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Home My WebLink About1003 DAISY AVE; ; CB950634; PermitBUILDING 05/19/95 10 45 Page 1 of 1 Job Address 1003 DAISY AV Permit Type MISCELLANEOUS Parcel No 214-422-11-00 Valuation 0 Construction Type VN Occupancy Group Reference* Description 32 SQUARES OF RE-ROOF WITH LIGHT WEIGHT TILE z^ppl/Ownr SECURE ROOF INC 2210 MEYERS AVE ESCONDIDO, CA 920,29 PERMIT Permit No CB950634 Project No A9500930 Development No Suite Lot# Status ISSUED Applied 05/19/95 Apr/Issue 05/19/95 Fntered By MDP 432-9084 *** Fees Required ***A * */.Fees Collected & Credits * k Fees Adjustments Total Fees Fee description 1,64 00 v 'r.OQN / 161\,00 / Total C To;t*l Payments -,••-. Balance' Due Miscellaneous Fee &1 ,. * MISCELLANEOUS '""I64.:6o 00 00 164 00 Ext fee Data 164 00 PERMIT 164 00 1 -i: .VCORI'O'WTt:''- 1955 05/19/^ 0001 01 02 C-FRMT 164 00 CITY OF CARLSBAD 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 ' Bib £-/ ?r PERMIT APPLICATION City of Carlsbad Building Department 2075 Las PaImas Dr , Carlsbad. CA 92009 (619) 438-1161 1 PERMIT TYPE From List 1 (see back) give code of Permit Type For Residential Proiects Only From List 2 (see back) give Code of Structure Type Net Loss/Gain of Dwelling Units PLAN CHECK NO EST VAL PLAN CK DEPOSIT '(£? D " VAIJJ) BY DATE 2. PROJECT INFORMATION FOR OFFICE USE ONLY Address Nearest Cross Street Building or Suite No (OO ~$ LEGAL DESCRIPTION Lot No Su&division Name/Number Unit No Phase No CHECK BELOW IF SUBMITThU D 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope ASSESSOR S PARCEL EXISTING USE.PROPOSED USE DESCRIPTION OF WORK SQFT # OF STORIES # OF BEDROOMS # OF BATHROOMS 3 UUNTAUT FEKbUlM tit cmlel"enl tromjjppncanl) NAME (last name first) CITY STATE ADDRESS ZIP CODE /AJ/6 DAY TELEPHONE 4 APPLICANT NAME (last C1TY ICONIRACTOR D AGENT FOR CONTRACTOR ADDRESS DOWNER U AGhNI FOR OWNhR STATE ZIP CODE DAY TELEPHONE 5 PROPERTY OWNER NAME (last name first) CITY ADDRESS STATE ZIP CODE DAY TELEPHONE CONTRACTOF NAME (last name first) CITY STATE ££• ZIP CODE STATE LIC # *?3fJ@&r LICENSE CLASS DAY TELEPHONE CITY BUSINESS LIC # DESIGNER NAME (last name first; CITY STATE ADDRESS ZIP CODE DAY TELEPHONE STATE LIC # /WORKERS' COMPENSATION Workers Compensation Declaration I hereby affirm mat I nave a certificate ot consent to self insure issued by the Director oflndustnal 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) INSURANCE COMPANY POLICY NO EXPIRATION DATE Certificate of Exemption I certify that in the performance of the work for which this permit is issued, 1 so as to become subject to the Workers' Compensation Laws of California shall not employ any person in any manner SIGNATURE DATE 8CJWNER BUILDER DECLARATION Owner builder Declaration 1 hereby attirm that 1 am exempt from trie Contractors License Law lor me lollowing reason D 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 ) D 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) D 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 [SSOO]) SIGNATURE DATE COMPLETE THIS SECTION FOR NON RESIDENTIAL BUILDING 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? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MCT OR IS MF^ITNG THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 9"(JUNSTHUUTMJN LENDING AGENCY I hereby attirm that there is a construction lending agency tor the performance ot the work tor which this permit is issued (Sec 3097(0 Civil Code) LENDERS NAME LENDER'S ADDRESS 10 AHPL1CAN1 I certify that I have read the application and state that the above mlormation is correct I agree to comply with all City ordinances and State laws relating to building construction I hereby authonze represenraQves of the City 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 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 S'O" deep and demolition or construction of structures over 3 stones 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 anytime after the work is commenced for a period of 180 days (Section 303(d) Uniform Building.Code) APPLICANTS SIGNATURE//, L DATE V?HITE File YELLOW Applicant PINK. Finance CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS 2. TYPE OF BUILDING:RESIDENTIAL yf COMMERCIAL 3. ROOF SLOPE: RISE 4~ inches in 12 inches 4. TYPE OF EXISTING ROOF COVERING ^nM^t- SHEATHING 5. NUMBER OF EXISTING ROOF COVERINGS (circle one)£j3 2 3 *6. NEW ROOF MATERIAL {pb-l £ l(Tt- fftltJLASS A WEIGHT PER SQUARE. 7. NUMBER OF SQUARES 8. TRADE NAME MANUFACTURER 9. ROOF SYSTEM APPROVAL UL No. Other 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF YES X NO _c If the answer is no, a roof plan must be provided with this application. 11. Fire rating of roof: Class AkT Class B _ I understand the following inspections are required: 1. Tear Of f/Pre- inspect ion 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. -3- SIGN / DATE Contractor X- Owner Contractor Name *6 - Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up. CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB950634 FOR 05/31/95 DESCRIPTION: 32 SQUARES OF RE-ROOF WITH LIGHT WEIGHT TILE TYPE: MISC JOB ADDRESS: 1003 DAISY AV APPLICANT: CONTRACTOR: OWNER: SECURE ROOF INC.PHONE: PHONE: PHONE: INSPECTOR AREA PD PLANCKf CB950634 OCC GRP CONSTR. TYPE VN STE: LOT: 619 432-9084 REMARKS: MW/DAVE/432-9084 SPECIAL INSTRUCT: INSPECTO: TOTAL TIME: CD LVL DESCRIPTION 19 ST Final Structural 29 PL Final Plumbing 39 EL Final Electrical 49 ME Final Mechanical ACT COMMENTS ***** INSPECTION HISTORY ***** DATE DESCRIPTION 052295 Roof/Reroof ACT INSP CO PD COMMENTS COVERED W/O INSP