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Home My WebLink About1760 KIRK PL; ; CB031397; PermitCity of Carlsbad ' 1635 Faraday Av Carlsbad, CA 92008 05-13-2003 Miscellaneous Permit Permit No: CB031397 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Building Inspection Request Line (760) 602-2725 1760 KIRK PL CBAD MISC 2072607200 $2,266.00 DODSON RESIDENCE Subtype: REROOF Lot#: 0 22 SQUARES OF COMP REROOF Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 05/13/2003 MDP 05/13/2003 05/13/2003 Applicant: CARLSBAD ROOFING Owner: , iu. _ ,5 . DODSON WILLIAM R&CRYSTAr!'U'.> J il3/03 )0()2 )1. 4144 TERRY ST OCEANSIDE CA 92054 760-729-1077 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $77.00 Inspector: PERMIT C':GF> 1760 KIRK PL CARLSBAD CA 92008 $77.00 $0.00 $0.00 $77.00 Total Payments To Date: $0.00 Balance Due: $77.00 Clearance: NOTICE: Please take NOTICE that approval of your project includes the Mlmposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as Mfees/exactions.n 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 wlll 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 . h h v r vi iv N Tl E i ·1 r whi h f 'mi i n h I h i '\'"1. _,_;_ PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY ,,... l'2n PLAN CHECK NO. (:)'5> 1 \~ EST. VAL. '"21 2 ,, -17 Plan Ck. Deposit / Validated By __________ _ Date _____________ _ Business Name (at this address) J lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use # of Bathrooms Name Address City S.tate/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 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 e emption. Any vi lation f Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$500)), (. I .-C • ~ Q 7 •7• r , -... -·1 ' r(... --o City State/Zip Telephone # Name State License # -"'--OL"'--"''"""'--"---/J -c,c;L, License Class __,_L._ __ :2'-<-'------City Business License # /;:J., // o9y Designer Name Address City State/Zip Telephone State License # _________ _ ~~~1:1~~0<-~¾?YIN,1/'. ::'1i ";, ~/4it\':~:\/; ,-; Work~rs' Compensa1:ion' Declaratio~: I h';;rei,V ~ffk".,;"'~nder·p~-~~ity 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 3 700 of the Labor Code, for the performance of the work for which this permit is issued. l'i1 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, tor the performance of the work for which this permit is f;;ued. My worker's compensatiojl--{nsurance carrier and policy number are: Insurance Company -{(ak .f---v,1..c1 Policy No./!) bflfcf/ G ·-..2c,;;,<j .:i Expiration Date/--I--<X( (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 unlawful, and shall subject an employer to crlmlnal penalties and civil fines up to one hundred thousand dollar• ( 1 ,000 In Ion to the cost of compensation, damagn •• provided for In Section 3706 of the Labor code, Interest and attorney's fen. s1GNATuae DATE 57, J ,lo 3 TIMM "''!N 1:,7,':r:;::::" -.,<;Ct· .. , •\:(1f .::~;"!:':· --""· ,.:,. :·:>.\ix!f1¥;k;:;,ri1!~!~£>--:::;_: following reason: D 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). 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 ______ 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 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 1 have hired the following person to coordinate, supervise and provide the major work (include name / address I phone number/ contractors license number): ________________________________________________ _ 6. 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): ______________________________ ~------------------------ 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 26505, 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? D YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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. ill1!f:~l!r!l!f.l!lt~!lil!i1i!sN!!!N<ii:i!'~lsN!::~i•iit:'i ·•• .. ; ,;'1,,,; 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 _____________ _ "·~i~!!Dl!l,ilcj\;fmcoi:IB!:m':rlli!N:5*;;;1;;, "·'" •·· 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 llmitation and become null and void if the building or work authorizu1 by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any tir· , after the work is comme~~fJ??Zd of 180 days (Section 106.4.4 Uniform Building Code). APPuc, ,·s SIGNATURE~-¥-'~Gtµ,{Ltf=~=~============----------DATE 5:,L,.4/'..._L/~3>./4"-'..,,~>'---------'-- wH1TE: File YELLOW: Applicant PINK: Finance ' I I City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: 17 00 {::, ct PL 2. TYPE OF BUILDING: RESIDENTIAL X: COMMERCIAL __ ~ 3. ROOF SLOPE: RISE {/ inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) (]) 2 3 5. TYPE OF EXISTING ROOF COVERING5A,4.;,., SHEATHING 5£-,o l *6. NEW ROOF MATERIAL£-l s;;:_ CLASSA..._WEIGHT PER SQUARE 7. -NUMBER OF SQUARES ,J ,?-. 8. TRADE NAME b-fK f?.,_,-.lrj .-0---MANUFACTURER'-------' 9. ROOF SYSTEM LISTING UL No. ____ lCBO No •. ____ ___, 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT 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 instalinew roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signatu,41;/4,Jl~f----Date¼_y'.6_3 Contractor--X-.-Owner ____ Contractor Name *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Com~ Fiberglass, Built up, Other. UNSCHEDULED BUILDING INSPECTION DATE 5(!r(b INSPECTOR __,,.__ ...... &1.........,_ __ _ PERMIT# ro gq_, . PLAN CHECK# ___ _ JOB ADDRESS _ __._/__,_7--'W=·"-----'---'lc--=-1..._;__,/(..,__-'-f_¾. ______ _ DESCRIPTION _________________ _ CODE DESCRIPTION ACT COMMENTS J1_ JevJ