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Home My WebLink About2041 CIMA CT; ; CB981032; PermitBUILDING PERMIT U4/lj/98 10 06 Page 1 of 1 Job Address 2041 CIMA CT Suite Fermir T/pe MISCELLANEOUS Parcel No 216-491-12-00 Lot# Valuation 6,360 Ocrupancy Group Reference* Description RE-POOF 24UO SF-LT WT CONCRE1E ICBO # 5121 Permit No CB981032 Proiect No Ay801361 Development No Appl/Ownr CAHEY ROOFING 3048 VIA MARIPOSA CARLSBAD CA 92009 A-VA Fees Required *** 5927 04'13/98 0001 01 02 C-PRNT 145 CO Construction Ivpe NEtf Status ISSUED Applied 04/13/98 Apr/Issue 04/1V98 Entered By RMA 760 591-312J & Credits * * *-*M~?"- Fees Adjustments Total Fees Fee description Miscellaneous Fee # A MESLELLANEOUS TOT 145 Q4? s tlriits ' > \|*eWtfS% 0o., ^XvH^ 00 00 145 00 Ext fee Data \ *n 145 00 PERMI1 FEE PROVAL 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 1 PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO MJ ft / t) J EST VAL i Q^ la O Plan Ck Deposit Validated By Date Address (include Bldg/Suite tt)Business Name (at this address) Legal Description "r t<. Lot No Subdivision Name/Number Unit No Phase No Total tt of units Assessor s Parcel #Existing Use LA~ Uf Description of Work 2 CONTACT PERSON (if different from applicant) SQ FT #of Stories tt of Bedrooms tt of Bathrooms x Name Address City 3 /J^PLICANT r-ETContractor ** Q Agent for Contractor D Owner 0 Agent for Owner •s "^1 \ (x, VHCtC ) tail -Ctx- (ft. State/Zip Telephone tt Fax # Name 4 t PROPERTY OWNER Address City State/Zip Telephone # Address City State/Zip Telephone IfName S CONTRACTOR COMPANY NAME ^ j- >, 3. * (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 [$500D Name State License # o " M Q Address License Class {- 3 City State/Zip City Business License # Telephone tt Designer Name Address City State/Zip Telephone State License # 6 WORKERS COMPENSATION •>. -v. * •»• 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 J2f 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 S>^(\^C, -Fv? «-><7^ Policy No j I k>"~ **" Expiration Date J ^j ^ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) L3 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 is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollarsj$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 I >5 » T~< C _ (~J~—' DATE M (0 - 5 V) 7 OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor s License Law for the following reason D 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) n 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) Q 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 C]NO 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 wo k) PROPERTY OWNER SIGNATURE DATE COMPLETE THIS 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 risk management and prevention program under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act? l~l YES [~| NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district7 l~l YES l~l NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site' D 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 8 CONSTRUCTION LENDING 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(0 Civil Code) LENDER S NAME LENDER S ADDRESS 9 ^APPLICANT CERTIFICATION i •»•> r - * * ,, ^ 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 City 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 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) '' CAPPLICANT S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance PERMIT* CB981032 DESCRIPTION RE-ROOF, 2400 SF-LT ICBO # 5121 TYPE MISC JOB ADDRESS 2041 CIMA CT APPLICANT CAHEY ROOFING CONTRACTOR OWNER REMARKS C/CAHEY ROOF/591-3123 SPECIAL INSTRUCT CITY OF CARLSBAD INSPECTION REQUEST FOR 04/17/98 WT CONCRETE PHONE PHONE PHONE INSPECTOR AREA PLANCK# CB981032 OCC GRP CONSTR TYPE NEW STE LOT 760 591-3123 INSPECTOR TOTAL TIME CD LVL DESCRIPTION 19 ST Final Structural ACT COMMENTS DATE DESCRIPTION 041498 Roof/Reroof ***** INSPECTION HISTORY ***** ACT INSP COMMENTS AP PS so PO BOX 807 SAN FRANCISCO CA 94101-0807 COMPENSATION I N S U R A N CE FUND CERTIFICATE OF WORKERS COMPENSATION INSURANCE POLICY NUMBER 446-98 UNIT OOO0244 ISSUE DATE 01-01-98 CERTIFICATE EXPIRES 01-O1-99 STATE CONTRACTORS LICENSE BOARD-WORKER'S COHP UOB Lie # 584362 BOX 26000 INCEPTION DATE O1-01-98 SACRAMENTO CA 95826 DO SAN DIEGO This is to certify that we have issued a valid Workers Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated This policy is not subject to cancellation by the Fund except upon 10 days advance written notice to the employer We will also give you 10 days advance notice should this policy be cancelled prior to its normal expiration This certificate of insurance is not an insurance policy and does not amend extend or alter the coverage afforded by the policies listed herein. Notwithstanding any requirement term or condition of any contract or other document with respect to which this certificate of insurance may be issued or may pertain the insurance afforded by the policies described herein is subject to all the terms exclusions and conditions of such policies PRESIDENT EMPLOYER S LIABILITY LIMIT INCLUDING DEFENSE COSTS $1 OOO OOO OO PER OCCURRENCE STANDARD EXCLUSION INDIVIDUAL EMPLOYERS AND HUSBAND AND WIFE EMPLOYERS ARE NOT ELIGIBLE FOR BENEFITS AS EMPLOYEES UNDER THIS POLICY EMPLOYER LEGAL NAME CAHEY CUSTOM ROOFING CAHEY BRIAN AND 30U8 VIA MAR IPOS A CAHEY MONICA CARLSBAD CA 92009 City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1 JOB ADDRESS 2 O^ I C. M (^ 2 TYPE OF BUILDING RESIDENTIAL ~-"" COMMERCIAL 3 ROOF SLOPE RISE £ inches in 12 inches 4 NUMBER OF EXISTING ROOF COVERING (circle one) (J) 2 3 5 TYPE OF EXISTING ROOF COVERING*SkiJ6€ SHEATHING *6 NEW ROOF MATERIALS tvc f^niS CLASS £V WEIGHT PER SQUARE 7 NUMBER OF SQUARES 1M. 8 TRADE NAME (?H Zf\ -V F » W MANUFACTURER to ^ < bi 9 ROOF SYSTEM LISTING ULNo _ ICBONo S \ 'L \ 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-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 Date M- 13 *i fl Contractor <s^ Owner _ Contractor Name T)c> f^O Cc^jK C M *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other