HomeMy WebLinkAbout2732 YORK RD; ; CB951544; Permit10(3
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10/24/95 13:57
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Job Address: 2732 YORK RD
Permit Type : MISCELLANEOUS
Parcel No : 167-391-37-00
Valuation : O
P E R M I T
Suite:
Lo t#:
Permit No: CB951544
Project No : A9502262
Development No:
Constructio n Type: VN
Occupancy Group: Reference#: Status: ISSUED
10/24/95
10/24/95
MOP
Description : 21 SQUARES OF TILE RE-ROOF
: LIGHTWEIGHT
Appl/Ownr : SECURE ROOFING
2210 MEYERS AVE
ESCONDIDO, CA. 92029
*** Fees Required *** ***
619
Applied:
Apr/Issue :
Entered By :
432-9084
Fees Collected & Credits *** --------~-----------------------------------
Fees:
Adjustments:
Total Fees:
Fee description
Miscellaneous Fee #1
* MISCELLANEOUS TOTAL
133 .00
.0 0
1 33.00
Total Credits:
Total P,pyme ts:
Balan ce Du,e :
Units Fee/Unit
133.00
.00
.00
133.00
Ext fee Data
133.00 PERMI T
133.00
FINAL APPROVAL
,'.~SP. De< DATE 1I,7,9s
CLEARAN CE _____ ,
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION PIAN CHECK NO.
City of Carlsbad Building Department
2075 Las Pal.as Dr., Carlsbad, CA 92009 (619) 438-1161 EST.VAL. _______ -=---..,,.:,,,,.,..:,..
1. PmtMtl NPE PLAN CK DEPOSIT. ___ -4(c..:i-...1....µ.• ___ oo...=
VAIID.BY _______ I_-:, ___ _
DATE
From List l (see back) give code of Permit-Type: ____________ _
For Residential Projects Only: From List 2 (see back) give
Code of Structure-Type: ____ 5 ___ t=_-__ 'A _____________ _
Net Loss/Gain of Dwelling Units ___________________ _
2. PROJECT INFORMKI1ON FOR OFFICE USE ONLY
Address l :"\ 1 2 Yo"' r Bu1ld1'< ot: No.
Nearest Cro~reet ~
LEGAL DESCRIPTION Lot No. Sub<l1V1s1on Name/Number Unit No. Phase No.
CHECK BEWW IF sUBMII 1£0:
O 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ l Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
DESCRIPTION OF WORK
# OF BEDROOMS # OF BATIIROOMS
I
NAME (last name first) ADDRESS
f!\ M L£eDRESS
~ZIP CODE
25-\-V\
DAY TELEPHONE
ADDRESS 2-7 3 L
STATE C. V\ ZIP CODE 91...00 ~ DAY TELEPHONE
NAME (last name first) sf:. (.,U Q. ..(. e O O \-::rV' C.N)DRESS 2 l-\ Q
CITY E. $ l ONl')\V)() STATE c,...., ZIP CODE 9201.. °\ DAY TELEPHONE
STATE LlC~C\ 0 S1'-I LlCENSE CLASS c...-1°\ CITY BUSINESS LlC. #
DESIGNEH NAME (last name first) ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE STATE LlC. #
1. WolO<EJts' OOMPENSA'MoN
Workers' Compensation Declarauon: I hereby alhrm that I have a cerul1cate of consent to sell-insure issued by the Director of 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 there, ~l~d with ~e Buildinijnspi•rion gartment (Section 3800, Lab. C).
INSURANCE COMPANY , e N t::'A (flt POLlCY Nt:' 1..' 11 ca EXPIRATION DATE 2-°I Co
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
a. oWNER-BUIIDIDt OECLAJtA'MoN
□
□
□
Owner-Builder Declaration: 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 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.).
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).
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 License 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]).
SIGNATIJRE DATE
COMPLETE 1 His SECTION FOR NON-RESIDENTIAL BUIWING PERMI l's 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?
