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Home My WebLink About1767 BUTTERS RD; ; CB031353; Permitc City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 05-07-2003 Miscellaneous Permit Permit No: CB031353 Job Address: Permit Type: MlSC Subtype: REROOF Status: ISSUED Parcel No: 1562704000 Lot#: 0 Applied: 05/07/2003 Valuation: $3,108.00 Entered By: SB Reference #: Plan Approved: 05/07/2003 Issued: 05/07/2003 Project Title: LIPCSEY RES 2800SF REROOF Inspect Area: 1767 BUTTERS RD CBAD COMP TO COMP Applicant: SAN DIEGO ROOFING 61 5 NORTH AVE VISTA, CA 92083 760-758-1 800 Qwner: MARTIN GREGORY S&HELEN 4545 3547,q3 302 f)i CARLSBAD CA 92008 $2 1767 BUTTERS RD CGP w.00 Miscelaneous Fee #I Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $89.00 $0.00 $0.00 S8S.loo Total Fees: $89.00 Total Payments To Date: $0.00 Balance Due: $89.00 Inspector: Clearance: NOTICE Please take NOTICE that approval of your project includes the 'Imposition' d fek, dedications, reservations, or other exactions hereafter collectively referred to as 'feeslexactions." You have 90 days from the date this permit was issued to protest imposition of these feedexactions. If you protest them, you must follow the protest procedures set forth in Government Code Sedion 66020(a), and file the protest and any other required infomation with the City Manqer for processing in accordance with Carlsbad Munipal Code Won 3.32.030. Failure to timely fdlow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their impition. PEF~MIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT - 'Y FOR OFFICE USE ONLY PLAN CHECK NO. cFls3/.3s3 EST. VAL. 3,/ 08 I Plan Ck. Deposit r Legal Description Lot No. Subdivision NamelNumber Assessor's Parcel # n Existing Use Proposed Use X of Bathrooms C-La5p7-a amp # of Bedrooms DesmiDtion of Work SO. FT. 1 #of Stories . I Name - Address City Telephone # Fax # State/Zip City StatelZip Telephone # JR Address .. Name c Address (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 Lew [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Codal or that he is exempt therefrom, and the basis for the alleged exemption. Any vi?lation of S Name \- > Address City StateKip \ T&hone # License Class C-3 9 Business License t 12047 37 k""l'(l License # 1 Designer Name Address City StatelZip Telephone State License # 6 %6 318 Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 of the work for which this permit is issued. 0 I have and will maintain a certificate of consent to self-insure for workers' compensation es provided by Section 3700 of the Labor Code, for the performance 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 carrier and policy number ere: Insurance Company STATE WTJ b [THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS I81001 OR LESS) 0 to become subject to the Workers' Compensation Laws of California. WARNINO: Fat mMP- Policy No. -3 Expiration Date 1- 1- kd 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 es I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 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 epply 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 ere not intended or offered for sale. If, however, the building or improvememt 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 1, 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 contractorM licensed pursuant to the Contractor's License Law). 0 1. 2. 3. 4. number / contractors license number): 5. I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0 I lheve I have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number l contractors license number): 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 I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address / phone number / type Business and Professions Code for this reason: 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 25605, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 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. 0 YES 0 NO I hereby affirm that there is a construction lending agency for the performance of the work for which this permit IS issued (Sec. 3097li) Civil Code). LENDERS NAME LENDERS ADDRESS I certify that I have reed 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 Cit). 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 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned 106.4.4 Uniform Building Code). t any time after the work APPLICP 'IT'S SIGNATUR DATE ELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 09/24/2003 Permit# CB031353 Title: LIPCSEY RES 2800SF REROOF Description: COMP TO COMP Type: MlSC Sub Type: REROOF Job Address: 1767 BUTTERS RD Suite: Lot 0 Location: APPLICANT SAN DIEGO ROOFING Owner: MARTIN GREGORY S&HELEN J Remarks: CAN YOU FINAL? Inspector Assignment: JM Phone: Inspector: h Total Time: Requested By: CHRISTINE Entered By: CHRISTINE CD Description Act Comment 19 Flnal Structural Associated PCRdCVs lnswction History Act .,nsp Comments Date Description 05/08/2003 15 Roof/Reroof AP JM OK TO COVER - NO RECORD CARD