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Home My WebLink About1746 TAMARACK AVE; ; CB041239; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-12-2004 Miscellaneous Permit Permit No: CB041239 Building Inspection Request Line (760) 602-2725 Job Address: 1746 TAMARACK AV CBAD Permit Type: MISC Subtype: REROOF Status: Parcel No: 2073100500 Lot#: 0 Applied: Valuation: $1,887.00 Entered By: Reference #: Plan Approved: Issued: Project Title: DAVIS RES-REPLACE COMP TILE Inspect Area: W/ NEW COMP. 17 SQRS/ ASTM#D3018 Applicant: URBACH ROOFING, INC. STE D-7 120 N PACIFIC ST SAN MARCOS CA 92069 760 471-5065 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Owner: DAVIS SYBILA TRUST PO BOX 185 r,'5;> SIERRA MADRE CA 91025 PERMIT FEE ISSUED 04/12/2004 KMT 04/12/2004 04/12/2004 $61.00 $0.00 $0.00 $61.00 '\:•r·:.~ :=::11:~:#F" Total Fees: $61.00 Total Payments To Date: $0.00 Balance Due: $61.00 SIGNATURE PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PROJeCT INFORMATIO>I FOR OFFICE USE ONLY PLAN CHEfK NO. C/JQL//23°( EST. VAL. :JP I S'fs7. ()0 Plan Ck. Deposit---~-~--- Valida!! 'fl,v J ¥J.mt'. Date ':f:/Jc2, ,JJ 4 I 7LJ{.p Lirvarack Address (include Bldg/Suite #) Business Name (at this address) Legal Description ,9(17·-?ID lot No, Subdivision Name/Number Ya.cJL{ IC, 0 Unit No. Phase No. Total # of units \:::\c,CajL, Assessor's Parcel # Existing Use r/2:J,, / 7LJJle1 O' I Proposed Use #of Stories # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone # Fax # ("?UJo) cA LI 1-00 5 Telephone# Na ,i;,Jcli:C!Jl'!!(RAC'l"Qll!"'CQMPANY'P!/>.Ml! ••.'. <, ,,.,, (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 A~y viola · n of ~ection 7031.5 by any aJplican~ for permit ,subjects the, applican to a ci~I penalty of not m r than five hundred doll~rs 1$5_0_0Jl_·. _ , -', fll/c -• · -.:>@S C.,-.' 0 City State/Zip Telephone # City Business License # /;; tJ CJ,;/ Kc-) License Class--~~"~~/ ___ _ Designer Name Address City State/Zip Telephone State License # _________ _ Q;. • Jf(ORJ{ER~r'.QOMPENS,".TIOIII Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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 work for which this 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 ~ed. My worker's compensation insura ce carrier nd policy number are; . .-.. , ..-;.~, . . . /-/-, Insurance Company . Pohcy No. ,X/:f[;,·-9a..,)-a, K/ Exp1rat1on Date -(1 s (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS! O CERTIFICATE OF EXEMPTION: I 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 la unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars n add. ·on to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE L DATE L/~ ;,,,,. 6 4 7. , .• OWl\l~;~Ql(DER'.DECl3\RATIQI\I I hei-eby affirm that I am exempt from the Contractor's License Law tor the following reason: O I, as owner of 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 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 contractor(sl licensed pursuant to the Contractor's License Law). D I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. D YES ONO 2. I (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. 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 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address I phone number / type of work): __________________________________________________________ _ PROPERTY OWNER SIGNATURE ________________________ _ DATE __________ _ COMPL'iTJ1J~ISSECTI0'1.FOR·NON4/ES/OENT/A4.BUILDIIIIG'PERMI.TS ONLY , Is the applicant or future building occupant required to submit a business ptan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 D YES D NO ls the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D 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. 8,'.< . C0'1STRUCTION LENDING AGENl;Y I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME _____________ _ LENDER'S ADDRESS. __________________________ _ ~• ·: '··APPLICA>!T:'CERTIFICATION· .• ,. 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 all City ordinances and State laws relating to building construction. I hereby authorize 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 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 com ed within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work ls com d of 1 O days (Sectj>n 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance City Of Carlsbad SU PL MENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: / 7 t./u.? 7a maracl:: 4/\PfJI ,ue, 2. TYPE OF BUILDING: RESIDENTIAL )< COMMERCIAL. __ _,_ . 3. ROOF SLOPE: RISE 7 inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) (!) 2 3 5. TYPE OF EXISTING ROOF COVERING(1,~-> SHEATHING 7/10 '.' *6. NEW ROOF MATERIAL CO;tldpe-, cLAss_h_wEIGHT PER SQUARE 7. -NUMBER OF SQUARES / 7 /( . 8. TRADE NAME G 4 MANUFACT~RER._. _____ _. 9. ROOF SYSTEM LIST.ING UL No.ft:STFM#: D3o l~BO 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: l1 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. /7'\/) Signature__,Li:)!v--"4:,..i, ",--'--\1,,._,/n'-'-'b~~l""{¾'""C(;· ""'f _____ D,ate tj /; ;2 /4 (/ L/R(Y)c'l-/ ...(Joo,c-;jyc, L- Contractor X Owner ____ Contractor Narrie M~ kJ.. ,tJ ,,J *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 04/19/2004 Permit# CB041239 Title: DAVIS RES-REPLACE COMP TILE Description: WI NEW COMP. 17 SQRS/ ASTM#D3018 Type: MISC Sub Type: REROOF Job Address: 1746 TAMARACK AV Suite: Lot 0 Location: APPLICANT URBACH ROOFING, INC. Owner: DAVIS SYBIL A TRUST Remarks: Total Time: CD Description Act Comment Inspector Assignment: JM --- Phone: 7604715065 ~ Inspector: ~\I'\,_ Requested By: AMBER Entered By: ROBIN 19 Final Structural ,~:e ________ ~ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments 04/13/2004 15 Roof/Reroof AP JM OK TO COVER