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Home My WebLink About2308 ALTISMA WAY; ; CB961993; PermitA BUILDING PERMIT Permit No: CB961993 10/15/96 18 : 11 Project No: A9602846 Page 1 of 1 Development No: Job Address: 2308 ALTISMA WY Suite: Permit Type: MISCELLANEOUS Parcel No: 215-240-28-47 Lot# : Valuation: 6,180 Construction Type: HEW Occupancy Group: Reference#: Status: ISSUED Description: RE-ROOF-4 BLDGS,600 SF GRAVEL Applied: 10/11/96 Apr/Issue: 10/15/96 : LA COSTA VIEW HOA Appl/Ownr : PETERSON ROOFING Entered By: RMA 549 W CENTRAL PARK AV ANAHEIM CA 92802 714-444-4444 *** Fees Required *** *** Fees Collected ii Credits *** """""""""""""" Fees : 149.00 ...................... Adjustments: .oo Total Credits: .oo Total Fees: 149.00 Total Payments: 149.00 Balance Due: .oo Fee description Units Fee/Unit Ext fee Data Miscellaneous Fee X1 > 149.00 149.00 PERMIT * MISCELLANEOUS TOTAL 149.00 _""""""""""""""""""""""""""""""""""""" I.". PERMIT AF'PLlcAnoN City of Carlsbad Wildim Department 2075 Las Palms Dr.. Carlfbad, U 92009 (619) 438-1161 From List 1 (see back) give code of Permit-Type: ..................................................... For Residential Proiecu Only: From List 2 (see back) give Code of structure-Type: Net WGain of Dwelling Units FOR OFFICE USE ONLY N Lot No. Subdtnsmn NarndNUmber Unit No. Phase No. 0 2 Energy Calcs 0 2 Structural Calm 0 2 Soils Report 0 1 Addressed Envelope DESCRIPTION OF WORK SQ. FT.660 0 2~ 4- 3 # OF STORIES # OF BEDROOMS &~da b 5 c # OF BATHRCOMS NAME (last name first) (11 mtterent mom appllcantj ADDRESS crn STATE ZIP CODE DAY TELEPHONE NAME (last name first) t . rod ADDRESS STATE ZIP CODE DAY TELEPHONE ADDRESS 292- 2 310 &O?<h-+ c/o L~dbSWf r*c* EL %/UO E€A5 STATE Ort ZIPCODE DAY TELEPHONE "6cL 164 P ADDRESS sc/s W. e€MX& f.k &VC (last name tlrst) AUOHESS CITY STATE ZIP CODE DAY TELEPHONE STATE UC. # Relations, or a certificate of Worken' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified Workers' Compensatlon Lkclaratlon: 1 hereby attlrrn that I have a certlhcate of mnsent to self-msure issued by the Dlrector ot InduStnal bv the Director of the insurer thereaf filed with the Buildinn Inswctian Demrtment (Section 3800. lab. C1. INSURANCE COMPANY 60cw a ci L.C; WLICY NO. -. M~m~n~IPATION DATE I79 7 so as to become subject to the Workers' Compensation Laws of California. krtltlcate ot Exemptlan: 1 certlty that an the performance ot the work tor whlch thn permlt IS ~ssued, I Shall not employ any-person In 'dny manner SIGNATURE DATE 0 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 Owner-Bullder ~eclarauon: I hereby alhrm that I am exempt rrom me wntractors ucen~e law tor the tollowmg reason: offered for Sale (Sec. 7044, Business and Professions Code: The Contractor's License law dog not apply to an owner of property who builds or improves thereon, and who does such work himself or through his awn employees, provided that such improvements are not intended or offered far 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.). 0 I, as owner of the property, am exclusively contracting with licensed contractom 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(s) licensed pursuant to the Contractor's License law). 0 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 consmct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to tile 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 [$5001). SIGNAlllRE DATE COMPC Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 Is the applicant or future building occupant required to obtain a permit fmm the air pollution control district or air quality management district7 Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 PANYOF'IHEANSWERSAREYE$AFINAL~~~TEOFOCCUPANCYMAYNOTBEISSUFDAFIERJlllY1,1989~?HE~~~ HAS MEI' OR IS "R4G 'IHE REQ- OF 'IHE OFnm OF mGRiCY S3WICES AND THE AIR POILUTION CONTROL DISIRICI. I hereby attlrm that there IS a construction lendlng agency tor the performance ot the work tor wh!ch th~s perm~t IS issued (set 3097(1J CmI Me]. 0 YES 0 NO 0 YES 0 NO 0 YES 0 NO LENDER'S NAME LWDER'S ADDRESS ITKXlYUN 1 cenl that I have read the appllcatlon and State that the above tntormatlon IS Correct. 1 agree to comply wnh all clty ordrnances and State laws relatin!to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposer. IAlsoAG~1uSAVEINDEMNlpyANDKEEPHARMlEss~(TIYOFcARlsBADAGAINSTAU.1IAB~JLIDCNIUIFIS.ODSIS AND FXPENSFS WIIICH MAY m ANY WAY ACCRUE AGAINST SAID (TIY IN CONSFQUEN~ OF THE GRANTING OF nus P-. CSHk An OSHA permit is required for excavations over SO" deep and demolition or construction of SlNCtUES over 3 stories in height. and become null and void if the from the date of such permit or if the building or work authorized by 303(d) Uniform Building DATE: L;F%7& File YELLOW Applicant PINK: Finance Q CITY OF CARLSBAD 1. 2. 3. 4. 5. *6. 7. a. 9. 10. 11. SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING JOB ADDRESS 2308 A W-iSm A TYPE OF BUILDING: RESIDENTIAL2 COMMERCIAL - ROOF SLOPE: RISE p-' inches in 12 inches NUMBER OF EXISTING ROOF COVERINGS (circle one) 1 2 3 NEW ROOF MATERIAL fL CUSS& WEIGHT PER SQUARE q$o 4/- NUMBER OF SQUARES 6~4~14z f3. L/. E, TRADE NAME MANUFACTURER X?IFJ7Ec/feah 4 6 Lh ROOF SYSTEM APPROVAL UL No. Other - TYPE OF EXISTING ROOF COVERING GPAYEL 'EO,@, SHEATHING PL Yw'f'. / 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. Fire rating of roof: Class A> 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. '6 - Rolled Roofing, Tile, Shake, Shingle, Asphalt/Cmp Fiberglass, Built up. TIME ARRIVE: TIME CODE DESCRIPTION ACT COMMENTS /'I Ap p/A/Rc&&dw 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 the performance of the work for which this permit is issued. I A. workers' compensation as provided by section 3700 of the Labor Code, for Q I have and will maintain workers' compensation, as required by section 3700 issued. My workers' compensation insurance carrier and policy number are: B. of the Labor Code, for the performance of the work for which this permit is INSURANCE COMPANY POLICY NO. EXPIRATION DATE: (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 I C. workers compensation laws of California. Date 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 @