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HomeMy WebLinkAbout1448 FOREST AVE; ; CB990151; PermitCity of Carlsbad 01/13/1999 Miscellaneous Permit Permit No:CB990151 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: Parcel No: Valuation: Reference #: 1448 FOREST AV CBAD MISC 1560523100 $2,496.00 Subtype: REROOF Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Project Title: REROOF 2400 SF COMPOSITION Inspect Area: Applicant: SOS ROOFING 8239 WINATCHEE AVENUE 92021 619-449-6156 Total Fees: $87.00 Miscelaneous Fee #1 Miscelaneous Fee #2 TOTAL PERMIT FEES ~"*H;,, EXP Owner: PERMIT HAS EXPIRED IN ACCORDANCE WI™ U.B.C. SECTION 106.4.4 om I 17!7[0 SIGNATURE __,,i;.th'"'---- ISSUED 01/13/1999 JM 01/13/1999 01/13/1999 $87.00 Inspector: FINALAcSZVAL Date: Clearance: _'y.__1--=~-- I NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required inforrnatbn with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been aiven a NOTICE similar to this. or as to which the statute of limitations has nreviouslv otherwise exnired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 Validated By_~""""'~-""'...,_~ ...... -+-~- Date ________ --"+-'1--""-i,-+""""!~ Address (include Bldg/Suite I) Business Name tat this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units Assessor's Parcel I Existing Use Proposed Use II of Bedrooms II of Bathrooms Address City State/Zip Telephone II Fax II &iffi~iii~=Cllfl.Rl.'ffl····-~11-~~;£..;-.~. ~~~~~~7~~·~&,5"'& Telephone II ~~~tt.tl!;~~g~~~~~~~~f.ii!tJl~~S~~·2l~~~~1'le-,J~~~1:;lt$~'.~ ?/;D ite1 w Name Address Telephone I [&$"cbNl]IA'e1.0R~Cm.1P..\iWifiAMif:f~Mf,i .. = t1' ~;;:~~~;., (Sec. 7031 .5 Business and Profe11ions Code: Any City or County which requires I permit to const11.1ct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file I signed statement that he Is licensed pursuent to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business end Professions Code) or that he Is exempt therefrom, end the b11is for the alleged e9 mpSi,Q_n, ~Y vio tion of ection 7031.5 y any 1pplicent for• petmit subje s the 1pplic1nt to I civil penalty of not more than five hun9red dollars [$5001). / ~./.,},>,.. \ 2 l,,)~c.,t'\t,t I -LL r6, ~ [.p{#\, '-('-{v,~(p{f;'r., Neme Address City State/Zip Telephone If State License II 7 Q(,,, 5" 11( License Class (_, "" 3t:j' City Busines1 License I -------- Designer Name Address City Stete/Zip Telephone State license II---------- ~1:-,,f!':;WORlt'ERS',,COMPENsATJON!:?::;ff.'~~~f"J..~~~~~~~[~~~-:;~r;;";~..;,):.].:i!m~".ll!])!L'."&' Workers' Compensation Oeclaration: I hereby effirm under penelty of perjury one of the following decleretion1: O I have and will maintain a cartificete of consent to self-insure for workers' compensation es 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 compen11~on insurance carrier end policy number are: lnsuranceComp11ny /.tuqO'(\ -r:b:,vctt"l{-f LP . PolicyNo.t.vL :l-0515'31&) Expiration Date 2.-llo -q';' (THIS SECTION NEEO NOT B~ COMPLETED IF THE PERMIT rs FOR ONE HUNDRED DOLLARS ($1001 OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that In the performance of the work for which this permit is issued, I shall not employ any person in any manner so es to become subject to the Workers' Compensation L1ws of Celifomia. WARNING: Failure to ellCI.WI worbrs' c:ompenHtion c:ov111111 le unllwful, end 8hel 1ubjec:t mn employer to cnminlll pen81tle1 end c:lvll flntt1 up to one hundred thou1and dollara ($ O 001, In cost f co , demeges u provided for In Section 3706 of the Ulbor code. Interest end 1ttomey'1 fHs. SIGNATURE DATE I -t 3 -:ts:: "f;.'.;~f>vvrlEJilitf. -tsecbiRATION~~..sJ;.~m-~~~;,~,"'\1.il:i~~~4i"~~w~~t~~'i'a;.