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Home My WebLink About2713 LA GOLONDRINA ST; ; CB002654; Permit,.(§) City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07/18/2000 Miscellaneous Permit Permit No:CB002654 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Building Inspection Request Line (760) 602-2725 2713 LA GOLONDRINA ST CBAD MISC Subtype: 2155420200 Lot#: $2,392.00 KHANIJOW RES-2300 SF COMPOSITI REROOF 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 07/18/2000 RMA 07/18/2000 07/18/2000 Applicant: PORTER ROOFING Owner: KHANIJOW ASHOK&SEHILAl30,' 0 '/13/00 }001. JJ. C·,·PRMT 3357 ELMSOOD WY SAN MARCOS CA 92069 760 734-1844 Total Fees: $87.00 Miscelaneous Fee #1 Miscelaneous Fee #2 TOTAL PERMIT FEES Inspector: SR 2713 LA GOLONDRINA ST CARLSBAD CA 92009 Total Payments To Date: $0.00 PERMIT FEE FINAL APPROVAL Date: ::1 /a.1 Jet) Balance Due: $87.00 $0.00 $87.00 $87.00 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. lf 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 Car1sbad 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 capactiy 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 vou have nreviouslv been oiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exnired. 87,00 . -PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHEC~~oa. ~.TO 265lj EST. VAL. ~1¢ij}, Plan Ck. Deposit ----+.Ht---- Addr.!f!Ji.nclujip BldgJSuite #) I c/ L~f IS Lil &o <>D rl•~A Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use # of Bathrooms Fax# (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 exe ption. Any violation of Section 7031.5 by any applicant for a permit subjects the a plicant to a civil penalty of not more than five hundred dollars [$5001). ~ ~ ~ 3 City State/Zip Telep State License # lf1 Z Ql-/"l..,, City Business License # f 2AX} 3:J Z Designer Name Address City State/Zip Telephone State License # _________ _ :!Ii :,:;1tWQRJClRatc'tfMPU,IDtlON'12£c:: < :t'" Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O l have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. "-vf' I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is ~ued. My worker's compensa~ion insurance carrier and policy number are: L ? C. 1 ! lnsuranceCompany / "'-")1-:.,"\ 1{1$yr. (,1, PolicyNo. W /ZO_l/=i ExpirationDate ..... /f-.OQ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS! O CERTIFICATE OF EXEMPTION: I certI hat in the pe ormance 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 alifornia. / WARNING: Failure to secure workers' co~· · thousand dollars ($100,0001, In addl · SIGNATURE ·1 ,.,,,to\/V~EReBUILPeli,l!~Cl;AIIA Tli:>I'! ..• I hei'eby affirm that I am exempt from the Contractor's .tur. d shall subject an employer to criminal penalties and civil fines up to one hundred ges as provided for in Section 3~:~:f the :,~;.,~~ez,a:d attorney's fees. O l, 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 improva 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). 0 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. 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 I 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),,_------------------------------------------------------ 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 26505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D 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 D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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. 1 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 't1•,r;;11.e1'1JlrANT• C~RTll'l~Tli:>i'i !;:,<, 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 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Official under th_i} ons of th· ode shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days !f:DA't" it __ pr1'the building or work authorized by such permit is suspended or abandoned atanytimeattertheworkiscommen~.~~·s ~ BuildingCode). 7~/C-.» /Y\ APPLICANT'S SIGNATURE _______ _,,.C:::::--::::::.._=,,,,,,_-=-e:::_~_.;;~:..___________ DATE {_~ ( ~ WHITE: File YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: 2 7 ( 3 l-B 60 I<>~ ( ; At:.!o.,, 2. TYPE OF BUILDING: RESIDENTIAL "j COMMERCIAL _ ____, 3. ROOF SLOPE: RISE l inches in 12 i~ches 4. NUMBER OF EXISTING ROOF COVERING {circle one) ~ 2 3 5. TYPE OF EXISTING ROOF COVERING~L SHEATHING *6. NEW ROOF MATERIAL C,.,.) =1=: CLASS A WEIGHT PER_S_Q_U_A_R_,_E 7. NUMBER OF SQUARES ~ . 8. TRADE NAME *)l-'-s'bd,.,LJ MANUFACTU'i_~R GA~ 9. ROOF SYSTEM LISTING JUL No. 4:'\'J !CBO~ l):;:iC'.) lj\ 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. *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 7/26/2000 Permit# CB002654 Title: KHANIJOW RES-2300 SF COMPOSITI Description: Type:MISC Sub Type: REROOF Job Address: 2713 LA GOLONDRINA ST Suite: Lot 0 Location: APPLICANT PORTER ROOFING Owner: KHANIJOW ASHOK&SEHILA Remarks: Total Time: CD Description 19 Final Structural Act Comments ~F~ Associated PCRs Inspection History Date Description 7/21/2000 15 Roof/Reroof Act lnsp Comments AP SR Inspector Assignment: SR --- Phone: 7607341844 Inspector:~ Requested By: TOM Entered By: CHRISTINE