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Home My WebLink About1727 CATALPA RD; ; CB031215; Permit (2)04-28-2003 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No CB031215 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 1727 CATALPA RD CBAD MJSC 2155120600 33,060 00 LESLEY RESIDENCE 30 SQUARES OF TIMBERLINE Subtype Lot# REROOF 0 Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 04/28/2003 MDP 04/28/2003 04/28/2003 Applicant SCHOTT ROOFING INC 225 E CARMEL STREET # SAN MARCOS, CA 92069 619-744-6450 Owner " - LESLEY KENNETH&OSMAN CATHERINE H 1412 EWRfGHTCIR, WASHINGTON DC 20336 ^ 3688 04/28/03 0002 03 02 CGP 90-00 Miscelaneous Fee #1 / PERMIT ^ r. Miscelaneous Fee #2 • ' / Additional Fees , " ' $90 00 ^ " $0 00 t $000 TOTAL PERMIT FEES $9000 Total Fees $9000 Total Payments To Date * $000 '' Balance Due $9000 Inspector FINAL APPROVAL Date Clearance NOTICE Please take NOTICE that approval of your project includes the Imposition" of tees, dedications, reservations, or other exactions hereafter collectively referred to as lees/exaciions" 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 6602Q(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 yon have previously been given aNOTlCE similar to this, or as to, which the statute of limitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1, PROJECT INFORMATIONman r-UH OhHUh USfc ONLY PLAN CHECK NO, EST VAL. - VMVI- I J^kLj!oTw Plan Ck. Deposit Vfllfrfated By Data Address (Include Bide/Suit* f j Business Nam* lit this addreul i of Belhrooms CONTACT PERSON (If different from eppfJcajntl Name Addreii City Stale/Zip Tfllaphone f Fax * Stole/Zip 3. APPLICANT (Jfl Contractor Q Agent for Contractor Q Owner Q Agent forOwner , .^f/iOft j2QQ-£t*u> X/y:. &3?5£ CAjW*QJSt< ravo tt&*td3 Cfr Name 3 Address 4 PROPERTY OWNER. rCMilAStoy MieUriiM' Nama / - AQJress Telephone * Telephone f B CONTRACTOR - COMPANY NAME (Sec 7031 8 Business end" Profestlonn Coda- Any Clly or County which requite* a permit to construct, alter. Improve, demolish or repair eny atructure, prior lo It* Issuance, elso require* the eppllcent lor such permit to file t signed statement that he Is Deemed pursusnt to the provision* of the Contrector'e License Law (Chapter 9, commending with Section 7000 of Division 3 of Ihe Business and Profession* Coda) or that he la exempt therefrom end the beefs for th« alleged exemption, Any v,lolatlpfi of Section 7031 8 fay eny eppllcent for a perrnjl subject* the applicant lo/.civil penalty of not moreihan rive hundred dollars ]»5OO|| City SiBle/ZIp City Builneaa Llcenia * * Name Stele License f Dailgnar Name Address Clly Stale/Zip Telephone Slate License # __ fl WORKER*' COMPENSATION Workers/ Companiatton Declaration- ( hereby ifflrm undar psnslty of psrfuiy ana of the following deolarallons- Q I have end will maintain a certificate of com ant lo self fn«ure for workeri compensation si provided fay Section 3700 of the Labor Code, for the performance of tha work for which this permit Is Issued 5L | have end will maintain workers' compensation, ei required by Section 3700 of the Labor Code, for the performance of the work for which this permit li tnuad My worker's compensation Imuranca carrier end policy number ere Insurance Comnany £fc£L CtfVrUP "IVlS PU/T^/ Policy No V Expiration Pale (THIS SECTION NEEO NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS (MOO) OR LESS) Jfif CERTIFICATE OF EXEMPTION I certify that In the performance of Ihe work tor which this permit Is Issued, I shall not employ arty person In any manner to es to become eubfoet lo Ihe VVarkere* Compensation Lewe of California -„.. WARNING Fatfure/tffi aecuri workers' compensation coverega Is unlawful, and ihafl subject an employer to criminal penaltla* and civil tinea up to one hundred thousand dollwa (ildb,OOp|,bn addition lo the epsjjtf companiailon, damages as provided for In Section 3708 of ihe/Lqbor code4lnterasll,*nd Dttomey'a fee* SIGNATURE i-A.