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HomeMy WebLinkAbout1150 HARBOR VIEW LN; ; CB003309; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09/11/2000 Miscellaneous Permit Permit No:CB003309 Building Inspection Request Line (760) 602-2725 Job Address: 1150 HARBOR VIEW LN CBAD Permit Type: MISC Subtype: REROOF 0 Status: ISSUED 09/11/2000 RMA 09/11/2000 09/11/2000 Parcel No: 2061401200 Lot#: Applied: Valuation: $3,120.00 Entered By: Reference #: Plan Approved: Issued: Project Title: WEST RES-3000 SF COMPOSITION Inspect Area: Applicant: KEYSTONE ROOFING 1840 E POINTE AV CARLSBAD CA 92008 760 750-9888 Total Fees: $102.00 Miscelaneous Fee #1 Miscelaneous Fee #2 TOTAL PERMIT FEES Owner: WEST REVOCABLE TRUST 04-19-94 1150 HARBORVIEW LN CARLSBAD CA 92008 Total Payments To Date: $0.00 PERMIT FEE J __ ;_ .. _:. Balance Due: $102.00 $0.00 $102.00 $102.00 Inspector: FINAL APPROVAL Date: Q. l i/()\ 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 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 vou have oreviouslv been aiven a NOTICE similar to this, or as to which the statute of limitations has nreviouslv otheiwise exnired. FOR OFFICE USE O~)S PLAN CHECK NO. Uj(ID .3 5~ PERMIT APPLICATION EST. VAL. )\ 1P CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit -----1+--,---- 1. rROjECT INFORMATION I 5":o +-!A-RBoR Address (include Bldg/Suite #) Legal Description Lot No. 2. CONTACT PERSON Uf different from applicant) Name ,3. Name}ijr, WEST 4. PROPERTY OWNER Business Name (at this address) Subdivision Name/Number Unit No. Phase No. Proposed Use # of Bedrooms . f()IJJ Tc Ate. CityC 8,1.[;state/Zip 0 Owner O Agent,for Owner Nami(EvsroYe-l;ix; FIJJ€? 1,-0c Address/8fi>E.fb1A) TE A.ve 5. CONTRACTOR • COMPANY NAME Total # of units # of Bathrooms (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. 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 ollars $500 c ~ 'Oo 1t1c. -2 c 1, e CAa.sa ,1 c tGltl 7 '° Name Address City State/Zip Telephone # State License # License Class ___ c_ ______ _ City Business License # I J.o Cf_trz 2 Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company$ T t"-1 Tl:,. Fl} fJ 5D Policy No. 15 2l? 711 Expiration Date 2 -0 I -Zoo/ (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 secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dolla $100,0001, in addition to the cost of compensation, damages as provided for In Section 3706 of the Lab~ co7, Interest and attorney's fees. SIGNATURE • DATE 91 II ~ ~ I 7. OWNER-ILDER DECLARATION 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 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 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, 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): ________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ _ DATE -----------COMPLETE THIS SECTION FOR NON../lESIDENnAL BUILDING PERMITS ONLY Is the applicant or f uture 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 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 district7 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school slte7 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 ANO THE AIR POLLUTION CONTROL DISTRICT. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(il Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS ----------------------------9 . APPLICANT CE8T1FICATION I certify that I have read ttie 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 and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by lhe 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 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 work is co menced for a period of 180 days (Section 106.4.4 Uniform Building Code). WHITE: File YELLOW: Applicant PINK: Finance DATE _S--+/ ........ lt'--1-/---"(9_,0 __ City of Carlsbad Bldg Inspection Request For: 02/07/2001 Permit# CB003309 Title: WEST RES-3000 SF COMPOSITION Description: Type:MISC Sub Type: REROOF Job Address: 1150 HARBOR VIEW LN Suite: Lot 0 Location: APPLICANT KEYSTONE ROOFING Owner: WEST REVOCABLE TRUST 04-19-94 Remarks: PM PLEASE -NEEDS TO TALK TO INSPR Total Time: CD 19 Date Description Final Structural Associated PCRs Inspection History Description Act lnsp Comments Inspector Assignment: ~ Phone: 7607309888 Inspector: ~ Requested By: VICTORIA Entered By: CHRISTINE City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: /5:0 l/~& VIEW J.(WE ,CARlS~A-D 2. TYPE OF BUILDING: RESIDENTIAL )? COMMERCIAL. __ ~ 3. ROOF SLOPE: RISE 4-S'"Tnches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) 1~ 3 5. TYPE OF EXISTING ROOF COVERING~SHEATHING 0S./s boA v.e/i *6. NEW ROOF MATERIAL~-~ .. CLASS __ WEIGHT PER SQUARE c:8' .S li,. 7. NUMBER OF SQUARES 2 0 8. TRADE NAME. ______ MANUFACTURER GA-F 9. ROOF SYSTEM LISTING UL No. ____ lCBO No. fR' 5£"lt f;' . 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? YES 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 install new roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. KE ys To Ne Contractor___)C__Owner ____ Contractor Name ~e;,o FIA/&-I NO *6 -Rolled ~o~ng, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other.