The URL can be used to link to this page

Home My WebLink About2267 CAMEO RD; ; CB961503; PermitBUILDING PERMIT 08/19/9-6 11:33 Page 1 of 1 Job Address: 2267 CAMEO RD Suite: Permit Type: MISCELLANEOUS Parcel No: 167-080-16-00 Lot#: Permit No: CB961503 Project No: A9602169 Development No: Valuation: 0 Occupancy Group: Referenced Description: 2600 SF RE-ROOF,COMPOSITION Appl/Ownr : BELA BETYAR CONSTRUCTION 2265 VIEW ST OCEANSIDE CA 9205 * ** Fees Required *** Construction Type: NEW Status: ISSUED Applied: 08/19/96 Apr/Issue: 08/19/96 Entered By: RMA 619-967-5988 Fees : Adjustments: Total Fees: Fee description Miscellaneous Fee * MISCELLANEOUS T leeted & Credits * * * .00 . 00 90 . 00 Ext fee Data 90.00 PERMIT FE 90 . 00 9163 08/19/96 0001 01 02 C-PRMT 90-00 FINAL APPROVAL INSP.Jtt— DATE CLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATIONCity of Carlsbad Building Department2075 Las Palnas Dr., Carlsbad, CA 92009 (619) 438-1161From List 1 (see back) give code of Permit-Type:FQL Residential Projects Only From list 2 (see back) giveCode of Structure-Type:Net Loss/Gain of Dwelling Units PLAN CHECK NO/f ^EST.VALPLAN CK DEPOSITVALID-BYDATE2. PROJECT INFORMATION FOR OFFICE USE ONLYAddress Nearest Cross Street Building or Suite No. Gt**/f3t> LEGAL DESCRIPTION Lot No.Subdivision Name/Number rnase NO. CHECK BELOW IF SUBMITTED: D 2 Energy Gales D 2 Structural Gales D 2 Soils Report D1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK #> SQ. FT. ?#* # OF STORIES *$£&<&/&* # OF BEDROOMS * OF BATHROOMS 3. UUNTACT PEKSUN tit aitierent trom applicant; NAME (last name first) CITY STATE ADDRESS ZIP CODE DAY TELEPHONE 4. APPLICANT NAME (last name first) A CITY & UAGLNT FOR CONTRAC1UK ADDRESS LJUWN 7 STATE ZIP CODE DAY TELEPHONE FKUFEKlTf UWHEK NAME (last name first) CITY ADDRESS STATE ZIP CODE DAY TELEPHONE D. CONTRACTOR first)ADDRESS STATELy*" ZIP CODE ft-^V/ DAY TELEPHONE STATE LIC. Jftefa utbiuwEK NAME (last name tirstj CITY STATE 7. WORKERS COMPENSATION "° LICENSE CLASS ZIP CODE » CITY BUSINESS LIC. AUDREYS DAY TELEPHONE # liotffiq/ STATE LIC. # Workers' Compensation Declaration: I hereby affirm that I have a certificate oTconsent to self-insure issued by tne Director ot Industrial Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). / m.INSURANCE COMPANY POLICY NO.EXPIRATION DATE Ceruficate oiExempuon: I certify that in the performance of the work tor which this permit is issued, 1 snail not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. OWNER-BUILDER DECLARATION Uwner^Buuaerljeciarauon: 1 hereby artirm mat i am exempt trom the Contractors License Law tor tne louowmg 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.). D 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^) licensed pursuant to the Contractor's License Law). O I am exempt under Section ' Business and Professions Code for this reason: (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, 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 [$500]). SIGNATURE DATE COMPLETE THIS SECTlbN FUR 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? D YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D NO __ D? ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1,1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9. CONSTRUCTION LhNDLNU AGENCY ~'~' I hereby altirrn that there is a construction lending agency tor uie performance ot the work tor which uiis permit is issued (Sec 3O97U) Civil Lodej. LENDER'S NAME LENDER'S ADDRESS 10. APFL1LANT I certify that 1 nave read the application and state that the above intormation is correct. 1 agree to comply with all City ordinances ana 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 UABUJTIES, 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 S'O" 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 abanltofied at any~tim& after the work is commenced for a period of 180 days (Section 303 (d) Uniform Buildini! Code) APPLICANTS SIGNATURE / )^ / }// _ DATE: Ffle YELLOW: Applicant PINK: Finance CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS 2. TYPE OF BUILDING: RESIDENTIAL X COMMERCIAL 3. ROOF SLOPE: RISE £• inches in 12 inches 4. TYPE OF EXISTING ROOF COVERING tt£ SHEATHING 5. NUMBER OF EXISTING ROOF COVERINGS (circle one) 2 3 *6. NEW ROOF MATERIAL fU^ &>&f£. CLASSA WEIGHT PER SQUARE 7. NUMBER OF SQUARES 8. TRADE NAME V&€fert>djrt, %&/&£ MANUFACTURER 9. ROOF SYSTEM APPROVAL UL No. Other 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF YES J£ NO _ If the answer is no, a roof plan must be provided with this application. 11. Fire rating of roof: Class A f\* Class B _ I understand the following inspections are required: 1. Tear Off/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. SIGff DATE Contractor r~ owner Contractor Name F* *6 - Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up. CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB961503 FOR 08/27/96 DESCRIPTION: 2600 SF RE-ROOF,COMPOSITION TYPE: MISC JOB ADDRESS APPLICANT: CONTRACTOR: OWNER: 2267 CAMEO RD BELA BETYAR CONSTRUCTION PHONE: PHONE: PHONE: INSPECTOR AREA DC PLANCK* CB961503 OCC GRP CONSTR. TYPE NEW STE: LOT: 619-967-5988 REMARKS: MW/967-5988 SPECIAL INSTRUCT: FINAL INSPECTOR TOTAL TIME: CD LVL DESCRIPTION 15 ST Roof/Reroof ACT COMMENTS INSPECTION HISTORY ***** DATE DESCRIPTION 082196 Roof/Reroof 082196 Roof/Reroof ACT INSP NR DC AP DC COMMENTS 11:10 OK TO COVER 1:00 SD P.O. BOX 807, SAN FRANCISCO,CA 94101-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: O8-O1-96 COMPENSATION I N S URA N CE FUND POLICY NUMBER: 13O1863 - 96 CERTIFICATE EXPIRES: 08-01-97 STATE CONTRACTORS LICENSE BOARD-WORKER'S COKP. BOX 26000 SACRAMENTO CA 95826 JOB: LIC #430200 INCEPTION DATE: 08-01-96 D.O.: 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 30 days' advance written notice to the employer. We will also give you 30 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 atl the terms, exclusions and conditions of such policies. PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000.000.00 PER OCCURRENCE. STANDARD EXCLUSION: INDIVIDUAL EMPLOYERS AND HUSBAND AND WIFE EMPLOYERS ARE NOT ELIGIBLE FOR BENEFITS AS EMPLOYEES UNDER THIS POLICY. ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 08/O1/96 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. EMPLOYER LEGAL NAME BELA BETYAR CONSTRUCTION 2265 VIEW STREET OCEANSIDE CA 92054 BETYAR, BELA DPin.n-=rv Q7- 1B-96 no s,nr\ THIS DOCUMENT HAS A BLUEnPATTERNED BACKGROUNEX SCIF 10265 (REV. 2-95J