HomeMy WebLinkAbout15 GREENVIEW DR; ; CB981360; PermitB U I L D I N G P E R M I T Permit No: CB981J6t)
Project No: A9801816
Development No:
05/07/98 13:10
Page 1 of 1
1 Job Address: 15 GREENVIEW DR
Permit Type: MISCELLANEOUS
Parcel No:
Valuation: 8,008
Suite:
Lot#:
Construction Type :
Occupancy Group: Reference#: Status:
NEW
ISSUED
05/07/98
05/07/98
RMA
Description : RE-ROOF 768 SF-COMPOSITION
: CLUB HOUSE/REC BLDG
Appl/Ownr : HUBERT INGOLD GEN CONTRACTOR
4135 PARK DR
CARLSBAD CA
*** Fees Required
Fees:
Adjustments :
Total Fees:
Fee description
Miscellaneous Fee #1
* MISCELLANEOUS TOT .
92008
1 l\il . ")
760
Applied:
Apr/Issue :
Entered By :
729-3553
6844 05/07 /98 0001 01
C-PRMT Collected & Cred1cs
.00
.00
174.00
02
174-00 ***
Ext fee Data
174.00 PERMIT FE!
174 00
CLEARANCE
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
FOR OFFICE USE ON~()-n !
PLAN CHECK NO. _l(_ t ..J6-0
EST. VAL. =3 O{}
Plan Ck. Deposit ------,,it-:---
Validated By_=-c:------+-1c.,....=----
Date. ____ +l-++-"1--6~----
Business Name (at this address)
Phase No. Total # of units
Description of Work SO. FT.
RGMovG DecA'/ 111(,. vll~d
#of Stories # of Bathrooms
Af\0 l
2. COlfiACT P,ERSON {If different from applicant)
Name Address City State/Zip
,3. APPLICANT Cl Contractor O Agent for Contractor O Owner O Agent for Owner
Telephone# Fax#
Name f/1,1~'1/i µ. JN(J"IJ Address t//3,5/JA £(' /)~ Cityt,Q,ef.J'&~ State/Zip [A ~ephone # 7;J.9,3.S-~J
4. PROPERTY OWNj:R
C'lc€€o! 1/18// t{.t?,A 7720 /;,IUlHtUlfJ RMl C.,+NsfAi) ~A-9J.Poj' t./36 Ill/~
Name Address City State/Zip Telephone #
5. CONTRACTO • COMPANY.NAME
(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 7031.5 by JnY applicant~~ permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001).
J.[v B er T JJ :l;Nu c.JI a ,7:( ~'1 e ~A-L CdJ,tT)!A-&/8/L. $9,n L ~ 5 /Jp /J t, c,4,.,,.. r
Name Address City State/Zip Telephone #
State License # ,:5;3 8D .!l 6 License Class ~ City Business License # ,,!/¢! 9"0 O
Designer Name O O N 6 0 E/2.,, J';z Address '2 2 ':2 2. I>, V C:? "-' 1 DA
State License# c:, 1.-/ ( '=, q Oe-LA pt..,~'( A
6. WORKERS' COMPENSATION
City 1. ~ .J 6 t.L.,._ State/Zi~t>7 }'elephone '-ts-3/-Z.6 4::J"
(u->;)
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 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.
S: I 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
issued. My worker's compensation insurance carrier and policy number are:
Insurance Company $TA:TF Eiu1" Policy No. I ,, "''-{ '2.., e ~ S' k: Expiration Date 4 .. l . 5 .,
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] 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 worker ' coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($100, ~-\p ac!jiti n t of com tion, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
SIGNATURE:::~~~~~~~~~~~~;~;=:~::::::: DATE _r--7-9'.,P
7. OWNER-Bl)iLDER DECLARATION
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 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).
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).
0 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. 0 YES ONO
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 _________ _
COMPlfaE THIS SECTION FOfl NJlN•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? 0 YES O NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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. CONSTIJUCTION I.ENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S ADDRESS _______________________ _
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 Citt 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 permit is suspended
or abandoned at any time after the w k is commence · 0 days (Section 106.4.4 Uniform Building Code).
DATE J-7..,9'?
WHITE: File YELLOW: Applicant PINK: Finance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB981360 FOR 08/25/98
DESCRIPTION: RE-ROOF 768 SF-COMPOSITION
CLUB HOUSE/REC BLDG
TYPE: MISC
JOB ADDRESS: 15 GREENVIEW DR STE:
INSPECTOR AREA TP
PLANCK# CB981360
OCC GRP
CONSTR. TYPE NEW
LOT:
APPLICANT: HUBERT INGOLD GEN CONTRACTOR
CONTRACTOR:
PHONE: 760 729-3553
PHONE:
OWNER:
REMARKS: C/729-3556
SPECIAL INSTRUCT:
TOTAL TIME:
CD
19
LVL DESCRIPTION
ST Final Structural
PHONE:
INSPECTOR
ACT COMMENTS
flt _____ _
--------------------
--------------------
***** INSPECTION HISTORY*****
DATE
070298
070198
DESCRIPTION
Frame/Steel/Bolting/Welding
Roof/Reroof
ACT INSP
AP DH
AP DH
COMMENTS
SHEATHING
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDRESS:
2. TYPE OF BUILDING: RESIDENTIAL ____ COMMERCIAL __ --=-
3. ROOF SLOPE: RISE. ___ inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) (D 2 3
5. TYPE OF EXISTING ROOF COVERING AS ~'H SHEATHING 3/ _
*6. NEW ROOF MATERIAL A CLASS 30 WEIGHT PER SQUARE
7. NUMBER OF SQUARES---=/!;,:::,___---=-
8. TRADE NAME. _______ MANUFACTURER _____ __,:.
9. ROOF SYSTEM LISTING UL No. ____ .lCBO No. ____ ~
10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE
WEIGHT OF THE PROPOSED ROOF? @ NO
All roof coverings are required to be CLASS A. Combustible roof coverings
. of any type or classification are prohibited.
I understand the following inspections are required:
1. Tear Off/Pre-inspection prior to install new roof covering.
2. Final Inspection ·
I agree to provide a ladder extending at least 2 rungs above the roof for
inspection.
Contractor X: Owner ____ Contractor Name
*6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up,
Other.