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Home My WebLink About1717 CATALPA RD; ; CB013321; Permit10-19-2001 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No:CB013321 Building Inspection Request Line (760) 602-2725 Job Address' Permit Type Parcel No Valuation Reference # Project Title 1717CATALPARDCBAD MISC 2155121100 $2,775 00 Subtype REROOF Lot# 0 GOETSCHEL RES-2500 SF COMPOSIT Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 10/19/2001 NEW 10/19/2001 10/19/2001 Applicant GOETSCHEL FAMILY TRUST 06-30-97 7732 BOLO PL CARLSBAD CA 92009 S59 10/19/01 0002 01 Owner CGR GOETSCHEL FAMILY TRUST 06-30-97 7732 BOLO PL CARLSBAD CA 92009 02 77. Total Fees $7700 Total Payments To Date $000 Balance Due $7700 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $77 00 $000 $000 $77 00 Inspector FINAL APPROVAL Date Clearance „ NOTICE Please take NOTICff that approval of your project includes the Imposition" ot fees, dedications, reservations, or other exactions hereafter collectively referred to as lees/exactions" You have 90 days from the date this permit was issued to protest imposition of these fees/exactions If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you,have previously been qiven a NOTICE similar to this, or as to which the statute ot limitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date 7 Address (include Bldg/Smte it)Business Name (at this address) Legal Description Lot No Subdivision Name/Numbar o. Unit No Phase No Total ft of units Assessor's Parcel tf Existing Use'Proposod Use (iffferent from applicant) State/Zip Telephone ft Fax # State/Zip Telephone Address City State/Zip Telephone #Name .5 .^CONTRACTOR .<COMPANYrNAME>V-l ,1' , 1' ^, ,, j$ ; ]~ -1 ? • Vt,_ * ' TJJ4'.^- * >„" '" ii^''1'"' °^L !UV!' ' . M", ;i,C< JJ,^ * (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 sucn 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 [S500]) Name State License * Address License Class City State/Zip City Business License # Telephone # Designer Name State License # Address City State/Zip Telephone 6,>|s WORKERS^COMPENSATION? v „», Si((( „ >?<\ ' * „ ,,"„ '» '< ,„ ,VlW^ » », , vfe'^' "•', j-j , . «<!-*''V, <„ '' ', , !1 1 ,, Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations O 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 Q 1 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 (THJS'SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) l—fiT) CERTIFICATE OF EXEMPTION 1 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 ^o 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 pen ill ties and civil fines up to one hundred thousand dollars t^fiOTtQO), u^addition^tCjfrie cost of coojp^sation^lanrosjes-fjs provided for in Section 3706 of the Labor^code, interest and attorney's fees j7\30WNERlBUILDER8DECLARATION' V> 7> „ uf ".**r7^Jts> ( j... ">« <"'< "^'"^f ; I hereby affirm that I am exempt from the Contractor's License Law for the following reason O 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 contractors} 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-J@2VE S F~lNQ 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 1 have contracted {hired} the following persons to provide the work indicated (include name / address / phone number / type work) 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? f_J YES Q 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 fj] NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site' Q YES Q 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 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sue 3097(i) Civil Code) LENDER'S ADDRESSLENDER'S NAME •9 4 APPLICANT CERTIFICATION^/,';'' IVf ^ ,S*' U, J „""£ •','!" * * '1L? T'''r""fVs .'& fl-, * ',pn L «-r t"L!'/i'V "<V'i'. ^ ! J<'', M II', '1 I certify that I have read the application and state that the above information is correct and that the information on the plan1, is accurate I agree to comply with all City ordinances and State laws relating to building construction I hereby authorize representatives of the CitV 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 stones 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 commenced jor^a period of 180 days (Sectipf 106 4/4 Unjform Building Code) APPLICANT'S SIGNATURE DATE WHITE File YELK5W Applicant PINK Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING I. JOB ADDRESS: 77/7 2. TYPE OF BUILDING: RESIDENTIAL / COMMERCIAL 3. ROOF SLOPE: RISE V .inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) (Y) 2 3 5. TYPE OF EXISTING ROOF COVERING 5Vyofc SHEATHING S )< i *6. NEW ROOF MATERIAL Ca^ ^ CLASS g WEIGHT PER SQUARE 7. -NUMBER OF SQUARES ^^ 8. TRADE NAMEV7^/£/2 f;^> MANUFACTURER ^TT^^ t 9. ROOF SYSTEM LISTING UL No. ICBO No. 10. IS THE EXISTING STRUCTURAL DESIGNJUEEiaENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF7VYES ) 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:i' 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. Contractor Owner /^\ ,' Contractor Name *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. TTTVsrHEDIJLED BUILDING INSPECTION DATE PERMIT #01 - JOB ADDRESS DESCRIPTION tin INSPECTOR PLAN CHECK # CODE DESCRIPTION• i\ACT COMMENTS^ / ' 1f"£j--scx