HomeMy WebLinkAbout2384 BOTELLA PL; ; CB972244; PermitBUILDING PERMIT Permit. No: CB972244
08/11/97 08:32 Project No: A9702830
Page 1 of 1 Development No:
Job Address: 2384 BOTELLA PL Suite : Permit Type: MISCELLANEOUS
Parcel No: 216-351-12-00 Lot#:
Valuation: 0 Construction Type: VN
Occupancy Group: Reference#: Status: ISSUED
Description: 37 SQUARES OF COMP. RE-ROOF Applied: 08/11/97
Apr/Issue: 08/11/97
Entered By: MDP
Appl/Ownr : BEACH CITIES ROOFING 619 753-3945
939 OCEANVIEW AVE
ENCINITAS, CA. 92024
x** Fees Required *** ollected b Credits ***
Adjustments: .oo
Total Fees: a00
------------_------------- -____________--_--_______
Fees :
104.00
Fee description Ext fee Data
Miscellaneous Fee 104.00 PERMIT * MISCELLANEOUS T 104.00
-_______-----___-- ------------------
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
'ERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
c
(760) 438-1 161
FOR OFFICE USE ONLY
PLAN CHECK NO.f] - *Y
EST. VAL.
Pian Ck. Deposit
Validated By
Date
Assessor's Parcel X Existma Use Prowsed Use
2. CONTACT PERSON (If Wrd h
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repeir eny structure, prlor to its
issuance, also requires the epplicent for such permit to file e signed statement that he is licensed pursuant to the provisions of the Contrector's License Law
[Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Codel or that he is exempt therefrom, and the basis for the elleged
exemption. Any violation of Section 7031.5 by any epplicant for e permit subjects the applicant to e civil penalty of not mora than five hundred dollars [$500)). C&a LjqiFG (L/ylFiUt; 949 t9CLA~El.d #?:bl&.laLlrp, C4 wt/ 7SA-274' Addr6ss City StateIZip e ephorh X
State License # b4 4- / (0 /@
Designer Name Address City StateRip Telephone
6. WORKERS' COMPENSATION Workers' Compensation Decleration: I hereby affirm under
-e and will maintain a certificate of consent to self-insure for workers' compensation es provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
0 I have and will maintain workers' compensation, es required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My worker's comprnsat
(THIS SECTION NEED SO+ BE COYPLmD IF THE PERMlT IS FOR ONE HUNDRED DOLLARS l$l001 OR LESS)
0 CERTIFICATE OF EXEMPTION: I certify that in the performance of tho work for which this permit is issued, I shall not employ eny person in eny manner so as
to become subject to the Workers' Compensation Lews of California.
WARNING: Failure to secure workm' comp.nutkn cwmmge la urkwful. md shal a-ct an employer to ulmlrd pmdtias and clvi) fines up to one hmdd
thousand dd1.r. l$lOO,OOO), in mddition to the coot of compM88t&n, damagoa u providd tor h s.etkn 3706 of tlm hbaf code, interest nd attwy's faas.
SIGNATURE DATE
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 1, 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 ISec. 7044, Business and Professions Code: The Contractor's License Law does not apply to en owner of property who builds or improves thereon. end 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 selr). D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ISec. 7044, Business and Professions Code: The
Contractor's License Law does not apply to en owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed
pursuant to the Contractor's License Lew).
0
1.
2.
3.
4.
number I contrectors license mmber):
5.
License class L - '3 7 City Business License X
State License X -
rance carrier and pdicy number ere:
Insurance Company 4 fA FdrJ p Poiicy NO. 1 Q , q%dy - qo Expiration Date m
7. OWNER-EUILDER DECIARATION
I am exempt under Section
I personally plen to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0
I (have I have not) signed an epplication for e building permit for the proposed work.
