HomeMy WebLinkAbout2307 LEVANTE ST; ; CB962354; PermitA I /Owt.i: :
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FINAL APPROVAL
INSP&:f, DATE~
CLEARANCE, ____ _
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
CITY OF CARLSBAD
~ INSPECTION REQUEST
PERMIT# CB962354 FOR 12/23/96
DESCRIPTION: RE-ROOF-DUPLEX-1100 SF-LITE WT
2309 LEVANTE AS WELLLT WT CONC-ICB0-4660
TYPE: MISC
STE:
INSPECTOR AREA DC
PLANCK# CB962354
OCC GRP
CONSTR. TYPE NEW
LOT: JOB ADDRESS: 2307 LEVANTE ST
APPLICANT: D'ANDREA ROOFING
CONTRACTOR:
PHONE: 619 757-3732
PHONE:
OWNER: PHONE:
REMARKS: MW/BILL/757-3732 INSPECTOR D __________ _
SPECIAL INSTRUCT: JOB COMPLETE PLS INSPECT AT YOUR coJh:NIENCE
TOTAL TIME:
CD
15
LVL DESCRIPTION
ST Roof/Reroof
ACT COMMENTS
'-~7~L-,
--------------------
DATE DESCRIPTION
121396 Roof/Reroof
***** INSPECTION HISTORY*****
ACT INSP
AP DC
COMMENTS
OK TO COVER
City of Carlsbad
■ =Ji O GO ei• i ·14 ·!¥1 Ii• ,,4 el I
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following deciarations:
I have and will maintain a certificate of consent to self-insure for
• A. 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 workers' compensation insurance carrier and policy number are:
INSURANCE COMPANY POLICY NO. EXPIRATION DATE:
______ 'Sf g.i~ __ _f_µ rid_ ______________________ /:2 ;)665 __________ _. ____ 2-0 I -q( _________ _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED
DOLLARS ( $100) OR LESS)
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
• C. workers compensation laws of California.
Warning: Failure to secure workers' compensation coverage is unlawful, and shall be
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.
March 3, 1995
2075 Las Palmas Dr.• Carlsbad, CA 92009-1576 • (619) 438-1161 • FAX (619) 438-0894
·• CITY OF CARLSBAD
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SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
JOB ADDRESS .232 7 -;J 30 9 ho,:" a vi t;
TYPE OF BUILDING: RESIDENTIAL 1/ COMMERCIAL __
ROOF SLOPE: RISE y inches in 12 inches
TYPE OF EXISTING ROOF COVERING <;;,be.k'e SHEATHING ,s~·, p
NUMBER OF EXISTING ROOF COVERINGS (circle one)@ 2 3
NEW ROOF MATERIAL ..... E-0i5....,lr ............ L'-'--'fc...___ ___ CLASS....tl_ WEIGHT PER SQUARE S7 0
NUMBER OF SQUARES _ ..... /..:.../ __ _
TRADE NAME Ca, p: s-tra"' a MANUFACTURER-.c£-~ ...... ~-/......,e _____ _
ROOF SYSTEM APPROVAL UL No. -----Other fC/30 (1!{60
IS THE EXISTING STRUCTURAL DESI~ SUFFICIENT TO SUSTAIN THE WEIGHT OF
THE PROPOSED ROOF YES _V__ NO __ _
If the answer is no, a roof plan must be provided with this application.
Fire rating of roof: Class AL Class 8 __
I understand the following inspections are required:
l. 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.
SIGN DATE
Contractor ~Owner __ Contractor Name -----
*6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up.
PERMIT APPUCA110N
City of Carlsbad Building Departant
-2075 Las Palas Dr •• earl~. CA 92009 (619) 438-1161
l. PfflM1T fi1iE
From List I (see back) give code of Permit-Type: ___________ _
For Residential Projects Only: From Ust 2 (see back} give
Code of Structure-Type: ____________________ _
Net Loss/Gain of Dwelling Units _________________ _
2. PROJF.CT INFORMATION
Address 2107 .-.,l '30C,
Nearest Cross Street
Buildmg or Suite No.
