HomeMy WebLinkAbout2059 ALGA RD; ; CB930390; Permit~CLEA~A~CE 1
CrrY OF CARLSBAD
2075 Ler pslmps Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLlcAnON
City of Carlsbad Building Depertlent
2075 Las Palm Dr., Carlsbad, U 92009 (619) 438-1161
A - U Commeraal U New Bwldlng U Tenant Improvement
B - Ohdustrial 0 New Building
C -&esidential OApartment OCondo OSingle Family Dwelling OAdditiorVAlteratior
OTenant Improvement
0 Duplex 0 Demolition 0 Relocation 0 Mobile Home 0 Electrical 0 Plumbing
0 Mechanical OPool 0 Spa ORetaining Wall OSolar OOther
lD*TE
VAUD. BY u I
0 2 Energy Calcs 0 2 Structural Calcs 0 2 Soils Report 0 1 Add& Envelope
DESCRIPTION OF WORK b..4:%> bo\-07 jLucrt USE 1 PRO- USE
SQ. Fr. # OF STORIES W Srnu+k-
NAME JqCt altlerent tmm appllcantJ ADDRESS
-0,;L STATE c& ZIPCODE 91776 DAYTELEPHONE 8fp &f?-Os6Y
NAME &e, mA.rr= .5 E66 L ADDRESS &,54 @.L& Rd I
CITY 5qlV ($A& t;L- STATE ZIPCODE 91 77 6 DAYTELEPHONE 8/8 dd'7- C-Co7
Cln LA CL)gTi+ STATE c& ZIPCODE DAY TELEPHONE 6) 4 43i "SDPO
ROOFLL, ADDRESS (000 5- $/PC, dfl@?leL DArD
STATE LIC. #/bo bsq LICENSE CLASS C3 4 CITY BUSINESS LIC. # 6 d I< /6
CITY STATE ZIP CODE DAY TELEPHONE
Relations, or a certificate of Worken' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified Worken' Compensation Ueclaratlon: 1 hereby attmn that I have a certltlcate ot consent tosell-Insure lssued by the Ulrectorot lndustnal
by the Director of the insurer thereof tiled with the Building Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY copr)p. poucv~0.U~7I~~d FAPIRATIONDATE 07 lor jq3
so as to become subject to the Worken' Compensation Laws of California. Certltlcate Ot Exemption: 1 certlty that lri the perlormance 01 the work lor WhlCh thls permlt IS tssued, I Shall not employ afly person m any manner
SIGNATURE DATE
0 I, as owner of the property or my employees with wager as their sole compensation, will do the work and the structure is not intended or
Owner-Bullder Ueclaratmn: I hereby attlrm that 1 am exempt trom the Contractors Ucense Law tor the tollowlng reason:
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 impmvement 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 at sale.).
0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Fmfessions Cade: The Contractor's License law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with cantractar(s) licensed pursuant to the Contractor's License Law).
0 I am exempt under Section Business and Professions Code for this reason:
(Sec. 7031.5 Business and Professions Code: Any City or Cnunty which requirs a permit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for such permit to tile a signed statement that he is licensed punuant to the provisions of the Contractor's License Law (Chapter 9, commencing 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 [SSOOI).
SICNATURE DATE
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?
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air qualiry management district?
Is the facility IO be constructed within 1,000 feet of the outer boundary of a school site?
IPANYOFTHEANSWERSAREYE$AFINAI.~~TEOFOOCUPANCY~YNOTBElSSUPDAPlWJLnY1,1989UNIffSTHI!APPUCAHT HAS hQ3 OR 1s MEEIINC TlIE R€Q- OF THE OFFICE OF EMERGENCY sERvI(Ts AND 'IHE AIR POullllON CONTROL DlSllUCT.
I hereby athrm that there IS a constructlan lendlng agency tar the performance Ot the work LOT WhlCh thlS permlt IS Issued (Spe 30Y7(1J Clnl We).
0 YES
0 YES
0 YES
0 NO
0 NO
0 NO
LENDERS NAME LENDER'S ADDRESS
relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upn the above mentioned property for inspection I cerl~ty that I have read the appllcatmn and state that the abave lntormatmn IS correct. 1 agree to comply Wlth all Clty ordinances and State laws
purpose. IAlSDffiREETO~VE~F~AND~lIARMIESS'IHE(TIYOF~AGAINmAU.IIAB~JUDGMPCIS.0051S AND EXPENSFS WIIICII MAY m ANY WAY ~UE AGAIN= SAID m CONSFQIENCE OF THE GRANTING OF nus PERMIT.
CS€v\: An OSHA permit is required far excavations over SO" deep and demolition or construction of StrueNres 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
such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). building or work authorized by such permit is not commenced within 365 days from the date ofsuch permit or if the building or work authorized by
TB File YELLOW: Applicant PINK: Finance
CITY OF CARLSEAD
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
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JOB AOORESSJOGCI ie~5~ L&' /A CnSYL?
TYPE OF BUILDING: RESIOENTIALL COMMERCIAL -
ROOF SLOPE: RISE 44 '' inches in 12 inches
TYPE OF EXISTING ROOF COVERING 8 u I' L 1 -up 6HEAT:ING ~k4~0004
NUMBER OF EXISTING ROOF COVERINGS (circle one) 3
NEW ROOF MATERIAL ?lb4~4hczss CLASS&- WEIGHT PER SQUAREasO
NUMBER OF SQUARES 2 0 hf?d",L*
TRADE NAME MANUFACTURER &JS& &,QU I4
ROOF SYSTEM APPROVAL UL No. Other -
IS THE EXISTING STRUCTURAL DESIGN 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 AX Class B-
OR
I understand the following inspections are required:
1. Tear Dff/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.
I
SIGN DATE
Contractor Y Owner Contractor Name /k2d &OF 6
*6 - Rolled Roofing, Tile, Shake, Shingle, Asphalt/Conp Fiberglass, Built UP.
n
DATE ?/ah ’
PERMIT # 77-3 9’ PLANCX #
JOB ADDRESS 2OS 9 c3j &JAa
UNSCHEDULED INSPECTOR
TIME ARRIVE: TIME LEAVE: .
CD LVL DESCRIPTION ACT COMMENTS
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8AN QABRIEL. CALIFORNIA 91778 000 80.8AN QABRIEL BLVD.
VIRGIN ROOF CO.
Roofing Contractors - Composition Wood Shingles Tile Shakes Asbestos
(818) 287-0607 - (714) 829.7482 (213)283-3989-(714)984-1088
April 28, 1993
City of Carlsbad
2075 Las Palmas Dr.
Carlsbad, CA
Attn: Building Department
To whom it may concern:
This letter authorizes Mr. Richard M. Virgin to obtain a business license
and building permit on behalf of the Virgin Roof Co.
Attached are copies of our current certificate of insurance for
workman's compensation and contractors pocket license.
Our Contractor's license number is W160650.
Sincerely,
VIRGIN ROOF CO.
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