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HomeMy WebLinkAbout2738 VICTORIA AVE; ; CB971850; Permit, ,.... _______ __ l CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 I J 'EP.MIT APPLICATION FOR OFFICE USE O~Y PLAN CHECK NO. J f'5c) CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Pal mas Dr., Carlsbad CA 92009 (760) 438-1161 EST.VAL ~~·~ Plan Ck. OeposlC (IJ Val;dated w Date "qJ o/ 1. PROJECT INFORMA,;.: 1-]Ji {/,'(.,, , . ..114 Address (include Bldg/Suite #I Business Name lat this address) Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units Existing Use ~(J-t.r() SO. FT. 2. CONTACT PERSON (If different from apj:,licentl --.-,,. Fax# Name City State/Zip Telephone# 6. • CONTRACTOR -COMPANY'NAME'._.,... ....... ._ __ r..,_, (Sec. 7031.5 Business and Professions Coda: 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 I 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 Coda) or that he Is exempt therefrom, and the besis for the alleged exemption. Any violation f Section 7031 .5 by any applicant for a permit subje s the applicant to a civil penalty of not more than five hundred dollars ($5001). , '?-1 ~>t '_S )IA/ ~ ~ ~UPI · . ,£ 1/.rtJ City State/Zip Telephone II License Cless _C_;_,#_::J.....:,'f _____ _ City Business License II ~'-{ 3 ~c,-t) Designer Name State License II __ J//4...:....:()/:.:....1 ______ _ Address City State/Zip Telephone 8. WORKERS' COMPENSATION 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-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. ~ I have and will maintain workers' compensation, IS required by Section 3700 of the Labor Coda, for the performance of the work for which this permit is issued. My worker's compensation ins%ance c,rrier and policy number are: lnsur.;;;ce Com;:,any -:tL.L..:;.&..<-=--+-""~~--'-----------Policy No.~)• C/7 UxJfl 1t.J Expiration Date / f· 'f / (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) O 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 10 as to become subject to the Workers' Compensation Laws of California. workers' compensation coverage la unlawful, and ahell aubject an employer to crimklal penaltle1 and civil fines up to one hundred thousand dollar■ I , In a to the coat of compenutlon, damage■ u provided for In Section 3708 of the Labor code, lnterHt and attorney'■ fH■. DATE 1• Z•t:;7 I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O I, as owner of the property or my employees with wages IS 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 ■n 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, Buslnen and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon, and contract■ for ■uch projects with contractor(sl licensed pursuant to the Contractor's Licen11 Lawl. 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and m1terl1ls for construction of the proposad 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 licen■e number): 4. I plan to provide portions of the work, but I have hired the following person to coordin■te, supervi■e 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 _______________________ _ COMPLETE THIS SECTION FOR NON-RESIDEIJnAL'auilolHo PERMlfi"ONLY.W;i1"!."~-;;r, .. ; ......... '.' Is the applicant or future building occupant required to Iubmit a business plan, acutelv. haz■rdoua meteriels registration form or riak menagement end prevention program under Sections 25505, 25633 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future bLilding occupant required to obtain a permit from the air pollution control district or air quellty management district? 0 YES O NO Is the facility to be constructed within 1,000 feat 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 MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT. 1a. coNsTRuCTioN LENti1PiicrA0EiJcv.,...",,,,..,·r·· """'.' •1';.'."V"' .. ..,,. .. r:r~ ...,. .. ~., ·"'::""--,-• .,._..--:-,,u, .,. .. ,., ~~ I hereby affirm that there is I construction lending agency for the performance of the work for which this permit Is i■sued (Sec. 3097(11 Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS _______________________ _ 19. APPLICANT CERTIFlcAtioN.:.,.,11'-"'"··.-•o,~-' :.r"-:j~n:rrr:-.Z"'-::-rrc:-r:~,,:~~r.•:,~1...::-;;-? .,r,l':.1°0"~lf?i!.."l:;r:::..:~~-:r:-•-:;;~ ·,:: :r --~ ~i;' •·•, • :·. I certify that I have read the application and ■tat• that the above Information Is correct and that th■ lnfo,mation on the plan■ 11 accur■te. I agree to comply with ■11 City ordinances and State l■w• r■lating to building construction. I hereby authorize reprnent■tivu 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 CITY OF CARLSBAD AGAINST AU 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 b II Bui ing Of • lal under the provisions of this Code ■hall expire by limitation and become null and void If the building or work authorized by such permit is n ed w hln 365 days from the data of such permit or If the building or work authorized by such permit Is suspended or abandoned at any time after the n d for I period of 160 days (Section 106.4.4 Uniform Building Code!. a APPLICANT'S SIGNATURE DATE __ 7.,._.___.7_l-_~{,_7..__ ______ _ ,.,, IITI: C''I. vr,' "''·'· ,., .......... ,....... DIP\fV• ~in,,-,ro 2. 3. 4. s. *6. 7. 8. 9. 10. 11. CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING TYP£ OF BUILDING: RESIOENTIAL-,--X COMMERCIAL --ROOF SLOPE: RISE l./ inches in 12 inches TYPE:. OF EXISTING ROOF COVERING S4J.f/:a5' SHEATHING_S._/;-_1/J ______ _ NUMBER OF EXISTING. ROOF COVERINGS (circle one) {j) 2 . 3 b.p /h NEW ROOF MAT~RIAL 1(/.e • CLASS It WEIGHT PER SQUARE--- NUMBER OF SQUARES 3 0 . TRADE NAME f Atj/4-.6'-(e., MANUFACTURER lfA,k. ?;4.. L-p. ROOF SYSTEM APPROVAL UL No. . Other ~C-81} !:I 6£-6 IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF . THE PROPOSED ROOF YES X HO ---. If the answer is no, a roof plan snust be provided with this application. ' Fi re rating of roof: Class A .X::, Class 8 __ I understa.nd the following inspections are required; 1. Tear Off/Pre-inspection prior to installing ne~ roof cover;ng. 2. Final Inspection . ~ I agree to provide a ladder extending at least 2 rungs above the roof for inspection. . ' . : 1)1•17 DATE Contractor ~ Owner ---Contractor Home, .f../.g/ /2,;,f'J •6 -·Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Butlt up. PERMIT# CB971850 DESCRIPTION: REROOF 3000 SF, ICBO 4660 TYPE: MISC CITY OF CARLSBAD INSPECTION REQUEST FOR 07/25/97 LIGHT WGHT TIL STE: INSPECTOR AREA NF PLANCK# CB971850 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 2738 APPLICANT: SCHOTT CONTRACTOR: VICTORIA AV ROOFING ( I D I I PHONE: 760 744-6450 PHONE: OWNER: REMARKS: C/TERRY/744-6450 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION PHONE: INSPECTOR ACT COMMENTS ~ ST _R_o_o_f_J_R_e_r_o_o_f __________ !J-f _______________ _ DATE DESCRIPTION 070897 Roof/Reroof ***** INSPECTION HISTORY***** ACT INSP AP NF COMMENTS