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HomeMy WebLinkAbout1740 MALLOW CT; ; CB090307; PermitCity of Carlsbad • 1635 Faraday Av Carlsbad, CA 92008 02-25-2009 Miscellaneous Permit Permit No: CB090307 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: 1740 MALLOW CT CBAD MISC 2155163500 $3,780.00 Subtype: REROOF Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Project Title: BILLIPS RES-3000 SF COMPOSITIO Applicant: RLT ROOFING 2424 VISTA WAY OCEANSIDE 92054 760 757-6853 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE Owner: BILLIPS THOMAS D EST OF C/O TIMOTHY BILLIPS 908 W LIME AVE LOMPOC CA 93436 ISSUED 02/25/2009 RMA 02/25/2009 02/25/2009 $106.00 $0.00 $0.00 $106.00 Total Fees: $106.00 Total Payments To Date: $106.00 Balance Due: Inspector: FINA Date: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Im sition" 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 f i n f hi I Tl E imil r whi f timi i n h h i '-ity of Carlsbad 1635 Faraday Ave .. Carlsbad, CA 92008 760-,602-2717 / 2718/ 2719 Fax: 760-602-8558 www.carlsbadca.gov Building Permit Application Plan Check No. Est. Value Plan Ck. Deposit Date JOB ADDRESS SUITE#/SPACE#/UNIT# APN I t) /Y1. ct( I () "-7 C-«: r l<v, tcL'f-vl<-"c. L 'c~,~/;PR~o~,~,c~,~.J..-=----=--~,.o~,~.------~,~HAS~,.,'-----~,.o~,~u·N""IT~S-·•~BEDROOM"S-# BATHROOMS ___ Tf:NANT"B"US"l"NE°'S~S'N"A<M~,---------~C°'O"N"S~T"R.'TY=PE~'O"C~c·. G"R"O"U"P~ DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) 3 EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (If Different Fom Applicant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC.# t.,J l PATIOS (SF) DECKS (SF) CITY PHONE EMAIL NOD STATE FAX CLASS AIR CONDITIONING YES O NO □ ZIP FIRE SPRINKLERS YES D NO □ /~c. 7031.5 8u1iom and Prolmions Codt: Any City or Counti which requires a permit to construct, alter/ improYe, demoli1h or reeair any structure, prior to its issu.ince, also requim 1he ap_plicant for 1uch permit to ftlt a 1igntd statement Iha he is ticenstd jlurMnl to the pmisioni of the (ontmtor's License Law {Chapter 9, commending w11h Section 000 of Division 3 of the Business and Pro,enioni (ode} or that he is exempt there from, and the buis for the alleged nemption. Any ¥iolation of S!Ction 7011.5 by any applicant for a permit 1ubjem 1he applican1 to a ul'il penalty of not more than five hundred dollars {$500}). WORK.l!llS' COMP.l!N$ATION Workers' Compensation Declaratlon: / hereby affirm under penalty of perjury one of the following declarations: D 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. '8' 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 workers' compensation i sura ce carrier and policy number are: Insurance Co. S re: T""t: -G-v « cl Policy No. / t='7 ~7 a. / Expiration Date ~3,"+-~'+--~t)~~--- This section need not be completed if the permit is for one hundred dollars ($100) 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 coverage Is unlawf nd shall subject an employer to criminal penaltles and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, dama a provided for in Se lion 3706 t abor code, interest and attorney's fees. _g CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ 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 oftered for sale. If, however, the building or improvement is sord 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). □ 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 contraclor(s) licensed pursuant to the Contractor's License Law). □ 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. □ Yes □ No 2. I (have I 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/ 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/ phone/ 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/ 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? □ Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the facility to be constructed within 1,000 feet oi the outer boundary of a school site? □ Yes □ 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 certify that I have read the appllcatlon and state that the above information is conectand 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 representative 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 permtt is required for excavations over 5'0' deep and demolition or construct' of structures over 3 stories in height. EXPIRATION: Eveiy permit issued by the Buildin I under the provisions of this C II expire by limitation and become null and void tt the building or work authorized by such permit is not commenced within 180 days from the date of such permtt or tt th ildin rwork authorized by such perm· uspended or abandoned at any lime after the work is commenced for a period of 180 days (Section 106.4.4 Unttorm Building Code). J!5 APPLICANT'S SIGNATURE DATE I. REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION JoB ADDREss: / 7//tJ MA-LL cJw c ,e T 2. lYPE OF BUILDING: RESIDENTIAL COMMERCIAL. ___ _ 3. ROOF SLOPE: RISEJ': l l-INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) U) 2 3 lYPE OF EXISTING ROOF COVERING w'.oo l s:#4.f"fySHEATHING 5,1-u,-P *6. NEW ROOF MATERIAL S:h, ,.,s: { ~ c;. CLAss.A_wEIGHT PER so. __ NUMBEROFSOUARES 36 -~~~ s. 7. 8. TRADE NAMEtuv'tR Lr ~ £,.. MANUFACTURER C: ,._...p- 9. ROOF SYSTEM LISTING: UL NO. / 3bl> I.C.C.E.S. Report# ____ _ ASTM ____ _ 10. IS THE EXISTING STRUCTURAL~ SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? ~ NO Contractor 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 a ladder extending at least 2 rungs above the roof for inspection. *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other . m City of Carlsbad Bldg Inspection Request For: 03/09/2009 .. Permit# CB090307 Title: BILLIPS RES-3000 SF COMPOSITIO Description: Type:MISC Sub Type: REROOF Job Address: Suite: Location: 1740 MALLOW CT Lot: APPLICANT RL T ROOFING 0 Owner: BILLIPS THOMAS D EST OF Remarks: Total Time: CD Description 19 Final Structural w.Comments Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description 03/04/2009 15 Roof/Reroof Act lnsp Comments AP PC Inspector Assignment: PC --- Phone: 7608893051 Inspector: L Requested By: NA Entered By: CHRISTINE