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Home My WebLink About1135 LARKSPUR LN; ; CB044168; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-17-2004 Miscellaneous Permit Permit No: CB044168 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Building Inspection Request Line (760) 602-2725 1135 LARKSPUR LN CBAD MISC 2054301200 $3,420.00 Subtype: REROOF Lot#: 0 SULLIVAN RES-3000 SF COMPOSITI Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 11/17/2004 RMA 11/17/2004 11/17/2004 ....--==---... ~licant: , CARLSBAD ROOFING SULLIVAN ROBERT D TRUST 08-08-95 4144 TERRY ST OCEANSIDE CA 92054 760-729-1077 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $89.00 1135 LARKSPUR LN CARLSBAD CA 92008 PERMIT FEE Total Payments To Date: $0.00 Balance Due: $89.00 $0.00 $0.00 $89.00 $89.00 5670 11/17/04 0002 01 CGP 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. 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 fees/exactions of which ou have reviou I been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. 02 89-00 PERMIT APPLICATION CITY QF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE Ly PLAN CHECK NO.~ L/ 'i//J EST. VAL. 3 7 J.. 0 Validated By , ~ Plan Ck. Depo,h # Date i( [! 7 /~ I ( y I Business Name (at this address) Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel I Existing Use Proposed Use # of Bathrooms Name Address Fax# (Sec. 7031.5 Business and Professions Coda: Any City or County which requires• 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 Coda) or that ha is exempt therefrom, and the basis for the alleged exemption. Any vlo tion 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)). 1 lL .,16'Jt, 7 State/Zip Telephone # City Business License # /dt / 7 ? I .:2 Designer Name State License II Address City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury ona of the following declarations: 0 I have and will maintain • 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 Issued. My worker's compensation Insurance carrier and policy number are: Insurance Company S1'4 /J f:w...-1 d . Policy No. 0 00/ 0 f./6 , )oo l/ Expiration Data /,,...I,_ 0 .,.... (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS) 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 HCure worker•' compen1■tlon coverage la unlawful, and ahan aubjact an employer to criminal penalties and civil fines up to one hundred thouaand doHara ($100,000 I d tlon to tha coat of compen1■tlon, damag11 u provided for In Section 3706 of the labor coda, lnter11t and attorney'• feea. SIGNATURE DATE ll--12--ot/ 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 es their sole compensati~n. 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). 0 I, as owner of the property, em 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). 0 I am exempt under Section ______ Business and Professions Coda 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 • building permit for the proposed work. 3. I have contracted with the following parson (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 26606, 25533 or 26634 of the Presley-Tanner Hazardous Substance Account Act7 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? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 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. -~0-.ttlll!U 0 .. DING AQEN I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is Issued (Sec. 3097(1) Civil Code). LENDER'S NAME ~CMt~~ 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 end demolition or construction of structures over 3 stories In height. EXPIRATION: Every permil Issued by the building Official under the provisions of this Code shall expire by limltalion and become null and void If the building or wori< authorized by such permit Is not commenced within 160 d from the dale of such permil or If the building or wori< aulhorized by such permit is suspended or abandoned al any time alter the work Is commenc for a iio f O days (Section 106.4.4 rm Building Code). DATE -----'1/"---....... 1~1_-..... u_V ___ _ J WHITE: FIie YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: // 3 5' Ui~u. c I tJ 2. TYPE OF BUILDING: RESIDENflAL X COMMERCIAL, __ .....,_ 3. ROOF SLOPE: RISE t.f Inches in 12 Inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) (j) 2 3 5. TYPE OF EXISTING ROOF COVERING ('o~ SHEATHING ScJl,d *6. NEW ROOF MATERIAL flo "f CLASSAWEIGHT PER SQUARE 7. -NUMBER OF SQUAREs,_3-o __ _._ s. TRADE NAME E 1t MANUFAcTURERc::tr ew1 ..<,(__., • 9. ROOF SYSTEM LISTING UL No. ___ ~ICBO 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: :r1 '. 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/J1Jd~---Date //-/7-0 t/ Contractor_,/ __ Owner ____ Contractor Narrie /H11-rfc !f4,,,K,v *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 11/23/2004 Perm it# CB044168 Title: SULLIVAN RES-3000 SF COMPOSITI Description: Type: MISC Sub Type: REROOF Job Address: Suite: Location: OWNER 1135 LARKSPUR LN Lot 0 SULLIVAN ROBERT D TRUST 08-08-95 Owner: SULLIVAN ROBERT D TRUST 08-08-95 Remarks: Total Time: CD _D_e_s_c_rip-t-io-n------~ M Comment 19 Final Structural I Associated PCRs/CVs Inspection History Date Description 11/18/2004 15 Roof/Reroof Act lnsp Comments AP PD Inspector Assignment: PD --- Requested By: MARK HANSEN Entered By: CHRISTINE