HomeMy WebLinkAbout1770 BASSWOOD AVE; ; CB042715; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-1 4-2004 Miscellaneous Permit Permit No: CB042715
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
Applicant:
RLT ROOFING
1770 BASSWOOD AV CBAD
MlSC Subtype: REROOF Status: ISSUED
2050803800 Lot #: 0 Applied: 07/14/2004
$2,163.00 Entered By: MDP
Plan Approved: 07/14/2004
Issued: 07/14/2004
ROYCROFT RESIDENCE InsDect Area:
2910 JEFFERSON ST
CARLSBAD CA 92008
760 434-5833
21 SQUARES OF BUILT UP ROOFING
Owner:
ROYCROFT PATRICK&JOYCE
1770 BASSWOOD AVE
CARLSBAD CA 92008
Miscelaneous Fee #I
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
PERMIT $77.00 $0.00
$0.00
$77.00
Total Fees: $77.00 Total Payments To Date: $0.00 Balance Due: $77.00
Inspector: 4 Clearance:
Y NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, 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 feeslexactions. 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 feeslexactions 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
feeslexactions of which YOU have oreviouslv been aiven a NOTICE similar to this. or as to which the statute of limitations has oreviouslv othetwise exoired.
PERMIT APPLICATION A
,CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONLY
EST. VAL.
Plan Ck. Deposit
Validated By
Date
INnb
Address (include BldelSuite #) I Business Name [at this address) a S L.Ja&L
Lot No. Subdivision NamelNumber Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use Proposed Use
# of Bedrooms X of Bathrooms
Name Address City StatelZip Telephone # Fax X
(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 Codel or that he is exempt therefrom, and the basis for the alleged 5 by any applicant for a permit nab of not more than five hundred dollars ls500l~. -_ 3L-U AhLi r, tdw /A%k /fJL - Ahdress re City tatelzip Telebhone # 7 $7--3 cr'r d+a$ulsF
License Class & 39 City Business Lice,",. # /A I 7~2'7
Address City StatelZip Telephone
State License #
Designer Name
of the work for which this permit is issued. a
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
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 a- issued. My worker's compensation and policy number are:
Insurance Company T'ta T-r- Policy N& s' s'/? Expiration Date 1 - -&/
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOWRS ltl001 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
a up to one hundnd
s of California.
covemge b UnkwM. .nd rh.u subjoct UI ernployu to
nsation, damagea u provided for in Section 3706
0 1, 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, ad 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 M improve for the purpose of salel.
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(s1 licensed
pursuant to the Contractor's License law).
0
1.
2.
3.
4.
number I contractors license number):
5.
of work):
PROPERTY OWNER SIGNATURE DATE
I am exempt under Section
I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES UNO
I (have / have not) signed an application for a building permit for the proposed work.
I have contracted with the following person (firm1 to provide the proposed construction (include name I address / phone number I contractors license numkrl:
I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work tinclude name / address I phone
I will provide some of the work, but I have contracted (hiredl the following persons to provide the work indicated (include name I address I phone number I type
Busin~s and Professions Code for this reason:
B1s:SECm
nt or future
program under Sections 26505, 25533 or 25534 of the Presley-Tanner Hazardous Substence Account Act? 0 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?
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 FIiJAL CERTIFICATE OF OCCUPANCY YAY 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
LENDER'S NAME LENDER'S ADDRESS
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 AN0 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 end demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issue
authorized by such permit is not
at any time after the work is
APPLICANT'S SIGNAT DATE
itation and become null and void if the building or work e date of such permit or if the buiMing or work authorized by such permit is suspended or abandoned
Uniform Building Code).
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOBADDRESS: /7 70 &CSW fJd cd+j/
2. TYPE OF BUILDING: RESIDENTIAL - COMMERCIAL
3. ROOF SLOPE: RISE 2- inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) 1 2 3 0 5. TYPE OF EXISTING ROOF COVERING&&- u,d SHEATHING
*6. NEW ROOF MATERIAL CLASS WEIGHT PER SQUARE
7. NUMBEROFSQUARES d- .
8. TRADENAME MANUFACTURER ce 4
9. ROOF SYSTEM LISTING UL No. 30 7 ICBO 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: --, I,
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.
Signatu Date 7//54(n4 1
Contractor Contractor Name
*6 - Rolled Roofing, Standard/Lite Tile, AsphaltlComp Fiberglass, Built up,
Other.
City of Carlsbad Bldg Inspection Request
For: 07/29/2004
Permit# CB042715
Title: ROYCROFT RESIDENCE
Description: 21 SQUARES OF BUILT UP ROOFING
Type: MlSC Sub Type: REROOF
Job Address: 1770 BASSWOOD AV
Suite: Lot 0
Location:
APPLICANT RLT ROOFING
Owner: ROYCROFT PATRICK&JOYCE
Remarks:
Inspector Assignment: PY
Phone: 7607576853
Inspector:
Total Time: Requested By: ROGER
CD Description Comment
Entered By: CHRISTINE
19 Final Structural
29 Final Plumbing
39 Final Electrical
49 Final Mechanical
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments
0711 512004 15 RoofIReroof AP PY