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HomeMy WebLinkAbout2255 NOB HILL DR; ; CB971009; PermitLI( t+- l L ) B U I L D I N G P E R M I T Permit No: CB971009 04/28/97-12:38 Project No: A9701304 Page 1 of 1. Development No: Job Address: 2255 NOB HILL DR Suite: Permit Type: MISCELLANEOUS 4480 04/2/97 0001 01 02 Parcel No: 167-112-18-00 Lot#: C-PRiT 10500 Valuation: 31 264 Occupancy Group: Ref erence#: Description: RE-ROOF,3400 SF ASPHALT SHINGL Appl/Ownr : KNITTER ROOFING 31435 PALOS VERDES ESCONDIDO CA 92026 ** Fees Required AR Fees: 105.00 Adjustments: .94' Total Fees: 10'(fl © Fee description ---------------------- Miscellaneous Fee #1 * MISCELLANEOUS TOTA Construction Type: NEW Status: ISSUED Applied: 04/28/97 Apr/Issue: 04/28/97 Entered By: RMA 619 736-4141 'cZollected&Cred----- ------------------------ 00 .00 105.00 Ext fee Data --------------- 105.00 PERMIT FEE 105.00 FINAL APPROVAL INSP.LL.DATE_Y7- q CLEARANCE____________ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION • CITV OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 '4— (760) 438-1161 FOR OFFICE USE ONL,Y PLAN CHECK NO.'1 7 (07( EST. VAL. 3 S4L1 Plan Ck. Deposit Validated By. Business Name (at this Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Existing Use Assessor's Parcels ) Proposed Use Description of Work SQ. FT. #of Stories I of Bedrooms I of Bathrooms vA/oN -' L€I~' 11.45 14Q4t& 'i,i Name Address City State/Zip Telephone I Fax I rApuaAFJf UAGS icidFOnED AjfrT TW Name Address City State/Zip Telephone I 4 r IROIERtY oNER,' i Name Address City State/Zip Telephone I I CONTRACTOi COMPANYNAME -- (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 subjants the applica t to civil penalty of not e than five hundred dollars l$50011. .t!)7 &J 1t c 31 ',c~ PJo t/o4"o'k? 9:J, ?3d-W5 Name U State License I 7 , Address City State/Zip Telephon License Class 3 9' City Business License I ià Designer Name Address City State/Zip Telephone State License I 6 WORKERS COMPENSATION F - Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I havq,,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 th)wd1k 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 csation insurance carrier and polipy number are: / Insurance Company __ompen Policy No./ ?' 7 Expiration Data (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 doll a ($100,000). In addition to the coat of compensatIon, damages as provided for In Section 3706 of the Lpbor code. 17 at and attorney's fees. SIGNATURE DATE C/ 17i, -dWNiN-iU6EiR` i 6611 I hereby affirm that I am exempt from t 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 Contractors 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 construction (include name! address I phone number I contractors license number): 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 I address I phone number / contractors license number): 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 wOrk): PROPERTY OWNER SIGNATURE . DATE COMPLETE THIS SECTION FOR NON,AESIDEN71ALBU PE ILDING RMIt ONLt 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? 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. 'ONSTiUCTONiENDINGAGENCY 77 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 30970) Civil Code). LENDER'S NAME LENDER'S ADDRESS_____________________________________________________ r9 APPUCANT CERTIFICATIOI1 7" 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 Clt' 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 or i commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE - - 77 ''' ' NfiIITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING JOB ADDRESS TYPE OF BUILDING: RESIDENTIAL COMMERCIAL ROOF SLOPE: RISE 4' inches in 12 inches TYPE OF EXISTING ROOF COVERING HEATHING________________ NUMBER OF EXISTING ROOF COVERINGS (circle oe) 2 3 *6. NEW ROOF MATERIAL 4 CLASS 4,7 WEIGHT PER SQUARE NUMBER OF SQUARES TRADE NAME (90dk. j MANUFACTURER OUS 6bVy ROOF SYSTEM APPROVAL UL No. Other 4~ ôi' IS THE EXISTING STRUCTURAL DESIGN S FICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF YES NO If the answer is no, a roof plan mu t be provided with this application. 11. Fire rating of roof: Class A Class B____ I understand the following inspections are required: Tear Off/Pre-inspection prior to installing new roof covering. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Im SIGN DATE Contractor Owner Contractor Name /1/dta..L.I ,14iIj, *6 -. Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up. Lm CITY OF CARLSBAD INSPECTION REQUEST PERItIT# CB971009 FOR 05/07/97 DESCRIPTION: RE-ROOF,3400 SF ASPHALT SHINGL TYPE: MISC JOB ADDRESS: 2255 NOB HILL DR APPLICANT: KNITTER ROOFING CONTRACTOR: OWNER: REMARKS: MW SPECIAL INSTRUCT: INSPECTOR AREA PLANCK# CB971009 0CC GRP CONSTR. TYPE NEW STE: LOT: PHONE: 619 736-4141 PHONE: PHONE: INSPECTORP TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 15 ST Roof/Reroof INSPECTION HISTORY DATE DESCRIPTION ACT INSP COMMENTS 043097 Roof/Reroof PA PK SHEATHING OK