The URL can be used to link to this page

Home My WebLink About2210 LEVANTE ST; ; CB970405; PermitV 2961 02/ ,.., 3 t E FINAL APPROVAL 1NsP._ ~~ ,z DATE 3 • 7· 9 7 CLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 14 . PER 14 . , FOR OFFICE USE ONLY PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PLAN CHECK NO. q ]0 4/)c;- EST. VAL. la I ' {) °3 Plan Ck. Deposft -------:--- Validated By __ ...,.... ___ --t'(}+~-- Date. ____ ~.,_-t-t---,,H-1,r,"""t----- Address (include Bldg/Suite I) Business Name (at thia address) legal Description Lot No. Subdivision Name/Number Unit No. ~se No. Total II of units ~ca., Assessor's Parcel II Existing Use ;\ 1\.p-a. \.tO-Ol 00 4' '1 Sc) Proposed Uae Name ·-,,.,.· ... ~.:~AfflACAWT U,t6AC..l-\ Name k'ft"~~~:: \=; Neme lli:~~g :c01112 (Sec. 7031.5 Business end Professions Coda: Any City or County which requires e permit to construct, alter, improve, demolieh or repeir any structure, prior to its issuance, also requires the epplicant for such permit to file a signed statement that he is licensed purauent to the provisions of the Contractor's License Lew [Chapter 9, commending with Section 7000 of Division 3 of the ·Business and Professions Code) or that he is exempt therefrom, end 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 then five hundred dollars ($500)1. U.~¢AC:r\-~~,"~ d:'Y''-el I":>\ Po..lomLv ~ ~3oo> ~o.t.l , ~ q~"' ~;1-S) 13 Name Address City State/Zip Telephone If State License II l,o~:,"'\'8 License Class C·3C\ City Business License If \ ~QO ~ i't\ Designer Name Address City State/Zip Telephone State License II _________ _ ~W.QBKEBS;·~COMPENSATIONJ:~:.1_~~~7~iA.fi~:,.~~~:3:t~.l...-.. ~..ti.;i~~~~J.~~~ .. ~~;~~~m~f!'i~~.:jfflTi5PfflH}Wt~~rd~~J.i1.;\·~~·~;.a.•:~· v-~~::.~~~ ... ~,l. Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Coda, for the performance of the work for which this permit is issued. Ol'J, I have and will maintain workers' compensation, es required by Section 3700 of the Labor Code, for the performance of the work for ·which this permit is issued. My worker's compensation insurance carrier and policy number are: -q Insurance Company s" ~ Policy No. ?.'8$..-((., µrld qo~ Expiration Date \ 8 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1•1001 OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify the ·n the performance of the work for which thi1 permit i1 iasued, I shell not employ any person in any manner so as to become subject to the Workers' Compensa · n L ws of California. WARNING: Failure to aecure•worlters' co tion coverage i1 unlawful, and shell subject an employer to criminal penaltlea end civil fines up to one hundred thounnd doUar1 ($ ,000), In IIOQWIOJ)('lO the t of co en11tion, damages aa provided for In Section 3706 of the Interest and ettomey'1 fN1. SIGNATURE_fL_'[Z~~::r.-L""4~:::S..,tJ_~~~::...,,,L____________ DATE -'A~.-=~-1,,---+---r......,.- tl. '.,,OWNER-BUILD • ·-, .• , I hereby affirm that I am exempt from the Contractor's License Law for the foll wing reason: 0 I, as owner of the property or my employees with wages as their s 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 w 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· provements are not intended or offered for sale. If, however, the building or improvement i1 sold within one year of completion, the owner-builder will have the urden of proving that he did not build or Improve fo, the purpoH of aelel. 0 I, as.owner of the property, am exclusively contracting Contractor's Licen111 Lew does not apply to an owner of pursuent to the Contractor's License Law). · h licensed contractors to construct the project (Sec. 7044, Buainesa and Profeaslons Coda: The party who builds or improvH thereon, end . contracu fo, auch project■ with contractor(&) licenHd 0 I em exempt under Section _____ _ s and Professions Code for this re11on: 1 . I personally plan to provide the major labor a materials for construction of the proposed property improvement. 