HomeMy WebLinkAbout2359 PIO PICO DR; ; CB950834; PermitBUILDING PERMIT
06/22/95 15:19
Page 1 of 1
Job Address- 2359 PIO PICO DR Suite-
Permit Type: MISCELLANEOUS
Parcel No 156-351-06-00 Lot#:
Valuation: 2,112
Construction Type: NEW
Occupancy Group: Referenced:
Description. RE-ROOF,2200 SF, COMPOSITION
Permit No
Project No
Development No
CB950834
A9501197
Status
Applied
Apr/Issue
Entered By
ISSUED
06/22/95
06/22/95
RMA
Appl/Ownr . EDD-N-I CONSTRUCTION
636 CORTEZ, STE D
VISTA, CA 92084 ^
619-726-0947
*** Fees Required ***,*** '' \ *.
Fees:
Adjustments •
Total Fees:
Fee description
/ 9.0\00 /'
00 ;,
00
''?;,-p,--^ Balance''Due1*\ 90.00
'' " Units. ,\ F,ee/Untft Ext fee Data
Total 'Payment's!
Miscellaneous Fee #a,- ~t~'
* MISCELLANEOUS TOTMl _ /;
90.00 PERMIT
90. 00
'i.t r.h«''"vi-*'. ,>f
; i.,^
w _
2445 06/22/95 0001 01
C-PRHT 90-00
FINAL APPROVAL
!NSP. nr^ DATE
CLEARANCE
CITY OF CARLSBAD
2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161
PERMIT
City of Carlsbad Building Department
2075 Las PaLmas Dr., Carlsbad, CA 92009 (619) 438-1161
1 PERMTTTVPE
From List 1 (see back) give code of Permit-Type
For Residential PfoiectsjOnly From List 2 (see back) give
Code of Structure-Type _
Net Loss/Gam of Dwelling Units
2 PROJECT INFORMATION
P.v.tf Building or Suite No
Nearest Cross Street j_ m £~£c
LEGAL DESCRIPTION"
PLAN CHECK NO.
Q ^ fr
EST.VAL
PLAN CK DEPOSIT
VALID BY A —
FOR OFFICE USE ONLY
Lot No Subdivision Name/Number Unit No Phase No
CHECK BELOW If
D 2 Energy Calcs D 2 Structural Calcs Q 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCF[,_
UUNTAL'l PKKSUN til ditterent Irom applicant)
NAME (last name first)
CITY STATE
ADDRESS
ZIP CODE DAY TELEPHONE
4 APPLICAN'I U CONTRACTOR—LJACKNT FOR CONTRACTOR—U OWNER—U AGENT FOR OWNER
NAME (last name first) ADDRESS
STATE ZIP CODE DAY TELEPHONE
NAME (last name first) fjR <> $ S (J L W e «» i f» w~ ADDRESS
CITY CtH/til fa ^ A STATED ^ ZIPCODE V'.L&tg DAY TELEPHONE 7X9 - 3*7
& 3 £ A ^Ti a f # ^ V* i
CITY V/J /•/»• STATE- C*^ ZIPCODE Vtojjr^y DAY TELEPHONE
STATE LIC #5XQT)&£ LICENSE CLASS /3 CITY BUSINESS UC #
DESIGNER NAME llast name tirst)
CITY STATE ZIP CODE DAY TELEPHONE STATE UC #
Workers Compensation Declaration I hereby affirm that I have a certificate or consent to self-insure issued by the Director ofTndustnai
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)
INSURANCE COMPANY JV"V/f* f^j *J ^ POLICY NO >/V97? ^~ EXPIRATION DATE / ' - 3 ' - <f £
Certificate Qt Exemption I certify that in the performanceof the work" toF'wfuch this permitfs issued, I shall not employ any person in any manner t
so as to become subject to the Workers' CompensaDon Laws of California
SIGNATURE DATE
8. _UWNUt-BUIU3ER DECLARATigN
Uwnef-Builder Declaration 1 hereby artinn Ihan'SnTexempt rrom the Contractors License LawTor the tollowing 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(s) licensed pursuant to the Contractor's License Law)
D 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
CbMPLETH THIS SECTION FOR N ON -RESIDENTIAL BUILDING PERMITS ONLV :
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registranon form or nsk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
D YES D 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 D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
D YES D NOIF ANY OF TI ffi 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 AIH POLLUTION CONTROL DISTRICT.
