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Home My WebLink About1727 FOREST AVE; ; CB993469; PermitCity of Carlsbad 09/.ij"/19~9 Miscellaneous Permit Permit No:CB993469 Building Inspection Request Line (760) 438-3101 " Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 1727 FOREST AV CBAD MISC 1561302300 $1,428.00 DVORAK RESIDENCE Subtype: REROOF Lot#: 0 14 SQUARES OF COMP. REROOF Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/20/1999 MDP 09/20/1999 09/20/1999 4118 09/20/99 0001 01 Applicant: DILS ROOFING CO. 1089 LEUCADIA BL ENCINITAS, CA 92024 619-436-7 588 Total Fees: $57.00 Miscelaneous Fee #1 Miscelaneous Fee #2 TOTAL PERMIT FEES Inspector: _Pt\~'-'----- Owner: DVORAK DONALD C&GAIL A 1727 FOREST AVE CARLSBAD CA 92008 Total Payments To Date: $0.00 Balance Due: PERMIT $57.00 $0.00 $57.00 C-PRMT $57.00 FINAL APPROVAL Date: !Q-7-99 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 thatyourri,ht 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 vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 02 PERMIT APPLICATION ' CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 . FOR OFFICE USE ONLY r 0 PLAN CHECK NO. n-3> \ lo I EST. VAL. _ __,I'+-, ..:."1--( 1...=<;j)L--11 ..... '> .... ,..,_1..:.... Plan Ck. Deposit Validated By __________ _ 1. PROJECT INFORMATION /727 fot?£'ST A-lie, Address (include Bldg/Suite #) /<£.S, Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # 1tmov£ /0 fr Description of Work IN J',A-LL £'.?oMf' OvcR.. 2. CONTACT PERSON (if different from •ppllcantJ Existing ,Upe t?,Y HO<t 5 E' I SQ. FT. #of Stories t1 ,</ i,; MA--€> L /.•, 'L /rrc.-ir- 40- 6.+r Proposed Use 3 II of Bedrooms /40[} 51<,Fr.-:-;;1-',..J ('~ £#-5 I # of Bathrooms Name Address City D Owner D Agent for Owner State/Zip Telephone# Fax# 3. APPLICANT (I.Contractor /4:JOFI Al<z D Agent for Contractor 7)/L. 5'. ZZ..x:> LA Name Address 4. PROPERTY OWNER GA-IL l>1£yt1i!E!AK1f Name Address 6. CONTIIACTOR -COMPANY NAME MIR.MA-JL. VISTA-04. "12P&') City State/Zip Telephone# 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 thet 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 [$5001). Name Address City State/Zip Telephone# State Ucense # (4J 3 q q {, f License Class _ _,C--~J..,_q,_ ___ _ City Business License # -------- 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: 0 l 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. fil I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, tor the performance of the work tor which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company _LF,-'"ll./J"'HLA./,)LT,.L..,lc,f~t'?:==------------Polley No. LU 2Dooo /0 4-1 Expiration Date At,tt;, I 2&&0 ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so es to become subject to the Workers' Compensation laws of California. WARNING: Failure to aecure workers' compensation coverage is unlawful, and shall subject an employer to criminal penahiea and civil fines up to one hundred thousand dollars ($ 00), I ddltto the coat of compensation, damages aa provided for in Section 3706 of the Labor code, Interest and attorney's fees. DATE _1...i.:::.-e<Zll,L.._'7.L..qL__ I hereby affirm the I am exempt from the Contractor's license Lew 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, end 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 tor 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 contractor(s) 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 tor construction of the proposed property improvement. D YES ONO 2. I (have I have not) signed an application for a building permit for the proposed work. 3. J have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I 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 I address I phone number I 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 I address I phone number I type of work): ___________________________________________________________ _ PROPERTY OWNER SIGNATURE----------------------- COMPLETE THIS SECTION FOR NON-RESIDENT1AL BUILDING PERMITS ONLY DATE __________ _ 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 ls the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D 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(0 Civil Code). LENDER'S NAME--------------LENDER'S ADDRESS·------------------------- ·9. APPLICANT CERTIFICATION I certify that 1 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. l hereby authorize 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 shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 365 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 · ed for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE 1'-& -'7 '7 ) City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING I. JOB ADDRESS: 2. TYPE OF BUILDING: RESIDENTIAL Y-COMMERCIAL. __ _,_ 3. ROOF SLOPE: RISE 4--: inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) 1 (V 3 5. TYPE OF EXISTING ROOF COVERING 5ot.-t<> SHEATHING ___ _,_ *6. NEW ROOF MATERIAL A CLASS2.W WEIGHT PER SQUARE 7. NUMBER OF SQUARES____:_14-....,__ _ __. 8. TRADE NAME O!J Mf MANUFACTURER ($ (\... f 9. ROOF SYSTEM LISTING UL No. '·A '' ICBO No. 24 4 Is 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT 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: I. 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. Slgnat"'° ~'* 72-~ Date Contractor )(_ Owner ____ Contractor Name *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Inspection Request For: 10/4/99 Permit# CB993469 Title: DVORAK RESIDENCE Description: 14 SQUARES OF COMP. REROOF Type:MISC Sub Type: REROOF Job Address: Suite: Location: 1727 FOREST AV Lot APPLICANT DILS ROOFING CO. 0 Owner: DVORAK DONALD C&GAIL A Remarks: Total Time: CD Description 19 Final Structural .i-Comments Inspection History Date Description Act lnsp Comments 9/24/99 15 Roof/Reroof AP DA Inspector Assignment: DA --- Phone: 7607276000 Inspector: -vA Requested By: NA Entered By: CHRISTINE 9/23/99 15 Roof/Reroof NR DA NEEDS MORE NAILING/CHK ADD. 9/22/99 15 Roof/Reroof CA SR