0 YES ONO 2. I (have / have not} signed an application f a building permit for the proposed work. 3. I have contracted with the following rson (firm) to provide the proposed construction (include name / addreas / phone number / contractors license number}: 4. I plan to provide portions of the rk, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license numbe/r "------------------,------------------------------- 5. k, but I have contracted (hired} the following persons to provide the work indicated (include name / address / phone number / type PROPERTY OWNER SIGNAT. RE . ____________________ DATE_--:--:-----:------- ~~;J}ilS'SECllOl't.FQIJ N.~PiTMU.,~lt.D!NQ;f!l;!IMIJ.$.:Q~l,.Yuii-iv.,.i,1:limEJi.~:::::W~~iC"~~.Jj'~-{(·•, .... 1$ th~ e;,plic=:>t o, future buil<lin,;i occupant f6qUored lo •u it • bu..in..11$ plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the aaley-Tanner Huardou1 Substance Account Act? 0 YES O NO Is the applicant or future building occupant required obtain a permit from the air pollution control district or air quality management district? 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A Fl REQUIREMENTS OF THE OFFICE OF EM 1-~~\~~N$:TRUCTIONLENDING AG D YES D NO CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE ENCY SERVICES AND THE AIR POUUTION CONTROL DISTRICT. I hereby affirm that there is • cons ction lending agency for the performance of the work for which this permit Is issued (Sec. 3097(1) Civil Code). LENDER'S NAME ______________ _ ft>· •. 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 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 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 t ork is comma cad for riod 180 days (Section 106.4.4 Uniform Building Code). ! J, APPLICANT'S SIGNATURE ti DATE ~12x;l.%7 YELLOW: Applicant PINK: Finance 1. 2. 3. 4. 5. *6. 7. 8. 9. 10. a V CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING JOB ADDRESS <><.'.'µ 0 ~ e. V~ ~ TYPE OF BUILDING: RESIDENTIAL Y COMMERCIAL ROOF SLOPE: RISE >± inches in 12 inches -- TYPE OF EXISTING ROOF COVERING QJU-1.KlS. SHEATHING tP#ju~ NUMBER OF EXISTING ROOF COVERINGS (circle one) <i) 2 3 NEW ROOF MATERIAL i-~ ,):U4, cLAss___A_ WEIGHT PER SQUARE '5"j' < . NUMBER OF SQUARES .27, ~ TRADE NAME "T .W 1 ~ ~ ~t: !WU~CTURER V-. ~tvJv ROOF SYSTEM APPROVAL~ No. ____ Other "J;CJ60 ~ .2.c't,S" &P. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF YES X NO ---- If the answer is no, a roof plan must be provided with this application. 11. Fire rating of roof: Class A~ Class B __ I understand the following inspections are required: (Drear Off/Pre-inspection prior to installing new roof covering. a:) Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. SIGN DATE Contractor V Owner ---Contractor Name Ll>J,~ ~~F(\ ~C.... \) I *6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up. CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB970405 FOR 03/07/97 DESCRIPTION: RE-ROOF-2750 SF LT WT CONCRETE TYPE: MISC INSPECTOR AREA DC PLANCK# CB970405 OCC GRP CONSTR. TYPE NEW STE: LOT: JOB ADDRESS: 2210 LEVANTE ST APPLICANT: URBACH ROOFING CONTRACTOR: PHONE: 619 431-5113 PHONE: OWNER: PHONE: REMARKS: MW/KAREN/431-5113 SPECIAL INSTRUCT: INSPECTOR,J?----------- TOTAL TIME: CD 15 LVL DESCRIPTION ST Roof/Reroof --------------------------------------------------- ACT COMMENTS 4!£ AV ***** INSPECTION HISTORY***** DATE 030397 030397 DESCRIPTION Roof/Reroof Roof/Reroof ACT INSP CO DC AP DC COMMENTS NR 1:30 3:00\