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Home My WebLink About155 SYCAMORE AVE; ; CB030906; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-28-2003 Miscellaneous Permit Permit No: CB030906 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 155 SYCAMORE AV CBAD MISC 2041220300 $1,998.00 Subtype: REROOF Lot#: 0 TRUE RES 1800 SF REROOF COMP TO COMP Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/28/2003 SB 03/28/2003 03/28/2003 PIVA ROOFING, 808 TRUE EVERETT R&PATRICIA IJ.419 03/2B/03 ()()()2 01 1192 INDUSTRIAL AV ESCONDIDO, CA 92029 619-745-4700 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $64.00 Inspector: PERMIT FEE 155 SYCAMORE AVE CARLSBAD CA 92008 Total Payments To Date: $0.00 FINAL APPROVAL Date: • "( .-1 '1,,0 ) $64.00 $0.00 $0.00 $64.00 Balance Due: Clearance: CGP $64.00 I of your project includes the "Imposition" of fees, dedications, reserval'lons, or other exactions hereafter collectively referred to as ''tees/exactions.~ days from the date this permit was issued to protest imposition of these lees/exactions. If you protest them, you must follow the protest procedures set forth in G ernment 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 wiU 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 ff APPLY to any I 02 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK No.C::l?o20:le>b EST. VAL. / j ''LB CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 J Plan Ck. Deposit~~------- Validated Bvo/,..Q,.._,~------ Date 3 ~ z..__'c:3 -c> ,S Business Name (at this address) Legal Description Lot No. Subdivision NameJNumber Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use #of Stories # of Bedrooms # of Bathrooms l State/Zip Telephone# Fax# Name •tv if (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 a 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 exemp~on. Any violati n of ~ection 7031.5 by any appli ant for a ?er it subjects the a1;e1.icant to~ Cjlvil penalty of not more than five hundred dollars ($5001). b ' · • 11"1 1 c.50)11 ,tU ~o-•'5-, 700 Name State Ucen,o # -~2~1~-<z.=9~3~~~-- Designer Name Address City State/Zip Telephone State License # _________ _ (8111:W.ftRkEJ\S.fcJ>.fill~lt,tsA t.io N '.{· r¼Jf1i0it±~iYM;~J;;i,iJ{~¥&t~i%.~1f;i;J(laYr;;;;::d:;t;:,:;,/D1,;,~ ·: : ¾:·{:'.!:::rl';;;_:':,±' ;,.,,,.,,,";,J,,.;;": Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certifi~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, ,t,5 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 comp~nsati insuranc ~arrier a d policy number are: , /' • / / Insurance Company e ""' Policy No. ¼ -1/~J_-0 ;;2. Expiration Date bUj63 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) / ..,g1 CERTIFICATE OF EXEMPTION: 1 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 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 ($100, ), In ad to the cost of compensation, damages as provided for in Section 3706 of the labor code/interest and attorney's fees. ::~;i::R\liuiCd~ ,DEC DATE 3,&if' ~ l hei'eby affirm that I am exempt from the D I, as owner of the property or my employees with wages as their sole compensation, will do the work and tha structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's license law does not apply to an ownar 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•bui1der will have the burden of proving that ha did not build or improve for the purpose of sale). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the projact (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 contractor(s) licensed pursuant to the Contractor's license law). O I am exempt under Section ______ Businass and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed proparty 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 person (firm) to provide the proposed construction (include name I address / phone number / contractors license number): 4. l plan to provide portions of the work, but 1 have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number/ contractors license number):. ________________________________________________ _ 6. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address / phone number / type of work): ___________________________________________________________ _ PROPERTY OWNER SIGNATURE----------------------- ~pJ;ipj_'ffiiijl~i$(i;t(Qr,(l~Q!!)t/d/V:Jlf$/Q£t/,T1~i{~!-IJ,Q)[G[!lEgl\l1J,6"QJ'lt'.'(JTu0iJ<,i1i5!;:C,/. Is the applicant or future building occupant reqLiired 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? D 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 Is the facility to be constructed 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. tiS:tOB.~JffiQ.QliJf~~J.~NtiJtlG.fA·ij~N¢,X~~~t~;~~illi;\;@JJi'.£1'.:~;~1iiJt'.lJ',Mkif\i'.:r1~i\~tl·. t;'.:~.\J: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(ll Civil Code). LENDER'S ADDRESS:,:-------------------------------- \s1i:fr'Aif!tJ.CM!l.n(d@:kfiJ;:'i,~i'JQNftii~;•;;J~~lTj:\{';1?Kfi~'.J);it1lf~j~,,11.;f~i)J;?,ii;_Jdi]~f:\[)i/;;;{L~:;f:'i)/:).·};•: · l-ENDER'S NAME _____________ _ I certify that I have read the application and stats that the above information is correct and that the information on the plans is accurate. I agree to comply with all Citv ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit\' 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 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 lf the building or work authorized by such permit is suspended or abandoned at any lime after the work is commenced fo a period 80 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1, JOBADDRESS; /55 sycC\"10fe Ave. 2. TYPE OF BUILDING: RESIDENTIAL 'f-COMMERCIAL. __ _; 3. ROOF SLOPE: RISE t./ inches In 12 inches 4, NUMBER OF EXISTING ROOF COVERING (circle one) ~ 2 3 5. TYPE OF EXISTING ROOF COVERING (011'1,?SHEATHING cs·6 *6. NEW ROOF MATERIAL Caivip CLASS ;230wEtGHT PER SQUARE . '7. NUMBER OF SQUARES J.:i p{ . . ·. s. TRADE NAMe30yr 5'/4-k fiknd MANUFACTURER GA F 9. ROOF SYSTEM LISTING UL No. f<-;)., / 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: 1. Tear Off/Pre-Inspection prior to instell new roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs a!Jove the roof for inspection . ... ~,,,. · ~ Oafe 3/4-,: Lo-s l I Contractor .7--Owner ____ ContractorName l3ob Piva. t,J·113 *6 -Rolled Roofing, Standard/Lite Tile, AsphalUComp Fiberglass, Built up, Other. t/Olo -Eb City of Carlsbad Bldg Inspection Request For: 04/11/2003 Permit# CB030906 Title: TRUE RES 1800 SF REROOF COMP Description: TO COMP Type: MISC Sub Type: REROOF Job Address: Suite: Location: 155 SYCAMORE AV Lot APPLICANT PIVA ROOFING, BOB 0 Owner: TRUE EVERETT R&PATRICIA L Remarks: Total Time: CD Description 19 Final Structural Act Comment /JP_ &//~'7 Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Inspector Assignment: JE --- Phone: 7607454700 Inspector: _....:;._ __ Requested By: BOB Entered By: CHRISTINE 04/03/2003 15 Roof/Reroof AP JE OK TO COVER