HomeMy WebLinkAbout2035 CORDOBA PL; ; CB032039; Permit07-23-2003
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Miscellaneous Permit Permit No CB032039
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Valuation
Reference #
Project Title
2035 CORDOBA PL CBAD
MISC
2072403700
$2,553 00
Subtype REROOF
Lot# 0
PAULS RES 2300 SF REROOF
ROCK TO COMP SHINGLE
Applicant
SAN DIEGO ROOFING
615NORTHAVE
VISTA, CA 92083
760-758-1800
Status ISSUED
Applied 07/23/2003
Entered By SB
Plan Approved 07/23/2003
Issued 07/23/2003
Inspect Area
Owner
PAULS KARLEEN J
2035 CORDOBA PL
CARLSBAD CA 92008
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
PERMIT FEE $7700
$000
$000
$7700
Total Fees $7700 Total Payments To Date $000 Balance Due $7700
0270 07/23/03 0002 01 02
77,, 00
Inspector
FINAL APPROVAL
Date 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
fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave , Carlsbad, CA 92008
PROJECT INFORMATION
FOR OFFICE USE ONLY
PLAN CHECK NO
EST VAL
Plan Ck Deposit
Validated By -g.
Date
Addtess (includg_Bldg/SuHe #)
0^Jtz*J
Business Name (at this address)
Legal Description
Assessor s Parcel #
Descriat;on of Work f*
Lot No Subdivision Name/Number
Existing Use
Cf FT #of Stories
Unit No Phase No
Proposed Use-p
# of Bedrooms
Total # of units
2_
# of Bathrooms
Name
3 APPLICANT Q: Contractor
Address
it for Contractor • • ... Q Owner
City
Agent for Owner
State/Zip Telephone #Fax #
Name
4 PROPERTY OWNER
Address City State/Zip Telephone i
Telephone #Name
5 COfVfRACTOR > 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
exep»ption Any-wqjation of Section 7051 5 by-any applicant for a permit subjects the applicant to a civil penalty oj not more than five hundred dollars l$50pl)
~^ytL±_ \ )U
Name
State License #
Address
License Class
City State/:
City Business License #
ip Telephone #
tni
/
Designer Name .. Address City • State/Zip Telephone
State License #
6 WORKERS'COMPENSATION ^ .... ... , , ,
Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
|~l 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 thje work for which this permit is issued
^f5l 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 ^~yr"t-^**-g. "^"I^-L^-* ("jf Policy No^^H-^1" CJLX'to I J^ Expiration Date_
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100J OR LESS)
f~1 CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as
to become subject to the Workers' Compensation Laws of California
WARNING Failure to secipS workers, compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand doljaf$'(^IOp>0uO) inaddiUbn to the cost of compensation damages as provided for in Section 3706 of the La/or code./nterest and attorney s fees
SIGNATURED^^^*-»-o V^oL-C^«3-*a-*' DATE _"""//
7 OWRfR-BOILDER DECLARATION : B K; ^:: .; ::•;., ..«..;l::::: iK: :
I hereby affirm that I am exempt from the Contractor's License Law for the following reason
l~l 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)
O 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)
l~l 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 [H YES
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/VO/V-/?5S/DfW7Mi BUILDING PERMITS ONLY ; n? „., j; •..;
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? 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 d NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? d YES Q 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
8 CONSTRUCTION LENDING AGENCY i! .,; '
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code)
LENDER'S NAME LENDER'S ADDRESS
9 ,;; APPLICANT CERTIFICATION ,,.. • -Ir ilL:- . . ;. ,-'" .,,',' : '";.. .^ .,.,.: •'•;"' . "" ., -;•" •
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 CitV 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 OfficiaUinder 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 comjaencep^within 180 da^s from the date of such permit or if the building or work authorized by such permit is suspended or abandoned
at any time .if'sr the work is coiy»rneriee<W&fa period of/80 days (Section 106 4 4 Uniform Building Code)
APPLICANT S SIGNATURE/ ^Z^un \^l\ ^3--3-H>-— DATE
WHITE File YELLOW Applicant PINK Finance
City of Carlsbad
1635 Faraday Avenue Carlsbad CA 92008
Applicant SAN DIEGO ROOFING
Description
CB032039
Amount
-61 60
Receipt Number R0035943
Transaction Date 07/23/2003
Pay Type Method Description Amount
Payment Other -61 60
Transaction Amount -61 60
CITY OF CARLSBAD
REQUEST FOR REFUND
jl
Amount of fifii\inrff^~^/ • v^? ^"^ Fee Paid For r*-c }L_c>s -fr
Date Ffie Paid *7y £J/O S Fee Paid By ^3»*SK3 t^f^f^
Fflots Supporting Requpst T^t •/#«-' 2- '7"tf'< /*N t.TO T- O //"" ^
]2^ ^/\>c) /^€*ftfc^<, ^o^T'c) ^"^ F^-^ii
TT,^ ^;/A;^ ^se^f
NamR of Applicant >^CXfO f^}^^> $~£Kftf"/
Address «» /-^ /C^C^rH'^ f\>-'t- Ul^l^ if f\~- ' t
Street City State
Signature nf Applicant
Dept JustificationpGC
D Approve D Disapprove
Finance Investigation
Rec
D Approve D Disapprove
3ity Manager's Action
LI Approve D Disapprove
r/ ''jn j-j- ^ ^»c^ *2? ,^5 -^ c)
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Zip Telephone
Datp
•-
Date
Dept Head Signature Date
City Manager Signature Date
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDRESS:
2. TYPE OF BUILDING: RESIDENTIAL O COMMERCIAL
3. ROOF SLOPE: RISE 3 inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) 123
5. TYPE OF EXISTING ROOF COVERING ^jPr
*6. NEW ROOF MATERIAL CLASSfc 2- WEIGHT PER SQUARE
7. "NUMBER OF SQUARES ^3
8. TRADE NAME£b-e*o. C^^Ju^ MANUFACTURER
9. ROOF SYSTEM LISTING UL No. ICBO No.C4 l*-f
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 install new roof covering.
2. Final Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for
inspection.
Signature ^/^^^ ^^^a-<i~ta^ Date ""7 /T,«^ . _ f -^ „ p— — , „ _„. „_ , ....... ., f ' "
Contractor Owner Contractor Name
*6 • Roiled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up,
Other.
San Diego Roofing
License No 686318
To:): W Vv-o-v-"-' — \A *7V ^3^~\ —£t/v^—«—4___ o
^>u- J^ ' ^
Thursday, July 03, 2003
Lee Sterling
President
/°J g-6
/'V 2
619-236-1800 625 North A ve Vista Ca 92083 760-758-1800
Fax 760-758-358 I