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HomeMy WebLinkAbout1721 CATALPA RD; ; CB022477; Permit08-26-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No CB022477 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 1721 CATALPA RD CBAD MISC Subtype REROOF Status 2155120900 Lot# 0 Applied $4,329 00 Entered By Plan Approved Issued FARINGHY RES-3900 SF COMPOSITI Inspect Area Applicant TEMECULA ROOFING CO P O 747 92593 909 676-6491 Total Fees ,- $10200/ Miscelaneous Fee#1 ' r ., Miscelaneous Fee #2 / / Additional Fees / , * -, Owner FARINGHY WILLIAM&DAWN 1721 CATALPA RD . "r A73.7 / * CARLSBAD CA 92009 " *'•'"'/ ISSUED 08/26/2002 RMA 08/26/2002 08/26/2002 08/26/02 0002 01 02 GBR 102-00 Total Payments To Date $0 00 ' Balance Due $102 00 X PERMIT FEE" ' , ' V * \ ~ ^ $10200 '- --' "'' /''/•••" \ ' , $000 $000 * TOTAL PERMIT FEES $10200 Inspector FINAL APPROVAL Date Jl 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 capacity 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 havg previously been given a NOTICE similar to this, or as to which tha.statute of 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 i?2Q Plan Ck Deposit Validated By / Date. /"y J £ Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Nam U\ Address City ^^^^ State/Zip Telephone #Fax Addi%!Name ' \ -* , eOi I IlGbMRAN YiNAME 1 City r"0 State/Zip Telephone If Address City State/Zip Telephone # (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 Professtons 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]) Co_ Name State License # Designer Name State License # 777S>tW 1 Address License Class Address 1?-l .03". ' City State/Zip City Business License # i Z | - City State/Zip Telephone ff Telephone Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations 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 tbe work for which this permit is issued E 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 earner and policy number are Insurance Company ^JR, TT T"*-/v^-*A policy No __ "T^'Z-^V *" & ~L~ Expiration Date l-| *- t ~~C (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) D 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 andytivil fines up to one hundred thousand dollars (^1f>n.m)fH^fn nrMjflniTtg_jh8-rTi3rnT compensation, damages aS-ptpvlded for in Section 3706 of the Labo/ code, tyfterest and attorney's fees SIGNATURE Js<^-~ Z^""""""" _S — * DATE I hereby affirm that I am exempt from the CwrtFaetorTTDcense Law for the following reason Q 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 improvsments are not tfitendsd or offered for safe 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) C I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec 7044, Business and Professions Coda 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) Q 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 L3 YES QNO 2 | (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 (incfude 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 ) wiJI 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 O- ^ '! ,, , , s' v| .*' ' i?, 'V ' *_ <? ^ tT, u Is the applicant or future building occupant required to submit a business pfan, 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? Q 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? Q YES D 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 WrfO^JW^ ^r^C^^^1^ >% * r- '", ..r,'*, "*,, *' ".•!--, '\ ' ," , I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 30970) Civil Code) LENDER'S NAME LENDER'S ADDRESS__ <n?r^~ .^.vi^t 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 authorizs 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 stones in height EXPIRATION Every permit issued by the biiifthng Official under the provisions ot this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commerjced-withm 180 days from the date of such permit\or if the building or work authorized by si^h permit is suspended or abandoned rmat any time after the work APPLICANT'S SI ficed tor a^aerJOtLoLlBO days (Section 106 4 4 Uniform Building Code) DATE YELLOW Applicant PINK Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: i 1J ( Cj^^^/-^ 2. TYPE OF BUILDING: RESIDENTIAL ^ COMMERCIAL 3. ROOF SLOPE: RISE ^P inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) (^T) 2 3 5. TYPE OF EXISTING ROOF COVERING S^uMfc SHEATHING *6. NEW ROOF MATERIAL CO* CLASS A^- WEIGHT PER SQUARE 7. -NUMBER OF SQUARES 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 ROOJvf YES ) NO All roof coverings are required to be CLASS A. Combustible roof coverings of any type or classification are prohibited. 1 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. Date Contractor ^ Owner Contractor Name *6 - Rolled Roofing, £>tandard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For 10/02/2002 Permit# CB022477 Title FARINGHY RES-3900 SF COMPOSITI Description Inspector Assignment RB Type MISC Sub Type REROOF Job Address 1721 CATALPA RD Suite Lot 0 Location APPLICANT TEMECULA ROOFING CO Owner FARINGHY WILLIAMS DAWN Remarks Phone 9095450831 Inspector Total Time CD Description 19 Final Structural Requested By LEE Entered By CHRISTINE Act Comments Associated PCRs/CVs Inspection History Date Description Act Insp Comments 08/30^2002 15 Roof/Reroof AP RB 08/28/2002 13 Shear Panels/HD's WC RB 08/28/2002 15 Roof/Reroof CO RB SEE NOTICE ATTACHED City of Carlsbad Bldg Inspection Request For 08/28/2002 Permit# CB022477 Title FARINGHY RES-3900 SF COMPOSITI Description Inspector Assignment 5?i!5ifcS1 Type MISC Sub Type REROOF 1721 CATALPARD Lot 0 Job Address Suite Location APPLICANT TEMECULA ROOFING CO Owner FARINGHY WILLIAM&DAWN Remarks PM PLEASE Phone 9095450831 Inspector Total Time CD Description 13 Shear Panels/HD's Act Comments Requested By LEE Entered By CHRISTINE Associated PCRs/CVs Inspection History Date Description Act Insp Comments CITY OF CARLSBAD BUILDING DEPARTMENT DATE NOTICE (760) 602-2700 1635 FARADAY AVENUE LOCATION J PERMIT NO T)ME * /7 rg FOR INSPECTION CALL (760) 602-2725 RE-INSPECTION FEE DUE? FOR FURTHER INFORMATION, CONTACT YES BUILDING INSPECTOR CODE ENFORCEMENT OFFICER COMPENSATION INSURANCE FUND PO BOX 420807, SAN FRANCISCO CA 9411^ CERTIFICATE OF WORKERS' COMPENSATION INSURANCE rFMPCULA ROOFING Z'^40 COMMERCE CENTER 0R 101 H I'lLCUl A CA 9^590 This is to certify that we have issued a valid Workers' Compensation insurance poltt y m i In m approved by I In1 (., Insurance Commissioner to the employer named below for the policy period md« aind This policy is not subject to cancellation by the Fund except upon ten days' advant f wnticn >\o\\< t 10 ih» rmplovoi We will also give you TEN days' advance notice should this policy be cancelled prioi to ii , normal < x|nr it tun This certificate of insurance is not an insurance policy and does not amend, extend or aii< r ihr c (v^iarii* alfuidpti by tin1 policies listed herein Notwithstanding any requirement term, or condition of any <oniiat.l or other <lo( nun ni with respect to which this certificate of insurance may be issued or may poitnm Ihr iitMirancr aflnrdrd hy thi |>oli(ir, described herein is subject to all the terms, exclusions and conditions ol such polu u", AUTHOHIZCD RE I'R CSC N TAT I Vf EMPLOYER'S LIABILITY LIHIT INCLUDING DEFFH'jE I Ul ' I. n I J I tER ul LURPE K EMPLOYER ***Proof of Insurance*** Temecula Roofing Co P O Box 747 Temecula CA 92593 PROOFOF THIS DOCUMENT HAS A BLUE PATTERNED SCIF10212 (REV. 5-0