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Home My WebLink About2696 WATERBURY WAY; ; CB941468; Permit• A B U I L D I N G P E R M I T Permit No: CB9 41468 Project No: A9402162 Development No : 11/15/94 10:52 Page 1 of 1 Job Address: 2696 WATERBURY WY Permit 1ype : MISCELLANEOUS Par cel No: 167-441-25-00 Valuation: 250 Construction 1ype: NEW Suite: Lot#: 9569 11/15/94 0001 01 02 C-PRHT 25-00 Occupanc y Group : Reference#: Status: ISSUED Applied: 11/15/9 4 Apr/Iss ue : 11/15/94 Entered By: DC Description : 2 SQ BUILT UP REROOF ON ADDN Appl/Ownr : D'ANDREA ROOFING 2109 TIFFANY DRIVE OCEANSIDE, CA 92056 Fees Required Fees: Adjus tments: Total Fees : Fee description Miscellaneous Fee #1 * MISCELLANEOUS TOT L w 619 434-8093 Fees•Gcillected & Credits Total s : otal Pa s: 8alan Units .00 .00 25 .00 Ext fee Data -------------------------------------25 .00 REROOF 25.00 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 ... PERMIT APPLICATION PLAN CHECK NO. City of Carlsbad Building Departaent 2075 Las Palaas Dr .• Carlsbad, CA 92009 (619) 438-1161 EST.VAL. ___________ _ 1. PERMIT TYPE PLAN CK DEPOSIT ________ _ VAi.ID.BY ___________ _ DATE From List 1 (see back) give code of Permit-Type: ____________ _ For Residential Projects Only: From Llst 2 (see back) give Code of Structure-Type: _____________________ _ Net Loss/Gain of Dwelling Units __________________ _ 2. PROJECf INFORMA110N FOR OFFICE USE ONLY Address ~b Cj G Waf ?,,-t;)-f"• .-~ Woifu1lding or Suite No. Nearest Cross Street LEGAL DESCRIPTION Loe No. s u6clivis1on Name/Number Onie No. Phase No. CHECK BEWW IF s UBMI 11 ED: D 2 Energy Cales D 2 Structural Cales □ 2 Soils Report D 1 Addressed Envelope DESCRIPTION OF WORK \-~ Y'AO V e '"'~ -of'f'rC C. SQ. FT. ~C, 0 # OF STORIES # OF BEDROOMS CJ a ""-. # OF BATIIROOMS 3. WN IACI PERSON (11 d1ilerenl lrom ap12ltcaf\fJ ~ NAME (last name first) J'l ~ :c.. G <_h .-ol'\O'< 1' I ADDRESS .. ,s STATE Ca . CtlooJ-DAY TELEPHONE NAME (last name first) 0'1\1"'1 • PC... 0 'i 11 c 1TY ~ s ,·cle STATE Co . s. PllOPffit NER L :-r- NAME (last name first) 1)~ h"" "O'" S I p.,-. ZIP CODE DAY TELEPHONE 7 5"°) -3 / J 2_ ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 6. coNTRACIOR _ l , rl'. NAME (last name fi rst) 0 I A" Cl'' ,( ~ ADDRESS :i. ,oc, 7;-11a,. '1 {)t . c1TY Oc l"c."' s-, ~ ~ STATE ( c.. z1P coDE o:;,0 .> G DAY TELEPHONE STATE UC. # 5"f6.S-'1? LICENSE CI.ASS C -3 9 CITY BUSINESS UC, # I 1961,/S"J" DESIGNER NAME (lase name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE UC.# 1. Wol0<£JIS' COMPENsAiloN Workers' Compensauon Declarauon: I hereby allirm ihac I have a cerultcate ol consent to sell-insure issued by the b1rec1or ol lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). ~J _q5 so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. oWN£it-0UllDmt bECIAHAllON □ □ □ Owner-Builder Declarallon : I hereby affirm that I am exempt from the Contractor's License Law for the following reason: I, 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 Llcense 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 fo r 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 exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's Llcense 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 Llcense Law). I am exempt under Section _______ Business and Professions Code for this reason: (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 Llcense Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SlGNATUR.E DATE COMPLE'I E 'nlls SECTION FOR NON-RESIDENTIAL BUILDING PERM I l's ONLY: ls 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 255Q5, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES l.1f"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 p,'NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES c.:r"NO IF ANY OF n m ANSWEI\S ARE YES, A FINAL crRTIFICATE OF ocx:uPANCY MAY NOf BE ISSUED AFfER JULY 1, 1989 UNLESS TI-IE APPUCANT HAS MET OR IS MEETING TICE REQUIREMENTS OF TI-IE OFFICE OF EMERGENCY SERVICES AND nm AIR POI.LUTlON OON11lOL DISI1UCT. 9. WNS'IH0Cl1ON LENDING AGENCY I hereby aihrm ihat there 1s a construcuon lending agency for the performance of ihe work for which ih1s permit ts tSSued (Sec 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS to. APPUCAN I CERIU'ICAl10N I cerufy ihat I have read the appltcauon and state that the above inlormauon 1s correct. f agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I AI.SO AGREE 1U SAVE INDEMNIFY AND KEEP HARMLESS THE CTlY OF CAIUSBAD AGAINST AIJ. UABIUflES, JUDGMENTS, CX>STS AND EXPENSES WIDCH MAY IN ANY WAY ACX::RUE AGAINST SAID CfIY IN OONSEQUENCE OF TI-IE GRAN11NG OF 11IlS 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 the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is comm ced for a period of 180 days (Section 303(d) Uniform Building Code),.,_ APPUCANTS SIGNATURE •· , • DATE: //-/.5"°-....,tt.( PINK: Finance 0 t 1. 2. 3. 4. 5. *6. 7. 8. 9. 10. 11 . CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING JOB ADDRESS ;)...(.,Cf(,., Luat~...-bf>YYI.,\ WaL.t l ' TYPE OF BUILDING: RESIDENTIAL.£ COMMERCIAL __ ROOF SLOPE: RI SE 1/'2.. inches in 12 inches TYPE OF EXISTING ROOF COVERING c,~;05 )t>S SHEATHING p\ '1 w o c, cA NUMBER OF EXISTING ROOF COVERINGS (circle one) 6) 2 3 NEW ROOF MATERIAL J?>v~ ~ G f'3 S P -'=j CLASS~ WEIGHT PER SQUARE /0 S- NUMBER OF SQUARES 2, TRADE NAME ')$'.. _T_h_·t-e c..--,..-;3,_~ ,· MANUFACTURER ()r. Ia I {' c_ ROOF SYSTEM APPROVAL UL No. QC}l,8:4 (N' Other J:c 6 0 -3 9G<2.. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF @y___ NO __ _ If the answer is no, a roof plan ~t be provided with this application. Fire rating of roof: Class A· V Class B -- I understand the following inspections are required: 1. Tear Off/Pre-inspection prior to installing new roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. SIGN DATE Contractor / Owner ---Contractor Name Q 'A n d., ~ c. Ro o-t; h 5 *6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up.