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HomeMy WebLinkAbout1144 PINE AVE; ; CB051339; Permit04-12-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB051339 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 1144 PINE AVCBAD MISC 2050203100 $2,684.00 Subtype: REROOF Lot #: 0 llcant: CHOTT ROOFING I ST JOHN RESIDENCE 22 SQUARES OF BUILT UP ICBO D-3909 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 04/12/2005 MDP 04/12/2005 04/12/2005 ;CARMEL SJflEET #1 SAN MXReeSrtSA 92069 619-744-6450 Owner ST JOHN RICHARD <AKA ST JOHN RICK> 1144 PINE AVE CARLSBAD CA 92008 Miscelaneous Fee #1 MIscelaneous Fee #2 Additional Fees PERMIT $77.00 $0.00 $0:00 TOTAL PERMIT FEES $77.00 Total Fees: $77.00 Total Payments To Date:$0.00 Balance Due:$77.00 5887 04/12/05 0002 01 02 CGR 77.00 Inspectior: FINAL APPROVAL Date:Clearance: NOTICE Please take NCmC£ that approval of yoiipiT^lrKliKles the Irnposftioti" of tee6,d0dlcalioti8, reservations, or other exactions hereafter coflectlvely tefened to as "fees/exacttons." You have 90 days frorn the date this permit was issued to protest knposftlon of these fees/exactions. If you protest them, you rnust foltow the protest procedures set forth ki Government Code Section 66020(a), and flte the protest and any other required Information with the City Mffliager for processing In accordance with CarlstMd fyfunidpai Coda Section 3.32.030. FailurB to timety follow that procedure wtl liar any sutsequent legal action to attack, review, set aside, void, or annul their Imposition. You are heretiy FUFrrHER 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 slmlarappflcationprocesdng or service fees In connection with this project NOR DOES FT APPLY to any feee/exactions of wt^vou have orevtousiv been Qfven a NOTICE simHar to this, or as to which the statute of nmltattons has previoustv otherwise emtrsd. APFUC^F1 CITY QF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 IMFOmATiOM //W /lioi n Address (include BIdg/Suite ^7) PLAN CHECK NO EST. VAL. "2. As, Plan Ck. Deposit Validated By Date Business Name (at this address) " Legal Description Lot No.Subdivision Name/Number Assessor's Parcel tt Existlf^g Use I Unit No.Phase No.Total ^ of units Proposed Use Description of Wo [2;,,,, ..COOTACT.PERSOtyj SQ. FT.ffoi Stories of Bedrooms ft of Bathrooms cppnccntj,. Name |3/ APPUCAIAiT / Address : Contractar O Agent for ControctDr City -Owner. Agent for Owner State/Zip Telephone ft Fax ft Name Address City State/Zip Telephone ft fA Acjoli i'l Name uua PmfalM' Address City State/Zip Telephone tt ;s-COMTBACTORT coOflPAMV'WAPJiE T - - " n n n n (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's, 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 1$5001). y Address ^ sTSt^S^ Whone _ License Class F , " Of City Business License tt Name State License it City State/Zip TelephoneDesigner Name Address State License // S., .WORtCERS'COtl/iPEMSATSOW,-_ ., , .n n n . n • n . n Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: □ 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 thp 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 isissued. My worker's compensation insurance carrier and policy number are: in/, ^Insurance Company AA/PTP. Policy No. ODO Expiration D^x^_//2u (THIS SECTIOW WEED MOT BE COMPLETED IF THE PERMIT IS FOR OWE HUNDRED DOLLARS [$1001 OR LESS) [°~) 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: Failyto tlo oocuto worCrcrc' componoation covorogo lo uTtlQwfful, end ohell otibjocll en omployer to crimlncl penalties and civil fines up to one hundredthousand dollars (OIOOtOOO), in addlsian to the coot,of jcomponsation, domaeeo do provided for in Section 3706 off the Lahry coda, intact end attorney's fees.NQStOOO), in QdcilSian to the oos^ot c SIGNATURE DATE ll-ereeOWMra^'OlLaEfeDECMRATIQN..I hereby affirm that I am exempt from the Contractor's License Law for the following reason: LU 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 doessuch work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement issold 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). □ 1, as owner of the property, om Qxclusively contracting with licensed contractors to construct the project [Sec. 7044, Business end Professions Code: TheContractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractorls) licensed pursuant to the Contractor's License Law). □ I om 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. □ 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. 1 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): PROPERTY OWNER SIGNATURE ^ DATE ICOWiPLgTB THIS SECTION FOR'WOfl/-j7gSroSl/WALBUILDSM0;PER[!/JITSOHiY_.:D.„l„:.-,.'.- k,.! Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and preventionprogram under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ YES □ NO is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ YES □ NO Is the facility to be constructed within 1,000 feet of the cutor boundsry of a Gchooi site? G YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT Bi ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. '8,COWSTRUCTIOW LEWDING'AGEMCY.-,. .. ...... ..... ,. 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 j LENDER'S ADDRESS ig.TTAPPUCAWT CERTIFICATION , dT-"- D- ■ ...Id r- --..N ....d--d'a; d : ■ ' d... - ' . • - 1 certify that 1 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 Cit^ of Carlsbad to enter upon the above mentionedproperty 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 S'O" 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 workauthorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandonedat any time after the work is commencsd4or a period of ISO days (Secjion 108.4.4 Uniform Building Code).DATE ^//2.j (O^AAAPPLICANT'S SIGNATURE WHITE: File YELLOW: Applicant PINK: Finance CHy Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPUCATION FOR REROOFING .1. JOB AnPRESS: IIW 2. TYPE OF BUILDING: RFsmENTIAL COMMERCIAL 3. ROOF SLOPE: RISE / inches In 12 inches 4. NUMBER OF EXISTING ROOF COVERING (drcle one) 1 3 5. TYPE OF EXISTING ROOF noVERING ^ SHEATHING 6. NEW ROOF 0^ CLASS ?O'0 WEIGHT PER SQUARE 7. tJUMBER OF SQUARES ' . . > ^ , 8. TRADE NAME /K T>iX?^''^i^CTURER 0^ JldlA. 9. ROOF SYSTEM USTING UL No. _ICBO , 10. IS THE EXISTING STRUCTURAL DESIGN SlJfFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? ^O 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-lnspectlon 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.Date. Contractor Owner Contractor Na|ne *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad BIdg Inspection Request For 04/25/2005 Permit# CB051339 Title: STJOHN RESIDENCE Description: 22 SQUARES OF BUILT UP iCBO D-3909 Inspector Assignment PY Type: MiSC Sub Type: REROOF Job Address: 1144 PINEAV Suite: Lot 0 Location: APPLICANT SCHOTT ROOFING INC Owner ST JOHN RICHARD <AKA ST JOHN RICK> Remarks: LADDER ON THE FREEWAY SIDE OF HOUSE Phone: 7607446450 Inspector Total Time:Requested By: PAM Entered By: CHRISTINE CD Description 19 Final Structural Act Comment Associated PCRs/CVs Inspection History Date Description Act insp Comments 04/21/2005 19 Final Structural NR TP NO ACCESS TO FLAT ROOF 04/14/2005 15 Roof/Reroof AP PY