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Home My WebLink About2411 LA MACARENA AVE; ; CB980927; Permit·, UJ/3U/98 14:39 Paqe 1 of 1 B U I L D I N G P E R M I T Job Address: 2411 LA MACERENA AV Suite: Permit Type: MISCELLANEOUS Parcel No: 255-070-49-00 Lot#: Valuation: 7,420 Occupancy Group: Reference#: Description: RE-ROOF,2800 SF-STANDARD WGHT : CONCRETE TILE W/CALCULATIONS Permi~ No: CB980927 Project No: A9~0121~ Development No: Construction Type: NEW Status: ISSUED 5546 03/30A'ISPOOo.tctl o 0t 3 o I 9 8 Apr /I~: 0 3/ ,l_ij@'.$e Entered By: RMA Appl/Ownr : BOB PIVA ROOFING 1192 INDUSTRIAL ESCONDIDO CA 760 745-4100 * * * Fees Required Fees: Adjustments: Total Fees: Fee description Miscellaneous Fee * MISCELLANEOUS T *** Collected & Credits *** it .00 .00 160.00 Ext fee Data 160 .00 PERMIT FEI 160.00 '1;L'"'J\?~"C'=----_-:_::-. --' .. -----------.... _,..,.. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92()()() (619) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 FOR OFFICE USE OJ:P., Y PLAN CHECK NO. 'tfe Cf :J, 7 EST. VAL. ,.,.-7 l:j 1=Q Plan Ck. Deposit ----,rq..+-- Address ITclude Bldg/Suite I) Business Name (at this addr ... l I Legal Description Lot No. Phase No. Total I of units Oescripti n f Work SO. FT. lof Stotiu 2. i:ONT~sxNllivtt:t~j ~·-~rt£'aFJ,;fJ-:,,/x'· .. ~~'""L:s·---?2i ~'{~---'()()(). qM~ Name · A City State/Zip Telephone I Fax II :3. Address Name 4. (};,1wJL Address S. CONTRACTOR -COMP.ANY NAME Telephone II C&i..s (' ,1-~ 2co8: State/Zip Telephone I (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, attar, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement thlt he Is Ncensed pursuant to the provisions of the Contractor's Ucense Law (Chapter 9, commending with Section 7000 of Division 3 of the Business end Profeuions Code) or that he 11 exempt therefrom, and the basis for the alleged exemption. Anv violet' of Sectio 1.5 by any ep !leant for a permit subject• the applicant to a civil penalty of not more than five hundred d~lars lt500)). tVA-- City State/Zip Telephone I License Cloos _ __.,(_--'3"--3_._ __ _ City Butlnes1 Ucene:e I ______ _ Designer Name Address Ctty State/Zip T .. ephone State License I _________ _ 8. WORKERS" COMPENSATION . -,-:,-· Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following dectarations: D I have and will maintain a certificate of consent to self.Insure for workers' compensation II provided by Section 3700 of the Lebor Code, for the performance of the work for which this permit is issued. ~ will maintain workers' compensation, as reQuired by Section 3700 of the Labor Code, for the perfDfmance of the work for which this permit Is issued. My worker's coJO'ensa · insurance carrier and policy number are: // l. '-1 /_ Op Insurance Company c..;r r --Policy No. lt£.. lf , ~J 2 2 ...... l Expiration Oate __ o"'-....,.L'-'a......,_ __ !THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS lt100J OR LESSI D CERTIFICATE OF EXE PTION: I certify that in the performance of the work for which this permlt is Issued, I shall not employ any person in any manner 10 as pt from the Contractor's License Law for the f~lowing reason: O 1, as owner of the property or my employees with w1ge1 11 their Rte compenution, will do the work and the lttUcture Is not intended or offered for sale (Sec. 7044, Buaineu and Professions Code: The Contr1ctor'1 License Law don not apply to an owner of property who builds or Improves therltOTI, and who does such work himself or through his own employHs, provided that such Improvements are not Intended or offered for Nie. tf, however, the building or Improvement 11 sold within one yHr of completion, the owner-builder will heve the burden of proving that he did