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Home My WebLink About1731 CATALPA RD; ; CB060297; Permit02-07-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No CB060297 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Titte 1731 CATALPA RD CBAD MISC 2155120400 $000 Subtype REROOF Lot# 0 CLARK RES 2300 SF REROOF WD SHAKE TO COMP Status Applied Entered By Plan Approved Issued Inspect Area Applicant TR CONSTRUCTION 9847PASEOMONTRIL 92129 Owner CLARKG RUSSELL 1223 WILSHIRE BLVD #1470 SANTA MONICA CA1 90403 ISSUED 02/07/2006 SB 02/07/2006 02/07/2006 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $8900 $000 $000 $8900 Total Fees $89 00 Total Payments To Date $8900 Balance Due $000 Inspector FINAL APPROVAL Date IM (9 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 'tees/exactions" You nave 90 days from the date this permit was issued to protest imposition of these 1ees/exactions If you protest them, you musl 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 nght 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 1731 FOR OFFICE USE ONLY PLAN CHECK EST VAL Plan Ck Deposit Validated ByA Date x Address (include Bldg/Suite ft)Business Name (at this address) Legal Description Assessor's Parcel # Lot No Subdivision Name/Number Existing Use 1 Description of Work <"\ . SO FT, ' #of Stories ,2, JL: CQNTACtRERSON (if different from applicant) ^/^^ /„ &)* ." ,L , , jl,'- u^', «•"**"" Name Address City 5fetontraotor^fQ Agent for^Contractor^ G) .Owner J _Q,Agent for Owner -^1U Unit No Phase No Total tf of units Proposed Use•% — # of Bedrooms # of Bathrooms - ,, ^j - • - ~ J**-, ~ , - y, j ig ,? (- , Tii is , i Ji J „ f '^S'JtJ^ It 1* d!At. ttSs J i A" J i »s !_ »- * ,„' ! States Zip Telephone # Fax # Name 4 ^'-PROPERTY OWNER Address City Stats/Zip Telephone # Name 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 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 IS500]) Name State License ff Address License Class ^-"'-^ / A City State/Zip City Business License # f 2. / 1 Telephone # Designer Name State License # e. Address City State/Zip Telephone Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations n 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 MD 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 carrier and policy number are r . 5TA-t£ Pu ^ Q _ Poltcy No QD/Ql^f - 2£>€>£>- Expiration Data-y// /2 ^^ ./...Insurance Company (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) ' ' G 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 ($1j)£>,OQO), in additionlo the cost of compensation, damages as provided for in Section 3706 of the Laboi code, interest and attorney's fees SIGNATURE '^C^f/^^l f^?~l £(/t/^~l/ DATE "2-/ "7 / O & f7Y/OWNER-BUM.DERDECLARA4lQN', 7" v^i. u I7 k'jULL•'t"->--T2 * - " V'VW , I!V^ = /3jfe^;'F^ $„: ^'^ ,JT „.*, I hereby affirm that I am exempt from the Contractor's License Law for the following reason PI 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) d 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^) licensed pursuant to the Contractor's License Law) Cl 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 l~l YES I~|NO 2 t (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 1 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 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? Q YES C] 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 O N° 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 (Sec 3097(0 Civil Code) LENDER'S NAME 9; LENDER'S ADDRESS 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 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 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 perrnit is suspended or abandoned at any time after the work is commenced,for a period of 180 days (Section 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance T City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR RE ROOFING 1. JOB ADDRESS: 1 73 f CATflrU P4 2. TYPE OF BUILDING: RESIDENTIAL COMMERCIAL 3. ROOF SLOPE: RISE */ inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) ) 2 3 5. TYPE OF EXISTING ROOF COVERING tJ°c*>s**aSHEATHING *6. NEW ROOF MATERIAL gfe CLASS WEIGHT PER SQUARE 7. -NUMBER OF SQUARES 8. TRADE NAME eWw6» MANUFACTURER 9. ROOF SYSTEM LISTING UL No. ICBO No. 10. IS THE EXISTING STRUCTURAL DESIGN SUEflCIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? ESX 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 _ Date Contractor—/^ Owner Contractor-Name ( /^ *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For 02/16/2006 Permit# CB060297 Title CLARK RES 2300 SF REROOF Description WD SHAKE TO COMP 1731 CATALPARD Lot Type MISC Job Address" Suite Location APPLICANT T R CONSTRUCTION Owner CLARK G RUSSELL Remarks Sub Type REROOF Inspector Assignment PC Phone 8587481008 Inspector Total Time CD Description 19 Final Structural Act Comment ^^ Requested By NA Entered By CHRISTINE , A. Comments/Notices/Hold Associated PCRs/CVs Original PC# POLICYHOLDER COPY SO COMPENSATION IN SURANCE PO BOX 420807, SAN FRANCISCO,CA 94142-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE 01-01-2006 GROUP 000046 POLICY NUMBER 0010131-2006 CERTIFICATE ID 2 CERTIFICATE EXPIRES 01-01-2007 01-01-20O6/01 -01-2007 COUNTY OF SAN DIEGO ATTN BUILDING DEPARTMENT 5201 RUFFIN ROAD SAN DIEGO CA 92123 SO JOB.ALL OPERATIONS This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated This policy is not subject to cancellation by the Fund except upon ^Q days advance written notice to the employer We will also give you $Q days advance notice should this policy be cancelled prior to its normal expiration This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy AUTHORIZED REPRESENTATIVE PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS. $1,000,000 PER OCCURRENCE ENDORSEMENT #18OO - ANTHONY ROSSETTI, PRES,SEC.TRES - EXCLUDED ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 01-01-2001 IS ATTACHED TO AND FORMS A PART OF THIS POLICY 6 EMPLOYER A ROSSETTI & ASSOCIATES INC DBA CONSTRUCTION APPLIED PAINTING 13100 KIRKHAM WAY STE 204 POWAY CA 92064 TR SO M0409 'REV 2-05)PRINTED 12-17-2005