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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 1. 2. 3. 4. 5. *6. 7. 8. 9. 10 . 11. 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