HomeMy WebLinkAbout1876 OUTRIGGER LN; ; CB023611; PermitCity of Carlsbad c/c 1635 Faraday Av Carlsbad, CA 92008
12-02-2002 Miscellaneous Permit Permit No: CB023611
Building Inspection Request Line (760) 602-2725
Job Address: 1876 OUTRIGGER LN CBAD
Permit Type:
Parcel No:
MISC Subtype: REROOF
2074012800 Lot#: 0
Status:
Applied:
Valuation: $16,298.00 Entered By:
Reference #: Plan Approved:
ISSUED
12/02/2002
RMA
12/02/2002
12/02/2002
Project Title: 5800 SF LT WT CONCRETE
1878 & 1880 OUTRIGGER AS WELL
Applicant:
SCHOTT ROOFING INC
225 E CARMEL STREET #1
SAN MARCOS, CA 92069
619-7 44-6450
Issued:
Inspect Area:
Owner:
DELMONTE ELEANOR M TRUST
1876 OUTRIGGER LN
CARLSBAD CA 92008
2319 12/02/02
Total Fees: $256.00 Total Payments To Date: $0.00 Balance Due:
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
PERMIT FEE $256.00
$0.00
$0.00
$256.00
0002 01
CGP
$256.00
O') ,_
256-00
FOR OFFICE USE ONLY
PERMIT APPLICATION
• 1
CITY OF CARLSBAD BUILDING DEPARTMENT
PLAN CHECK NO. /Jf'CM .?(,II
EST. VAL. l(p Ee --','----"'.,_7.,__~--1--,4----
1635 Faraday Ave., Carlsbad, CA 92008
Jy1 fl /~'f0
Plan Ck. Deposit ~~.A
Validated By_.....,....--l''----4-~-_,,~g ____ _
Date / 2 /1._ ( ()
•1. IN J.)Rfi!ATe, '
Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Proposed Use
# of Bedrooms # of Bathrooms
Name City State/Zip Telephone # Fax #
Name
. ··~' i-·I!.. •••. "' .•• , • i " !i...,, OfllI8~P.JQ81JJ;QMMN'i\NAM!l . , ~~ , , · . ·
(Sec. 7031 .6 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, damolish 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 Codel or that he is exempt therefrom, and the basis for the alleged
exem~on. Any vio f Section 7031.6 by any applicant for a ermit subje ts the applicant to a civil penalty of not more than five hundred dollars ($6001). '-::> • . .</lo
Name City State/Zip Telephone #
State License # _ ___JL.£-"'~.L..l.a.-<---License Class --~"-'-_.L.--<'-----City Business License # c5J, 1./ 3~ 0
Designer Name Address City State/Zip Telephone
State License # __________ _
[fl" J. .. WQR.Kffl.$ &9M!.!WATIQN.-r.t.. ci/il•~~· , •. ,...1 h • i,.; .. · ,i.i ,
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
O 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.
~ 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 c pensation insurance carrier and policy umber ar : / /
Insurance Company -I...Ulfto..!i..L-l.~Wc.&-4-L-=:.LJ.._.,'--_._.MCl!<-l'-"".C.-Policy No. ~? ;Ja'-/5 Expiration Date J _ I . {) ,? •
(THIS SECTION NEED NOT BE COMPLETED I THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS) I I
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 ae era' compensation coverage ia unlawful, and ahall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($100, It n to coat of compensation, damagea aa provided for In Sact(on 3706 of the Labor code, ~tereat and attorney's leas.
SIGNATURE . DA TE / 'l : 1...,, (} l...... ' ,1,;., ... 0W1te..1H:1t111,ge.B:l!eQ1.:AM .. ;~1M •, .•• , • ·•• ;;,,,::,, :.{~ • . '1 rr •.• ~ ,i
I hereby affirm that I am exempt from the Contra 's License Law for the following reason:
O 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 improverwents 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).
O 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 ). ·
O 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 tor 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. 1 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 numberl: _________________________________________________ _
6. 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 _________ _._
f;Or,11!!-ETYHlitiE(iTIQ.ff FOff(JO({;RE~/OENT/AI-QUl~D!NQ PERMIT$ O~L Y : .. f, . ;: < .,.' .• .., « ·., •~•
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 26605, 25633 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
11, , ,!'.;QN~Tllµ!,T!ON L~~P,ING ~GENCY .d
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 __________________________ _
lj, , Al1.fl.!C:AN1 C!:RTlf!CA TIQN. 1 , ..
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 Cit\' of Carlsbad to enter upon the above mentioned
property tor 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 tor 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 w· hin 180 days from the date of such permit or ii the building or work authorized by such permit is suspended or abandoned
at any time after the work is commen for eriod 80 days (Section 106.4.4 Uniform Building Code).
DATE
YELLOW: Applicant PINK: Finance
• City Of Carisbad
SUPPLEMENTAL BUILDING PERMIT AP~/LICATION FOR REROOFING /f:7 t /~'J-fl.--_ /1
1. JOB ADDRESS: ;g zt l1aic<s~2 ~
2. TYPE OF BUILDING: RESIDENTIAL :X:: COMMERCIAL. __ _,
3. ROOF SLOPE: RISE Lj inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) G) 2 3 ._
5. TYPE OF EXISTING ROOF COVER!NG,ra ML SHEATHING 412 .
*6. NEW ROOF MATERIAL \;@Wf:~LAsS_A_wEIGHT PER SQUARE
7. -NUMBER OF SQUARES ;r~~ . ·,
8. TRADE NAME ~ ~-MANUFACTURER fp~
9. ROOF SYSTE; LISTING UL No. ____ lCBO No. O~ .
10. IS THE EXISTING STRUCTURAL DESIGN ~CIENT 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 instalinew roof covering.
2. Final Inspection
I agree to provide a ladder extending at least -2 rungs above the roof for
inspection.
Signature _ __.ddJ_;...=---""-"'--~-~-+-------·Date / 'L-'1-·!J t__
Contractor )( Owner ____ Contractor Narre S::ha:tt: g,~ Toe •
*6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up,
Other.
City of Carlsbad Bldg Inspection Request
For: 04/01/2003
Permit# CB023611
Title: 5800 SF LT WT CONCRETE
Description: 1878 & 1880 OUTRIGGER AS WELL
Type: MISC Sub Type: REROOF
Job Address:
Suite:
Location:
1876 OUTRIGGER LN
Lot
APPLICANT SCHOTT ROOFING INC
0
Owner: DELMONTE ELEANOR M TRUST
Remarks: AM .....
Total Time:
Act Comment
Inspector Assignment: JM ---
Phone:
Inspector: ,:J::r'\
Requested By: SCHOTT ROOFING
Entered By: CHRISTINE
CD Description
19 Final Structural h_ _______ _
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments
12/06/2002 15 Roof/Reroof AP JM OK TO COVER 1876
12/03/2002 15 Roof/Reroof PA JM OK TO COVER 1878 AND 1880