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Home My WebLink About2031 CIMA CT; ; CB973786; Permit^ EUILDINGPERMI1 12/10/97 12 09 Page 1 of 1 Job Address 2031 CIMA CT Suite Permit Type MISCELLANEOUS Parcel No 216-491-11-00 Lot# Valuation 1,248 Occupancy Group Description 13 SQUARES OF COMP PARTIAL RE-ROOF Permit No Proiect No Development No Reference# RE-ROOF Appl/Ownr *** FEDUNAK PETER 2031 CIMA CT CARLSBAD CA 92009 Fees Required *** ^ - 2176 12/10/97 0001 01 C-PRMTConstruction Type Statu. Applied Apr/Issue Entered Bv 760 632-7190 ***Fees Collected & Credits CB973786 A9704877 02 49 00VN ISSUED 12/10/97 12/10/97 MDP *** Fees Adiustments Total Fees Fee description Miscellaneous Fee #1 49 00 v / 00' ' 49 00 \ / X / / s'N X ^ ~ To'tal Credits Total/ Payments Balance" Due Unitsx Fee/Unit / ~^\ \ ^ _ > 39 OO/ 49 Ext fe 49 00 00 00 »e 00 Data PERM \: CL 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)4381161 FOR OFFICE USE ONLY PLAN CHECK NO 71 EST VAL Plan Ck Deposit Validated By Date Address (include BldgTSuite "#)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor s Parcel #Existing Use Proposed Use #of Stories tt of Bedrooms tt of Bathrooms Name 3~ APPLICANT D Contractor Address -Q AgentforContractor City State/Zip Telephone tt Fax It State/Zip Telephone tt *«£"."* ***" * %~ *.j|f^7^)£51--WQ Name 6~ CONTRACTOR- COMPANY NAMi (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 civil penalty of not more than five hundred dollars [$500]) Name State License # Address License Class City State/Zip City Business License # Telephone tt Designer Name Address City State/Zip Telephone State License # '6t WORKERS COMPENSATION Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations Q 1 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 |~| | 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 Policy No Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) Q 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 workers compensation coverage a 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 » fees SIGNATURE DATE .7 OWNER BUILDER DECLARATION -JT'I?™'"*'* ""^S^^Cfr -Clf^^ " '"^: J8* v^ wi> -^"jF^ I hereby affirm that I am exempt from the Contractor s License Law for the following reason W_ 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 TSec 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 impiovement 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) Q I as owner of the property am exclusively contracting with licensed contractors to construct the project (Sec 7044 Business and Professions I ode 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 YES C]NO1 I personally plan to provide the major labor and materials for construction of the proposed property improvement 2 I tha^V-riave 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)/V OM/^ _ __ __ 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 / addiess / phone number / contractors license number) __ _ ___ — ^^^^^__^^___^^^^^__^^^^___^^^___^^^^___^^__^^^^^^____..^^^_^^ 5 of work) I will provide some of the work but I have contractedjhired)U PA-N -ri ted (include name /.address / phone number / typeA-RrtVt: k PROPERTY OWNER SIGNATURE ' COMPLETE THISjSECTION FOR/VWWZESH*^^ - ^,-jr^ - ,_-„! 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? CD YES Cl NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES Q NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? Q YES D 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 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code) LENDER S ADDRESSLENDER S NAME Sft APPLICANT CERTIFICATION ~ 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 Citf 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 stones 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 notcommenced 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 ytmyis commenced foxj^fenod of 180 days (Section 106 4 4 Uniform Building Code) s SIGNATURE WHITE File YELLOW Applicant PINK Finance DATE City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1 JOB ADDRESS . 2 TYPE OF BUILDING RESIDENTIAL K COMMERCIAL 3 ROOF SLOPE RISE -4- inches in 12 inches 4 NUMBER OF EXISTING ROOF COVERING (circle one) (p>2 3 5 TYPE OF EXISTING ROOF COVERINGS rVMSfisHE ATHING S K t P *6 NEW ROOF MATERIALWZ#?r £^LAS&£"&£>WEIGHT PER SQUARE 7 NUMBER OF SQUARES i^) 8 TRADE NAME/V/)?7/y?/r£/vD MANUFACTURER 9 ROOF SYSTEM LISTING UL No ^— ICBO No 10 IS THE EXISTING STRUCTURAL DESIGN SUFFIC^NT 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-mspection 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 Signature, Contractor Owner ^ Contractor Name 3 "6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other PERMIT* CB973786 DESCRIPTION 13 SQUARES OF COMP PARTIAL RE-ROOF TYPE MISC JOB ADDRESS 2031 CIMA CT APPLICANT FEDUNAK, PETER CONTRACTOR OWNER REMARKS C/FEDUNAK/ SPECIAL INSTRUCT CITY OF CARLSBAD INSPECTION REQUEST FOR 04/23/98 RE-ROOF PHONE PHONE PHONE INSPECTOR AREA PS PLANCK# CB973786 OCC GRP CONSTR TYPE VN STE LOT 760 632-7190 INSPECTOR TOTAL TIME CD LVL DESCRIPTION 19 ST Final Structural ACT COMMENTS /&• INSPECTION HISTORY ***** DATE DESCRIPTION 042198 Roof/Reroof 042098 Roof/Reroof ACT INSP AP PS CO PS COMMENTS REAR ONLY NO GAPS