I have contracted with the following person (firm) to provide the proposed construction (include name I address / phone number / contractors license number):
I plan to provide portions of the work, but I have hired the following person to coordinate, supervise end provide the major work (include name I Bddress I phom
I will provide some of the work, but I have contracted (hired) the following pefsom to provide the work indicated lidude name / address / phone number / typI
Business end Professions Code for this reeron:
PROPERTY OWNER SIGNATURE DATE
'COMPLETE THIS SECTKIN FDR NO~~'&f~~
Is the applicant or future building occupant required to submit a businesa pien, acutely brdous meteriels rogistretion form or risk management and prevention
program under Sections 25605, 25533 or 25534 of the Predey-Tanner Hazardow Substance Account Act?
Is the applicant or future bbilding occupant required to obtain e permit from the eir pollution control district or air quatfty manegement district? 0 YES 0 NO
Is the facility to be constructed within 1,OOO feet of the outer boundary of e achad site?
IF ANY OF THE ANSWERS ARE YES, A flNAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETlNQ THE
0 YES 0 NO
0 YES 0 NO
of the work for which this permit is issued (Sic. 3097li) Civil Code).
LENDERS NAME LENDER'S ADDRESS
$9. APWdANT CERnFlarioN
I certify that I heve read the applic
City ordinances and State laws rdathg to building conmuct+on. I hamby authorize repmsentativ~ of the Cir) of Carlsbad to enter upon the above mentioned
property for inspection purposee. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CrrY OF CARLSEAD AQAJNST AU UABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AQAINST SAID CITY IN CONSEQUENCE OF THE QRANTlNQ OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations oyer 5'0' deep end demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit
work authorized by such pe or abandoned at eny time after
APPLICANT'S SIGNATURE DATE
limitetion and become null end void if the building or
date of such permit or if the building or work authorized by such permit is suspended
eys (Section 106.4.4 Uniform Building Codrl.
CITY OF CARLSBAD
..
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1.
2.
3.
4.
5.
*6.
7.
a.
9.
10.
11.
JOB ADDRESS 2 3% y en 7Gd,4A LALF
ROOF SLOPE: RISE inches in 12 inches
TYPE OF EXISTING ROOF COVERING s&AKF SHEATHING- ,@
NEW ROOF MATERIALM S WEIGHT PER SQUARE 3 & 0
NUMBER OF SQUARES 77
TRADE NAME &PkA/- 7 5 $if *J
ROOF SYSTEM APPROVAL UL No. Other&!q #
IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF
THE PROPOSED ROOF YES NO
If the answer is no, a roof plan must be provided with this application.
Fire rating of roof:
TYPE OF BUILDING: - RESIDEMTIAL- d ~OIMERCIAL
NUMBER OF EXISTING ROOF COVERIN(% -(circle one) 0 2 3
NUFACTURER Edk *&Sf'j VE
Class A -g Class B
I understand the following inspections are required:
1.
2. Final Inspection
Tear Off/Pre-inspection prior to installing new roof covering.
I agree to provide a ladder extending at least 2 rungs above the roof for inspection.
- Contractor (d Owner Contractor ~asle~s h~fi ~/7/~,5 &AFJ -- jd
*6 - Rolled Roofing, Tile, Shake, Shingle, Asphalt/Conp Fiberglass, Built up.
CITY OF CARLSBAD INSPECTION REQUEST PERMIāT# CB972244 FOR 08/20/97 DESCRIPTION: 37 SQUARES OF COMP. RE-ROOF
TYPE: MISC
JOB ADDRESS: 2384 BOTELLA PL
APPLICANT: BEACH CITIES ROOFING
CONTRACTOR:
OWNER:
REMARKS: C/JERRY/753-3945
SPECIAL INSTRUCT:
TOTAL TIME:
CD LVL DESCRIPTION
19 ST Final Structural
INSPECTOR AREA TP
PLANCK# CB972244 OCC GRP CONSTR. TYPE VN STE : LOT: PHONE: 619 753-3945
PHONE :
FMMENTS
***** INSPECTION HISTORY *****
DATE DESCRIPTION 081297 Roof/Reroof ACT INSP COMMENTS AP TP SOLID SHTING FOR COMP