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Home My WebLink About1029 DAISY AVE; ; CB972014; PermitBUILDING 07/21/97 14-59 Page 1 of 1 Job Address. 1029 DAISY AV Permit Type. MISCELLANEOUS Parcel No: 214-401-20-00 Valuation. 6,810 Occupancy Group. Description- REROOF 3000 SF, SHAKE SIM • UL NO 970 Appl/Ownr . SAN DIEGO ROOFING 625 NORTH AVENUE CARLSBAD, CA 92008 *** Fees Required *** PERMIT Suite: Permit No. CB972014 Project No A9702558 Development No Lot#. 722: 07/2*/?7 "00.1 Oa ..g?-Construction ffynft-' NEW !4o,c,0 Status ISSUED Applied: 07/21/97 Apr/Issue. 07/21/97 Entere'd By: JM 760 758-1800 Collected & Credits *** Fees : Adjustments. Total Fees Fee description Miscellaneous1 Fee * MISCELLANEOUS T< 14 00 .00 149 00 Ext fee Data 149.00 PERMIT FE 149.00 PERMIT HAS EXPIRED lh» ^CQRDANCE WITH U.B.C. SECTION106.44 SIGNATURE;. WSR CITY OF CARLSBAD 2075 Us Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 'ERMIT.APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr, Carlsbad CA 92009 (760)438-1161 PROJECT INFORMATIO FOR OFFICE USE ONLY PLAN CHECK NO. EST VAL Plan Ck Deposit Validated By Date 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 sed Use Description of Work 2 CONTACT PERSON (If different from applicant) SQ FT #of Stories tt of Bedrooms # of Bathrooms Name S3. " APPLICANT Corjtfaotbt • Sf-e/fiVr Address City ient for Owner- State/Zip Telephone #Fax * Name 4 PROPERTY OWntErt"1 Address City State/Zip Telephone # "** ~ _r :-Vlr'"<- ... :j.l'-^.' i' fl^'.-L-i.. •».<r - City State/Zip Telephone #Name Address 6. " CONTRACTOR. "COMPANY MutaT*^****** >vs^" '"'"^ "--••='••"=• ««r - - "'"•••*• '-•••<* ' •-•-".•.}<* » .-^ ,,-•t**V"~* ™ ,*• , . • (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 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 S^y any^applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars I $5001) JV/< Name State License # Address License Class City State/Zip City Business License # Telephone tt 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 n 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 E l have and will maintain workers' compensation, as required by Section 3700 of the Labor Coda, for the performance of the work for which this permit is jed My worker's compensation insurance carrier and policy number are Insurance Company tt^\" \ C- ']'Zx*^tO Policy No Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS) Q 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 compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civll.fines up to one hundred thousand dollars ($100,000). InaddJtiqnrlolKe c6»t of compensation, damages as provided for hi Section 3706 of the Labor codef interestandaftomey 'a fees SIGNATURE ^^i/ _} f ^* DATE T>/JP//> S~ 7 OWNER-BUILDER DEet^RATION " * '' >"^ " •••••"••°~~ " ""- """ - ~ - - " >;i * ~- "•» ^;" I hereby affirm that I am exempt from the Contractor's License Law for the following reason 0 I, as owner of the property or my employees with wages as their sole compensation, will do tha 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) n 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) CD 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 en 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) DATEPROPERTY OWNER SIGNATURE COMPLETE THIS SECTION FOR /VO/V-MS/OSVTMi BUILDING PERMITS ONLY®; "f" r "-f*' , '"**''•& H^vsy^sp'f- -Spp'l rS;.^'^^"- °"» "?"? !" "i"" j—: ; Is the applicant or future building occupant required to submit a business plsn, acutely hazardous materials registration form or risk management and prevention program under Sections 25S05, 25533 or 2S534 of the Presley-Tanner Hazardous Substance Account Act? Q YES Q NO Is the applicant or future buldmg occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES d NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q 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 :«T* f«v->-.***-•**•• --••* a—r*r3i~i--z-%>&an»it*;*ry™rwXtKr i. «•••<• " *~ *-* *• -—..fr-*. •• «w =<i :•• "*«...:'••••.;."••• •:•••* ** -^^ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code) LENDER'S NAME LENDER'S ADDRESS 9 APPLICANT CERTIFICATIONTl "n r"D°" —^ -''"s^-r'^-ri-^K " r^S"-^™ ^uv. ^^.^,^7'^J7^«^:-:i'jr.2'rr-~!"r""-'-- ".--,"• - ' " ."< I certify that I have read the application and state that the above information is correct and that tha 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 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, 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 comjrje.ncad^frfthinx3(Krd/ays 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 APPLICANT S SIGNATURE (Section 106 4 4 Uniform Building Code) DATE 1».'U1TC C l PINK Finance CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS (f *(S£ / 2. TYPE OF BUILDING: RESIDENTIAL % COMMERCIAL _ 3. ROOF SLOPE: RISE T* inches in 12 inches 4. TYPE OF EXISTING ROOF COVERING SA-/^ SHEATHING 5. NUMBER OF EXISTING ROOF COVERINGS (circle one) (IT^ 2 3 *6. NEW ROOF MATERIAL ftrtL "P ^-^W CLASS A- HEIGHT PER SQUARE 7. NUMBER OF SQUARES 8. TRADE NAME , fl^ />£.-£. _ MANUFACTURER 9. ROOF SYSTEM APPROVAL UL No. ?"7Q Other 10. IS THE EXISTING STRUCTURAL DESIGN 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 *^ 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. SIGN DATE Contractor r- Owner Contractor Name ( *6 - Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up. CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB972014 FOR 07/24/97 DESCRIPTION: REROOF 3000 SF, SHAKE SIM. UL NO 970 TYPE: MISC JOB ADDRESS: 1029 DAISY AV APPLICANT: SAN DIEGO ROOFING PHONE: CONTRACTOR: PHONE: OWNER: PHONE: REMARKS: C/LEE/758-1800 PM PLEASE SPECIAL INSTRUCT: INSPECTOR AREA PLANCKtf CB972014 OCC GRP CONSTR. TYPE NEW STE: LOT: 760 758-1800 INSPECTOR TOTAL TIME: CD LVL DESCRIPTION 15 ST Roof/Reroof ACT COMMENTS DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS