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HomeMy WebLinkAbout1746 CEREUS CT; ; CB992912; Permit08/05/1999 City of Carlsbad Miscellaneous Permit Permit No:CB992912 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 1746CEREUSCTCBAD MISC 2155170300 $3,912.00 REROOF 3500 COMP Subtype: REROOF Lot #: 0 Status: ISSUED Applied: 08/04/1999 JM 08/04/1999 08/04/1999 Entered By: Plan Approved: Issued: Inspect Area: Applicant: CHAMPION ROOFING 7373 MOHAWK STREET LA MESA CA 91941 619-463-1008 .Owner:—___^ SCHMAD PAMELA J 1/746>CEREUS CT> CARLSBAD CA)\ v_v^ / \ i t~y92009'~Xj 2612 08/05/99 0001 01 02 C-PRMT 102-00 Total Fees: $102.00 Total payments ^ Due: $102.00 Miscelaneous Fee #1 Miscelaneous Fee #2 TOTAL PERMIT FEES FINAL APPROVAL Inspector: 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 capactiy 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. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760)438-1161 i:i:i:pRbJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECKING). 7^7 Z-Yl 7/ ™1'EST. VAL. Plan Ck Validated Date . DeposijX'" 5d By . \ )A Addfess Unclude Bldg/Suite #)Business Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No.Phase No. Total ft of units 2. ' CONTACT PERSON (if different from applicant) Name ' Address City 3. APPLICANT "^ Contractor ' Q Agent for Contractor . d Owner' [3 Agent for Owner State/Zip Telephone #Fax # Name i4f v:PRpE«tTY OWNER Address City State/Zip Telephone # tefName City State/Zip Telephone <* SCONTRACTOR - COMPANY NAME (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 |$5001). - A Carrie f State License # Idress' License Class City State/Zi City Business License # Address City State/Zip TelephoneDesigner Name State License # _ !6V WORKERS' COMPENSATION , ' v : Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: l~l 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. O 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 earner and policy number are: tt\^' ,'S~lInsurance Company Policy No.Expiration Date_ , _ (THJS SECTION NEED NOT BE COMPLET^F THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) f^ 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 ($100,000), in addition to thecost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE -- -x"xg— _ ^ ^^J^^— -r *" _ DATE _ 7. OWNER-BUILDERlDECLARATION ' /* ' I hereby affirm that I am exempt from the Contra<Sor's License Law for the following reason: O 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 property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). f~1 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. D YES QNO 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 ;COMPtETE;THIS-SECTION FOR /VO/V-/?£S/D£/V77>U BUILDING PERMITS ONLY „ ,%;.;;C? ; :i i: ; • 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? ED YES ED NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? ED YES ED NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? ED YES ED 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. jSiyiCONSTRUCTION-LENblNG AGENCY - . , . ; I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) 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 accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the CitV 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 commenced within 365 days fronvthedate of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the^aujfk-is-CBmpanssa^Tor a peripd^ofT80~dayrjSecijpn 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE < City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: / 7^ £-£/?6>«>,S 2. TYPE OF BUILDING: RESIDENTIAL ^/ COMMERCIAL 3. ROOF SLOPE: RISE_^l^inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) 1 2 3 5. TYPE OF EXISTING ROOF COVERING JV^Vt^SHEATHING ^-^ *G. NEW ROOF MATERIAL. < CLASS /f WEIGHT PER SQUARE 7. NUMBER OF SQUARES^3S! _ t 8. TRADE NAME ^s=3 MANUFACTURER 9. ROOF SYSTEM LISTING UL No. _ ICBO No. 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? /^Es"~^> 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 Contractor /^ Owner Contractor Name *B - Rolled Roofing, Standard/Lite Tile, ^sphalt/CornB^Jberglass. Built up, Other. City of Carlsbad Inspection Request For: 8/9/99 Permit# CB992912 Title: REROOF 3500 COMP Description: Inspector Assignment: 1746 CEREUSCT Lot Type: MISC Job Address: Suite: Location: APPLICANT CHAMPION ROOFING Owner: SCHMAD PAMELA J Remarks: Sub Type: REROOF Phone: 6194934720 Inspector: Total Time: CD Description 15 Roof/Reroof Act Comments Requested By: TOM Entered By: CHRISTINE Inspection History Date Description Act Insp Comments