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HomeMy WebLinkAbout1519 CHESTNUT AVE; ; CB012964; Permit09-13-2001 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No:CB012964 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: : Reference #: :;Project Title: 1519 CHESTNUT AV CBAD MISC Subtype: REROOF 2052200300 Lot #: 0 $2,997.00 SANCHEZ - REROOF 2700 SF COMP Status: ISSUED Applied: 09/13/2001 Entered By: JM Plan Approved: 09/13/2001 Issued: 09/13/2001 Inspect Area: Applicant: SANCHEZ MARIA 1519 CHESTNUT AVE CARLSBAD CA 92008 Owner: SANCHEZ MARIA 1519 CHESTNUT AVE CARLSBAD CA 92008 9742 09/13/01 0002 01 02 CGP 77.00 Total Fees:$77.00 Total Payments To Date:$0.00 Balance Due:$77.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees ! TOTAL PERMIT FEES PERMIT $77.00 $0.00 $0.00 $77.00 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PROJECT INFORMATIONlSl°i OxrsrrruiT FOR OFFICE USE ONLY PLAN CHECK EST. VAL. Plan Ck. Deposrt-^s. Validated By_ Date Address (include Bldg/Suite tt) Legal Description Assessor's Parcel # Lot No. Subdivision Existing Use •2/7OO. I Description of Wjjfk SQ. FT. 2. CONTACT PERSON j(if different from applicant) : • . MAiAt^L S>CXVl^/0(?"u \£>\fy CJnPtd; Name |3^ APPLICANT ;wQ Contractor : Name ,/4. PROPERTY OWNER . Address ; C3 ; Agent for? Contractor .;• ; jJl^Owner. Address Business Name (at this address) Name/Number Unit No. Phase No. Total # of units Proposed Use -^ #of Stories # of Bedrooms # of Bathrooms ;.:,:.:,. .:.,, •.......,:;:: ,,;... ,.,,,. ... . 7 >° o City State/Zip Telephono tt Fax tt CD Agent; for Owner : C^ *Vfo i) ••>/'€_- City State/Zip Telephon« tt Address City State/Zip Telephonei #Name 5. CONTRACTOR-COMPANY NAME ; ; ; ; is ; ^^''£^.. -• ~--u. ' (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 dollars [$500]). Name Address State License tt License Class City State/Zip Telephone tt City Business License tt Designer Name Address State License tt City State/Zip Telephone V COMPENSATION :,:.:...; i •:•:,:..:.,,'.•.',:• -.ii..,^ V. •:•-.••;•:,<:•••.-' ^.::B; -r,.,r :.:•,•• -V- •...'.....-.• Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: CD 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. f~l 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 [$100] OR LESS) f~l 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 a unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE DATE OWNER-BUILDER DECLARATION • •' •;•.v., ;.:..• •.;•"'' : 'I:,..:'L;;;i:-:V",.:.',, 'y \• • '.•,"':;,.'-.'•',L'i';' ..;..•":'.:,.'Jv'::M::-:..^-' 'i*:•{ :;;*:£P:..;'?^:;,.':./. I hereby affirm that I am exempt from the Contractor's License Law for the following reason: l~l 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). y^ 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). f~1 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. CD YES l~lNO 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): /*) / ROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION; FOR NON-RESIDENTIAL BUILDING PERMIT^ONLY '' ' ^ 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? CD YES CD NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES l~l NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? CD YES CD 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. 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(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS ; ;9- APPLICANT CERTIFICATION 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 1:0 comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City 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 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 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 comfijenced for a period of 180_days (Sectio^i 106.4.4 Uniform Building Code). 7Q4PPLICANT'S SIGNATURE DATE WHITE: File LLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: IS) ^ Cb\££TY\\JT AV^. 2. TYPE OF BUILDING: RESIDENTIAL ^ COMMERCIAL 3. ROOF SLOPE: RISE Inches In 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) (?) 2 3 5. TYPE OF EXISTING ROOF COVERING^WS S°HEATHING *6. NEW ROOF MATERIALSK^Uf CLASS WEIGHT PER SQUARE 7. -NUMBER OF SQUARES 2/7 OQ 8. TRADE NAME MANUFACTURER ___ 9. ROOF SYSTEM LISTING UL No. _ICBO No. 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? ?ES> 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 s^^^si <&^Ls. _ Date- > Contractor Owner Contractor Name *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 09/26/2001 Permit# CB012964 Title: SANCHEZ- REROOF 2700 SF COMP Description: Inspector Assignment:: /(. Type:MISC Sub Type: REROOF Job Address: 1519 CHESTNUT AV Suite: Lot 0 Location: APPLICANT SANCHEZ MARIA Owner: SANCHEZ MARIA Remarks: Phone: 0000000000 Inspector: Total Time: CD Description 15 Roof/Reroof Act Comments Requested By: MARIA SANCHEZ Entered By: CHRISTINE Associated PCRs Inspection History Date Description Act Insp Comments 09/18/2001 15 Roof/Reroof AP RC OK TO COVER - REPLACE 1/2 OF FIRST ROW OF STARTER BOARD-ROTTEN CHECK AT FINAL