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HomeMy WebLinkAbout1736 MALLOW CT; ; CB053402; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-27-2005 Miscellaneous Permit Permit No: CB053402 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 1736 MALLOW CT CBAD MISC 2155163300 $2,772.00 Subtype: REROOF Lot#: 0 COTTON RES-2200 SF COMPOSITION Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Applicant: MIKE JOHNSTON ROOFING COTTON RICHARD T&WENDY S 802 GALAXY DR 92083 760 945-6846 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: Inspector: $77.00 1736 MALLOW CT CARLSBAD CA 92009 PERMIT FEE Total Payments To Date: $77.00 FINAL APPROVAL Date: (Q -& · r2 ~ Balance Due: Clearance: ISSUED 09/27/2005 AMA 09/27/2005 09/27/2005 $77.00 $0.00 $0.00 $77.00 $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reseivations, 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 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE 0'1 ~ PLAN CHECK NO. l-0 D ~ 14-DJ-. EST. VAL. a_ 7 7;,,, Plan Ck. Deposit -------..,--- Validated By+i-+-,,---+----t.llf-iif--'-'-- Date ___ ...;;+--J~1--1-,,._,,.....,+---- 1. PROJECT INFORMATION Business Name (at this address) Subdivision Name/Number Unit No. Phase No. Total # of units Proposed Use # of Bedrooms ~---,--#of ~ooms ""' Telephone # Name Address City S.tate/Zlp Telephone# CONTRACTOR-®MPANW~Mii,:,;:;l.i:_::..,:i::!;;:;:::::::-'.".""'::rr'.- State/Zip Telephone 0 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. 0 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 i surance car· nd policy n ber are: . . a! ! b Insurance Company -,-q"-"➔+..,c;,=-+---~F--,.__,:::....;1-----Policy No. / S:: 'j' D 1 / 9 Exp1rat1on Dete 1 L! L 0 (THIS 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 as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverege la unlawful, and shall subject an employer to crlmlnal penaltlea and civil fines up to one hundred thousand dollars ($100,000 In addl to he co of compensation, damages a, provldad for In Section 3706 of r code lntereat and attomay's fees. SIGNATUJ.~lft~..,fffq-~~~~~~~-=::::;:==:::::;;=;;-;::;;::;;;;:;:;;;;-;;;:;:~;;:-::::;;;:;;;:;;;;~ DATE (!) I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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). 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 Jj'roperty 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 for construction of the proposed property improvement. 0 YES ONO 2. I (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. 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 _______________________ _ DATE _________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL 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? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of e school site 7 D YES O 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. . -ONSTRUCl,lOt[LEND( G:M!;tiC~ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is Issued (Sec. 30971i1 Civil Code). 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 Citt of Carlsbad to enter upon the above nientioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All W(BILITIES, 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 ii the building or work authorized by such permit is not commenced within 180 days f the of s h permit or if the building or work authorized by such p mit is sus ended or abandoned at any time after the work is co m ced~ riod of a s ( ion 1 .4.4 Uniform Building Code). PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JoBAoDREss: i 7 3 G ma//062 CI-,, 2. TYPE OF BUILDING: RESIDENTIAL L COMMERCIAL. __ __. 3. ROOF SLOPE: RISE--#=--inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) G) 2 3 5. TYPE OF EXISTING ROOF COVERINGiliJ2._SHEATHING • •a. NEW ROOF MATERIALQ A-F CLAssEwEIGHT PER SQUARE 7. -NUMBER OF SQUARES d if 8. TRADE NAMe:liv"1beV-'/-i'vi--'-i--M~~NUFACTURER G-f. C 9. ROOF SYSTEM LISTING UL No. ___ ~.ICBO No •. _____ ..,_ IO. IS THE EXISTING STRUCTURAL DESIG~ICIENT 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 instali'new roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. ..,._ Signatu~ ,#']~ u?/.Y/. Date 9/4 1 ds- Contractor Vowner ____ Contractor NameM //:.e_ j/2;1 5 -lovr ./];~ " v *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/~ Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 1 0/04/2005 Permit# CB053402 Title: COTTON RES-2200 SF COMPOSITION Description: Type: MISC Sub Type: REROOF Job Address: Suite: Location: 1736 MALLOW CT Lot 0 APPLICANT MIKE JOHNSTON ROOFING Owner: COTTON RICHARD T&WENDY S Remarks: Total Time: CD Description Act Comment Inspector Assignment: PD --- Requested By: MIKE Entered By: JANEAN 19 _F_i_n_ai_s_t_ru_c_tu_r_a_i _____ f ___________________ ~ Associated PCRs/CVs Inspection History Date Description 09/29/2005 15 Roof/Reroof Act lnsp Comments AP PD