelaneous Fee #1 Mfscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $128.00 Inspector: l 2817 SOMBROSA ST CARLSBAD CA 92009 PERMIT FEE Total Payments To Date: $128.00 FINAL~OVAL Date: '-..l A]\ Balance Due: Clearance: ISSUED 11/22/2005 SB 11/22/2005 11/22/2005 $128.00 $0.00 $0.00 $128.00 $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. 11 you protest them, you must follow the protest prooedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Sec1ion 3.32,030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fe PERMIT APPLICATION FOR OFFICE USE ONLY ,,,J PLAN CHECK NO. c.~a.SL(b"'l CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __ _,;;~;,_.._lf...___1::o __ _ Plan Ck. Deposit -----,------- Validated By !$,,, Date \ l\ ~ Business Name (at this addrllSS) Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units AssuHor'$ Parcel ti Existing Usa Proposed Use Address City State/Zip Tolephone I Fax# , . ' ' ·wt'.:foiid:qhuAAWr:~~ tfilt~l«tiAh§:Hmli,W,i\tJwi~iiat,,::1: ,t:c;t City State/Zip Telaphonu I Cltv Businuss License I /;} / t/t) '7 y Dusignar Name Addross Citv Sta ta/Zip Telephone Suita License I _________ _ ~!~~J:~::it~~~~~~~~~:?f!;:!n~~~i~~i~;~::k~~lWit':i,'•~',,~\•1!' :,~1,,,,,,~'r~.\ • •a, O I hav■ and will maintain a ca,tlflcate of consont to salf-lnaura for worker•' compensadon as provided by SBCtlon 3700 of the Labor Code, for the performance of the work tor which this parmit is issued. O I have and will m•lotaln workers' comp11ns•tion, as required bv Section 3700 of the Labor Code, for the performance of the work for which this permit is issuBd. My worker'• co ensatioo · urance carria aod policy number are: / . / Insurance Comp•ny . ,· 41 Policy No. 0£L/a l.f V <I Expiration Dato f1/ I Y ITHIS SECTION NEED NOT BE COMPLETED IF H PERMIT IS FOR ONE HUNDRED DOLLARS 1•1001 OR LESS) O CERTIFICATE OF EXEMPTION: I ca<tify that in the performance of the work for which this permit I• issued, I 11h11.11 not employ any person in any manner sou to bacome eubjact to tho Worker•' CompansatlQn Laws of California. WARNING: Failure to Hew'8 workwa' comJMOHtion coverage la unlawful, and lhall aubjact an amployer to c:rimlnal penalties and clvll finH up to one hundred thounnd dollars {t 0,0 01, In add! to the coat of comp■nutlon, damagu u provided for in Section 3706 of th• Labor de, Int It and attorney'• faH. SIGNATURE DATE d -~-'-'.r-~~.,,....-~-!ii ~ . ii .. ,t, • " -,~;i~J,,i~t~mdi!-i:;i~~lir.M~~~/,~F~r;,I A~ .:~lif:~llfi<li'llfiiii{'f,',;;, I hBr11by affirm that 1 am exempt from the Cootractor's UcanH Law for the following reason: O I, 1111 owner of tha prope<ty or my employeas with wagas as their aola compensa~lon, will do the work and tho structuro is not lntimded or. offered for sale (Sec, 7044, &uslne" and Profaaslona Cod•: Tha Contr•ctor's Ucanae Lllw doe■ not apply to an owner of property who builds or improve• thereon, and who does such work hlm1elf or through his own amployHa, provided that such lmprov■menta ■re not Intended or offered for sala. If, however, the building or improvement Is ,old within one year of completion, tha owner-builder will have tha burden of proving that he did not build or improve for the purpoea of sale). O I, 11 owner of th, property, am exclualvely contracting with llcaOHd contractors to conatruct th, project (Sac. 7044, Busina" and Profenlons Code: The Contractor's Lic,ns, Law doaa not apply to sn owner of property who builds or improve• thereon, and contra01:s tor auch projects with contractor(sl licensed pur1uant to th• Contr,ctor's License Law). 0 I am exempt und.r Section ______ Buelna•• ,nd Profas■lons Coda for this reason: 1. I p,rsonally plan to provide tha major labor and materials for construction of the proposed propa,ty improvement. 