HomeMy WebLinkAbout2809 SOMBROSA ST; ; CB000008; PermitCity of Carlsbad
01/04/2000 Miscellaneous Permit Permit No:CB000008
Building Inspection Request Line (760) 438-3101
Job Address: 2809 SOMBROSA ST CBAD 7655 01/04/00 0001 01
Status: ISSUED C-PRMT Permit Type: MISC Subtype:
Parcel No: 2551040200 Lot#:
REROOF
0 Applied: 01/04/2000
Valuation: $5,244.00 Entered By: MOP
Reference #: Plan Approved: 01/04/2000
Issued: 01/04/2000
Project Title: YARGER RESIDENCE
19 SQUARES OF EAGLE LIGHT
Applicant:
SECURE ROOF INC
2210 MEYERS
ESCONDIDO CA 92029
760-432-9084
Inspect Area:
Owner:
YARGER BENERANDA R
2809 SOMBROSA ST
CARLSBAD CA 92009
Total Fees: $131.00 Total Payments To Date: $0.00 Balance Due:
Miscelaneous Fee #1
Miscelaneous Fee #2
TOTAL PERMIT FEES
PERMIT
Date:
$131.00
$0.00
$131.00
Clearance:
$131.00
NOTICE: Please take t approval of your project includes the 'Im sition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as 'fees/exactions." u 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 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
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NO.
EST. VAL. ~ 2 c...
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!,/
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
Plan Ck. Deposit ________ _
Validated By __________ _
Date, _____________ _
Addre~~0)1dg/Suite II Bustneu Name lat this addrusl
Legal Description Lot Ne. Subdiviaion Name/Number Unit No. Ph■H No. Total# of units
Assessor's Paree)..'.-. .
v'" ~.\::.Q.
OescriPtion of Work #of Stories I of Bathrooms
Name
li,""".'Otlllfllll:il\'Dff,
!Sec. 7031.6 Business and Professions Code: Any City or County which requira a permit to construct, attar. improve, de~o_lish or repair any stru~ure,_ prior to Its
issuance, also reciuirH the applicant for such permit to file a signed statement that h~ is licenud pursuant ~o the prov1s1ons of the Contract~, s License Law
(Chapter 9, commending with Section 7000 of Oiviaion 3 of the Business and Professions Code) or_ that he 1s exemPt therefro~, and the basis for the alleged
ex~~ ~~n 0 ection 703~e.:plica f~• ermit •~~c•~o;..,:ivil penalty of not more than five hundred dollars It 50011.
Designer Name Address City State/Zip
State License II _________ _
.,,~,' ':\WORKERS~ COMPiNtA1'lON·&3-U ..... :,;:r,t-,;::---.~Sh~~..:;.:;~~ ~1 ·--C .. '1'<#.c.""5-:=t":".---::;.:-~ :,~~:·-::: ,-,··; ; .
w~~;e,s' Compe~Htion Declaration: , hereby affirm --;;;r ;~~tty ;;;~riu~·~,:;1 the foli~~in; declaration~:~ . . ..
Telephone
O I have and will maintain a certificate of consent to self➔nsura for workers' compensation H provided by Section 3700 of the labor Code, tor the performance
of the work tor which this permit is iuued.
Q-"11 have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, tor the performance of the work for which this permit is
)'sbed. My worker's comp..9np•t1on insurance carrier and policy number ■re: . _ . 4 I I ) OO
Insurance Company :J_\ \ jg OOY Q, Policy No. I 5':) l ·/ (.., Expiration Date ___ .__. __ _
{THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR .. ONE HUNDRED DOLLARS (t1001 OR LESS)
O CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which thia permit is issued, I shall not employ any person in any manner 10 as
to become subject to the Workars' Compensation Laws of Callfomia.
WARNING: Failure to 11cure worken' compensation coverage la 1.mlawful, and shall subject an employer to criminal peneltiu ■nd cfvll fines up to one hundrad
thousand doU■ra 18100,000), In addition to~ Waf of comp■nution, damages u provided fot' In Section 3708 af the~~:!'!• Interest end attomey's '-•·
~'.~~~~~'8Ul~COOl~.2N~.~%2ta .-,., ·. ,,wee=,,~~~·,.:· , -,~,:;~ ,c ~'::~_,,~,¾~-· ·': ·
I hereby affirm that I am exempt from the Contractor'• License Law tor 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 ottered for Hie
(Sec. 7044, Business and Proteu1ons Coda: The Contractor's Licenn Llw does not apply to an owner of prope,ty who builds or improves thereon, and who does
such work himself or through his own employees, providad that such improvements are not intended or offar■d for Hie. If, how■var, th■ building or improvement is
sold within one year of comptetion, th■ ownar•builder will hava the burden of proving that he did not build or improve for th■ purpose of aale).
0 I, as owner of the prope"V• am axclusively contracting wtth licensed contractors to construct the projact ISec. 7044, Business and Proteuions Coda: The
Contractor's License Law does not apply to an owner of propeny who builds or improves thereon, and contracts for such projects with comractorls) licensed
pursuant to the Contractor's License Lawl.
