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HomeMy WebLinkAbout1738 MALLOW CT; ; CB032401; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-29-2003 Miscellaneous Permit Permit No: CB032401 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Building Inspection Request Line (760) 602-2725 1738 MALLOW CT CBAD MISC Subtype: REROOF 2155163400 $2,775.00 THIRD RES 2500 SF REROOF WD SHAKE TO COMP SHINGLE Lot#: 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 08/29/2003 SB 08/29/2003 08/29/2003 Applicant: PATRIOT ROOFING THIRD CHARLES&ISABELLA REVOCABLE LIVING TRUST 09 1042 EL CAMINO REAL ENCINITAS, CA 92064 760-577-2935 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $77.00 Inspector: l { 1738 MALLOW CT CARLSBAD CA 92009 PERMIT FEE Total Payments To Date: $0.00 FINAL~OVAL Date: $77.00 $0.00 $0.00 $77.00 Balance Due: $77.00 2983 08/29/03 0002 01 CGP Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fe i n fw. h h v i 1 n n N Tl . ii r hi w i h Ii . i n h I h rwi 02 77-00 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK No.C\?o::>l q,;,.,j -z 7 7-s--' CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL.--=------- Plan Ck. Deposit ________ _ Validated By F = Date for ·2_,0 (/"'~ 1. P~OJiCJ 1NmBM/l1lQt/'' , ,, : ' , i , · (1 2 ~ ti\ Pn,-L-0 I.» Address (include Bldg/Suite #) ,i +•-~'"'"~' t_1:~i0,;i,1i:lk;-: -. L-,. CPf2d.:$ Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Proposed Use # of Bedrooms # of Bathrooms State/Zip Telephone# Fax# (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, commenc:Ung with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged ption. A y violation of Section 70 bby apari:ant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). Name Address City State/Zip Telephone # State license # __ J..J .... "--1,.-1-=+-license Class C -3 er City Business license # l '2-\ t..f: 0 '9 k:::> Designer Name Address City State/Zip Telephone State License # _________ _ ll, ,>:;/l'iO.l!I\ER~f'.IIIIMl'~.l'!SATlON:: 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. "2']_ 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 fs;'ued, My worker's co~~rance carrier and policy number are: i ( -1 '""1 l I } "2 Insurance Company ~ ~ D Policy No. '~ t '2. -z__ Expiration Date l ')... ( _ o _..:;z. (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS! ( D 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 kers' Compensation Laws of California. WARNING: Fallura to s u ti n coverage Is unlawful, and shall subject an employer to crimlnal penaltl thousand dollars ($100,0 st of mpansetlon, damages as provided for In Section 3706 of th bor co SIGNATURE,::::::===l:;;~~~l::3:::-;=H/tl DATE 1,_: !l,'i!Illl'!WNlailil!lflllillil i~'. I hereby affirm that I am exempt from the Contractor's reason: and civil fines up to one hundred erest and attorney's fees. 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 en 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 for construction of tha 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. 1 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 / plione 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): __________________________________________________________ _ DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management end 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 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? 0 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. ij,)'.]'.'i;Q,1',1$.ml!CTIOt/'~l:t/P!l'!.c;;,,if,gENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30970) Civil Code). LENDER'S NAME ______________ _ ·9.nf\;rii,P,PI.JC/lt/l',:ceR.Tl~lCAf•Ol'l:r'. 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 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 comm d within 1 days om the date of such permit or if the building or work authorized by sue spended or abandoned at any tin after the work is commenc d f r a ~ri f 180 ys Section 106.4.4 Uniform Building Code). APPLICI 'S SIGNATURE WHITE: File YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: l 1 ~ 1 [1ki..--ew CT. 2. TYPE OF BUILDING: RESIDENTIAL '0 COMMERCIAL __ _,_ 3. ROOF SLOPE: RISE~inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) (j) 2 3 5. TYPE OF EXISTING ROOF COVERIN~e:1SHEATHING ~ . *6. NEW ROOF MATERIAL~SS_f[__WEIGHT PER SQUARE ~()0 Ji 7. -NUMBER OF SQUARES 7--c; . 8. TRADE NAME ~~ ~ MANUFACTURER C9 ~ 9. ROOF SYSTEM LISTING UL No. t2--'1,,, I ICBO No., ____ __, 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? 8 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 ::::•· ~ ,,,__,...____ """ cg [-z. 't/o -, Contractor. /\.J Owner ____ Contractor Na!fle P~oc: ~t'.}6 *6 • Rolled ;t;;;;;, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 01/13/2004 Permit# CB032401 Title: THIRD RES 2500 SF REROOF Description: WD SHAKE TO COMP SHINGLE Type: MISC Sub Type: REROOF Job Address: 1738 MALLOW CT Suite: Lot Location: APPLICANT PATRIOT ROOFING Owner: THIRD FRANCES B Remarks: Total Time: CD Description 19 Final Structural 0 p.!--, Comment \:JL (JI,,._ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Inspector Assignment: JM --- Phone: 7608452489 ___) Inspector: J~ Requested By: AILEEN Entered By: CHRISTINE t(<i/4Lf