HomeMy WebLinkAbout2478 UNICORNIO ST; ; CB973612; PermitB U I L D I N G P E R M I T Permit No : CB97361G
Project No: A9704684
Development No:
11 /24/97 10:36
Page 1 of 1
Job Address: 2478 UNICORNIO ST Suite:
Permit Type: MISCELLANEOUS
Parcel No: 215-260-01-00 Lot#:
Valuation: 9,720
Occupancy Group: Reference#:
Description: REROOF 4000
: ICBO 4660
SF, LITE TILE
Construction Type: NEW
Status: ISSUED
1733 11/24XtiPOOOidl:1. 1t>l24/ 9 7
Apr /I~~T: 11/2:1.ti(~'c
Entered By: JM
Appl/Ownr : PIVA ROOFING
1192 INDUSTRIAL
ESCONDIDO CA 92029
*** Fees Required
Fees:
Adjustments:
Total Fees:
Fee description
Miscellaneous Fee #1
* MISCELLANEOUS TOTAL
***
194.00
.oo
194.00
760 745-4700
*** Fees Collected & Credits *** --------------------------------------------
Total Credits:
Total Payments:
Balance Due:
Units Fee/Unit
194.00
.oo
.00
194.00
Ext fee Data
194.00 PERMIT FEI
194.00
Ff :' • /\ a ~ r n r" ~" //\. L
INSP:t;{& " C: /.? -{'}-'?Z_
CLEAru· ...
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
FOR OFFICE USE ONLY
-PERMIT APPLICATION No .t;?¾I~
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161 Validated By__.:,:::;_c;...._~~--:-77"---
Date ______ ,;;._-1--11;::;......,~---
1. PRnCT,NFORMATION ~y 1~ V"' 1wvZ.lf\ ~o
Address hnclude Bldg/Suite II Business Nam■ lat this address) I
Legal Descrtption Lot No. J'> Subdivision Name/Number Unit No. Phase No. Total I ot units
l.(. (3 <0t.Nr!d l-c r?cS
Assessor's Parcel I Existing Use
(»::oD t.J;1,tt--I Lt-
I of Bathrooms
Name Address City State/Zip Telephone , Fax,
.3. D Contractor ~ for • ontractor • D Owner· '.'0 Agent ioi Owner •• ···-••••
0 l De1S f:5L C 4-
Name City State/Zip Telephone,
4. PROPERTY RWNE,R
f-'l~YLI S(
Name
[3AlC cfl,
Address
-;:"' ~ ··:···--~-~.· "'t-+•· , •• , .• .. .,.
2(()R U01lullrl r o CA-RLsa 92e08-' L/Jf :2 </~2
City State/Zip Telephone,
5. CONTRACTOR -COMPANY NAME
(Sec. 7031.5 Business end Professions Code: Any City or County which requires• permit to construct, altar, improve, demolish or repair any structure, prior to its
issuance, also requires the applicant for such permit to file • signed st■tem■nt 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 Codel or that he is exempt therefrom, and the basis for the alleged
exemption. ny violatio f Section 7031.5 by any applic nt for a permit 1ubjec:U the applicant to• civil penalty of not more than five hundred d~rs 1950011.
lUA /V\ '2. 1v1.()u~-M -A-2d ~ '/ S:: <:>
Name Address
State License I ..,,;).,,..'""(_,~.,.__,)__°3-=-g--~---License Cl■■s __ C=-_-_S=-_,9 ____ _ Ci1y Busines1 UceMe I _______ _
Designer Name Address Ci1y State/Zip Telephone
State License I _________ _
6. WORKERS' COMPENSATION ··-~·-.._, .... ,
~:., • ,•• I' I
Workers' Compensation Declaration: I hereby affirm under penalty of perjury -of the following dect■rationi:
0 I have end will maintain • certificate of consent to self-Insur■ for workef9' compensation as provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued. ~ end will maintain workers' compensation, ■s required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is
issued. My worker's compe!::ation insurance carrier and Policy number are: , /' _ OC
Insurance Company <,'.,~ , Policy No. (1 wC, t{) S'J 2 L -( Expiration Date 0 /~ 1 (l__
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS tf100J OR LESS)
0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which thiI permit ia iaau■d, I ■hall not employ any person in any manner 10 as
to become S!Jbject Workers' Compensation Laws of California. •
WARNING: Fall orilef9' CO'!!IIIIIJ:let.l,On COfff119■ la unlawful, end ■hall ■ubj■ct en employer to crtmkwl peneltla end clYII tlnea up to -hundnd
thousand dollar of cornpenaatlon. demagn • provided tor In Section 3708 of the Labor code, lnt-t and attorney'■ fN■.
SIGNATURE_~::::/,~'::f;;~;;;;;:=:__=========--::-------:--:-----:-. OATE /(-)4 -C:,.. '7 1. : • ~~• :-••;•-... ••••• ,; ••,::,.•.;~::,~:~ •••::• ♦ oJ ,•,'Jtj•;,-, .-•••w ~
I haraby affirm that I • xempt from the Contractor' 1 License Law for the following r■■son:
0 I, as owner of the property or my employNs with wages ■s their sole compenaation, will do the work and the atructur■ la not Intended or offered for Hie
(Sec. 7044, Busin■H and Prof■ssions Code: The Contractor'■ Uc■na• Law do■s not apply to ■n o-of property who build■ or Improves thereon, and who don
such work himself or through his own ■mployNs, provided that Iuch lmprov■m■nts ■r■ not Intended or ottered tor HI■. If, however, tha bulldlng or Improvement la
sold within one ya■r of completion, the owner-builder wlll have the burden of proving that he did not build or Improve for the purpo■e of Hi■I.
