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HomeMy WebLinkAbout1768 FOREST AVE; ; CB021681; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-03-2002 Miscellaneous Permit Permit No: CB021681 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 1768 FOREST AV CBAD MISC Subtype: REROOF Status: 1562704400 $3,029.00 CALE -REROOF 2300 SF COMP 4 SF OF BUILTUP/TORCH DOWN Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Owner: CALE CHRISTINE L TRUST 02-28-02 ISSUED 06/03/2002 JM 06/03/2002 06/03/2002 URBACH ROOFING, INC. STE D-7 120 N PACIFIC ST SAN MARCOS CA 92069 760 4 71-5065 1768 FOREST AVE CARLSBAD CA 92008 8415 06/03/02 0002 01 CGP Total Fees: $89.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Ins Total Payments To Date: PERMIT $0.00 Balance Due: Clearance: $89.00 $0.00 $0.00 $89.00 $89.00 t 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 . . . 02 89-00 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NoO:JdUb '?( CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. °J>1Ju!f Plan Ck. De~ tr ~:~:,_·t_•_d -s,,~ 1~vv=n=~=:G:~:(:?(::~:v:== 1. PROJECT INFORMATION 1 J(o 5/ £oreS::.\: f:\\leoue Address (include Bldg/Suite #) Business Name {at this address! Legel Description lot No. Subdivision Name/Number Unit No. Phase No. T eta/ II of units -oo Proposed Use II of Bedrooms Ii of Bathrooms 3. City State/Zip ~ \_PROPERTY OWNEl;l i...d,f\'."rl:lre L, C..a,,)e. Trust Name Address City State/Zip Telephone# 6. CONTRACTOR • 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 permrt to file a signed statement thet he is licensed pursuant to the provisMlns 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, end the basis for the alleged exemption. Any \liolation of Section 7031.5 by eny app(icant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$500!) Ur:bG.£h 'b::n£,o<::i, Inc -\'2.Ctv fbc:,f.:. $t: S)-'l £.n ['(lam:,s CA:94'.YefJ (7ra:,")YJ1-so415 Name Address ~ I,.. City State/Zip Telephone tr State license # C 69 ~ License ass wL};;.>3] 5? City Business License I I ,1 ( zc:, d--'tj Designer Name Address City State/Zip Telephone S1ate License # ---------- 6. WORKERS' COMPENSATION 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, tor the performance ~ work for which this permit is issued. ~ I have and will maintain ""'.ork~rs' compens~tion, as r~red by Section 3700 of the Labor Code, for the performance of the work tor which this permit is issued. My worker's compensation rnsurance carrier and pohcy number are: /nsu"nce Comp,ny "b:\o,.,\e \?v-od PoUcy No. ;:;z5?S-90;;i c:lC:1:0 Expirntion Da1,ol Jo I boo::; r , !THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS !$1001 OR LESS) D CERTIFICATE OF EXEMPTION: I certify that in the performance of the wotl<: for which this p&rmit is issued. I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Faiture to ncure wodlers' compensation coverage it: unlawftd. and shall •ubject an employer to criminal penaltiea and civil ftnas up to one hundred thousand dollars I ,000), in • to the co of com~n. damages ea p,ovided for in Section 3706 of the:! .... ~~ interest and attorney's fees. SIGNATURE DATE ~ J:::> 7. OWNER-BUILOER:O I hereby affirm that I am e)(empt from the Contractor's License law for 1he 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 sa!e (Sec. 7044, Business and Professions Code: The Contractor's License Law do8S 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 urt:ended or offered for sale. It, 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 theteon, and contracts for such projects with contractor(sl licensed pursuant to the Contractor's License Lawl. O 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. O YES ONO 2. I \have J have not) signed an application for a building permit fo, the proposed work. 3. I have contracted with the following person (firml to provide the proposed construction (Include name I addl8SS I phone number J contractors license numl::lerJ 4. f plan to provide portions of the work, but I heve hired the following person to coordinate, supervise and JMOVkle the major work (include name / addfess / phon, number I contractors license number):, _____________________________________________ _ 5. I will provide soma of the work, bU1 I have contracted !hired) the following persons to provide the work indicated (include name I address / phone number / 1yp, of work.Jc. _________________________________________________________ _ PROPERTY OWNER SIGNATURE------------------------ COMPLETE THIS SECTION FOR NON-./IESIDENTIAL BULDING ,PERMITS'QN(y·, ls 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 Ptesley• TannM H'azerdous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain a permit trom 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? 0 YES O 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 POU.UTION CONTROL DISTRICT. 8. CONSTRUCTION·LEHDING 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{il 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 intormation on the plans is accurate. I agree to coml'.Ji'I with all City ordinances end State laws relating to building construction. I hereby authorize reprasentativas of the Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. t ALSO AGREE TO SAVE. INDEMNIFY AHO 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 exca .... ations ove, 5'0"' deep and demolition or construction of strµctures over 3 stories in height. EXPIRATION: Every permit issued by the buiding Official under the provisions of this Code shall expire by limitation and become null and vold H the building or work aulhorized by such permit is not convnenced within 180 days from the date of SUCh permit or if lhe building or work authorized by such permit is suspended or abandoned at any time after the work i:s com~d for a 99{1:1160 da.~~~4 Un1lonn Bu1ld1ng Code) J APPLICANT"S SIGNATURE ~L#4 ~~ DATE l,,,t3/(J2 WHITE: Frie YELLOW. Applicant PINK: Finance .. City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDREss: 11 056 Fo&Fsr ll-v~ 2. TYPE OF BUILDING: RESIDENTIAL )</ COMMERCIAL __ __. 3. ROOF SLOPE: RISE t/: inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) @2 3 5. TYPE OF EXISTING ROOF COVERING C!'o, r72 SHEATHING 7 *6. NEW ROOF MATERIAL~~/) CLASS ft WEIGHT PER SQUARE cl roo [ ~ 7. -NUMBER OF SQUARES 2 :>:, • 8. TRADE NAME fJl Jc ~e.ANUFACTURER ffF_ ~ ao ·~: _._ +:- 9. ROOF SYSTEM LISTING UL No. ICBO No. 30) ?,-j 0. 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 instali'new roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signature~ ~ Contractor /)<J Owner Contractor Narrie lihrd) ~ *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. -, City of Carlsbad Bldg Inspection Request For: 06/14/2002 Permit# CB021681 Title: CALE -REROOF 2300 SF COMP Description: 4 SF OF BUILTUPfTORCH DOWN Type:MISC Sub Type: REROOF Job Address: Suite: Location: 1768 FOREST AV Lot APPLICANT URBACH ROOFING, INC. 0 Owner: CALE CHRISTINE L TRUST 02-28-02 Remarks: Total Time: CD Description Act Comments Inspector Assignment: PY --- Phone: 7604715065 Inspector: ----- Requested By: AMBER Entered By: KAREN 19 Final Structural -£¥:----- Associated PCRs lnsgection HistOD! Date Description Act lnsp Comments 06/10/2002 15 Roof/Reroof AP PY SHEATHING 06/10/2002 19 Final Structural WC PY 06/07/2002 15 Roof/Reroof AP PY 6/6 06/06/2002 15 Roof/Reroof AP PY 06/05/2002 15 Roof/Reroof co PY NOT NAILED COMPLETELY