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Home My WebLink About1706 EVERGREEN CIR; ; CB981144; PermitB U f L D I N G P E R M I 1 Permit No: CB981144 Project N(l: A9801~14 DevelopmE>nt No: /9t1 1S:39 Page 1 of 1 Jub Address: 1706 EVERGREEN CR Permit Type: MISCELLANEOUS Parcel No: 205-080-70-00 Valuation: 3,328 Suite: 6289 04/21/98 0001 01 02 Lot#: C-PR~T 102-00 Occupancy Group: Reference#: Construction Type: NEW Status: ISSUED Applied: 04/21/98 Apr/Issue: 04/21/98 Entered By: BT 619-793-1968 Description: RE ROOF 3200 SF, COMPOSITION Appl/Ownr : PA7RIOT ROOFING 11772 SORRENTO VALLEY DR #152 SAN DIEGO CA 92121 *** Fees Required Fees: Adjustments: Total Fees: Fee description Miscellaneous Fee# * MISCELLANEOUS TOT *** CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 .00 .00 102.00 *** Ext fee Data 102.00 PERM:T FEE 102.00 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 FOR OFFICE USE 0: Y J/ PLAN CHECK NO . ,dfl/L/ ':f..- EST. VAL. ~ 32:f, (0 Plan Ck. Deposit /0 ~. 50 1. PROjECT INFORMATION Phase No. Total # of units Proposed Use 2-2- #of Stories # of Bedrooms # of Bathrooms Name Address City State,Zip Telephone # Fax # 13. APPLICANT . 'oc C!)ntractor C]Agent for Col)tr~ DJ>~CEat,im 'iqf~..Mrtttt/tMf":,1ll'; ::::::t:Gm:)-:e:3!'.f9bR:.:193~b':f IS- Name .4. 6. CONTRACTOR -COMPANY NAME . Address State/Zip (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 any applicant for a permit subjects the applicant to a ::i~pe=f ~t more than five hundred dollars [$5001). PAUZ{OT 12CGFING, ltJc. I Ft-1:2 soem \/Aj • E2L.. ~ fF IS2. ~ 1zr21 Name Address City StatelZip Telephone# State License I JH2c:rltl License Class c-~Gl City Business License I /-,fl (2 (o / &.S Designer Name State License # _]_,_,_I b...._C}._t'f_.__4...._ __ Address City State/Zip Telephone 6. WORKERS'COMPENSATION --......__ ,, .. ...,, ""'""~--:_:::.:.::_ iii;l;·~~;.m:~-~~~~;;! Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 9" I have and will maintain workers' compensation, as required by Section 3700 of the Labor C~ foH~ _performance of the work for which this permit Is issued. My worker's compensation insurance carrier and policy number are: WC l ~=t,'-ft:)2. J Insurance Company LEGION :'IN$U12ANGE Policy No. ~· I (?511'Jl5Q Expiration Date 2-1-0b /99 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) D 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 eecure workers' compensation coverage I• unlawful, and ,haN ,ubjact an employer to crlrnlnal penalties and clvll fines up to one hundred thousand dollar1 ($100,00 I, in dition to ation, damages a, provided for In Section 3706 of the Labor coda, lntera,t and attorney'• fna. SIGNATURE DATE 4 • 2,.J •~ r 17. OWNER-BUILDER DECU.RATION 'k ••·'a"r ~~~ ,!;ci:Jz£~'$r~~ 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). 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. 0 YES ONO 2. I (have I 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 con·struction (include name I address I phone number I 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 I address I phone numb~/contracto~licensenumbe~:. ________________________________________________ ~ 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number I type of work): ___________________________________________________________ _ PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BVJ!J)ll',IO ~rru,.,.1..v~~,:';'·&~·~. :;;:'ii,;,;;;~;;;;~;;;:;;;;;,~~-:. :;~ ~ 1s tne 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 O NO ts 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 7 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,_ CONSTRUCTION LEN[?JNG AGEN~Y -_-:..,,_,. _,.; .1"'_ .,,_ ,,,,..,,_~~:,""~1"'~.,,. 1 ~ , c ~-"'""':', ~~ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). ~~~-:ttmz:ma~.~~ 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 commenc d 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 com enced a period of 180 da ion 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE 4:·Z/#tj<f' WHITE: File YELLOW: Applicant PINK: Finance 1. 2. 3. 4. s. *6. 7. 8. 9. 10. 11. CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING JOB ADDRESS I 10'2 f3/f?TZ612ffiN C.lfg:.(&, CA:£LS64:D q 2cx:; r TYPE OF BUILDING: RESIDENTIAL v' CO ... ERCIAL __ ROOF SLOPE: RISE L\-:12.. inches in 12 inches TYPE OF EXISTING ROOF COVERING Sl±AX:E: SHEATHING._\/...,E::a.S~---- NUMBER OF EXISTING ROOF COVERINGS (circle one)(!:) 2 3 NEW ROOF MATERIAL zi:; '/12.. 6AFCQMR CLASS_A__ WEIGHT PER SQUARE ~ f lo s. NUMBER OF SQUARES 32 Jll TRADE NAME fl&Rhl AS,$ COMB MANUFACTURER. ___ G_.AF ........ ______ _ ROOF SYSTEM APPROVAL UL No. Other ----IS THE EXISTING STRUCTURAL DESJGN 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. 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 Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection • .J !2u@z(-1i SIGN DATE Contractor N1111 Pcatno+-:Mi O(jµI C::· Contractor __ _ Owner --- *6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/COIIP Fiberglass, Built up. PERMIT# CB981144 DESCRIPTION: RE ROOF 3200 SF, CITY OF CARLSBAD INSPECTION REQUEST FOR 04/27/98 COMPOSITION INSPECTOR AREA PD PLANCK# CB981144 OCC GRP TYPE: MISC JOB ADDRESS: 1706 APPLICANT: PATRIOT CONTRACTOR: OWNER: EVERGREEN CR ROOFING STE: CONSTR. TYPE NEW LOT: PHONE: 619-793-1968 PHONE: _ ~ REMARKS: C/JENNA/619/793-1968 PM PLEASE SPECIAL INSTRUCT: PHONE: ~ INSPECTOR ~').i. ~~~====== TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS _1_9~ _s_T ~F_i_n_a_1~s_t_ru~c_t_u_r_a_1~~~~~~-~ ~~~~~~~~~~~~~~~ DATE DESCRIPTION 042398 Roof/Reroof ***** INSPECTION HISTORY***** ACT INSP AP PD COMMENTS