HomeMy WebLinkAbout2386 BOTELLA PL; ; CB970712; Permitb I
CkEARAfrlCE
BUILDING PERMIT Permit No: CB970712
03/31/97 10:51 Project No: A9700927
Page 1 of 1 Development No:
Job Address: 2386 BOTELLA PL Suite:
Permit Type: MISCELLANEOUS
Valuation: 7,290 Construction Type: NEW
Occupancy Group: Reference#: Status: ISSUED
3708 03/31/97 ooo1 01. 02
Parcel No: 216-351-11-00 Lot#: C-mT 1&4 n 00
Description:
. Appl/Ownr
REROOF 3000 SF, LITE WEIGHT Applied: 03/31/97
ICBO 4660 Apr/Issue: 03/31/97 Entered By: JM
: BOB PIVA ROOFING 619 436-7775
2195 NDUSTRIAL AVENUE
ESCONDIDO, CA 92029
x** Fees Required
Fees :
Adjustments:
Total Fees:
....................
Fee description
Miscellaneous Fee #4 * MISCELLANEOUS TOT
....................
.00
* 00
164.00
Ext fee Data .--_--_---------
164.00 PERMIT
164.00 '
FEE
cpryoFCMpL&BAD
20'75 Las palmas Dr., -, CA 92009 (619) 438-1161
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING
2075 Las Palmas Dr., Carlsbad
(61 9) 438-1 161
d
DEPARTMENT
CA 92009
FOR OFFICE USE ONLY I PLAN CHECK NO. .?27?'/2?
Date
9'y' Unk No. -No. TotalIof units Legal lkraiption Lot No. Subdivision NmmdNwnkr
Name / Address City Statap Telephone # Fax X
(Sac. 7031.5 Business and Rofasdons Code: Any Ci or CWmV which rWirU a pumit to construct, &of, improve, do& or r@r any 8truchm. prior to Its
issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the prov*irm of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Busi~ and Professions Code1 or that h. b omrnpt themfmn, and the basis for the dleged
StstebconseI 318438 b~eclass c-3Y *BUSiMSSWt
StataRip fdephom Dastgner Name Address citv
State License I
I have and will maintain a certificate of to~.nt to ulfinsure tor workan' compmaation u providod by Soction 3700 ot the Labor Code, for the pertormanee
I have and will mint& workers' mmpens8tion. as raquirod by Section 3700 of thm Labor Cod., for the pwtonnaco of th. work for'which tftis permit b
of she work for whiichthis pwmit is issued.
0
Policy No. x/L.crr? 7cY , IL/aoo ExpimtionDate6'('C(7
ITHIS SECTION NEED NOT BE COMPLETED IF THE PEf& IS FOR ONE HUNDRED DOUARS I$lM)f OR LESS)
0
to home subject to the Workers' Compensation Laws of California.
WARNING: F.ilun to ..cua.worlun'
thwrvd ddbn 1$100,000). h dditiontothe cost of compensation. durugu u pmvidod for h Soctbn 3706 of UN bb~ cob, htrrt md attomoy'a f.u.
CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this pennit is iswed, I &all not omploy any parson in any mannor so M
CWm i8 unl.wN. md rh.l rubi.ct m Ompbyrto ah*IJ pmtdlb rd dvil tbwr up to Q). hunbrd
.BUILDER DECIARAW
0 I, as owner of the property or my employees with wages as their role compensation, will do the work and the atructum is not intended or offemd for ule ISec. 7044, Business and Professions Code: Tho Contractor's bCans0 Law doa not apply to an owner of plop.rty who build8 or improva thorm, and who dooa
such work himsdf or through his own employees, provided that such improvements are not intendad or offwd for sale. If, howew, the building IX improvomont k
sold withn on0 yoar of completion, the owner-buildrr will have the burdon of proving that ha did not build or Improw for Uu pur~080 of &I.
0 I. M owner of the propmy. am exdurivdy contracting with licemod contractors to conarum th. pr0l.a W, 7044. ~uinu ud Rof.crion c&. Contractor's Licare Law dom not apply to an oww of prop.rty who bulldm or improvos thwoon, mnd wntmcta for ouch wojact8 with contmctds) Iiconad
purrunt to tho Contractor's Licenu Law).
0
1.