□ YES ONO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
□ YES ONO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□ YES □ NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERlrnCATE OF oa:uPANCY MAY NITT BE ISSUED AFfER JULY 1, 1989 UNI.F.SS THE APPUCANT
HA.5 MET OR IS MEIITING THE REQUffiEMENl'S OF THE OFFICE OF EMERGENCY SERVICES AND nm AIR POU.UTION (X)NlROL DISIRICT.
9. WNSIR0CIION LENDING AGENCY
I hereby affirm that there 1s a construcuon lending agency for the performance of the work for which this permit 1s issued (Sec 3097(1) CIVIi Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPIJCANI CERIIFICAIION
I certify that I have read the apphcanon and state that the above inlormauon 1s correct. I 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 ALSO AGREE ro SAVE INDEMNIFY AND KEEP HARMLES.5 TI-IE CTIY OF CARL5BAD AGAINST AU. IJABD.nlES, JUDGMENTS, CDSTS
AND EXPENSES WJDCH MAY IN ANY WAY Ac:x:RUE AGAINST SAID CTIY IN (X)NSEQUENCE OF THE GRANTING OF 1lilS PER.MIT.
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 Buil~ing Official under ~e provisions of this Code shall expire by l!mita_tion and. ~ome null and voi~ if the
building or work authorized by su it 1s not commenced w15hin 5 days from the da!e of such permit or •~ the building ~r work a_u0onzed by
such permit is suspended or aban oned any time after the wo c menced for a penod of 180 days (Section 303(d) Uniform Bui! in e). it'A C'
APPLICANT'S SIGNATURE • DATE: -tt-:.+cf--.H..A -µ
TE: File YEU.OW: Applic PINK: Finance ~.,
1.
2.
3.
4.
5.
*6.
7.
8.
9.
10.
CITY OF CARLSBAD
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
JOB ADDRESS 7 7 3 L.. j' 0 R l,.( \< 'D •
TYPE OF BUILDING: RESIDENTIAL£ COMMERCIAL
ROOF SLOPE: RISE ---1--inches in 12 inches --
TYPE OF EXISTING ROOF COVERING 2\1\l\'v<. 't. SHEATHING Sp~c,~O
NUMBER OF EXISTING ROOF COVERINGS (circle one)(!) 2 3
NEW RooF MATERIALl-\&H,l,U6\&\-\, Tl\~LAss~ WEIGHT PER sQuARE 7 t..[o /b,
NUMBER OF SQUARES A A .
TRADE NAME --:Dvn":'t L\ &\-\I MANUFACTURER YY\o N \\..ft
ROOF SYSTEM APPROVAL UL No. ____ Other 20°\) -I(_ f.3 C)
IS THE EXISTING STRUCTURALLESI SUFFICIENT TO SUSTAIN THE WEIGHT OF
THE PROPOSED ROOF YES NO ----
If the answer is no, a roof plan must be provided with this application.
11. Fire rating of roof: Class A_k 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.
s
DATE
Contractor _x __ _ Owner ---Contractor Name S f:.(_VQ..-'l., ~O ~ llA.c • _..;.__ ______ =--~--='-----=-
*6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up.
PERMIT# CB951544
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 11/07/95
RE-ROOF DESCRIPTION: 21 SQUARES OF TILE
LIGHTWEIGHT
TYPE: MISC
RD STE:
INSPECTOR AREA DC
PLANCK# CB951544
OCC GRP
CONSTR. TYPE VN
LOT: JOB ADDRESS: 2732 YORK
APPLICANT: SECURE ROOFING
CONTRACTOR:
PHONE: 619 432-9084
PHONE:
OWNER: PHONE:
REMARKS: MW/JAMIE
SPECIAL INSTRUCT: FINAL
INSPECTOR,~))"""'-C __________ _
TOTAL TIME:
CD
15
LVL DESCRIPTION
ST Roof/Reroof
------------------
------------------
------------------
ACT COMMENTS
_t}P. £11JJ v
***** INSPECTION HISTORY*****
DATE DESCRIPTION
102595 Roof/Reroof
ACT INSP
AP DC
COMMENTS