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Home My WebLink About1749 CATALPA RD; ; CB982123; PermitBUILDING PERMIT 07/07/98 09:59 Page i of 1 Job Address 1749 CATALPA RD Suite Permit Type. MISCELLANEOUS Parcel No 215-515-06-00 Lot*. Permit No CB982123 Project No- A9S02807 Development No: Valuation. 3,120 Occupancy Group - Referenced: Description: RE-ROOF,3000 SF-COMPOSIT1ON Appl/Owrir KEL8ER, ROB 1749 CATALPA RD CARLSBAD CA 92009 A AX Fees Required * * * Construction Type NEW Statue: ISSUED 8751 760 930-0510 RMA 5ees-x,Collected & Credits Fees Adjustments : Total Fees Fee desciiption .00 ,00 10200 Ext fee Data Miscellaneous Fee # * MISCELLANEOUS 102.00 PERMIT FEE 102 00 )7/07/98 0001 01 02 C-PRMT 102-00 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 <iU "' I > <S i. > fJ.. ,.,. FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By__t Date Address (include Bldg/Suite K)Business Name (at this address) Legal Description Lot No Subdivision Name/Numbery Unit No Phase No Total # of units Assessor's Parcel #Existing Use Proposed Use ScfFTDescription of Work ' 2 CONTACT PERSON (if different from applicant) #of Stones # of Bedrcioms # of Bathrooms C/h Name 3. I APPLICANT E, Name 4 „„' PROPERTY^1 </lm Address ' ^€3, Contractor^ 0 AgentW Contractor ^Spwnerf J) Address City ^ Agent for Owner ' "7 City State/Zip ; ' .*.* • t ' State/Zip Telephone # i ., Telephone * Fax* - Name Address City State/Zip Telephone # 5 IM, CONTRACTOR^ COMPANY NAME^ ""f J n" *!"'," I " ~ - .' ' ',' " "I*"' " '"' "• - ' ' * I (Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct, alter, improve, demoish 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 civil penalty of not more than five hundred dollars f$500J) Name State License Address License Class City State/Zip City Business License # Telephone 9 Designer Name Address City State/Zip Telephone State License # 6, WORKERS' COMPENSATION „"* u ^ a ,L.' T'J.,^ ...\ *!_""".. „ .M., .. ' I.,1 t! ',, 1 'l ," "',..,', " „ Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations D 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 CJ 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 earner and policy number are Insurance Company Policy No Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 151001 OR LESS) D CERTIFICATE OF EXEMPTJON ) certify that in ihs performance of ths 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 civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees SIGNATURE_ DATE 7 OWNER-BUILDER DECLARATION '"*."•{. *;t *' -'- -,M- _>,"'-• • , - ,,,-,- , , . " < ( - , " , > • !• - "-, - I hereby affirm that I am exempt from the Contractor s License Law for the following reason C I, as owner of the property or rny 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, hcwever, the building or improvement is sold within one year of completion, the owner-builder will have tne burden of proving that he did not build or improve for the purpose of sale) OP' 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! n 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 j^tMO 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 / phono 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 (mcluda name / address / phone number / type of work) PROPERTY OWNER SIGNATURE DATE. i'!—7 s / ~',—COMPLETETH1S SECTION FOR NON-RESIDENTIAL BUILDING .PERMITS ONLY[ • , , ' ,', ( , „.. , , Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or nsk management and prevention program under Sections 25505, 25533 or 25534 of trie Presley-Tanner Hazardous Substance Account Act? Q YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district7 Q YES [D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES CD NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR JS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 8. CONSTRUCTION LENDING AGENCY,' ,V •?'3.A --"" " "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(i} Civil Code! LENDER'S NAME LENDER'S ADDRESS , 9! ! ^APPLICANT CERTIFICATION J •,. !'<'("'„,>.?< ^fj1" *1<r" /'i* */™>v""'f :* ' ""8 V^,"*, »' " ^ •« , ; -,[ ; ^ , ^ , 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" d#ep and demolition or construction c-f 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 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: 2. TYPE OF BUILDING: RESIDENTIAL X COMMERCIAL 3. ROOF SLOPE: RISE _ inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) Ct? 2 3 5. TYPE OF EXISTING ROOF COVERING4 , SHEATHING *6. NEW ROOF MATERIAL £P*I/? CLASS /V WEIGHT PER SQUARE- 7. NUMBER OF SQUARES 3 O 8. TRADE NAME £+fc ?r£5f f<w. MANUFACTURER _ £_!/< 9. ROOF SYSTEM LISTING UL No. ICBO No. 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE ^—^WEIGHT OF THE PROPOSED ROOF? (YES ) 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 1 agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signature ^cr^-j^c^e^ Date Contractor Owner )r Contractor Name-r-^ *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB982123 FOR 07/28/98 INSPECTOR AREA DESCRIPTION: RE-ROOF,3000 SF-COMPOSITION PLANCK* CB982123 OCC GRP TYPE: MISC CONSTR. TYPE NEW JOB ADDRESS: 1749 CATALPA RD STE: LOT: APPLICANT: KELBER, ROB PHONE: 760 930-0510 CONTRACTOR: PHONE: OWNER: PHONE: REMARKS: C/930-0510 INSPECTOR SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 19 ST Final Structural /7^ /y/ ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 072198 Roof/Reroof AP PY SHEATHING