0 YES ONO 2. I lhav. / tuev, notl 1ignad an application for• building permit for the proposad work. 3, l have contracted .with the following parson (firm) to provide the proposed canstru01:ion (include name/ 1ddrea1 / phone number/ contractors licansa number): 4, I plan to provide portloM of the work, but I ha•11 hirod the following person to r.oordinata, supervise and provide the major work (include name / address / phone number/ cantr•ctor1 license nu.mberl: _____________________________________________ _ 5. I will provide some of the work, but I hava contracted (hired) tha following parsons to provide the work lndicetad (include name I address/ phone number/ type of warkJ: ______________________________ --,-___________________________ _ PROPERTY OWNER SIGNATURE______________________ DATE _________ _ UMil!tilllill1JilaIDlitldRY~JllliirOi1-•'lt~~tU'\!i!ll,'1aia.&~ff~"lili~~j!llj~/.'lftriil~lit1\11<:•,\'"~~::::.i.;;:iJi. I• the •pplic■nt or futur■ building occupant raqulred to submit • busioass plan, acutely haiardoua materials registration form or rl■k management •nd prevention prog19m under Section• 25505, 25633 or 26534 of the Presley-Tanner Hazardous Substance Account Act? O YES O NO la th■ applicant or future building occupant required to obtain I permit from the air pollution control district or air quality management district? O YES O NO Is the facility to be constructed within 1,000 feat al the outer boundary of a school slta? O 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 ~OLLUTI0N CONTROL DISTRICT. ~~~~~~l-~INB1i~JLl~~l~~i~:\J!~~-~~fi0J•lr<ii0~f2~i~~~ · .,,~,, l hereby affirm that there is II construction landing agency for the performance of the work for which this permit is issued (Sec. 3097111 Civil Code!. ;jllllliiii;~--LENDER'S ADORESS::::::-:--::::-~--:---:---:-:-'.""-::::---:--------------- m ··,,·~Iil~~~li!u~iilliii~~~iil11it~J;;.~~~{!.iMilW'l~\ili~~-ll~itift,iJJl~i11.t:!ili~~JJL~i::1Ji'J~,M,}:?1iiiA+,t•;;,: l ~•rtlfy ~hat I have read th, •PP 1catl~n and 11t~t~ that the abo_v, Information la correct and that the Information on tha plans la accurate.' I 1gr111 to comply with all i1ty ordmanc1111 and State law• releteng to bueldeng construction. I haraby authorize rapreaent1tiv111 of the Citt of Carlsbad to enter upon the above mentioned propany 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 5'0" deep and demolition or construction of structures over 3 stories In height. EXPIRATION: Every pe!mlt Issued by the bull.dl~g Official under the provisions of this Code shall expire by limitallon and become null and void JI Iha bulldin or work authori~ed by such permet !s not commenced wettun 180 days from the date of such permit or If the building or work authorized by such permit is suspended or a:andoned at any time after the work 1s comme ed tor a peri 180 days (Section 106.4.4 Uniform Building Code). !' APPLICANT'S SIGNATURE /2., DATE ///.a ct./2 i-- YELL0W: Applicant PINK: Finance / / _, I City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: ;)ff/ 7 >faa()&o Jo. 4J 2. TYPE OF BUILDING: RESIDENTIAL ,/ COMMERCIAL __ _. 3. ROOF SLOPE: RISE ) Inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) 67 2 3 5. TYPE OF EXIS~~ R~f COVERING ,~]a){,, SHEATHING Xf".1--p . *6. NEW ROOF MMRIAt p~~/1 C CLASs-1(!? L7WEIGHT PER SQUARE 7. -NUMBER OF SQUARES fX) . s. TRADE NAME Sha /f.e MANUFACTURER )JaYJLv1 9. ROOF SYSTEM LISTING UL No. ____ lCBO No. Jh 5b IO. IS THE EXISTING STRUCTURAL DESIGN~IENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? L1/ 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 .?~~vt-{J_/ Date //-;? ?-t:JS Contractor Yowner ____ Contractor Narre/l&1 <? f lct7Jh~ *6 -Rolled Roofing, Standard/lite Tile, Asphalt/Comp Fiberglass, Built up, U Other. • City of Carlsbad Bldg Inspection Request For: 12/27/2005 Permit# CB054024 Title: TROEBER RES 2000 SF REROOF Description: WO SHAKE TO STAND WT CON TILE Type: MISC Sub Type: REROOF Job Address: Suite: Location 2817 SOMBROSA ST Lot APPLICANT PATRIOT ROOFING 0 Owner: TROEBER CHARLES J&KAREN J Remarks: Total Time: CD Description Act Comment 19 Final Structural 12£ ,AJ!J Comments/Notices/Hold Associated PCRs/CVs Inspection History Date Description Acl lnsp Comments Inspector Assignment: JM --- Phone: 7608456191 Inspector: ---- Requested By: JIM Entered By: JANEAN 12/13/2005 15 Roof/Re roof AP JM OK TO COVER