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Home My WebLink About1031 PALM AVE; ; CB940132; PermitB U I L D I N G P E R M I T Permit No: CB940132 Project No: A9301445 Development No: 02/04/94 13:40 Page 1 of 1 Job Address: 1031 PALM AV Suite: Permit Type: MISCELLANEOUS Parcel No : 205-191-01-00 Lot#: Valuati on: 5,070 Construction Type: NEW Occupancy Group: Reference#: Status: APPROVED Appl ied : 02/04/94 Apr/Issue: 02/04/94 Entered By : PY 619-727-1277 Description: 57 SQ BUILT UP RE-ROOF : RE-ROOF Appl/Ownr : URBACH ROOFING INC CONTRACTOR 2834 LA MIRADA DR, STE H VISTA, CA 92083 URBACH ROOFING INC 2834 LA MIRADA DR VISTA, CA 92083 Lie. C 602 378 619-727-1277 *** Fees Required *** *** Fees Collected & Credits *** Fees: Adjustments: Total Fees : Fee description Miscellaneous Fee #1 * MISCELLANEOUS TOTAL 80.00 .00 80.00 Total Credits: Total Payments : Balance Due: Units Fee/Unit CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 .00 .00 80.00 Ext fee Data 80.00 RE-ROOF 80.00 PERMIT APPLICATION PLAN CHECK NO. i _ \ City of carlsbad Building Department 2075 Las PalllllS Dr., C&rlsbed, CA 92009 (619) 438-1161 FSI". VAL =Cl. PIAN CK D=• ''f---'l-f-~11-------VAIJD. BY __________ _ I. PF.RM.II liPE DATI! A-UCOmmerc1al □New Butidmg D lenant Improvement B -0 Industrial □ New Building D Tenant Improvement C -D Residential ~rtment □ Condo □ Single Family Dwelling □ Addition/ Alteration C Duplex □ Demolicion □ Relocation □ Mobile Home □ Electrical O Plumbing □ Mechanical □ Pool O Spa □ Retaining Wall □ Solar □ Other 2. PR<lIBCT INFORMATION FOR OFFICE USE ONLY Address i 02> I Ptd m a..ui. BuUdmg or Suite No. Nearest Cross Street Pio Pllo LEGAL Df:SCHIJfl ION Loe No. Suix11VJs1on Name/Number Unit No. Phase No. CHECK BEWW IF SOBMII IED: □ 2 Energy Gales □ 2 Structural Cales □ 2 Soils Report □ I Addressed Envelope ASSESSOR'S PARCEi. d05;1 q f-O/ n DESCRIPTION OF WORK K f /UJOF /N (.,.., EXJS1JNG usE A P®w n f s. PROPOSED USE rt. SQ. FT. ~ # OF STORIES 3. WN IACI ~ (II dll[erenf from apphcani) 2- NAME ADDRESS CllY STATE ZIP CODE DAY TELEPHONE 4. APPUCANI JdCONIRACIOR □AGENI FORWNJRACIOR uuwNtH □AGENI FOR OWNER NAME UA.hac..h Ri,,.[i,,,1 .J-,,K--ADDRESS J,81 'I I-• Y"tU/lad (J.. l),e. Sk. H STATE CA ZIP CODE 'f~t>¥3 DAY TELEPHONE If) 7}. 1-1~7 7 NAME CllY STATE ADDRESS ZIP CODE DAY TELEPHONE NAME Ut.bo.l h R.~o 1-,,nf J,,,c., ADDREss a,F>~ 1-,, r,w,,:,iJ.., ll,,., r.Je. H CllY lt/Slf\ STATE cA sTATE uc. # /,ba3'18 ZIPCODE (h-1183 DAYTELEPHONE ?J.1·0-77 UCENSE CLASS (. 3q CllY BUSINESS UC.# Id, oOJ, fi'f DESIGNER NAME ADDRESS CllY STATE ZIP CODE DAY TELEPHONE STATE UC.# 7. WORkEkS' WMPF.NSAJIUN □ Workers' Compensauon Declaration: I hereby aihrm that I have a certUlcate of consent to self-msure issued by the 0trector 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 thereof filed with the Building Inspec:;tion Department (Section 3800, Lab. C). pWC., J-,r\s POUCY NO. Ja33i'l l -V",A EXPIRATION DATI! rt1 1cate o empbon: ceru t t m t e pe ormance o t e wor or w so as to become subject to the Workers' Compensation Laws of California. DATE LI I, as owner of the property, a elusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's Llcense La not apply to an owner of property who builds or improves thereon, and contracts for such projects □ with contractor(s) licensed pursuant to Contractor's license Law). I am exempt under Section -------~e_Bu,siness and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any Ci County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applic for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's Llcense Law (Chapter 9, comme · g 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]). SIGNATURE DATI! CI! OF EMERGENCY SERVICI!S AND nm AIR POWffiON CDNlllOL DISl111Gf. 9. or w IC t IS penmt IS ISSU e. LENDER'S NAME 10. APPUCXNI CFJtliPICA:liuN I certify that I have read the apphcat1on and state that the above mformatlon 1s correct. I agree to comply wuh ail 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 1U SAVE INDEMNIFY AND KEEP HARMLESS nm Cl"IY OF CARISBAD AGAINsr AIL LlAll1IJ1lES, JUDGMENTS, CX>STS AND EXPENSES WIIlCH MAY IN ANY WAY NXJUJE AGAINST SAID Cl"IY IN CDNSF.QUENCI! OF TIIE GRANTING OF TIDS PERMIT. OSHA: An OSHA permit is required for excavations over S'O" 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 permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPU~S SIGNATIJRE2 ~ ~ A" ,6 AzWJ-ilTE: File YEJ.J..OW: Applicant PINK: Finance DATI!: ______ _ 1. 2. 3. 4. 5. *6. 7. 8. 9. 10. 11. CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING JOB ADDRESS_~i_O_~_\_~o/c-~~~~~~~,., _______ _ TYPE OF BUILDING: RESIDENTIAL~ COMMERCIAL __ ROOF SLOPE: RISE --\+ '' inches in 12 inches TYPE OF EXISTING ROOF COVERING7::,µR. / Rod? , SHEATHING (?41\.\.:•DOU (circle one) 1 c:£) 3 • NUMBER OF EXISTING ROO~ COVERINGS NEW ROOF MATERIAL f22o,, ,f'io NUMBER OF SQUARES 5 7 CLASS____iL_ WEIGHT PER SQUARE / 20-/'flCJ/6:s -~~--- TRADE NAME /3,eq I He-y:. I 7 D MANUFACTURER if g'. Jn rec__, ROOF SYSTEM APPROVAL UL No.____ Other Xe&) -3Fj<f'Z....- IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF YES V-NO ___ _ If the answer is no, a roof plan must be provided with this application. 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 ~nspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. SIGN DATE Contractor V -~-Owner ---Contractor Name lJ g(t;,AC..f;j \2co F /h/(,, Trit, *6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up. PERMIT# CB931022 DESCRIPTION: 40 SQ TYPE: MISC CITY OF CARLSBAD INSPECTION REQUEST FOR 03/17/94 BUILT UP RE-ROOF PHONE: PHONE: INSPECTOR AREA PY PLANCK# CB931022 OCC GRP CONSTR. TYPE NEW LOT: STE: 619-434-7373 619-727-1277 JOB ADDRESS: 1031 PALM AV APPLICANT: CHAMBERLIN CO CONTRACTOR: CHAMBERLIN, MIKE OWNER: REMARKS: MH/KAREN/727-1277 SPECIAL INSTRUCT: FINAL PHONE: INSPECTOR ---f?-·-r_,__ _______ _ TOTAL TIME: --RELATED PERMITS-- CD LVL DESCRIPTION PERMIT# TYPE CB940132 MISC STATUS ISSUED ACT COMMENTS _1_5 __ s_T _R_o_o_f_f_R_e_r_o_o_f_+f--'o1,.'-'~,..,._ 4 P,__ _____ M-______________ _ ------------------------------------ ***** INSPECTION HISTORY***** DATE 092793 092493 DESCRIPTION Roof/Reroof Roof/Reroof ACT INSP NR PY AP PY COMMENTS NOT FINISHED