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Home My WebLink About2210 NOB HILL DR; ; CB984212; PermitFINAL APPROVAL INSR_RJ3 WE 2i vs Permit No: CB984212 Project No: A9805463 Development No: 4053 12/04/98 0001 01 02 C-PRMT 87.00 Construction Type: NEW Status: ISSUED Applied: 12/04/98 Apr/Issue: 12/04/98 Entered By: RMA q3 go BUILDING PERMI 12/04/9 10:04 Page lof I Job Address: 2210 NOB HILL DR Suite: Permit Type: MISCELLANEOUS Parcel No: 167-112-29-00 Lot#: Valuation: 2,912 Occupancy Group: Ref erence#: Description: RE-ROOF, 2800 SF-COMPOSITION Appl/Ownr.:. ERIC LANGBERG -- 2210 NOB HILL DR CARLSBAD CA 92008 *** Fees Required c** ** Collected & Credits Fees: 87 0 ( Adjustments: .0 U./red s: .00 Total Fees: 87. TotE4(aypt : .00 e 87.00 Fee description it, / it Ext fee Data Miscellaneous Fee 1 q'--. 87.00 PERMIT FE * MISCELLANEOUS T TA --- 87.00. AA / CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION 4 CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 FOR OFFICE USE OLY PLAN CHECK NO. ( EST. VAL. ?I' I Plan Ck. Deposit £1 Validated 1. PROJECT Business Name (at this address) No. Unit No 410 Existing Use Proposed Use DescripMon bf J(ark SQ. FT. #Ot Stories .VOt- I'EP(—[)CM E7Vr D.,14'*1) It of Bedrooms It of Bathrooms .2. CONTACT PERSON (if different from applicant) Neme Address City State/Zip Telephone It Fax It 3. APPLICANT 0 Contractor - 0 Agent for Contractor 0 Owner 0 Agent for Owner Name Address City State/Zip Telephone # 'i,tuKeew L #W6 ,6 EN6 22/c WOS ifie.t C#91- 5,6,76--Z), CiT fO€iF Name Address City . State/Zip Telephone It 7 CONTRACTOR - COMPANY NAME (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 I$5001). Name Address City State/Zip Telephone It State License It License Class City Business License It Designer Name Address City State/Zip Telephone State License It 6. WORKERS' COMPENSATION - Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 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 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 ($1001 OR LESS) 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 dollars ($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- DATE 7. I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 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). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The ,ontractor'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). I am exempt under Section ___ Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO I (have / have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed cgjistrui license number): I plan to provide portions of the work, tut I have hired the following person to coordinate, supervise 'and provide the major work (include name / address / phone number / contractors license number): I will provide some of the work, but I have contractdjhire a following persons to provide the work indicated (include name / address / phone number I type of work): PROPERTY OWNER SIGNATUFE DATE /f COPETiWS"SECñONFÔRNÔN.RESIDENTIAL Is the epplice.fl or future building occupant required to submit J dines plan,4bute1y hazardous materials registration form or risk management and prevention program unde; Sections 25505, 25533 or 25?4 of the Presley-Tan,ter Hazardous Substance Account Act? 0 YES 0 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 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 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. S. 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(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS_______________________________________________________ 9. 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 Cite 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 0 icial 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 np; commenced w in 365 d;s~ 1;10 date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after tPp'w'ork is dfnm c for a perhd ys (Section 106.4.4 Uniform Building Code)./i' APPLICANT'S SIGNATURE A _.~ _________________________ DATE I I ( WHITE: File YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING JOB ADDRESS: 7-210 1i(6 HILL 'Pk. C4'RLS)f1)1 CA- TYPE OF BUILDING: RESIDENTIAL v' COMMERCIAL_____ ROOF SLOPE: RISE 17! inches in 12 inches NUMBER OF EXISTING ROOF COVERING (circle one) (51 2 3 TYPE OF EXISTING ROOF COVERING '(M SHEATHING '"p *6. NEW ROOF MATERIAL CLASS WEIGHT PER SQUARE NUMBER OF SQUARES_________ TRADE NAME MANUFACTURER___________ ROOF SYSTEM LISTING UL No.ICBO No.___________ IS THE EXISTING STRUCTURAL DESIGN S FICIENT 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: Tear Off/Pre-inspection prior to install new roof covering. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB984212 FOR 12/17/98 DESCRIPTION: RE-ROOF, 2800 SF-COMPOSITION TYPE: MISC JOB ADDRESS: 2210 NOB HILL DR STE: APPLICANT: ERIC LANGBERG PHONE: 729-7137 CONTRACTOR: PHONE: OWNER: PHONE: REMARKS: C/726-6692 iINSPECTO" SPECIAL INSTRUCT: INSPECTOR AREA RB PLANCK# CB984212 0CC GRP CONSTR. TYPE NEW LOT: TOTAL TIME: --RELATED PERMITS-- PERMIT# TYPE -STATUS RW980125 ROW ISSUED CD LVL DESCRIPTION ACT COMMENTS / 19 ST Final Structural I ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 120798 Roof/Reroof AP RB