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Home My WebLink About2731 TIBURON AVE; ; CB061504; Permit4 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-30-2006 Miscellaneous Permit Permit No: CBD61504 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2731 TIBURON AV CBAD MISC Subtype: REROOF 0 1675124300 $7,062.00 HAYASHIDA: 2200 SF RE-ROOF - SAME TILES Lot#: Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 05/30/2006 JMA 05/30/2006 05/30/2006 SAN MARCOS ROOFING HAYASHIDA SCOTT&JILL FAMILY TRUST 1580 GRAPEVINE LN VISTA CA 92083 760-549-7835 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $140.00 Inspector: 1328 CASSINS ST CARLSBAD CA 92011 PERMIT FEE Total Payments To Date: FINAL A Date: ( l $140.00 Balance Due: Clearance: $140.00 $0.00 $0.00 $140.00 $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition' of 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 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 capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this proJect. NOR DOES IT APPLY to any f s/exacti ns of which u h v r vi usl been iven a NOTICE imilar hi r whi h he sta ut of limitation ha r vi I h rwis x ir . FOR OFFICE USE ONLY PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT t635 Faraday Ave., Carlsbad, CA 92008 PLAN CHECK NO.~ l._)O i EST. VAL. , 7DbZ, Plan Ck. Deposit ________ _ l; ····· PROJECT INFORMATl'.6 .,,,,:;;273/ Tl ucon / Address (include Bldg/Suite #) Validated By \i ?:: Date s( ab __ Q..k_ 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 Description of Work h -euJ f t SQ. FT. #of Stories # of Bedrooms II of Bathrooms /·~-~ '. ,-.2 l!tcoNlf.A!cTePERSONl (11t dlff;S ,s-c..11-111~ 1r: f't".S A?-.. . erent ram app cant :L Name Address City / 3. APPLICANT 3 Contractor O Agent for Contractor O Owner D Agent for Owner b1 Ct cCO $ tffJ !5'3'0 6rc:,JJi?V1nC Name Address ' City State/Zip Telephone # Fax# Lq vi 3.TC. G.-::1 State/Zip Telephone # 4. PROPERTY OWNER 7t,,9~5?q-183_£- Name Address City State/Zip Telephone # 6. CONTRACTOR -COMPANY NAME (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 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]). Name Sc...M p"1 C::.. r C O 5 ,..._ ~dress City State/Zip Telephone # State License # 7 a O G J C, License Class C -> 9 City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ /6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: ave 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 ork for which this permit is issued. ave and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit ,s issued. My worker's compensation insurance carrier and policy number are: Insurance Company ____________________ ~ Policy No. ____________ _ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) D 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 is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addlt n to the cost o compen ation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. /SIGNATUR . DATE ~o/ (2 (d 7. OWNEA• ILDER DECLARATION . I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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(sJ licensed pursuant to the Contractor's License Lewi. 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 lhave I have natl 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 numberl: ________________________________________________ _ 5. 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 I type of work): __________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ _ COMPLETE THIS 'SECTION FOR' NON4IE$iDENTIAL BUILDING PERMffS 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 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? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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 AND THE AIR POLLUTION CONTROL DISTRICT . . a,:••• iCO.NSTRUCTION LENDl~G AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(il Civil Code). LENDER'S NAME _____________ _ •9; •APPLICANTCEF!TIFJCATION · 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 ANV WAY ACCRUE AGAINST SAID CITV 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 al this Code shall expire by limitalion and become null and void if the building or work authorized by such permit is not commenced within 180 days from the dale of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of O days (Section 106.4.4 Uniform Building Code). _/APPLICANT'S SIGNATURE DATE rho/oG , I WHITE: File YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: J.7 3 / Ti biucon A-Ue 2. TYPE OF BUILDING: RESIDENTIAL :>( COMMERCIAL ___ ~ 3. ROOF SLOPE: RISE L(: inches in 12 Inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) (V 2 3 5. TYPE OF EXISTING ROOF COVERING ___ SHEATHING • *6. NEW ROOF MATERIAL "¥tf'es { CLASS 99 (; WEIGHT PER SQUARE 7. -NUMBER OF SQUARES 1, 2- 8. TRADE NAME _______ .MANUFACTURER 6--:1 oh t -e C 9. ROOF SYSTEM LISTING UL No. ___ ~ICBO No.:2,. O <j S 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 instali'new roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signature~~/2~ ~ ?- Contractor ><; -owner-·, ---••,~ eontractor Na!fle .Ef'co_1 h Sc..n. d CJvCL/ *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 11/06/2006 Permit# CB061504 Title: HAYASHIDA: 2200 SF RE-ROOF - Description: SAME TILES Type: MISC Sub Type: REROOF Job Address: Suite: Location: 2731 TIBURON AV Lot 0 APPLICANT SAN MARCOS ROOFING Owner: HAYASHIDA SCOTT H&JILL K Remarks: Total Time: CD Description Act Comment Inspector Assignment: MC --- Phone: 7605359382 Inspector: _ .... M_G __ Requested By: LARRY Entered By: CHRISTINE 19 Final Structural fl_ ___________ _ Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description 06/0512006 15 Roof/Re roof 05/3112006 15 Roof/Reroof Act lnsp Comments AP MC AP PY EXISTING SHEATING