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Home My WebLink About1738 CATALPA RD; ; CB040722; Permit03-02-2004 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No CB040722 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 1738 CATALPA RD CBAD MISC 2155160100 $2,664 00 Subtype REROOF Lot# 0 MURRAY RES-2400 SF COMPOSITION Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 03/02/2004 RMA 03/02/2004 03/02/2004 Applicant T R CONSTRUCTION 9847 PASEO MONTRIL 92129 Owner MURRAY LUZ M Q 1919 CHESTNUTS!#2401 PHILADELPHIA PA 19103 Miscelaneous Fee #1 PERMIT FEE Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES $77 00 $000 $000 $/700 Total Fees $7700 Total Payments To Date $000 Balance Due $7700 6561 03/02/04 71, PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave .Carlsbad CA 92008 1 PROJECT INFORMATION FOR OFFICE USE ONL PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unil No Phase No Total # of units Assessor s Parcel #X7 (-< Existing Use proposed Use Description of Work SQ FT # of Stones # of Bedrooms # of Bathrooms 2 CONTACT PERSON (Indifferent from applicant) Name .3. Address r L-_1JLD_LAQe_nt fa ^Contractor City _Owner_ State/Zip ^D,. Telephone #Fax# Name .4 _PROPERTY,OWNERr Address City State/Zip Telephone # 2Name Address .5 —.CONTRACTOR - COMPANY NAME 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 Lisense 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 penally of not more than five hundred dollars [$500]) Name , - Slate License # fotQ^fQ Address ^ License Class j> i S-- "--^ ' Clty State/Zip City Business License #. Telephone # Designer Name State License # Address City State/Zip Telephone # WORKER'S COMPENSATION Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations D 1 have and will maintain a certificate of consent to self-insure for workers compensation as provided by Section 3700 of the Labor Code for the performance of tfte work for which this permit is issued f^" I have and will maintain worker's compensation, as required by Section 3700 of the labor Code, for the performance of the work for which this permit is issued My worker's compensation insurance carrier ajd policy number are / f Insurance Company _£$Iftfft=. f~£*t /*/ f^ _J)L_ PolicvNo_ggJ[£)f 3f ~^\ Expiration Date &f / GC /Q^3^ (THIS SECTION NEED NOT BE COMPLETED IF'THE PERMIT IS ^OR ONE HUNDRED DOLLARS ($100J OR LESS) " D CERTIFICATE OF EXEMPTION I certify that in Ihe 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)$100,000), in addition to the cost of compensation, damages are provided For in Section 3706 of the Labor Code, Interest and attorney's fees 7 OWNERJUJILDERDECIftRATIONL ^ f_^__, I hereby affirm that I am exempt from Ihe 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 d 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(s) licensed pursuant to the Contractor's License Law) D I am exempt under Section ir__r -.-,-..-..,,..- + Business and Professions Code for this reason 1 Ipersonally plan to provide the major labor and matenals for construction of the proposed property improvement D YES D NO 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 (indude 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 / /ontractors 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 WHITE File YELLOW Applicant PINK Finance PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad CA 92008 Page 2 of 2 COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY, Is Ihe applicant or future building occupani required to submit a business plan acutely hazardous materials registration for or risk management and prevention program under Sections 25505 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? d YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or atr quality management dislnct? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 D YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLIC ANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT ,f m. ^CONSTRUCTIONLENDING AGENCY ^—r--_...__-_^ - _,_•_ _.._.,_ - - -.--. _ _-_ -._-_ -;^^_r^^^:-^.;::.-" ~^^ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097{l) 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 at curate 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 OP CARLSBAD AGAINST ALL LIABILITIES, JUDGEMENTS, 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 of 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 nulf and void rf 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 authonzed by such permit is suspended or abandoned at any time after the work is commenced fora period of 180 days (Section 106 4 4 Uniform Building Code) APPLICANTS SIGNATURE krt^^e^-tf-f" DATE 3fll /oc/^ —-—- / / ' WHITE File YELLOW Applicant PINK Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: H3& 2. TYPE OF BUILDING: RESIDENTIAL K COMMERCIAL 3. ROOF SLOPE: RISE H inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) <^T) 2 5. TYPE OF EXISTING ROOF COVERING JW SHEATHING A*6. NEW ROOF MATERIAL ^^terf^y CLASS ^ WEIGHT PER SQUARE 7. -NUMBER OF SQUARES 8. TRADE NAME €>&€*!<> ^^s, MANUFACTURER 9. ROOF SYSTEM LISTING UL No. ICBO No. 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? ^fsj) 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 MMJ^>^ XJAAtl/) _ Date Contractor ^ Owner _ Contractor Name *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For 08/02/2004 Permit* CB040722 Title MURRAY RES-2400 SF COMPOSITION Description Type M1SC Sub Type REROOF Job Address 1738 CATALPA RD Suite Lot 0 Location APPLICANT T R CONSTRUCTION Owner MURRAY LUZ M Q Remarks Inspector Assignment JM Phone Inspector Total Time CD Description 19 Final Structural Act Comment Requested By CHRISTINE Entered By CHRISTINE Associated PCRs/CVs Inspection History Date Description Act Insp Comments 03/17/2004 15 Roof/Reroof AP JM OK TO COVER 03/15/2004 15 Roof/Reroof CO JM ROOF DRIED IN NO ONE THERE SD COMPENSATION I N S U Ft A N C E POLICYHOLDER COPY PO BOX 807, SAN FRANC!SCO,CA 94142-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE 01-01-2004 CONTRACTORS STATE LICENSE BOARD ATTN: WORKERS' CQMP. UNIT BOX 26000 SACRAMENTO CA 95826 SD OOO046 O010131-2004 GROUP POLICY NUMBER CERTIFICATE ID -1 ' M CERTIFICATE EXPIRES 01-O1-2005 01-01-2OO4/01-01-2005 ' !~LICENSE NUMBER CONTR LIC #698278 : „ INCEPTION,DATE 01-O1-20O4 DO " • SD " 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 30 days' advancek written notice to the employer We will also give you 30 days' advance notice should this policy be cancelled prior to its normal expiration ,l ' ' ' This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policies 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 may pertain the insurance afforded by-the - policies described herein is subject to all the terms, exclusions and conditions ofxsuch policies *f „> < AUTHORIZED REPRESENTATIVE PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS $1,OOO,OOO.OOVPER OCCURRENCE '' STANDARD EXCLUSION INDIVIDUAL EMPLOYERS AND HUSBAND AND.WIFE EMPLOYERS ARE NOT ELIGIBLE FOR BENEFITS AS EMPLOYEES UNDER THIS POLICY - ' l , ' v '* ?'*,,, s. v * **• ' * % ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 01-01-2OO4 IS ATTACHED TO AND FORMS A PART OF THIS POLICY ! * * . . ' EMPLOYER LEGAL .NAME TR CONSTRUCTION 98U7 PASEO MONTR!L SAN DIEGO CA 92129 ROSSETTI, ANTHONY (REV 3-03) THIS DOCUMENT HAS A BLUE PATTERNED BACKGROUND PRINTED 12-17-2°°3_P04Q9