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Home My WebLink About2467 TORREJON PL; ; CB040843; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 r 03-15-2004 Miscellaneous Permit Permit No: CB040843 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 2467 TORREJON PL CBAD MISC 2162402500 $2,575.00 MUMMAU RESIDENCE Subtype: REROOF Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: 28 SQUARES OF COMP RE ROOF Applicant: CARLSBAD ROOFING 4144 TERRY ST OCEANSIDE CA 92054 760-729-1077 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT Owner: MUMMAU KEVIN S&MARY P 2467 TORREJON PL CARLSBAD CA 92009 ISSUED 03/15/2004 MOP 03/15/2004 03/15/2004 $77.00 $0.00 $0.00 $77.00 Total Fees: $77.00 Total Payments To Date: $0.00 Balance Due: $77.00 7461 03/1.5/04 00(/:' )I.. CGF" Inspector: Clearance: 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. !f 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 fees/ xacti ns of which ou have r vi us\ een ive a N TICE imilar t this or to which he atu of limitati ns has r viou I otherwi e ex ir d. 02 FOR OFFICE USE ONLY PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 PLAN CH ~-¥'{ Date -------------- 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 Name Address ✓ City S.tate/Zip Telephone # (Sec. 7031.5 Business and Professions Code: Any Citv 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 exe pt ion. Any violation of Section 7031 .5 ~y a~y applJ ant for a permit s~..wects the applicant to. a civil penaltv of not .. '!'ore than_ five hundred dollars f $ 5001). /4 . ; . )., ·[1,.,i:t'L A.. ·' .4, • ~-• C' , , "--t , Name Address City State/Zip Te ephone # State License # S:5-1(cl'' {7 Licensa Class ('" ':;. 0, City Business License # I .~:J.J 7 7t..:.i Designer Name Address City State/Zip Telephone State License # _________ _ ~~~~WINfl\l\ll&lSft~~,a;;;a::~l\Nm:0,1is0.~lfilftli:\½:<:1lt'of'.,\;~:,<t~w)¥i~;,:.;~~l¼¼«ifi/i;A)&¼::Jif~iti'~¾'.''1{\ii'.~{{j}}f-;1~t~/:{'.,!_t\.jj;·:f;~%!i~;;;"fC'r'0lfiY>;;;,;,t_;t1:x1-;\ 1:,iff.•_, Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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. 611' I have and will maintain workers' compensation, es required by Section 3700 of the Labor Code, for the performance of the work for which this permit is ifsued. My worker's compensation • $urancyarrJer and policy number are: .. _ 1 . _ Insurance Company _, .,l C: Policy No. Vt;() I Co/'' ,,.,l.c:~~r Expiration Date /-~ -Ce- (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESSJ O CERTIFICATE OF EXEMPTION: I certify that In the performance of the work for which this permit is issued, I shall net employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure work• • compensation coverage la unlawfuJ, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand doUan ($1 ,000; n d n to the cost of companaatlon, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees. SIGNATURE 7 I' DATE :i•'ll~t . ' I hei'eby affirm that I am exempt from the Contractor's License Law for the following reason: D I, as owner of the property or my employees with wages as their sole compensatiqn, 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 purposa of sale). O I, as owner of the property, am exclusivaly contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Coda: 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 Lew). 0 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. 0 YES ONO 2. J (have/ have not) signed an application for a building permit for the proposed work. 3. J have contract&d with the following person {firm) to provide the proposed construction {include name / 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 wcirk (include name I address I phone number/ contractors license numbed: ________________________________________________ _ 5. I will provide some of the work, but J have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of world: __________________________________________________ _ PROPERTY OWNER SIGNATURE_____________________ DATE ________ _ i•1'tWifflf~l~d:,_~-w•-••1"1•i:~~i:{;~J{¾t,~~i\,,,~¼f~,mkN•W~::1·0&.iflTh~it~N';t&};~~iffi-O\l';l!Ct;_{(;;,;t}',;k~X!::?i \{~''.1,0;:.;'(:;,;;;-· 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 26505, 26533 or 26634 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O 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 O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 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. I hereby affirm that there is a construction lending agency for the performance of the work for wh'1ch this permit is issued (Sec. 3097/i) Civil Code). LENDER'S NAME LENDER'S ADDRESS 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. r agree to comply with all Citv 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 commenced within 180 de 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 is commen':,fd for a_gert f O days (Section 106.4.4 Uniform Building Code). APPLICANT"S SIGNATURE 'f/'/. ,( v DATE ,3 -/S---CS( WHITE: File YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: ,;?t.(r:. 7 z:;,-re icN ft;. . .) 2. TYPE OF BUILDING: RESIDENTIAL. ____ COMMERCIAL, __ _, 3. ROOF SLOPE: RISE Cf inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) (!_, 2 3 5. TYPE OF EXISTING ROOF COVERING ,,-;,.,,--'--SHEATHING JL ,r.., J *6. NEW ROOF MATERIAL (;c,:,.r CLASS...A._:WEIGHT PER SQUARE 7. -NUMBER OF SQUARES......,.,~-1"""8 ...... : _ __. 8. TRADE NAME L/L' Covy,--<-MANUFACTURER,_._(;.....,· (c.!.{..:O<..:: ___ ~ 9. ROOF SYSTEM LISTING UL No. ___ ~ICBO No .. _____ _,_ 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? W 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 instalfnew roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Contractor )( Owner _____ Contractor Name ,22~', L M-'cll;,, , ./ ( .. ' *6 • Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 03/19/2004 Permit# CB040843 Title: MUMMAU RESIDENCE Description: 28 SQUARES OF COMP RE ROOF Type: MISC Sub Type: REROOF Job Address: 2467 TORREJON PL Suite: Lot 0 Location: APPLICANT CARLSBAD ROOFING Owner: MUMMAU KEVIN S&MARY P Remarks: OR 760729-1077 Total Time: CD Description Act Comment Inspector Assignment: PY --- Phone: 7605944107 Inspector: ~ Requested By: MARK Entered By: CHRISTINE 19 Final Structural ~------- Associated PCRs/CVs Inspection History Date Description 03/16/2004 15 Roof/Reroof Act lnsp Comments AP PY SHEATHING