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HomeMy WebLinkAbout1715 KIRK PL; ; CB004758; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12/15/2000 Miscellaneous Permit Permit No:CB004758 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 1715 KIRK PL CBAD MISC 2072604600 $3,952.00 Subtype: REROOF Lot#: 0 ROWE-REROOF 3800 SF COMP Applicant: Owner: SECURE ROOF INC ROWE HOWARD L&JOHANNA E INTER VIVOS TRUST 01-17- Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 12/15/2000 JM 12/15/2000 12/15/2000 7356 TRADE ST SAN DIEGO CA 92121 800 338-6868 1715 KIRK PL CARLSBAD CA 92008 Total Fees: $102.00 Miscelaneous Fee #1 Miscelaneous Fee #2 TOTAL PERMIT FEES Total Payments To Date: PERMIT Date: $0.00 ~c!:9~!;ioo Ni?lq:?: $102.00 $0.00 $102.00 C~Gf>· Clearance: ______ _ NOTICE: Please take NOTICE that approval of your project includes the "I "of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permrt as 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 Ca~sbad Municipal Code Section 3.32.030. Failure to timely follow that procedure wm 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 spec~ied 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 !T APPLY to any fees/exactions of which ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. FOR OFFICE USE ONLY • PERMIT APPLICATION PLAN CHECK NO. W 'f7'.tzj CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Validated BY....::,=Lj:,>::_:::::....,~-,,t.,;..--,':......,- Date ______ _,µ~./-.f.,C...f,,(:-.;,L 1. PROJECT \NFORM'\TION I") 1115 JC... \l?,.,JL r. L Address Onclude Bldg/Suite #) Business Name (at this address) Legal Description 5 F t) Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Description of Work () " r 90. ;; ~,--1/.J ,,, f-lt:> \.\E: it,<T\-\ \ N e<: /[SU'f-11.1i,,--<-- 2~ CONTACT PAASON· (If different from,_app)lcentl' \I·· #of Stones $~' Bath,ooms (-0 P>E: t2..- Name Address 3. APPLICANT S):ontractor SJ Agent'for·.Contr&C1:or·0 SEe.,u 12-f:: '\L-001=-\NC ·17;, S1, Name R©w6 Address 4. PROPERTY OWNER City □·-owner '□· Agent'for Owner TO-A Dt ST ~ ·',). City C.A State/Zip Telephone # Fax# State/Zip Telephone # (2 6 wG /1 IS' ?L ssrs -,/i , . 7 u3 Name Address City State/Zip Telephone# 6. CONTRACTOR -COMPANY:-NAME (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 Sec\ion 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). "::,(!C IMf. /¥i 1'T ? Name State License # _c-_,,'-Cj-'-'0'-'('..:....'3_4 __ _ Address City State/Zip Telephone # license Class ---=C'-",-'-11-----City Business license# ,~o ?bS 2- Designer Name State license # / 6. WORKERS' COM..a6AnoN Address City Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: State/Zip Telephone D 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. "ti 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: I I Insurance Company C::J'Th-1E-FU t-J\) Policy No. 2 '? 5 ( 4-6 bDO Expiration Date D l • GI \ D I (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS 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, l shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to ucure worker•' companaation coverage la unlawful, and ahall subject an employer to criminal penalties and civil flnea up to one hundred thousand dollars ($100,0001, in addition the coat of compensation, damages aa provided for In Sectk>n 3706 of the L~r rd•, 1/terast and attomey's fees. SIGNATURE c;:Jt~--IVv°\--' DATE (::.2-µ <:; _In) 7. OWNER.BUILDER DECLARATION ',. · , · , I I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D l, 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). D 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). D 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. D 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 me 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-Rff/DENTIAL BUll,DINO'PJIIMITS.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? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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. 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. 309701 Civil Code). LENDER'S NAME _____________ _ LENDER'S ADDRESS, ________________________ _ 9. APPLICANT ce~TIRCATION· 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 authoriie 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 the building Official under the provisions of this Code shalt expire by limitation and become null and void if the building or work authorized by such permit ls 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 atter the work is co need or a period of~ days (Section 106.4.4 Uniform Building Code). · APPLICANT'S SIGNATURE '-._~_.-, Jj,~ • DATE ___ ' ~-<11-1 _<:-J./_0_n.J _____ _ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 02/05/2001 Permit# CB004758 Title: ROWE-REROOF 3800 SF COMP Description: Type:MISC Sub Type: REROOF Job Address: 1715 KIRK PL Suite: Lot 0 Location: APPLICANT SECURE ROOF INC Inspector Assignment: PS --- Phone: 7607290825 Inspector:~ Owner: ROWE HOWARD L&JOHANNA E INTERVIVOS TRUST 01-17- Remarks: Total Time: CD Description Act Comments Requested By: RESIDENCT Entered By: CHRISTINE 19 Final Structural $2 (\,16 Associated PCRs lnsi;1ection Histo[ll Date Description Act lnsp Comments 01/31/2001 19 Final Structural NR JC NOT HOME 12/19/2000 15 Roof/Reroof AP PS 12/18/2000 15 Roof/Reroof co PS SEE RESULT/NOTICE City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: \ 1 \ c; \z \ pJ,__ \"" L 2. TYPE OF BUILDING: RESIDENTIAL __ '{ __ COMMERCIAL_~ 3. ROOF SLOPE: RISE "'f inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) 0)2 3 5. TYPE OF EXISTING ROOF COVERING ___ SHEATHING~X-~ *6. NEW ROOF MATERIAL ('07,""Q' CLASS __ WEIGHT PER SQUARE 7. NUMBER OF SQUARES 3@ -~~-~ 8. TRADE NAME iU1Ji-~S1i °'-U E:--MANUFACTURER CL[c'..__ ------~ 9. ROOF SYSTEM LISTING UL No. K 0'1 IS-ICBO No. ----~ 10. IS THE EXISTING STRUCTURAL DESIGN __ ~IENT 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: 3/ear Off/Pre-inspection prior to install new roof covering. vFinal Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. "--· '"' Signature C:: '7--i"--i"--,J) vv------RCL----vv---Date t ~/ !Sf (Ji) I I Contractor )( Owner ____ Contractor Name ______ _ *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other.