0 I. es owner of the property, ■m exclusively contracting with licensed contractors to construct the project IS■c. 7044, Business and ProfHsionl Code: The
Contractor's License Law does not apply to ■n owner of property who builds or lmprovn thereon. and contract■ for Iuch project■ with contractorlII llc-ed
pursuant to the Contractor'■ License Law).
0 I em exempt under Section ______ Business and Professions Cod■ for thiI r■■Ion:
1 . I personally plan to provide tha major labor and materials for construction of the propoI■d property Improvement. 0 YES ONO
2. I (have/ have not) Iigned an application for• building permit for tha proposed work.
3. I have contracted with the following person (firm) to provide the propased construction llnclude name / ■ddr■11 / phone number / contractors Ncense number):
4. I plan to provide portions of the work, but I have hired the following per■on to coordinate, supervin and provide the major work !Include name/ ■ddrNs f phone
number/ contractors license number): _______________________________________________ _
5. I wlll provide some of the work, but I have contracted lhlr■di the following per■on■ to provide the work Indicated llnclude name/ address/ phone number/ type
of work):. _________________________________________________________ _
PROPERTY OWNER SIGNATURE _______________________ _ DATE -----------°COMPLETE THIS SECTION FOR NON-RESIDENTIAi. BUILDING PERMITS ONi. y ;,J;s,~••:: ............. , •• _,.,.,.,.~~•:-:-~1.;;;;~'_"'7?'"•~·: :·~· •• • • •• • • • ~-... • •• • •• -· •. ••
Is the applicant or future building occupant required to aubmit • business plan, acutely hazardous material■ 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• permit from the ■Ir pollution control dlstri_ct or ■Ir qu■llty management district7 O YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of • school aite7 O 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.
ia. • CONSTRUCTION i..ENDING AGENCY · • • ''' "" _______ ----, ~-.':'·-:-;:7 "";.•"'."~"''""'~"-'' ~-.• -· ... ,. • -.,., ~----,-· • .• ~ ••
I hereby affirm that there is • construction lending agency for the performance of the work for which this permit Is issued ISec. 3097(1) Civil Code).
LENDER'S NAME _______________ LENDER'S ADDRESS _________________________ _
[9, APPLICANT CERTIFICATiON , •• ·••-.------, ... ,-.--.•--,"."'",--"·····,-.~·-· '"",-T'"l".,,-·•·•·-,,1-.7 ••• ,,,,,...H,. -~,,;,:_,, •• ,.,.,.., , • ..,,.i • ,
I certify that I have read the application end state that the above Information Is correct and that the Information on the plane is accurate. I agree to comply with all
City ordinances and State laws relating to building construction. I hereby authorize repres■ntltiv■s of the Cltt of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CfTY 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 Y the Building Official under the proviaions of this Code Ihall expire by limitation and become null end void if the building or
work authorized by such permit i comm ad within 365 days from the date of such permit or If the building or work authorized by such permit is suspended
or abandoned et any time after t rk is me • per o f 180 days ISKtion 106.4.4 Uniform Building Code).
DATE --'-/i_(-;z_t/_-3~>----
WHITE: File YELLOW: Applicant PINK: Finance
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CITY OF CARLSBAD
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
JOB ADDRESS ;J~ > 8 (J() I Colen ' 0
TYPE OF BUILDING: RESIDENTIALL C0flt4ERCIAL --
ROOF SLOPE: RISE r inches in 12 inches
TYPE OF EXISTING ROOF COVERING l.uct:iD SMIC~ SHEATHING_=~.i..:(c:;.;_{-'-(-> ___ _
NUMBER OF EXISTING ROOF COVERINGS (circle one)(D 2 3
NEW ROOF MATERIAL Lt -t<.? ~{.fr (f <E CLASS ,4 WEIGHT PER SQUARE ) · f>S f-=
NUMBER OF SQUARES _ _,_V __ () __ _
TRADE NAME 01:5'.L<=-l{rf-l;r MANUFACTURER EY19L1;-
ROOF SYSTEM APPROVAL UL No. ____ Other JG[]o t.f {;;6()
IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF
THE PROPOSED ROOF YES X: NO __ _
If the answer is no, a roof~an must be provided with this application.
Fire rating of roof: Clas~ Class 8 __
I understand the following inspections are required:
~ear Off/Pre-inspection prior to installing new roof covering.
YFinal Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for inspecti on.
SIGN DATE
Owner ---Contractor Name 1fc04-~fi/17
*6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up.
PERMIT# CB973612
DESCRIPTION: REROOF 4000 SF,
ICBO 4660
TYPE: MISC
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 12/18/97
LITE TILE
STE:
INSPECTOR AREA PS
PIANCK# CB973612
OCC GRP
CONSTR. TYPE NEW
LOT: JOB ADDRESS: 2478 UNICORNIO ST
APPLICANT: PIVA ROOFING
CONTRACTOR:
PHONE: 760 745-4700
PHONE:
PHONE: ~~ OWNER:
REMARKS: C/DANIEL/745-4700
SPECIAL INSTRUCT:
INSPECTOR ___ f--::_,__--__J _____ _
TOTAL TIME:
LVL DESCRIPTION ACT COMMENTS CD
19 ST Final Structural ;ff_ ____ _
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***** INSPECTION HISTORY*****
DATE
120197
112597
DESCRIPTION
Roof/Reroof
Roof/Reroof
ACT INSP
NR PS
AP PS
COMMENTS