D I am exempt under Section ______ Businns and Protassions Coda for this reason:
1 . I personally plan to provide the major labor and materials for construction of th■ proposad prope"y improvement. D YES ONO
2. I (have / have not) signed an application for I building permit for the proposed work.
3. I have contractllld with the following i;,.erson (firml to provide the proposed construction !include name/ address I 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 ma1or work (Include name / address / phone number/ contractors license number): ________________________________________________ _
5. I will provide aome of the work. but I have contracted (hired) the following persons tO provide the work Indicated Unclude name / address / phone number / type of work):, ______________________________________________________ _
PROPERTY OWNER SIGNATURE ______________________ _ DATE
COMPI.ETE-THIS.'SECTiO,tf=OR-At~ffl~~~~~~~;!t~C.:~"';;7~~-::~
Is the apphcant or future building occupam required to submit ■ business pl■n, acutaly hazardous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of tha Prulay.Tanner Hazardous Substanca Accoum Act7 O YES O NO
Is the appllcant or future building occupam required to obtain a permit from the air pollution control district or air quality management district 7 O YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school alte7 0 YES D NO
IF ANY OF THE ANSWERS ARE YES, A ANAL 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,
1~·.8~~-~~"'(:0NSTRUCTION'lENDJN.G·.A'c'mtoii~~~/~~:.."-"_;w.~~¢,,:;.;,;J~;~~~;;;:;;;,;;1~;;~~~,:;;_ -~c-~;;F-r,-:1+·-~-·~ ~-..... ~
I hereby affirm that there is II construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(0 Civil Code).
LENDER'S NAME :;:;:;;;::=:;::;:;:;;;:;;:;;;;;:;;;;;;;;;;:;;;~:;:;;:; LENDER"S ADDRESS _______________________ _
11 •. ,,.::~fftiCANT.CERTIRCAl'iON~.;t~~:i;:F~~~~-~~~~~,~~~i,;,~~::;.:-,
I certify _that I have rHd the application and state that tha above Information is corTect and 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 represantarives of the Cift of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO 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 11Xcavations over s•o• deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provieions of this Code shall exs,ire by limitation and become null and void if the building o•
work authorized by such permit 1s not commenced within 365 days from the date of such permit or if the building or work authorized by such permit ts suspended
or abandoned at any time after the work is commenced for a period of 180 days !Section 106.4.4 Uniform Building Code). , \ )
APPLICANT'S SIGNATURE YD 1 ru q_,,J..., DATE '-l Du
WHITE: File ~OW: Applicant PINK: Finance
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDRESS: al'& O °I ~ro 2A-2:> t-
2. TYPE OF BUILDING: RESIDENTIAL / COMMERCIAL __ ~
3. ROOF SLOPE: RISE 'f inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one)<::!) 2 3
5. TYPE OF EXISTING ROOF COVERINGffi~.g SHEATHING __ ~
*6. NEW ROOF MATERIAL Li% :Ee CLASS A-WEIGHT PER SQUARE 5. (o
7. NUMBER OF SQUARES I q
8. TRADE NAME C Glj le. ·1 i te MANUFACTURER (s. 0,f)\ e_
9. ROOF SYSTEM LISTING UL No. ____ ,ICBO No. 4:1. 0: 0
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 install new roof covering.
2. Final Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for
inspection.
Signature 'DJ · ~ · OJ_~ Date
Contractor ✓ Owner ____ Contractor Name ~ e,<!.,Lu;._ \Cu~ ~ C'...
*6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up,
Other.
UNSCQ f;pULED BJTIT,DING INSPECTION
DATE
OD -08 PERMIT# ___ _
INSPECTOR ____.e....,,.~'------
PLAN CHECK#-'-----
JOB ADDREss _J.;;._· ...:.;.~_o___,q~S--=-om.;._·...,__,b ...... 0"""'«1 ...... S> ...... lt.____-=~ ..... I ____ _
DESCRIPTION ________________ _
CODE DESCRIPTION ACT COMMENTS
tl {:;d
City of Carlsbad Inspection Request
For: 1/5/2000
Permit# CB000008
Title: YARGER RESIDENCE
Description: 19 SQUARES OF EAGLE LIGHT
Type:MISC Sub Type: REROOF
Job Address: 2809 SOMBROSA ST
Suite: Lot 0
Location:
APPLICANT SECURE ROOF INC
Owner: YARGER BENERANDA R
Remark~E AM OR EARLY PM PLE.ASE )
.. Af6tr,./ I ->H
Total Time:
Phone: 8003386868 EX 102
Inspector: ----
Requested By: TERESA
Entered By: CHRISTINE
CD Description Act Comments/ jJ . ____,,__,I
1:3!?_ v~-?1 15 Roof/Reroof
Associated PCRs
Inspection History
Date Description Act Jnsp Comments