2.
3.
.
I em exempt under Section
I pomnally plan to provide the major labor and mst.r*lr for construction of the propoaed propmy impnnnnwm. 0 YES ON0
I (have / have not) signed an application for a building permit for the proposod work.
I have contracted wnh the following person (firm) to provide the proposed construction (include name I address I phone numbor I contracton licetwo number):
Businass and Professions Cod. for this mason:
4.
number I contractors license number):
5.
of work):
I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address I phone
I will provide some ot the work, but I have contracted (hired) the following persons to provide the work indicated (indude name I address / phone number I type
PROPERTY OWNER SIGNATURE DATE ., I -" isecm- - UWQ.WN
b *s a;2licznt 0: futwe bwUfig mxupant iw&rd io rutmit a bwi- pian, ecur.ly rWroous matodata r.gnntton tom or risk IVUIU~OWWI~ and pmntion
program under Suctions 26606,26533 or 26634 of tho Rdey-Tmnnu Hazardour Substaco Account Act? 0 YES 0 NO
Isshe applii or future building occumnt r.guind to obuin a p.nnit from tho air potluuon control district of Jr SUrHtv mon8gomrm district? 0 YES 0 NO
Irthef.dlitytokC4MR(Ctedwwjthin1,000f..tofshewtu~ryofarchodsite? 0 YES 0 No
IF ANY OF THE ANSWERS ARE YES, A RNIU CERTIFICATE OF OCCUPANCY MAY NOT IK WED UNLESS THE APPWANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERCENCY S€RVICES AND THE AIR POUUTlON CONTROL DISTRICT.
ENDING';A~E~~
I hereby affirm that there is a construction lending agency for the performance of the work for which thin pennit is iOrwd (S.C. 3097ti) Civil Cod.).
I certify that I have read the applicatim and state thst the sbove informatton is correct and that the information on tho plans is accu~ne. I agrw to comply wnh all
Ci ordinances and Stwe laws relating to building consttuction. I hereby authorize r0pr.Untativm of the Ci of Corkbad to enter upon tho above mentioned property for inspection purposes. 1 ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AWNST Au UABILITIES, JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AOAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
EXPIRATION: E
work authwwd
or abandoned n
APPLICANT'S SIGNATURE
oid if the building or permit IS suspended
WHITE: File YELLOW: Applicant PINK: Finance
CITY OF CARLSBAD
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
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JOB ADDRESS - 386
TYPE OF BUILDING: RESIDENTIAL )( COMMERCIAL
ROOF SLOPE: RISE y inches in 12 inches
TYPE OF EXISTING ROOF COVERING
NEW ROOF MATERIAL /!!h+ CLASS A WEIGHT PER SQUARE
NUMBER OF SQUARES
TRADE NAME
ROOF SYSTEM
IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF
THE PROPOSED ROOF YES >c NO
If the answer is no, a roof plan must be provided with this application.
Fire rating of roof: Class A Class B
NUMBER OF EXISTING ROOF COVERINGS %IATHLNG (circle one) 1 2 3
MANUFACTURER 5 - 8 /As
Other kbh 0
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.
75-2 /%-7
SIGN DATE
Contractor Owner Contractor Name (z5#&wz cR_
*6 - Rolled Roofing, Tile, Shake, Shingle, Asphalt/Cmp Fiberglass, Built up.
*
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB970712 FOR 04/17/97
DESCRIPTION: REROOF 3000 SF, LITE WEIGHT
TYPE: MISC
JOB ADDRESS: 2386 BOTELLA PL
APPLICANT: BOB PIVA ROOFING
CONTRACTOR:
OWNER:
ICBO 4660
INSPECTOR AREA DC
PLANCK# CB970712
OCC GRP
CONSTR. TYPE NEW
STE : LOT:
PHONE: 619 436-7775
PHONE :
PHONE :
REMARKS : RS/DAVID/ 7 4 5-4 7 0 0
SPECIAL INSTRUCT:
INSPECTOR A
TOTAL TIME:
CD LVL DESCRIPTION ACT COMMENTS
15 ST Roof/Reroof
***** INSPECTION HISTORY *****
DATE DESCRIPTION
04 04 97 Roof/Reroof
ACT INSP COMMENTS
CO DC SEE INSP NOTES