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Home My WebLink About1241 TAMARACK AVE; ; CB100948; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-27-2010 Miscellaneous Permit Permit No: CB100948 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: 1241 TAMARACK AV CBAD MISC 2062610200 $2,520.00 CLARK RESIDENCE Subtype: REROOF Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: 20 SQUARES OF COMP REROOF Applicant: ELSNER TRUST NO 2 09-15-04 4108 MISSION AVE #C OCEANSIDE CA 92057 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: Inspector: $91.00 PERMIT Owner: ELSNER TRUST NO 2 09-15-04 4108 MISSION AVE #C OCEANSIDE CA 92057 Total Payments To Date: $91.00 Balance Due: Clearance: ISSUED 05/27/2010 MDP 05/27/2010 05/27/2010 $91.00 $0.00 $0.00 $91.00 $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" ol 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 imposil'1on of these fees/exactions. If you protest them, you must follow the protest procedures set fc,rth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager tor 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 tr1eir imposition You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection lees and capacity changes, nor planning, zoning, graoing or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any lees/e actions of which ou have revious been iven a NOTICE similar to this r as to which the st lute of imitations has revious othe ise ex ired «1'):> ~ CITY OF CARLSBAD JOB ADDRESS /L.1// CT/PROJECT# DESCRIPTION OF WORK: Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www.carlsbadca.gov / .., _SUITE#/SPACE#/UNIT# 1/ [(? ,f'./4 t ··- Plan Check No. {J ~ q Est. Value .,.., 2...-c) Plan Ck. Deposit Date # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE c..,I'<... LU OCC. GROUP EXISTING USE GARAGE (SF) PATIOS (SF) FIRE SPRINKLERS YES □ NOD APPLICANT NAME ADDRESS J ,;y /l '{~ CITY STATE ZIP PHONE FAX EMAIL CONTRACTOR BUS. NAME Jt;,'#1-f' ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE UC.# CLASS CITY BUS. LIC.# (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 appltcant for such permit to file a siimed 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 Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500)). Wo~s• Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: ff I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the wor!( for which !his permit is issued. □ 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 workers' compensation insurance carrier and policy number are: Insurance Co. ________________________ Policy No. _______________ _ Expiration Date __________ _ This section need not be completed if the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the performa11ce of the work for which this permit is issued, I shall not employ a11y person in any man11er so as lo become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shalt subject an employer to criminal penalties and civil fines upto one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest and attorney's fees. Ji$ CONTRACTOR SIGNATURE □AGENT DATE y *TI**eyuk&1 , ' *':G' * **~, '"""; 1,:, ~xnn, 11 "~n ~, ~,, -* ~ ~ Y ~ ,O!IIIN"ER,--1:!Jl:t!i!l!R GEi::l:.iiUIA:lt'iON ,i;;, _; ~-_, , . , I her_,PY affirm that I am exempt from Contractor's License Law for the following reason: J)" I, as owner or the property 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 lo a11 owner of property who builds or improves thereon, and who does such work himself or through his own employees, provtded 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). □ I, as owner of the property, am exclusively c011tracting with licensed contractors lo 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 contractor(s) licensed pursuant to the Contractor's License Law). □ I am exempt under Section, _____ Business and Professions Code for this reaso11: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. □ Yes □ No 2. I {have/ have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) lo provide the proposed coostruclion (include name address/ phone/ contractors' license number): 4. I plan to provide portions of the wOfio;, but I have hired the following person lo coordinate, supervise and provide the major work (include name I address/ phone I contraclors' license number): 5. I will provide some of the work, but I have contracted (hired) !he foilowing persons to provide the work indicated (include name I address I phone/ type of work): _,1$ PROPERTY OWNER SIGNATURE □AGENT d:ONJ(l'Lli"'l'E THIS Sli"CTION FOff NQN,ffli"SIOENTIAL lliJILDING l>ERMITS ONLY 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 SecHons 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes D No Is the applicant or future building occupant required lo obtain a permit from the air poMon control district or air quality management district? □ Yes □ No Is the facility to be constructed within 1,000 feel of the outer boundary of a school site? □ Yas 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 POLLUTION CONTROL DISTRICT. I certify that I have read the application and state that the above I nformatlon is correct and that the infonnation on the plans Is accurate. J agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representaWe of the City of Carlsbad lo enterup:Jn the above mentbned property for inspectkin pu,poses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN JW'(WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required Kl< excavations over 5'0' deep and demolition or construCOOn of structures over 3 sbries in height EXPIRATION: Every permit issued by the Building Offi::ial under the provisions of this Code shall expire by linitaOOll and become null and void if the bukling or work aulhof2ed by such perrrit is not commenced 'Mthin 180 days fi-om the date of such pennit or if the building or work authorized by such permit is susP. nded or abandoned at any time after the v.oo<. is commenced for a period of 180 days (Secla1106.4.4 Unifonn BuHdil)il Code) . .JiS APPLICANT'S SIGNATURE DATE 8-10 REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESS: / Z ?' I 7adZu/<ZcL d,:/~ 2. TYPE OF BUILDING: RESIDENTIAL . .,/ COMMERCIAL ---- 3. ROOF SLOPE: RISE 4 INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE)G) 2 3 5. TYPE OF EXISTING ROOF COVERING~J.~~~t:;_,,l~·<"' ___ SHEATHING *6. NEW ROOF MATERIAL ((4yf'5/ 7? CLASS ,4 WEIGHT PER SQ. __ 7. NUMBER OF SQUARES_=Z~O~--- 8. TRADENAME _______ MANUFACTURER ________ _ 9. ROOF SYSTEM LISTING: UL NO. ______ I.C.C.E.S. Report# ______ _ ASTM _____ _ 10.IS THE EXISTING STRUCTURAL ~N 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. Contractor ____ Owner_-"""' ___ Contractor *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other Page 5 of 5 Rev. 03/09 City of Carlsbad Bldg Inspection Request For 06/25/2010 Permit# CB100948 Title: CLARK RESIDENCE Description 20 SQUARES OF COMP REROOF Type:MISC Sub Type: REROOF Job Address: 1241 TAMARACK AV Suite: Lot: 0 Location: OWNER ELSNER TRUST NO 2 09-15-04 Owner: ELSNER TRUST NO 2 09-15-04 Remarks: Total Time: CD 19 Description Final Structural Act Comments Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description 06/09/2010 15 Roof/Reroof Act lnsp Comments AP PD Inspector Assignment: PD --- Phone: 7605297858 Inspect~ Requested By: DAVID CLARK Entered By: CHRISTINE