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HomeMy WebLinkAbout1018 KNOWLES AVE; ; CB991801; PermitCity of Carlsbad 05/07/1999 Miscellaneous Permit Permit No:CB991801 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: Parcel No: Valuation: Reference #: 1018 KNOWLES AV CBAD MISC 1552514600 $2,392.00 Subtype: REROOF Lot#: 0 Project Title: REROOF COMP SHINGLE 2300SF Applicant: HIGGINS BARBARA 3004 LAURASHAWN LN ESCONDIDO CA 92026 760-7 4 7-9630 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 05/07/1999 DT 05/07/1999 05/07/1999 9486 05/07 /99 0001 01 02 C-PRHT 87-00 Total Fees: $87.00 TDljll ffayments To Dafe: $0.00" .. .~ceDue: $87.00 Miscelaneous Fee #1 Miscelaneous Fee #2 TOTAL PERMIT FEES PERMIT FEES EXPIRED PERMIT PERMIT HAS EXPIRED IN ACCORDANCE WITH U.B.C. SECTION 106.4.4 DATE 11 ( q Ci SIGNATURE FINAL APPROVAL Dale: _____ _ $67.00 . $0.00 $87.00 Clearance: _____ _ NOTICE: Please tak OTICE 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 pennit 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. Fanure 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 capactiy 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/exactions of which ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ·red. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK No c,/391/fb( EST. VAL. ___ ...,:;c::?="""....,)_q_,2....,..._ CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 Plan Ck. Deposit ----1:--..----- Validated By 1,E._ Date ' ~(7 /<Jq 1. Business Name (at this address) Address(~~#) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total# of units Existing Use 32;0 I Proposed Use ..'.3 SO. FT. #of Stories I of Bedrooms # of Bathrooms 2. Address City Fax# 3. AJ>PUCANT D Comractor O Agentfor,Contrictcir.....,;;di"owner "'O '~forOwner Name Address City State/Zip Telephone# 4. PROPER~NER Ld.4----z~ 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 o! the Business and Professions Codel or that he is exempt therefrom, and the basis for the alleged exemption. ny violation of Section 7031 .5 by any applicant for a permit subjects the applicant to a civil penalty of not more than~ hundred dollars ($5001). , c) I --. ? 2 D~::::. -b.3 /-9 0 Name City State/Zip Telephone # State License# .36tfo 6 9 License Class _________ _ 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: 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. D 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 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 aecure worker,' compenaation coverag• la unlawful, and ahall aubject an employer to criminal penalties and civil fine• up to one hundred thousand dollara ($100,000), in addition to tha coat of companaation. damage, a, provided for in Section 3706 of the Labor code. lnterut and ettomey'a fHI. SIGNATURE______________________________ DATE _________ _ ')(1. OWNER-BUILDER DECLARATION I hereby 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 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 s0;9 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 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 ol 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 I 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 I address I phone number I 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):. ___________ ....-9-----------,-r----::---------------:------------------ 0ATE __..5.._. _-.,__7_--'C)'-?....,,___ )( PROPERTY OWNER SIGNATURE --lC....-,:......:=~.e:..,..:=:..i...,iiZ::,,.._-f::qi=:...:,,,....::;"+--t....:....• _..,..:.._ ___ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS 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 25505, 25533 or 25534 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 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 ANO THE AIR POLLUTION CONTROL DISTRICT. 8. CONSTRUCTION LENDING ,\GENC:Y~_•. >•.:'-"''"'""'.'.'~·:~~"'_';"•·:1"':"":.' "•';:"· 0 ; ·, .• I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097lil Civil Code!. LENDER'S NAME_______________ LENDER'S ADDRESS _________________________ _ 9. APPLICANT CERTIFICATION • • .~ ;:;".,..J'.';';' '" :-~:; ·~::;:".:_-:;:... . 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 ANO 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 365 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 ork is commenced for a period of 80 days (Section 106.4.4 Uniform Building Code). ~PPLICANT'S SIGNATURE ' -DATE s-5':. 2' -9 2 PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING I. JOB ADDRESS: 2. TYPE OF BUILDING: RESIDENTIAL_.q,(''--_C.OMMERCIAL __ _, 3. ROOF SLOPE: RISE, ___ ,inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) (1/ 2 3 5. TYPE OF EXISTING ROOF C<pERING, ___ SHEATH~G . *6. NEW ROOF MATERIA,L~£;;t.___CLASS fJ WEIGHT PER SQUARE 7. NUMBER OF SQUARES_o/:c.!.a.:>..,,__ _ __,_ 8. TRADE NAME:)~gt:2~ MANUFACTURER GvJ-t- 9. ROOF SYSTEM LISTING U~~ ____ ICBO No. _____ _,_ IO. 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: I. 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. Signature M-a.a /2 d i o, ~-5.;.. Date Contractor ___ Owner_--'-)"_· __ Contractor Name *6 • Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Inspection Request For: 5/ 11 /99 Permit# CB991801 Title: REROOF COMP SHINGLE 2300SF Description: Type:MISC Sub Type: REROOF Job Address: Suite: Location: 1018 KNOWLES AV Lot 11.PPLICANT : HIGGINS BARBARA Owner: HIGGINS BARBARA Remarks: Total Time: 0 Act Comments Inspector Assignment: Phone: 7607 479630 Inspector: ---- Requested By: BARBARA Entered By: CHRISTINE CD Description 15 Roof/Reroof _Af: _______ _ Inspection History Date Description Act lnsp Comments