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Home My WebLink About2816 SOMBROSA ST; ; CB022280; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-07-2002 Miscellaneous Permit Permit No: CB0222so Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 2816 SOMBROSA ST CBAD MISC 2551020800 $7,868.00 Subtype: REROOF Status: Lot#: 0 Applied: Entered By: Reference#: Plan Approved: ISSUED 08/07/2002 SB 08/07/2002 08/07/2002 Project Title: Applicant: MCBRIDE RES 2800 SF SHAKE TO WITH LIGHTWEIGHT CONCRETE TILE Owner: Issued: Inspect Area: PIVA ROOFING, BOB MCBRIDE BRIAN H&CYNTHIA C: 1192 INDUSTRIAL AV ESCONDIDO, CA 92029 619-745-4700 Total Fees: $140.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOT AL PERMIT FEES Inspector: 2816 SOMBROSA ST CARLSBAD CA 92009 Total Payments To Date: $0.00 PERMIT FEE FINAL APPROVAL Date: B/@9/0d Balance Due: Clearance: $140.00 $0.00 $0.00 $140.00 $140.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservaUons, 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. \I you protest them, you must follow the protest procedures set forth in Government Code Section 66020la), 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, zonirg, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any ' n'-nf u,h;,.,h '"''' . ,,;,,,,'"' ::I l\lf\T,..,...· . ·"· 'tn th/,, nr ::l" tn wtti...h u,,,,. c,l<>l,,tn nf lifl'it<>lit'\nt> h<><> "r . . . ,w,,/rorl FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. C-E d 2-?"2 YO CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. --..L.,Z....,)iJ~(-;:,~'1><------ Plan Ck. Deposit ____ *.,,..·.,.._ ___ _ Address (include Bldg/Suite #) ' Business Name (at this address) legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use # of Bedrooms # of Bathrooms </ s.,5 Address City State/Zip Telephone # Fax # ·c:c,n.t.ri~Q#i~~;,~r . ... . . ~ •. .,.,;"""7 ~'' • . ·,·,·-:fo~:,Q-wljer. i dd" City ':--i;),(j;J-:,-:-, f'., U/{' 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 8 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 action 7031.5 by any applicant for a perrrit subjects the applicant _a fivU penalty of not more than five hundred dollars ($500]). b 'q /1 1192 I " 111 Ave « <10 ~ a,'} ';IW-7tr5-~ Address City State/Zip Telephone # State License# •d_ /--fm-license Class C32 City Business lic.ense # fJ.Q3/9-! Designer Name Address City State/Zip Telephone State license # _________ _ [$-~vlti,R~l$~CO~l;'Et,1'S".i~ tf O·t-.i·;,; ~;\:;;t:}':1]1;_;'iJt~~,!1f~t1i}'ti;'1?;itt;i;#:,1t?: :(5;:>,:-1~',tZ{",'ir;J;; . , ,, ,;i ,,.,:,,,,.,,,y, 'i ,,,, 1,,,, Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations; • I have and will maintain a certlfif::ate 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. :g 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 corf!~ensption insurance ,arrier and policy number are: --/, ! Insurance Company :5~ Fvtllt-l Policy No. 96-/f8p:i.-o ;l. Expiration Date G'L.J LP~ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) 1 > • CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, J 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$10 000), In a ditlon t the cost of compensation, damages as provided for in Section 3706 of the labor code, interest and attomey's fees. DATE ~fez ' ' SIGNATURE !iaO:wN~l\\)IUit.D Law for the following reason: D I, as owner of the propertv 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 sale. 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). D 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 contractorfs) licensed pursuant to the Contractor's license law). D I am exempt under Section ______ Busirtess and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (have/ have notl 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 I 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 wUI 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): ___________________________________________________________ _ DATE _________ _ 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 D 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 O NO ts the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 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 ANO THE AIR POLLUTION CONTROL DISTRICT. l)l-QN$l.jJfQ);(QJJL);N't>1NGJ~:~·1;,tC,tJJ]i~{ltii1~'ii~/~t±Z~illttil~,fa~il{''.i:£{'.Jil.'t~~l'.r·'.·, I hereby affirm that there is a construction lending agency for the performance of the work for which th'1s permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME 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 alt City ordinances and State Jaws relating to building construction. I hereby authorlze 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 ANO 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 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 !he building or work authorized by such permit is suspended or abandoned at any lime after the work is comm cad for ape· of 18 ays (Section 106.4.4 Uniform Building Code). WHITE: File YELLOW: Applicant PINK: Finance . ,. City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS; ·;).."t'/C ':i?~sq 5-f, 2. TYPE OF BUILDING: RESIDENTIAL C: COMMERCIAL. __ _,_ 3. ROOF SLOPE: RISE 5 inches In 12 inchei. 4, NUMBER OF EXISTING ROOF COVERING (circle one) (1) 2 3 5. TYPE OF EXISTING ROOF COVERING:rtJqte, SHEATHING __ _, *6. NEW ROOF MATERIAL +ik CLASS_A___WEIGHT PER SQUARE · 7. NUMBER OF SQUARES "d..~ . . 8. TRADE NAME Gi3felife GoidmMANUFACTURER Gi5/e/,'fe 9. ROOF SYSTEM LISTING UL No. ____ ,ICBO No. l./660 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,lnspection 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. · f) SlgnotoM?J-.L DMo '¥072 Contractor V Owner . Contractor Name P,h fc'rA f a,£iiJ *6 • Rolled Roofing, Standard/Lite Tile, AsphalUComp Fiberglass, Built up, Other. ~~5:e@IBf~lm City of Carlsbad Bldg Inspection Request For: 08/28/2002 Permit# CB022280 Title: MCBRIDE RES 2800 SF SHAKE TO Description: WITH LIGHTWEIGHT CONCRETE TILE Type:MISC Sub Type: REROOF Job Address: 2816 SOMBROSA ST Suite: Lot 0 Location: APPLICANT PIVA ROOFING, BOB Owner: MCBRIDE BRIAN H&CYNTHIA C Remarks: Total Time: CD Description 15 Roof/Reroof 19 Final Structural Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Inspector Assignment: SR --- Phone: 7607454700 Inspector: SQ Requested By: BOB PIVA Entered By: CHRISTINE 08/14/2002 15 Roof/Reroof AP SR OK TO COVER