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Home My WebLink About1196 LARKSPUR LN; ; CB131034; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-22-2013 Miscellaneous Permit Permit No: CB131034 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 1196 LARKSPUR LN CBAD MISC 2054300900 $3,959.00 Subtype: REROOF Status: Lot#: 0 Applied: Entered By: Reference #: Plan Approved: PC#: Issued: Inspect Area: Project Title: COATS RES-2900 SF COMPOSITION Applicant: Owner: HARBOR ROOFING COATS DONALD G TRUST 11-19-99 962 AL YSSUM RD CARLSBAD CA 92011 760 931-9108 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE 1196 LARKSPUR LN CARLSBAD CA 92008 ISSUED 04/2212013 RMA 04/2212013 04/2212013 $118.00 $0.00 $0.00 $118.00 Total Fees: $118.00 Total Payments To Date: $118.00 Balance Due: Inspector: FINAL ~PPROVAL Date•(?·/'? Clearance: $0.00 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 infonnation 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, zonir19, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any f i n f whi h h v vi I n i n N Tl i ·1 r hi r whi h h f limi i n I THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING □ ENGINEERING «1~ ~ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Garlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: buldllng@carlsbadca.gov www.cartsbadca.gov SUITE#/SPACE#/ PHASE# # OF UNITS # BEDROOMS # BATHROOMS □BUILDING □ARE □HEALTH 0HAZMAT/APCD Plan Check No. Est. Value SWPP CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: lncJude Square Feet of All'ected Area(s) C,OMr't.~16 1'~6FF', wooo e.E:'P41i>, e.e::--:51-leef, t-,1&,'N Mtie a ~ SU1,Jt,~ ~~ Sl,\~1"61-1\ {~~. ~~~ EXISTING USE GARAGE {SF) PR AD MAIL ARCH/DESIGNER NAME & ADDRESS STATE UC.# WORl<ERS' COMPENSATION PATIOS (SF) DECKS (SF) FIREPLACE YES □#_ NO □ APPLICANT NAME (Secondary Contact) ADDRESS CITY STATE PHONE FAX R BUS. NAME STATE PHONE FAX AIR CONDITIONING FIRE SPRINKLERS YES □ NO □ YES □ NO □ ZIP ZIP D ave and will maintain a certificate of consent to self-Insure for wor\lers' compensation as provided by Section 3700 of the Labor Code, for the performance of the wor\l for which this permit is issued. ~ e 'Compensation Declaratlon: I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain workers' com1ensatlon, as ~~d ~~ection 3700 of the Labor Code, for the perform,J.e of the ~which this permit is issued. My wor\lers' compens · n il'ISuwce carrier and policy number are: Insurance Co. '!!t[A-fE. ~ Policy No.f\6 '70\._,,, Expiration Date---1,'{,4-'C-==------- This section need not be completed if the permit is for one hundred dollars ($100} or less. □ Certificate of Exemption: I certify that in the performance of the work for wh' this permit· ssued, I shall not employ any person in any mannef so as to become subject to the Worllers' Compensation Laws of California. WARNING: Failure to secure worke ' pensatlon cover e I unlawfu.l, shall subject an employer to criminal penaltln and civil fines up to one hund thousand dollars (&100,000), In addition to the cost of compensation, dama ded for In Sect n 3 6 of the t or code, interest and attorney's fee&. A$ CONTRACTOR SIGNATURE 's Ucense Law for the following reason: I, as owner of the property or my e yees with wages as their sole compensation, will do the worll 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 er of property who builds or improves thereon, and who does such worll himself or through his own employees, provided that such improvements are r.ot 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). □ I, as owner of the property, am exclllSively 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). □ I am exempt under Section _____ ,Busir,ess and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. □ Yes □ No 2. I (have I have noij 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 (inclllde name address I phorie I contractors' license number) 4, I plan to provide IX)rtlons of the woril, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone/ 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 I type of worll): ~ PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL IIOILDING 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? □ 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? □ Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ 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. CONSTRUCTION LENDING AGENCY 1 hereby affirm that there 1s a construction lending agency for the performance of the work this permit 1s issued (Sec 3097 (i) C1vll Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certtfythat I have read the applk:atlon and state that the above information Is conect and that the Information on the plans is accurate. I agree to comply~ all Clly on:iinances and State iav.s relating to bulldlng construction. I hereby aulhorize --of lhe City of Carl;bo:l to enter upon ~e aoove mentioned pro!)erty for flSj)ElCOOn purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY Of CARLSBAD AGAINST ALL LL'IBILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN /ffl WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE Of THE GRANTING OF THIS PERMIT. OSHA: NI OSHA pennlt is required for excavations over 5'0' deep and demoHOOn or oonstruction of structures over 3 stores in hei(Jht. EXPIRATION: Every pemilt issued by the B.Jilding Qfk:ial under the provisbns of this (;ode shall expire by Imitation and become null and 'vOO lf the building orW'.ll'k authorized by such l):!nTiil is not oommenc:ed wthin 100 days from the date of such ~ITTllt or if the buiding orv.ork authorized by such pennlt is suspended or abanOOned at any time after the v.ork is runmenc:ed for a perk>d of 100days (Sed:Kln 100.4.4 UnikllTTl BJildJlg c.ode). E APPLICANT'S SIGNATURE DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax {760) 602-8560, Email www.building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. OELIVERY OPTIONS □ PICK UP: o CONTACT (Listed above) □ OCCUPANT (Listed above) o CONTRACTOR (On pg. 1) □ MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) □MAIL/FAX TO OTHER: _______________ _ A$ APPLICANT'S SIGNATURE o ASSOCIATED CB#------------- O NO CHANGE IN USE/ NO CONSTRUCTION o CHANGE OF USE/ NO CONSTRUCTION DATE ZIP REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESS: l\~lp l,ARJ/.bN]Z 1AtJtt' 2. TYPE OF BUILDING: RESIDENTIAL / COMMERCIAL ___ _ 3. ROOF SLOPE: RISE-i-INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 1 (3) 3 5. TYPE OF EXISTING ROOF COVERINGW@l) ~ f/J.h~EATHING ~ -(:h1t:, *6. NEW ROOF MATERIAL 1!.h~IM? 3b'1l,.cLASs_A_wEIGHT PER SQ. M) 7. NUMBER OF SQUARES _ _.Z:.-"+---- 8. TRADENAME _______ MANUFACTURER ________ _ 9. ROOF SYSTEM LISTING: UL NO. ______ I.C.C.E.S. Report# _____ _ ASTM ____ _ 1 O. IS THE EXISTING STRU~ESIGN 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. 8-10 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 i spec ion. ____ Contractor Name J~~ Yf/1£(? f ~ ~~ C-OMPAfJ'4 ~~-,--' *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other Page 4 of4 Rev. 02/11 Inspection List Permit#: CB131034 Date Inspection Item 05/13/2013 19 Final Structural 05/07/2013 15 Roof/Reroof Tuesday, September 10, 2013 Type: MISC REROOF COATS RES-2900 SF COMPOSITION Inspector Act Comments PD AP PD AP Page 1 of 1