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Home My WebLink About1006 DAISY AVE; ; CB980873; PermitBUILDING PERMIT 03/24/98 12 34 Page 1 of 1 Job Address 1006 DAISY AV Permit Wo CB980873 Project No A9801144 Development No. Permit Type MISCELLANEOUS Parcel No 214-410-04-00 Valuation 6,360 Occupancy Group. Reference* Description RE-ROOF, 2400 SF-FIBER CEMENT Suite Lot# Appl/Ownr SAN DIEGO ROOFING 625 NORTH AV VISTA CA 92083 ..._ ............... - *** Fees Required *** .. ' *•** s'' _____ iCTIj 145<0q__ X"c0 \\ .^ / . Qu'--:"\ '' ••'•'">''; Total/Credits /i45.0-.6,. ..... })'"' Total -'Ejayments, 5344 03/24/98 0001 01 02 C-PRMT 145-00 Construction Type NEW Status. ISSUED Applied 03/24/98 Apr/Issue 03/24/98 Entered By RMA 760 236-1800 Fees. Collected & Credits Fees Adjustments Total Fees Fee description / 00 .00 , 145 00 i..Units, \',Fee/Uhit Ext fee Data Miscellaneous Fee * MISCELLANEOUS ;;-.-;.;-..-; 1:4.5....Op' \ ; • /145.00 PERMIT FE 145 00 1 INCORPORATED EXPIRED DATE.•SIGNATURE. 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 (760)438-1161 1 PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO EST VAL (D K7 ? Plan Ck Deposit Validated By Date Address (include Bldg/Suite #l Business Name (at this address) Legal Description Assessor s Parcel # /) ff Description of Work Lot No Subdivision Name/Number /_ Existipa UfS^-^ SQ FT { * of Stones Unit No Phase No Proposed Use 9 of Bedrooms Total 9 of units a. 9 of Bathrooms 2 CONTACT PERSON (H different from applicant) Name Address City 3. APPLICANT O Contractor D Agent for Contractor D Owner Q Agent for Owner State/Zip Telephone #Fax * Name 4 PROPERTY OWNER Address City State/Zip Telephone f Name Address City State/Zip Telephone t CONTRACTOR - COMPANY NAME (Sec 703 1 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 Division 3 of the Business and Professions Code] or that he Is exempt therefrom, and the basis for the alleged exemption Any violation of Sectioq7031 5 by any applicant for a-permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001)£> Name State License Address License Class City State/Zip City Business License * Telephone * h<c 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 Q 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 issuedgl 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 led My worker s compensation insurance carrier and policy number ere l?S"9ejT7 f~ Insurance Company ^?* ** 'rC- i^~fj Policy No ey*<t_, Cg LJ / IJTI i) [ Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 19100) 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 workers' compensationcpverage la unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100.000L,ln ~*y*»*^n£ flu pn«*^p»^p.nf.^nti damages aa provided for In Section 3706 of the Labor code^lnterast and attorney a fees SIGNATURE -^^^ _^) fl ^- DATE ~^/2-T/ '' f^ 7 OWNER-BUItDlR DECLARATION " ' ' " ' ' """ •'"" t'^" ~ " ' *"" " 1 hereby affirm that I am exempt from the Contractor s License Law for the following 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 end 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 purpoae of aala) 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) D 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 Q YES QNO 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 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 NOtHtESIDBfnAL BUILDING PERMITS ONLY" ~v~^~t--f^K - .—.7=rr-?r-~-,-?--«— *.—. Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Q YES Q NO Is the applicant or future building occupant required to obtain a permit from the eir pollution control district or air quality management district? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES Q 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 8 CONSTRUCTION LENDING AGENCY ~ " ---'-— ™3- "•» > -< - - - -- - - ,- , „ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 30970) 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 CitV 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 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 p/rmit is suspended ™ =h»nHnn.rt ., „„„ .._ K L ,^-fl-—. L^S=g»—100.Bgys |becti6rT^t86 4 4 Uniform Building Code)or abandoned at any time efter th APPLICANT'S SIGNATURE ape DATE WHITE File YELLOW Applicant PINK Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB980873 FOR 03/25/98 DESCRIPTION: RE-ROOF,2400 SF-FIBER CEMENT TYPE: MISC JOB ADDRESS: 1006 DAISY AV APPLICANT: SAN DIEGO ROOFING CONTRACTOR: OWNER: REMARKS: C/LEE/236-1800 AM PLEASE SPECIAL INSTRUCT: PHONE: PHONE: PHONE: INSPECTOR AREA PLANCK* CB980873 OCC GRP CONSTR. TYPE NEW STE: LOT: 760 236-1800 INSPECTOR, TOTAL TIME: CD LVL DESCRIPTION 15 ST Roof/Reroof ACT COMMENTS DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS NOTICECITY OF CARLSBAD " ™ ^^ " ™ ^^ ^^ (760)438-3550 BUILDING DEPARTMENT 2075 LAS PALMAS DRIVE DATE V *-" J '_ TIME_ LOCATION PERMIT NO 7^ FOR INSPECTION CALL (760) 438-3101 RE-INSPECTION FEE DUE? I YES FOR FUR-RyHlR INFORMATION, CONTACT *1 s^f h ~ PHONE BUILDING INSPECTOR ->-. CODE ENFORCEMENT OFFICER'•?.--