Loading...
HomeMy WebLinkAbout2442 TORREJON PL; ; CB032666; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-29-2003 Miscellaneous Permit Permit No: CB032666 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 2442 TORREJON PL CBAD MISC 2162401101 $10,959.00 Subtype: REROOF Status: Lot#: 0 Applied: Entered By: Reference #: Plan Approved: ISSUED 09/29/2003 MOP 09/29/2003 09/29/2003 Project Title: SERAFINI RESIDENCE 39 SQUARES OF EAGLE LITE ICBO # 4660 Applicant: W F COOK CONSTRUCTION 2048 AVENIDA PENASCO EL CAJON 92019 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $179.00 Inspector: Owner: SERAFINI KEVIN C 2442 TORREJON PL CARLSBAD CA 92009 PERMIT Total Payments To Date: FINAL A Date: $0.00 Issued: Inspect Area: $179.00 $0.00 $0.00 $179.00 Balance Due: $179.00 5170 09/29/0.3 0002 01 CGP 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. 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 fe exacti n f whic ou have revio sl een iven a NOTIC imil r to his or as which th statute f limi ation has revi us\ oth rwi ex ired. 02 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY03,. ZC'C PLAN CHECK NO~ f"J,'t./ ( 4 '7 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date, ______________ _ Business Name (at this address) Lot No. Subdivision Name/Number Unit No, Phase No. Total # of units Assess ctj C9Lto·L Existing Use Proposed Use # of Bathrooms Name Address :3:_;-:: "AP~(!CANJ,· :·:-~cQ!'ltraf;ltor: • ;'.OiASJeht-·iO(Coritf!l_ctor: Name Address City D.Agen1··toi' Owner' City 0 State/Zip Telephone# Fax# State/Zip Telephone# l (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. An.k violation of ~tion .70l1 .5 by P[lY_ ap • ant Jo~ J perMit subject~ the ap~_9t a ci-J-il penalty of n91. more than five hundred 9Q!.!ir.5d' 5091/ . t,L) P' QJ<J ,L L£I J,I "> i • Kl ~ I'" "4-\ t<, (:::1, t;\, C ('I-'i -., / l o <; Name State License # __ .,h'-'~'--'/'--'')..--'b'-'7~ J_ I Address City State/Zip ~T eleph~# License Class (3 City Business License # ~ ~ \ Designer Name Address City State/Zip Telephone State License # _________ _ 6, WQR~~1!$tCOl',l~~l'ISATIO~ 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. ID, 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 ~ermit is ist'ued. My worker's com e saJioI' insuran e arrier and policy number are: . '1 I I J ') ~ Insurance Company """ "V Policy No. I '3 'l 1 j "!J 1 Expiration Date _ 0 i ~04- (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS) f 0 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, 11.nd shall subject an employer to criminal penalties and civil fines up to 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. SIGNATURE. _____________________________ _ 7;,;,, i>v,/tll;li•iiu 1t1:Ji!l!tP~<li;A;iiATIOt! i11:. ,0,>11! , ,., 1 :,,,;, , I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D t, 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. lf, 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). 0 l, 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(s) licensed pursuant to the Contractor's License Law). 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. 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 / 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/ phone number/ type of work):. ___________________________________________________________ _ 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? O 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 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, !,Q.NSTRUCTION ~ENDIN<tAGENCY 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, ________________________ _ ;9. ; · APPLICAN1\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 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. WHITE: File YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOBADDRESS: ~L{2-To"re,j~v-' pc 2. TYPE OF BUILDING: RESIDENTIAL )0 COMMERCIAL __ _, 3. ROOF SLOPE: RISE f; inches in 1~ches 4. NUMBER OF EXISTING ROOF COVERING (circle one) G) 2 3 5. TYPE OF EXISTING ROOF COVERING ___ SHEATHING /:L ({hf f/ct,,J *6. NEW ROOF MATERIAL A CLASS 7 WwEIGHT PER SQUARE 7. -NUMBER OF SQUARES __ ~~ 8. TRADE NAME M:y i:;(; MANUFACTURER ~ 9. ROOF SYSTEM LISTING UL No. ___ ~.ICBO No. f.:t l., &o IO. IS THE EXISTING STRUCTURAL DESIGN ~ICIENT 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: -,, i'( 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. Signature____,,l'"'--/vt/2 __ ~~-l_1;{_ ____ Date_1_0~/o~J_ Contractor ___ Owner ____ Contractor Narre _______ _ *6 • Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 1 0/07 /2003 Permit# CB032666 Title: SERAFINI RESIDENCE Description: 39 SQUARES OF EAGLE LITE ICBO # 4660 Type: MISC Sub Type: REROOF Job Address: 2442 TORREJON PL Suite: Lot 0 Location: APPLICANT W F COOK CONSTRUCTION Owner: SERAFINI KEVIN C Remarks: Total Time: Act Comment Inspector Assignment: JM --- Phone: 6194541138 Inspector: ]:\0, Requested By: ROBERT Entered By: CHRISTINE CD Description 19 Final Structural R ______ _ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments 09/30/2003 15 Roof/Reroof AP JM OK TO COVER BOTH 2442 & 2444