^y L^**^. ^V __ DATE 7 tcente Law lor the following reason OWNER-BUlf PER DECLARATION I hereby efflrm that I em exempl Irom the Contra Q I, es owner ol the properly or my employees^wflh wages as their sols compensation, will do the work and the structure Is not intended or offered for isle (Sec 7044, Business and Profesalone Coda The Contractor'* Lleanae Lew doe* not apply to en owner of property who builds or Improve* thereon, end who doe* such work himself or through his own employees, provided (hat euch Improvsments sre no! Intended or offered for sale If however, the building or Improvement Is sold within one yaar of completion, the owner builder win have the burden ol proving that he did not build or Improve lor the purpose of sale) Q I, as owner of the property, am exclusively contrectlng with licensed contractor to construct the project (Sec 7044 Business and Professlone Code The Contractor'* License Law does not epply to en owner of property who build* or Improve* thereon, end contract* for such prefects with contractor(a) licensed purauanl to Ihe Contractor a License* Lew) Q I em exempt under Section Buslnsss and Profession* Code for this reaion 1 I personally plen to provide the mefor labor end material* for construction of the proposed property Improvement O VES QNO 2 I (have / have not) signed an application for • building permit for the prepossd work 3 I have contracted with the following person (firm) to provide the proposed construction llncluds nsme / 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 end provide the major work (Include nema / addres* / phone number / conlrectore Ifcenae number! _—'—• 6 I win provide aome ol the work, but I have contracted (hired) the following person* to provide the work Indicated (include name / eddress / phone number / tvpe of workl* t_ .^______ DATEPROPERTY OWNtR SIGNATURE COMPLBTR THIS MOTION FOR NONJItStnfNTtAl BUflDINO PERMITS ONLY la the applicant or future building occupant required to aubmlt a bu*lne*a plan, acutely huardous mstertal* reglstritlon fotm or risk management and prevention program under Sections 2560B, 28B33 or 2B534 of the Presley-Tenner Hsterdoui Substance Account Act? Q YES [~J NO ^ Is the sppllcant or future building occupant required to obtain a permit from the air pollution control dlalrlot or air quality management dlttrlctr Q VES O NO Is the facility to be. constructed within 1 000 feet of the outer boundary of a school sits? O VE8 Q NO IF ANY OF THE ANSWERS ARE VES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING TlfE REdUtREMENrS OF TffE OFFfCE OF EMERGENCY ftERVfCES AND THE AIR POUUTfOW CONTROL DfSTRfCr S CONSTRUCTION LENDING AGENCY I hereby sfflrm that there Is a construction lending agancy lor the performance of the work for which this permit li Issuod (Sec 3097HI Civil Code) LENDER'S NAME B. LENDER'S ADDRESS APPLICANT CERTIFICATION , I certify that i have read the application end state that the above Information I* correct *nd thll the Information on tha plena Is accurate I agree to comply with eft Clly ordinances er,d Stale laws relating to building construction I hereby