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HomeMy WebLinkAbout1727 CEREUS CT; ; CB023243; Permit10-28-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB023243 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 1727CEREUSCTCBAD MISC 2155021800 $4,218.00 Subtype: REROOF Lot#: 0 ROJAS RES-3800 SF COMPOSITION Status: ISSUED Applied: 10/28/2002 Entered By: RMA Plan Approved: 10/28/2002 Issued: 10/28/2002 Inspect Area: Applicant: GLYNN ROOFING 5428 ROCKINGHORSE LN OCEANSIDE CA 92057 760 758-0833 Owner: ROJAS PAMELA M 1727CEREUSCT -„• CARLSBAD CA 92009 9843 .10/28/02 0002 01 02 102.00 Total Fees:$102.00,Total Payments To Date:$0.00 Balance Due: $102.00 Miscelaneous Fee #1 , Miscelaneous Fee #2 ,;-•; Additional Fees ,: TOTAL PERMIT FEES •PERMIT FEE $102.00. , $0.00. $0.00 $102.00 Inspector: FINAL Date: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 have previously been given a NOTICE 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 INFORMATION „ - Y FOR OFFICE USE ONLY PLAN CHECK </? EST. VAL. _ Plan Ck. Deposit Validated By Date Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel #ExistingUse Proposed Use Description of Work 2. CONTACT PERSON (if different from applicant) SO.' FT.#of Stories^*# of Bedrooms # of BatKrooms Name ' ~S Address ' <y . . " City 3. , APPLICANT /Si Contractor D.Agent for Contractor CD Owner CD Agent for Owner State/Zip Telephone # ' 2 Fax* Name ' / 4. PROPERTY OWNER Address City State/Zip Telephone # Name Address City State/Zip Telephone tt 5. 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 Section 7031.5 by any applicant for a periyit subjects the applicant to a civil penalty of not more than five_hundred dollarsj$5001J, i ?~) rf\ &&$(•' Name f State License # Address (_ License Class City State/Zip Telephone t City Business License # / ?O_£",2 Q O Designer Name Address City State/Zip Telephone State License # 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: f~l 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. • CD I nave 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) trJ 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 and civil fines up to one hundred thousand dollars (4J,00,000), in adflit3mlo_the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE^-jg^-Z- ^^/ ^2f^~ • ' —-- ; DATE / &/3 fr/® QL 7. OWNER-BUILDER DECLARATION -X^ .... , I hereby affirm that I am exempt from tne Contractor's License Law for the following reason: D 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). l~| |, 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 1. 2. 3. I am exempt under Section Business and. Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed property improvement. CD YES CDNO I (have / have not) signed an application for a building permit for the proposed work. 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): __, ' ' PROPERTY OWNER SIGNATURE COMPLETE THIS S DATE WS/D£/V7Mi BUILDING PERMITS 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? Q YES O NO f 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 Q NO Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school site? O 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 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 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 sus at any time after the work is commenced fora period^rf 18Q,o^iys (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE nded or abandoned YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: / 7^ 7 Cts 2. TYPE OF BUILDING: RESIDENTIAL ^\ COMMERCIAL 3. ROOF SLOPE: RISE C inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) (?) 23 5. TYPE OF EXISTING ROOF COVERING ^QQ/ SHEATHING *6. NEW ROOF MATERIAL C*"^/> CLASS ^h WEIGHT PER SQUARE 2j O 7. '-NUMBER OF SQUARES 8. TRADE NAME <=^&&:7/^i>^"MANUFACTURER 9. ROOF SYSTEM LISTING UL No.£?/0"tfQ ICBO No. 10. IS THE EXISTING STRUCTURAL DESIGNSUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? (^Esp 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: 7; 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^ *^ \ / Pate Contractor ^V Owner Contractor Name s//c" I *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built utf Other. City of Carlsbad Bldg Inspection Request For: 11/19/2002 Permit* CB023243 Title: ROJAS RES-3800 SF COMPOSITION Description: Type:MISC Sub Type: REROOF Job Address: 1727 CEREUS CT Suite: Lot 0 Location: APPLICANT GLYNN ROOFING Owner: ROJAS PAMELA M Remarks: Inspector Assignment: JM Phone: 7604701244 Inspector: Total Time: CD Description 19 Final Structural Act Comments _££ Requested By: MICHAEL Entered By: CHRISTINE Associated PCRs/CVs Inspection History Date , Description Act Insp Comments 11/06/2002 15 Roof/Reroof AP JM OK TO COVER