FOR OPFICE USE ONLY
LECAt bf:ScRIPiioN l.ot No. subd1VJs1on Name/Number Omt No. Phase No.
CHECK BEWW IF SOBMl1 I £D:
□ 2 Energy Cales □ 2 Structural Cales C 2 Soils Report □ I Addressed Envelope
ASSESSOR'S PARCEL EXTSJJNQ USE PROPQSEQ USE
DESCRIPTION OF WORK
Re."YOO~ # OF BEDROOMS # OF BAIBROOMS
I
NAME (last name first) ADDRESS
CITY STATE ZIP CODE
4. APPi.lCAN"I LitfoN I RACIOR □ ACEN I FOR CON I RACIOR
DAY TELEPHONE
□OWNER □ACENl FOR OWNER
NAME (last name first) ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
s. PROPER 1v oWNEk 'lo\.,"' L; ~ er NAME (last name first) ADDRESS
CITY CA-l5bC\J STATE DAY TELEPHONE
NAME (last name first)
CITY C.X..1."a..nl'\c) ~ STATE ZIP CODE CJ.'10 _;-(; DAY TELEPHONE ?'!J / · S / 3 2...
STATE IJC. # S;f6..$3(.Ji:rCENSE CLASS -3 ", CITY BUSINESS IJC. #
ast name 1rst
CITY STATE ZIP CODE DAY TELEPHONE STATE UC.#
1. WoRJCERS' OOMPERSAl16N
Workers' COmpensauon Declaration: I hereby allmn that I have a cerulicate of consent to seif-msure 1SSued by the Director ol lndustnal
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an euct copy or duplicate thereor certified
by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
Owner-Builder Deciaration: I hereby afhrm that I am exempt from the Contractors ucense Law for the following reason:
□ I, as owner of the propeny 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 Proressions Code: The Contractor's Llcense 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 Contractor's Llcense Law does not apply to an owner of propeny who builds or improves thereon, and contracts for such projects
with contractor(s) licensed pursuant to the Contractor's Llcense Law).
□ I am exempt under Section _______ Business and Professions Code for this reason:
(Sec. 7031.S Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair
any structure, prior to ics 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 Llcense 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.S by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500]).
SIGNATURE DATE
COMPLETE ruts SECTION FOR NON·RESlUENTIAL BOlWING 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 25S0S, 25533 or 25S34 of the Presley-Tanner Hazardous Substance Account Act?
□ YES □ NO
Is the applicant or future building occupant required to obtain a permit from the air pollution concrol district or air quality management district?
□ YES □ NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO
IF ANYOF11IEANSWERS ARE YF.S, A FINAL CERTIFICATE OF cx:ctlPANCY MAY NOf BE~ AFI'ERJULY I, 1989 UNU'.SS TI-IE APPIJCANT
HAS MET OR IS MEETING TI-IE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND TIIE AIR POLLU110N alNTROL rnsrrucr.
9. wNSIR0CI ION Lt:NDING ACENL"V
I hereby aflmn that there as a construcuon lending agency lor the performance of the work tor which ffias permit 1s issu@ (sec 3091(1) c1vu Code}.
LENDER'S NAME LENDER'S ADDRESS
10. Al'PUCANI C£Rl'IFICAIION
I cenify that I have read the apphcauon and state that the above 1nlormauon is correct. I agree to comply with ail City ordinances and State laws
relating to building construction. l hereby authoriie representatives of the City of Carlsbad to enter upon the above mentioned property for inspection
purposes. I Al50 AGREE TO SAVE INDEMNIFY AND XEEP ~ TI-IE aTY OF CARLSBAD AGAINST AIL UABIUTIES, JUIXiMENTS, CDSTS
AND EXPENSF.S WlllCH MAY IN ANY WAY ACDlUE AGAINST SAID c::rrv IN roNSEQUENCE OF TI-IE GRANTING OF nns PERMIT.
OSHA: An OSHA permit is required for excavations over S'0" deep and demolition or construction or 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 the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
APPLICANTS SIGNATURE DATE: ___ _
WHITE: File YELLOW: Applicant PINK: Finance