9. OONSTRUUION UamiNt; ACIKNCV
I hereby ahum that there is a construction lending agency tor the pertormance ot the worTCtor which this permit is issued [Sec 3097(1) Civil CodeJ
LENDER'S NAME LENDER'S ADDRESS
10
"Tcertify that 1 have read ihe application and state that the above intormation is correct I agree to comply with all city ordinances and 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 IMBnJTtES, JUDGMENTS, COSTS
AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSIIAi An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stones 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 authonzed by
suchjpermit is_suspended or abandonedlat-aoy time after the work is commenced for a penod of 180 days (Section 303(d) Uniform Building Cpde)^ ^-
•RppBfGMmzsTRTr.NATimR— x^"*>^V S x^*"}—-, x5>^ DATE fo'Vx~ TO
WHITE! File YELLOW: Applicant PINK: Finance
^ -*• CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT* CB950834 FOR 07/11/95
DESCRIPTION: RE -ROOF, 2200 SF, COMPOSITION
TYPE: MISC
JOB ADDRESS: 2359 PIO PICO DR
APPLICANT: EDD-N-I CONSTRUCTION
CONTRACTOR :
OWNER:
REMARKS: MW/EDWARD/726-0947
SPECIAL INSTRUCT:
PHONE
PHONE
PHONE
INSPECTOR AREA DC
PLANCKfl CB950834
OCC GRP
CONSTR. TYPE NEW
STE: LOT:
619-726-0947
INSPECTOR U
TOTAL TIME:
CD LVL DESCRIPTION
15 ST Roof/Reroof
ACT COMMENTS
ff?
***** INSPECTION HISTORY *****
DATE DESCRIPTION
070695 Roof/Reroof
070695 Roof/Reroof
ACT INSP COMMENTS
CO DC RENAI&-BDS -HOUSE & GARAGE
AP DC SECOND INSP @ 4:00 P.M.
CITY OF CARLSBAD
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1.
2.
3.
4.
5.
*6.
7.
8.
9.
JOB ADDRESS c23^7 rt o P, e o
TYPE OF BUILDING: RESIDENTIAL ^ COMMERCIAL
ROOF SLOPE: RISE A/ inches in 12 inches
TYPE OF EXISTING ROOF COVERING CcHfos<£ ««>j
NUMBER OF EXISTING ROOF
NEW ROOF MATERIAL &0«S<
NUMBER OF SQUARES % t
TRADE NAME ffi&f /
ROOF SYSTEM APPROVAL
COVERINGS- (circle one)(
2C,^<}.</ CLASS /)
SL
SHEATHING 'B&flftiss?\.
JJ 2
WEIGHT
i «o f ^T MANUFACTURER
3
PER SQUARE 2 ^0
EL«
l£ No. ^/^5" Other
10. IS THE EXISTING STRUCTURAL DESIGTj/SUFFICIENT TO SUSTAIN THE WEIGHT OF
THE PROPOSED ROOF YES I/ NO _
If the answer is no, a roof plan must be provided with this application.
11. Fire rating of roof: Class A r 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.
SIGN ' DATE
Contractor f^ Owner Contractor Name
*6 - Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built Ijp
City of Carlsbad
Building- Department
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
A. workers' compensation as provided by section 3700 of the Labor Code, for
the performance of the work for which this permit is issued.
^ have and will maintain workers' compensation, as required by section 3700
B. >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.
(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.
Signal 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 92OO9-1576 - (619) 438-1161 - FAX (619) 438-O894