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HomeMy WebLinkAbout1856 PENTAS CT; ; CB022782; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-17-2002 Miscellaneous Permit Permit No: CB022782 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: PRENTICE ROOF CO 1856 PENT AS CT CBAD MISC 2155210400 $4,120.00 HORVATH RESIDENCE 40 SQUARES OF COMP. 2917 ANAHEIM ST ESCONDIDO CA 92025 760 737-9636 Subtype: REROOF Lot#: 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/17/2002 MDP 09/17/2002 09/17/2002 HORVATH RICHARD B&CLARK.&-sePIJ¥A~8:{~~~ 01 1856 PENTAS CT CGP CARLSBAD CA 92009 Total Fees: $103.00 Total Payments To Date: $0.00 Balance Due: $103.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES ~~ Inspector. >- PERMIT FINAL A,P~OV ~ Date: 9 /g v t:? z_ $103.00 $0.00 $0.00 $103.00 Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any i I I imil hi r whi h fl' i in r vi I 02 103-00 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. f$ e-'Z.1'<'c....- EST. vAL. _L_{-+-1 -+-( 7o _ _,..L/ __ L..,......o.} __ Plan Ck. Deposit---~------ Validated By __________ _ Date _______________ _ Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # t2::G -~ Existing Use 'Y)-1 .,q l~ 7V ~ f' 1~1.lc) Proposed Use ;s 2 ---Description of Work l{p SO. FT. #of Stories ~ACT';:/'~"°mjr!i/.., ~ u,-{) # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone # Fax # 3. APPLICANT O Contractor □· Agent for Contractor O Owner O Agent for Owner Name Address City State/Zip Telephone# 4 . PROPERTY OWNER ~01/Hl.J> ~ -;<;;c) +/~, ~j r../~ Name lfo "it-I14 n-! 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 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 violatio of Section 7031.5 by any a plicant for a p rr~lt s,11bl_ects the applicant to a civil penalty of not more than five ~dred dollars ($6001). t.-c ~~ Cc. t ~/11,\, 5r" c;;~C-t:n-f::>100 7VZ-~ ?'ee, 757-?t~ Name Address City State/Zip Telephone # State License # --'7 ( / Jv-f License Class C -3-°f City Business License # \ ".2...4 'J.. ((7] Designer Name Address City State/Zip Telephone State License # _________ _ 6,, WORKERS' COM!!.EN$A TION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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. pl. 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 are: Insurance Company ~ fi)N;::> Policy No. /4..IC / /le 19.fe;-c 1--Expiration Date ,,,Z..,... J -65 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100} OR LESS) O 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 secure workera' compensation coverage 11 unlawful, and 1hall 1ubject an employar to criminal penalties and civil flnea up to one hundred 1 ,0 ), n to the cost of compan■atlon, damagea a■ provided for In Section 3706 of tha L or co a, Interest and attomay's fees. DATE V 7. I hereby affirm that I am exempt from the Contractor'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 improver-vents 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'J)rovlng that he did not build or improve for the purpose of sale). O J, 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). · -~,. 0 I em 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. 0 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 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 _________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY,_ __ _ 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? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 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 POLLUTION CONTROL DISTRICT. B. CONSTRUCTION LENDING 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(1) 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 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 6'0" 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 I · a s from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work Is co me ced f lod of 18 s (Section 106.4.4 Uniform Building Code). / / APPLICANT'S SIGNATURE \----::~""------+--7"'-7""''--------------DATE '7 I -, /[) 1--r ~ YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: /~ (6-/-Q4 5 2. TYPE OF BUILDING: RESIDENTIAL X COMMERCIAL. __ _,e 3. ROOF SLOPE: RISE tf-;g inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) d) 2 3 5. TYPE OF EXISTING ROOF COVERING f'Jf1'45-SHEATHIN~f' *6. NEW ROOF MATERIAL G£J.11 f CLASS_A.._WEIGHT PER SQUARE 3 'Jo 7. -NUMBER OF SQUARES _ _,_1_o_---" 8. TRADE NAME ~"ST7Qvl':'"ftvS° MANUFACTURER._=Ez_::=.k:.--=---__ _. 9. ROOF SYSTEM LISTING UL No., ___ ~.ICBO No. Ee...-S-t.¾ t t./ . 1 o. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? (YES'\ 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 instalfnew roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signature {]ft !?r Date "f r \ 1 ! o z-... Contractor c,,f Owner ____ Contractor Narpe ~"-l-l'T7 '-€-f:oor *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request Permit# CB022782 Title: HORVATH RESIDENCE Description: 40 SQUARES OF COMP. For: 09/26/2002 Type:MISC Sub Type: REROOF Job Address: Suite: Location: 1856 PENTAS CT Lot APPLICANT PRENTICE ROOF CO 0 Inspector Assignment: RF ( , ---.j! ·_·,:,':.c Phone: 7607379636 Inspector: /? f Owner: HORVATH RICHARD B&CLARKE-HORVATH CYNTHIA Remarks: Total Time: CD Description Act Comments Requested By: CHRIS Entered By: GIOVANNA 19 Final Structural N_ _______ _ Associated PCRs/CVs //27-£6 Inspection History Date Description 09/20/2002 15 Roof/Reroof 09/19/2002 15 Roof/Reroof Act lnsp Comments AP RF NR RF