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Home My WebLink About2398 APPIAN RD; ; CB971137; PermitBUI 05/05/97 16:31 I Job Address: 2398 APPIAN RD Page 1 of 1 Permit Type: MISCELLANEOUS Valuation: Parcel No: 167-370-08-00 3,168 Occupancy Group: Description: RE-ROOF,3300 SF LDING PERMIT^ Permit No: CB971137 Project No: A9701455 Suite: Development No: Lot# : Construction Type: NEW FIBERGLASS Reference#: Applied: 05/05/97 Status: ISSUED Apr/Issue: 05/05/97 Entered BY: RMA Appl/Ownr : SUPERIOR ROOFING 8450 VIA SONOMA LA JOLLA CA 92037 619 453-932 It& ts *** 00 .” _” - - ” ” 105.00 .PERMIT FE 105.00 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palrnas Dr., Carlsbad CA 92009 (760) 438-1 161 I FOR OFFICE USE ONLY I PLAN CHECK NO. 4 7 ! ! 37 EST. VAL. 3/6y Plan Ck. Deposit Date 7 whyh thf. qrmit is issued. 0 I have and will maintain e certificate of consent to self-insure for workas' compmetion as provided by Seetion 3700 of the Labor Code. for the performance issued. My wofker's com e sa ' n inw Cenm and policy Wmhr ue: I have and WIN memta~n workers' cornpensmion. as required by Saction 3700 of the bbor Cod.. for the performance of the work for which ih46 permit is Insurance Company >-FA&> E2 Policy NO. /i - Wi'2 / 6 Expiration Date g-/-9 7 - (THIS SE TlON NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOURS It1 Wl OR -SI / CERTIFICATE OF EXEMPTION: I mrtify that in tha pmformmce of ths wmk for which this pmlt ia issued, I ahall not employ any person in any manner ED *a to become subject to the Workers' Compsnaation Laws of California. such work himself or thfough his own employees. providad that such improvemema ere mt intended oI offered for sale. If. howeva, tho building w Improvement la told within ma yam of cornpimion, the o*msr-builde, win have ths &den of proving that ha did not build 01 improve Iw the PYIPO~O of eelol. 0 I, as owner of the property, em exclusively contracting with licensed comracton to ConstRlft ths proieet IS-. 7044. Buainees 8nd Roleasions Cod.: Ths Contractor's License Law don not eppiy to an owner of propmy who builds or improves thereon, nnd contracts for such projecta with contractorlsl IicEnSed Pursuant to the Contractor's Ucem bwl. 0 I am exempt under Saction Businns and Rolllions Code for this won: 1. I psmondly plan to provide the mejor labor end mau).ls for cmtrmCtion of tha pmposad pmprty improvemmt. 0 YES ON0 2. I (have I have not1 sigmd an application tor e buiidinp permit for the pIDP0t.d work. 3. I have comractd with tha foliowing pmon (fitml to provide tha propored cmrmkcion ~includs name I I phcm numbof I cmnctws license numbrl: 4. I plan to provide portiom of the work, but I ham Mrad th. following pnon to coordinate. aupaviae and prwida the mabr work lindude rum0 I IddIeSS I PhDrn number I COmraRoR Iicme numbrr): 5. I will provide some of th. work, but I haw contracted (hiredl the fO(l0winQ pwna 10 provide ths work hdicmed Ihekrd. narm fahs t Ph-nW nwnb.r I type I certify ihat I ham mad the .ppliution and nn~ thai iha .bow InfamIUon b MI.CZ nd Uut iha infomudon on the P(.m is ISCIIR~~. I WIN to complv with all cw ordim- and State laws nlning to Mldinp eonatruetion. I hnrbv authwb. repmntetivn of th. Cnt of Cubbad to antsf won th. above mentioned JUDGMENTS. COSTS AND EXPENSES WHICH WAV IN ANY WAY ACCRUE AWNST SAKI Cm IN CONSEDUENCE OF THE QRANTINQ OF THiS PERMIT. propem for inspection purpases. I ALSO AGREE TO SAVE. INDEMNIFV AND KEEP HAUMLESS THE CITY OF CARLSW AQAINST ALL UABILITIES. OSHA: An OSHA parmit is required for excavelions over 6'0' dwp and dsmdiion or CDNtruction of mNctYr~6 oval 3 moriea In heiom. EXPIRATION Ev~y permit isruad by the Building Officlai under tho provisions of this Code sh.U expire by limitation and become null and void if fha building or work wthorirad by such te of awh permit or if the buildin@ or or abandoned at any time (Seaion 108.4.4 Uniform Buliding Code). APPLICANT'S SIGNATURE DATE CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING JOB ADDRESS a 3 ROOF SLOPE: RISE L/ inches in 12 inches . TYPE OF EXISTING ROOF COVERING SHEATHING C&A TYPE OF BUILDING: RESIDEN~A~~OMMERCIAL - NUMBER OF EXISTING ROOF 2 3 NEW ROOF MATERIAL TRADE NAME,' Z~~=~~-/LNUFACT~RER NUMBER OF SQUARES ROOF SYSk APPRO AL UL No. Other IS THE EXISTING STRUCTURAL DESIG SUFFICIENT TO SUSTAIN THE WEIGHT OF If the answer is no, a roof with this application. - THE PROPOSED ROOF YES 6.2- NO Fire rating of roof: Class A- 1. 2. 3. 4. 5. '6. 7. a. 9. 10. 11. I understand the following inspections are required: 4. Tear Off/Pre-inspection prior to installing new roof covering. 2. Final Inspection I I agree to provide a ladder extending at least 2 rungs above the roof for inspection. \ - Y , DATE Contractor Contractor Name *6 - Rolled Roofing, Tile, Shake, Shingle, Asphalt/Conp Fiberglass, Built up. CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB971137 FOR 05/16/97 DESCRIPTION: RE-ROOF,3300 SF FIBERGLASS TYPE: MISC JOB ADDRESS: 2398 APPIAN RD APPLICANT: SUPERIOR ROOFING OWNER: CONTRACTOR: REMARKS: RS/DAVID/453-9326 SPECIAL INSTRUCT: PLANCK# CB971137 INSPECTOR AREA OCC GRP CONSTR. TYPE NEW PHONE: 619 453-9326 PHONE : PHONE : STE : LOT : INSPECTOR TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS DATE DESCRIPTION 051297 Roof/Reroof ***** INSPECTION HISTORY ***** ACT INSP COMMENTS AP DC STATE P.O. BOX 420807, SAN FRANCISCO, CA 941424807 COMPENSATlON INSURANCE Fu N D CERTIFICATE OF WORKERS COMPENSATION INSURANCE APRIL 24, 1997 r CITY OF SAN DIEGO ATTN: BUILDING DEPARTMENT SAN DIEGO CA 92101-4153 1222 FIRST AVENUE, MS 301 L CERTIFICATE EXPIRES 8-1-97 POLlcl NUMBER: 1351231 - 96 JOB: ALL OPERATIONS This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California - Insurance Commissioner to the employer named below for the polic period indicated. 3b This policy is not subject to cancellation by the Fund except upon ##days' advance written notice to the employer. We will also give you days' advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policies listed herein. Notwithstanding any requirement, term, or condition of any contract or other document with respect to which this certificate of insurance may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions and conditions of such poticies. 30 AUTHORIZED P-4- REPRESENTATIVE PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENC ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 04/24/97 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. EMPLOYER r DAVID L LURING 8450 VIA SONOMA #103 LA JOLLA CA 921137 NR