sulhnriie rapresenlatlva* of the C(l> ol CarUhad to anier upon tha above mentioned properly for Inspection purpose* I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARtSBAO AQAIN9T ALL LIABILITIES, JUDGMENTS. CO«TS AND EXPENSES WHICH MAY M ANY WAV ACCRUE AOAIN8T SAID CITY IN CONSEQUENCE OF 1IIE GRANTING OF THIS PERMIT O8HA- An OSHA permit I* required for excevatlona over B'O* deep end demolition or construction of structures over 3 stories In height EXPIRATION Ev«ry permit leeued by lh« building Official under lh« provtekme of Ihla Code thafl expire1 by limlliillon and bncome nufl unrJ void II lh» building or work authorized by auch psrmll (9 no) commepo«H within 1 BO daye Irom lhe> dale) of such permit or II the building or work authorized by such permit Is suspended or abandoned a) any lime) after 1h« work Is commerwtfd Iq/a petlod of IBO-daya (Section 100 4 4 Uniform Building Code) , .f t ^f f / j^ *—x. J M ^5 ^~ ^\ ^y APPLICANT S SIQNATUnc ^V"r>-O ._L^'^^7e»-^ OAT6 7^ Of Q ' CS$ ^/ WHITE: ril* YELLOW. Applicant PINK-Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: I *73l tf CgLfeLl pd QA . 2. TYPE OF BUILDING: RESIDENTIAL X COMMERCIAL 3. ROOF SLOPE: RISE H inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) 5. TYPE OF EXISTING ROOF COVERING^U-^4^SHEATHING A3/r7iA3VfitfC / V -S*»~s?\*6. NEW ROOF MATERIAL afr/ng7£gCLASS_/LwEIGHT PER SQUAR^3<5O) 7. -NUMBER OF SQUARES 8. TRADE NAME be^o<UL MANUFACTURER 9. ROOF SYSTEM LISTING UL No. ICBO No. 10. IS THE EXISTING STRUCTURAL DESIGN^JUKICIENT 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 - isyU Date Contractor ^( Owner Contractor Name *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For 05/07/2003 Permit* CB031215 Title LESLEY RESIDENCE Description 30 SQUARES OF TIMBERLINE Inspector Assignment JM Type MISC Sub Type REROOF Job Address 1727 CATALPARD Suite Lot 0 Location APPLICANT SCHOTT ROOFING INC Owner LESLEY KENNETH&OSMAN CATHERINE H Remarks Phone 7607446450 Inspector Total Time CD Description 19 Final Structural Act Comment Requested By TERRI Entered By ROBIN Associated PCRs/CVs Inspection History Date Description Act Insp Comments 04/29/2003 15 Roof/Reroof ' AP JM OK TO COVER P.O BOX 420307, SAN FRANCISCO, CA 94142*807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE JANUARY 13, 2003 POLICY NUVSER 28522^52002 CERTIFICATE EXP'RES; 1/1/04 r CONTRACTORS STATE LICENSE 30AHD P.O. BOX 26000 SACRAMENTO, CA. 95826 ^03; LICENSE #380125 L This is to certify that we havd issued a ,/aiid Workers' Compensat.cn insurance oc'lc/ In a form acprovad =v tha c^i<- Insuranct Commissioner 'o the gmployer named beio »for the polic&cenod jndicared ' 'ornia Th.a policy is not subject to zanceilation by tne Fund except jpon ;esys' advance written notice to -he We wni aiso give you T ciays advance nctiqe shoulc this poi.cy c^ cancelled oner to its This cen.rcate of maurarc* is not an insurance pahcy anc! dees not amend, extsrd or alter fte coverage tffctfsa DV the pokie> listed herein, NQtw.ihs^an^ng any requirement, t»rm, or condition of any contract or oindr documan- M\» respect to which this certificate cf 'nsuran^e may oe issued or may pertain, lhe insurant affo,ded by the discnisea herein is aufcject to all 'he lerpna, exclusions and condit.ons of such »«CSiD£NT EMPLOYSK'S LIABILITY LIMIT INCLUWJG DSFENS2 COSTS: Si ,000, 000 PSR OCCyRRESCE. *29S5 2ST3TIED CS^TiriCATE HOLDSSS'NOTICE EyFSCTIVS Q4/0:/03 13 ATTACKRD TO ftND FORKS A PAST OF THIS POl!^. r"~ u SCHOTT ROOFING, INC. 225 EAST CARMEL ST. -M SAN MARCOS, CA. 92069