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HomeMy WebLinkAbout1665 SANDALWOOD LN; ; CB043431; PermitCc City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-01-2004 Miscellaneous Permit Permit No: CB043431 Building Inspection Request Line (760) 602-2725 Job Address: 1665 SANDALWOOD LN CBAD Permit Type: MISC Subtype: REROOF Status: Parcel No: 2051305400 Lot#: 0 Applied: Valuation: $3,648.00 Reference #: Project Title: AGRELL RESIDENCE 32 SQUARES OF COMP RE-ROOF Applicant: ALL TRADE REMODELING 4485 SUNBURST DRIVE OCEANSIDE 92056 760 533-7966 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT Entered By: Plan Approved: Issued: Inspect Area: Owner: AGRELL DIANE J TRUST 11-25-96 1665 SANDALWOOD LN CARLSBAD CA 92008 Total Fees: $90.00 Total Payments To Date: $0.00 Balance Due: ISSUED 09/01/2004 MDP 09/01/2004 09/01/2004 $90.00 $0.00 $0.00 $90.00 $90.00 0201 09/01/04 0002 01 CGP Inspector: 0b Clearance: NOTICE: Please take NOTICE that approval of your project includes the 'lmpos ion' 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 !T APPLY to any f xactions f which ou h v r viou I b n iven N TICE similar t hi r t hi h hes f limit i n r vi I herwi e 02 90. 00 FOR OFFICE U~E UNL Y PERMIT APPLICATION . CITY pF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 · PLAN CH¥fEC {)(25~ ~ ~'(?( EST.VAL.__j_ -~ . Plan Ck. Depo t . Validated By __________ _ Date. ______________ _ Business Name (at this address, Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units Assessor's Parcel I Existing Use Proposed Use State/Zip Telephone I ~~-~ (Sec. 7031.6 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 slgnad statement that ha is licenaed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of bivlslon 3 of the Business and P_rofassions Code! or that ha Is exempt therefrom,. and the basis for the alleged e em tion. Any v olatlon f Sectio 70 1 . 6 by any applicant for a per it sub c he applic t to a civil p alty of not more than five hundred dollars I$ 600U. ~ j'f? Address City State/Zip Telephone State License I _________ _ ~~;,1~tJ.f~Smm~~~!;£',ts.~1mNit''lill"~mm.a:~n-&i~ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O I have .and will maintain a certificate of consent to self-lnswe for workers·; compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. O I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for .the performance of the wor·k for which this permit is issued. My worker's compensation Insurance carrier and policy number are: Insurance Co,;,pany _____________________ Policy No.,____________ Expiration Date. _______ _ IS SECTION "NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1•100) OR LESS! CER!Jf.lCATE 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 ecoma aubject to the Workers' Compensation Laws of California. RNIN0: Failure to wllfken' compenutlon eoveraae la unlawful, and lhall aubjec:t an employ• to criminal lea end clvM fines up to one hundred thou I, In eoat of compensation, damages u provided for.In Section 3706 of u_,.,_ .. ..,,...,.odl!, Interest and attomay'a fna. SIGNATURE . DATE Ot . . ' . ' ~~~~l!I /, _., hereby affirm that I am exempt from the Contractor's License Law for the following reason: ·. ~ J / L_O I, ai owner. of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended 9r offered for sale v'V I,'/ (Sec. 7044, Busineaa and Profe11io.n1 Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, end 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 bwden of proving that he did not build or improve foi the purpose of sale). ,0 I, es owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor'• License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractcir(s) licensed pursuant to the Contractor's License Law). ,0 I am exempt under Section ------'--Buslne11 and Professions Coda for this reason: . . 1. I personally plan to provide the mejor labor and materials tor construction of the proposed property improvement. 0 YES ONO 2. I (have / heva not) algned en 1ppllc1tlon 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 parson to coordinate, supervise and provide the major work (include name / address / phone number/ contractors licenH numberl:, ________________________ ~---------------------,.- 6. I will provide some of the work, but I have contracted (hired) the following parsons to provide the work indicated (include name / address / phone number / type .1/. of work): . /V _t PROPERTY OWNER SIGNATURE DATE _________ _ t'~Mft~~mumr -·-"" · -. -~ · , ~~~~;~w~ Is the eppllcent or future building occupant required to submit a busina11 plan, acutely hazardoua materials registration form or risk management and prevention program under Sections 26606, 26633 or 26534 of the Presley-Tanner Hazardous ~ubstance Account Act?-· 0 Y.ES O NO Is the applicant or future building occ_upant required t~ obtain a permit from the air pollution control district or air quality management district? 0 YES O NO la the facility to be corustructed within 1,000 f1111t of the outer boundary of a school site? 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 MEETIN0 THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ~A-~Q--W-~Wh~WlfBm~~~filiml~fi•U~~!l~~~t~li¼~f±~i:ft:~~~LUllill~:;;mrr.t~~i~~~~ I hereby affirm that there is a construction landing agency tor the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S· NAME ______________ _ LENDER'S ADDRESS _____________________ ;__ ____ _ W ~IIM2r.._.,,.~Bffi~dt~~,'1/~T-~ 'I .certify that I have read tha 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 raprasantatlvas of the Cltt of Carlsbad to enter upon the above mentioned property tor inspection purpos111. 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 fo_r excavations over 6'0" deep and demolition or constructi~n of structures over 3 stories In height. EXPIRATION: Every permit Issued by the building Official under ihe provisions of this Code shall ·expire by limitation and become null and void If the building or work authorized _by such permit Is not com nc within 180 days from the date of such permit or If the building or work authorized by sue; permit Is suspended or abandoned at any time after the work Is e for a p f 180 d (Section 106.4.4 Uniform Building Code). WHITE: Fila YELLOW: "Applicant PINK: Finance t City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDREss:/66.5" ta,dk~· /4. rcµdacl 2. TYPE OF BUILDING: RESIDENTIAL f COMMERCIAL __ ~ 3. ROOF SLOPE: RISE S° inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) Cf) 2 3 5. TYPE OF EXISTING ROOF COVERING ___ SHEATHINGQ,(" /5 *6. NEW ROOF MATERIAt¥,.lta,,.,.;cLAss.Lf__wEIGHT PER SQUARE 7. -NUMBER OF SQUARES 11-- 8. TRADE NAME 1i;i.ld--1L MANUFACTURER_,_{;;.;L.,&..41,..<J=:c..._ __ __, 9. ROOF SYSTEM LISTING UL No. ___ ~ICBO No. ____ __,_ 10. IS THE EXISTING STRUCTURAL DESl~ICIENT 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: •.-, ( ( I. 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. Signatu~~ Date ~C( Contractor~Owner ____ Contractor Narre /jUJ/1 · lt.u7Q *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 09/09/2004 Permit# CB043431 Title: AGRELL RESIDENCE Description: 32 SQUARES OF COMP RE-ROOF Type: MISC Sub Type: REROOF Job Address: 1665 SANDALWOOD LN Suite: Lot 0 Location: APPLICANT ALL TRADE REMODELING Owner: AGRELL DIANE J TRUST 11-25-96 Remarks: LADDER ON SIDE OF HOUSE, NEAR SHED Total Time: CD Description Act Comment Inspector Assignment: JM --- Phone: 7605337966 ln,spector: ~ Requested By: KEVIN Entered By: ROBIN 19 Final Structural ~------ Associated PCRs/CVs Inspection History Date Description 09/03/2004 15 Roof/Reroof 09/02/2004 15 Roof/Reroof Act lnsp Comments AP JM OK TO COVER CO JM FALL ON RAFTER