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Home My WebLink About2555 WILSON ST; ; CB972619; PermitB U I L D I N G 09/16/97 14:11 Page 1 of 1 Job Address: 2555 WILSON ST Permit Type: MISCELLANEOUS Parcel No: 156-130-29-00 Valuation : 1,623 P E R M I T Suite : Lot#: Permit No : CB972619 Project No: A9703325 Development No: Occupancy Group: Reference#: Description: REROOF 1700 : UL D3108 SF, COMPOSITION Appl/Ownr : BETYAR CONSTRUCTION 2265 VIEW STREET OCEANSIDE,' CA 92054 *** Fees Required *** Fees: Adjustments: Total Fees: Fee description Miscellaneous Fee * MISCELLANEOUS T TAL A 760 Applied: Apr/Issue: Entered By: 967-5988 Fees Collected & Credits 09/16/97 09/16/97 JM *** Jfot;.al Q:-ed1. s: .00 ,00 64.00 Total Itayment : B a hc.,e Onit Ext fee Data 64.00 PERMIT FEJ 64 .00 PAOVAL ..__DATE ,i-Z-,7 -'7 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 Plan Ck. Deposit _____ ......,.__ __ -"--_ (760) 438-1161 Validated By ___ ~-==-t',--,~c-,,-...,,,.- Date. ________ -4"-"-"""-l-r--"-_,,_ __ 1. PROJECT INFORMATION ' Kc:< L>)tt-<o~ or Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No~ Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # r ~-p~~t'" Existing Use 70 I Prop~ Use I Description of Work SQ. FT. # of Bedrooms # of Bathrooms 2. CONTACT PERSON (If dlfftlfellt from applicant) Name Address City State/Zip Telephone# Fax# 3. APPLICANT 0 Contractor _tJ Agent for Contractor 0 Owner .0 Agent for Owner Name Address City State/Zip Telephone# 4. PROPERTY OWNER Name Address City State/Zip Telephone# 6. CONTRACTOR • COMPANY NAME (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 License Law [Chapter 9, commending with Section 7000 of Divisi~l 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemP. • n. li:r').ation of Se 'on 7031.5 ~ ;;;!Jant ~?mf/i~ct~ applp~~ivil penalty Cht m",!/.;:;;!/8 hundr?:o lars ,2,j~°;frg,~ Name Address C> City State/Zip Tele State License # lf SO '17£> License Class __ D________ City Business License # /"~--b~ lW, Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS• COMPENSATION -Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: ~ 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, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: L L lnsuranceCompany :sri1r 6),,V PolicyNo. l~t>1'6'-1.,.. qr, ExpirationDate <a_l _f<i{ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) 0 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 so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure wor ers' compensation coverege Is unlawful. and shall subject an employer to criminal penahlea and civil fines up to one hundred thousand dollers (t O ). In d • n the cost of compenaetion, damages ea provided for in Section 3706 of the Labo code Interest and attorney's fees. DATE __ 'f.,__._'-'/ V'-'--'-1 ...L... __ SIGNATURE. __ -J~~-=--'-~4----_::::,_ ________________ _ 7. OWNER-BUil I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O 1, 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 License 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 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). 0 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 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). O I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. 1 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 person to coordinate, supervise 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 _______________________ _ DATE __________ _ COMPLETE THIS SECTION FOR NON-RESIOEN11AL BUILDINO 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? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 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 AND THE AIR POLLUTION CONTROL DISTRICT. re. • CONSTRUCTION !,.ENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS __________________________ _ 9. APPLICANT CERTIFICATION I certify that I have read the 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 representatives of the Citt 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 A LL 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 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 • not commen d within 365 days from the date of such permit or if the building or work authorized/I such permit is suspended or abandoned at any time after the rk • comm n d f a period of 180 days (Section 106.4.4 Uniform Building Code). / APPLICANT'S SIGNATURE _.,.__ ___ '-__-_-=..-=.--:..__,,,__________________ DATE e:, Ii r'? ~I YELLOW: Applicant PINK: Finance CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS J<<< /)..)t1,,< ",J {!;r 2. TYPE OF BUILDING: RESIDENTIALi C0""1ERCIAL __ 3. ROOF SLOPE: RI SE s;-' inches in 12 inches 4. TYPE OF EXISTING ROOF COVERING Sti::ftg SHEATHING <;,ou D • 5. NUMBER OF EXISTING ROOF COVERINGS (circle one) 1 (D 3 *6. NEW ROOF MATERIAL ~µPra,£ CLASS ft WEIGHT PER SQUARE ~ '-«~ 7. NUMBER OF SQUARES _...._/....<.-7 __ _ 8 . TRADE NAME 011€JX10,.)frt, (tit~ MANUFACTURER __ ~------- 9. ROOF SYSTEM APPROVAL UL No. 0 .. ~OI t' Other ---- 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF YES )c.. NO ---- If the answer is no, a roof plan DJSt be provided with this· application. 11. Fire rating of roof: Class A >( 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 Contractor X Owner ---Contractor Name -------------- *6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/C011p Fiberglass, Built up . i PERMIT# CB972619 DESCRIPTION: REROOF 1700 SF, UL D3108 TYPE: MISC CITY OF CARLSBAD INSPECTION REQUEST FOR 09/23/97 COMPOSITION INSPECTOR AREA PK PLANCK# CB972619 OCC GRP CONSTR. TYPE NEW JOB ADDRESS: 2555 WILSON ST APPLICANT: BETYAR CONSTRUCTION CONTRACTOR: STE: LOT: ::g:: ~ /7;/ --:7 PHONE: 760 967-5988~ OWNER: REMARKS: C/967-5988 SPECIAL INSTRUCT: TOTAL TIME: LVL DESCRIPTION INSPECT~~----'-'l/=---~::.__..~ ____ _ ACT COMMENTS CD 19 ST _F_i_n_a_1_s_t_r_u_c_t_u_r_a_1 _______ ~ _______________ _ DATE DESCRIPTION 091897 Roof/Reroof ***** INSPECTION HISTORY***** ACT INSP AP PK COMMENTS