HomeMy WebLinkAbout2401 APPIAN RD; ; CB972707; PermitBUI
I.1Y.i23/37 13:25
Job Address: 2401 APPIAN RD
Page 1 of 1
Permit Type: MISCELLANEOUS
Parcel No: 167-382-03-00
Valuation: 2,880
Clccupancy Group:
Uescript.ion: REROOF 3000 SF,
: IJL
LDING PERMIT
Project No: A9703455
Permit No: CB972707
Development No :
Suite:
Lot#:
Reference#:
Construction Type: NEW
Status: ISSUED
COMPOSITION
Appl/Ownr : CUSTOM ROOFING
500 HACIENDA DRIVE
760 940-1288
Entered By: JM
VISTA, CA 92083
x** Fees Required A** Collected & Credits ***
""""""""""""- """""""""""""
Fees :
Adjust.rnents:
Total Fees: . 00
.00
89.00
Fee description Ext fee Data """""""""_
Miscellaneous Fee
x MISCELLANEOUS T
"""""""""
89.00 PERMIT F
89.00
,,.l..,_ II... ,, . '
_. ". '
,. .,.... ...
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
I FOR OFFICE USE ONLY ~ ~~~ ~
PERMIT APPLICATION PLAN CHECK NO. 972707
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
EST. VAL.
Plan Ck. Deposit
Validated By
Date (760) 438-1 161
4. I plan to provide portions Of the work, but I have hired the following petson to coordinate. supewise and provide the major work linclude name I address I phons
number I comnctors license numberi:
5. I will proMds some of tha work. but I haw Contracted (hired1 the following penom 10 provide the work indicated (include name I addrsrs I phone number I type
City ordinances and State law; relating to building Constwcfion. I hereby authorize represematives of the Cit of Cadsbad to emar upon the above mentioned
JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES,
APPLICANT'S SIGNATURE DATE 4~23-77
WHITE Fils YELLOW. Applicant PINK: Finance
CITY OF CARLSBAD
1.
2.
3.
4.
5.
f6.
7.
a.
9.
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11.
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
JOB ADDRESS 7-tQa I /3&ke . .a I COh bd
ROOF SLOPE: RISE '/ inches in 12 inches
TYPE OF EXISTING ROOF COVERING
NUMBER OF EXISTING ROOF COVERINGS -:ING (circle one) 3
NEW ROOF MATERIAL h- CLASS WEIGHT PER SQUARE
NUMBER OF SQUARES 3a
TRADE NAME RK. .4/.-s&cl - I MANUFACTURER kc
ROOF SYSTEM APPROVAL UL No. Other
TYPE OF BUILDING: RESIDENTIA~~ COWERCIAL -
,.
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: Class A- Class B-
I understand the following inspections an 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.
7-ZZ 47
MTE
J owner Contractor Name GJ// /7 VVL
PERMIT# CB972707
DESCRIPTION: REROOF 3000 SF,
UL
JOB ADDRESS: 2401 APPIAN
TYPE: MISC
APPLICANT: CUSTOM ROOFING
CONTRACTOR:
OWNER:
REMARKS: C/FIDEL/940-1288
SPECIAL INSTRUCT:
INSPECTION REQUEST CITY OF CARLSBAD
FOR 09/24/97
COMPOSITION
INSPECTOR AREA
OCC GRP
PLANCKX CB972707
CONSTR. TYPE NEW
RD STE: PHONE: 760 940-1288 LOT :
PHONE:
PHONE :
INSPECTOR e
TOTAL TIME: n ,
CD LVL DESCRIPTION
15 ST Roo€/Reroo€
***** INSPECTION HISTORY *****
ACT INSP COMMENTS DATE DESCRIPTION
- Ai'ORD, CERTIFICATE OF LIABILITY INSURANCE g;:$!2 DATE NY,W&yl
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATlON ONLY AN0 CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
09/20/97
COMPANIES ArrOROlNG COVERAGE
ROWCER
irthur J. Gallagher G Co. - SD
l.0. Box 609006 :an Diego CA 92160
lobert W. Haukom
-NO. 619-541-1900 FuNo. 619-277-4519
I5URED
Custom Roofing 500 Hacienda Drive Ste 127 Vista CA 92083
I COMPANY A Argonaut Insurance Company
COMPANY
B
COMPANY C
ID
COMPANY
EACH ACCIMM 8
AGGREGATE I8
EACH'OCCURRENCE 8
OTHER THAN UMSRELU FORM x ]yc!T&& I I E
*
EMrLoYERS uulul-f EL EACH ACCIOOn
. . . :. ., .. ,.:
81,000,000
THE?ROPRIETORI
PARTNOMXECVnVE INCL 20582115494 01/01/97 01/01/98 ELM5EASE-FVUCYUMn t1,000,000
OFFICEES ARE: E?CL ELDISEASE-EABUPLOYEE 81,000,000
OM
WO11ERC COYPENSATKHI 1wD OTK.: . ..: ..: :< ,'
A
WCRWTION OF OP61UWNS)LOW.TIONWW~~~
'ONLY EEIPLOYEES OF BUILDERS STAFF CORPORATION AS LONG AS THEY GA PERFORMING WORK WITHIN THE NATURE G SCOPE OF THEIR CONSTRUCTION EbfPLOYMENT ARE INSURED UNDER EVIDENCE OF COVERAGE PROVIDED"
CEATIFlCkTf HOLDER CAP4CELlAVON .. .. .
. . .. .
5HOUU) AHV OF TIE UOYE DBcRlBm rwClEI IE CAN- llEFOM THE
MIYITION DATE THBEOC. TWE mU*HI MYPW WILL €UD€4VOR TO YNL
Tom Bass
2401 Appian Rd
Carlsbad, CA 92008
30 DAYS wm NOTICE m TIE cemcl~~~~ HOU)~~ NAMm TO THE W.
Wl FULUIIE TO MU SUCH UmCL SHUl IMPOSE NO O.WITY)N OR LIMNIN
CORD 254 (11951 RD CORPORATION 19