~~'i~=~~~1.:~~~~1&1$[ I hereby affirm that I 1m 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 ind the structure is not intended or offered for 1111 (Sec. 7044, Business and Professions Code: The Contrector'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 1111. 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 Hie). 0 I, as owner of the property, 1m exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business ind Professions Code: The Contractor's License L1w does not 1pply to en owner of property who builds or improves thereon, ind contracts for such projects with contr11ctor(s) liceneed pursuant to the Contractor's License Lew). 0 I am exempt under Section ------Buslneas and Professions Code for this reason: 1. I personally plan to provide the mejor llbor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (have / have not) signed an eppllc1tlon 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 I contractors license number): 4. I plan to provide portions of the work, but I hive hired the following person to coordinate, supervise end 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 I 1ddress I phone number I type of work): _______________________________________________________ ~- PROPERTY OWNER SIGNATURE-----------------------OATE _________ _ :WMIU:tl!)il1s,S'EC%ION:FOtf:JjJJfHil.$/ii.ENfiAl.i'Uia>J;io~t;q~~~~~J!.~f;~'l;:~~)~~~~E Is the applicant or future building occupant required to submit a business pl1n, 1cutely hezerdous materi1ls registrltion form or risk management end prevention program under Sections 25505, 25533 or 25534 of the Presley-Tinner Heurdous Substance Account Act?-D · ve; 0 NO . Is the applicant or future building occupant required to obt1in e permit from the 1ir pollution control district or air qu1llty m1negemant district? 0 YES O NO Is the facility to be const11.1cted within 1,000 feet of the outer boundary of I 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 POUUTION CONTROL DISTRICT. ™;lft4$.J'liQ:c;uij_ij:~iNj~~~S:~~~~;~~frifrr.}Ji$::;~;:g~7i;;c,:~:~~£«,;,if{ 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 LENDER'S ADDRESS ~~~AHn~Fif:AtioN~~,., -; · ·· ...,. ~JW~TJ;.\~~?:'.·::-:~-1: I certify that I have read the application and 1t11te that the 1bov. information is correct end that the inform1tion on the pl1ns Is accurate. I egree to comply with ell City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of C1r1sbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU 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 requirad for exc1v11tions over 5'0" deep end demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit isaued by the Building Official under the provisions of this Code shell expire by limitation ind become null end void If the building or work authorized by such permit is not commenced within 365 d1ys from the date of such permit or if the building or work authorized by such permit is suspended or abandoned It any time after the wor i :mmanc d fo,r a peji>d of 180 ys (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE 7 . DATE /-1 , 1 :1 I WHITE: File YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: /'--{y_.:2 f o,e.s(- 2. TYPE OF BUILDING: RESIDENTIAL >< COMMERCIAL. __ --" 3. ROOF SLOPE: RISE (:P inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) Ci) 2 3 woott 11 , 5. TYPE OF EXISTING ROOF COVERING -sh~ '.'6 (.t[ SHEATHING I X 4 1 • Pt4:i6ol. *6. NEW ROOF MATERIALCO""P, CLASS WEIGHT PER SQUARE 7. NUMBER OF SQUARES---"1"--Y--'-----" s. TRADE NAME (0 D s+ol\-, MANUFACTURER El lz I ___;:::......,--'--=-----" 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: 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. Signature. __ ·-=-~--'---/----"'[)_, _P.__,,Jj:::.. _____ Date I~ I '3 -'1~ Contractor X Owner Contractor Name S, !), 'S, f2cvfi ""-1 ---- *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other.