not build or Improve for the purp011e of ■ele). D I, as owner of the property, am exclutively contracting wtth licensed contractors to construct the project (Sec, 7044, Buelness and Profeulo111 Code: The Contractor's License Law does not apply to en owner of property who builds or improves thereon, and contracts for euch pro}ect1 wlth contractorC1> Hcensed pursuant to the Contrector's Ucen1e Lewi, D I am exempt under Section ______ Business and Profe11lons Code for this re11on: 1 . I personally plan to provide the major labor and material, to, construction of the proposed property Improvement. 0 YES ONO 2. I lhave / have not) 1igned an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction !Include name / addru1 / phone number / contrectors license numbarl: 4. I plan to provide portions of the work. but I have hired the foUowlng person to coordinate, superviH and provide the major work (lnctude name / addr•• I phone number/ contractors license number):. ____________________________________________ _ 6. I will provide some of the work, but I have contrected (hlredl the following pwson1 to provldl the work lndk:ated llncluda name/ ■ddre11 / phone number/ type of work):. _______________________________________________________ _ PROPERTY OWNER SIGNATURE DATE ________ _ 'COMPLETE THIS SECTION FOR N::;.ON-RESID:::. ::-:;:.::;. ·=emu=· =··=···:7":i::-U=1LD1N=·=··=a-:-· =PE=·RM;; .. ;;.iTS::; .. ;;-. o=Nl.::;;:'j:;;,~:;,,..:;:,.;;, :;;:;;::;;::,~;:;,,.:;;.,.,;;;;;_;;-).;;:,p;; .. ;:;:, '· •\<·;',"" ,"''"""'~'7"'.'"'••·· .... ·.••····•"··•"' .. Is the _applicant or future building occupent required to submit e business plan, acutety hazerdous m■teriala reg'stratlon fOffll or risk ~negement and prevention program under Sections 25605, 26633 or 26634 of the Presley-Tenner Hazardous Substance Account Act1 0 YES O NO Is the applicant or future building occupant reQulred to obtain a permit from the air pollution control dlst'!,ct or elr quallty management district1 D YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a sch~ site? 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. !a... CONSTilucTioi\l lENOINO AGENCY ' .. I hereby affirm that there is I construction lending agency for the performance of the work tor which this permit Is l11ued (Sec. 30971i1 Civil Code). LENDER"S NAME_____________ LENDER'S ADDRESS. _______________________ _ rg_ APPLICANT "CERTIFICATiOlii .. , ,··-. ·•; .... _ . -,,. -·,. :~·· .' .. , '.,,_,; ''•l""f~ , .. .,,,,!!':r.:cr~,,·,:,,..,-.,"","7 ;'~"""Il'C"'.~,r·'·""''"' ·'·~-~1."''l"':'!"£"T-¥•·•'!";; ' I certify that I have read the application and state that the above information Is correct and that the lnfo,rnatlon on the plans 11 eccurate. I agree to comply with 111 City ordinences and State laws relating to building construction. I hereby authorize representative■ of the Cttt of Carlsbad to enter upon the above mentioned property for inspection purposas. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CtTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0""' dsep end demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by Building Official under the provision• of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is no men within 386 de ate of such permlt or if the building or work authorized by such permit ls suspended or abandoned at any time efter the (Section 108.4.4 Uniform Building Codeb _ APPLICANT·s SIGNATURE ·-· DATE :::, Jo· f /: WHITE: File YELLOW: Applicant PINK: Finance I CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB980927 FOR 04/09/98 DESCRIPTION: RE-ROOF,2800 SF-STANDARD WGHT CONCRETE TILE W/CALCULATIONS TYPE: MISC JOB ADDRESS: 2411 LA MACERENA AV APPLICANT: BOB PIVA ROOFING CONTRACTOR: PHONE: PHONE: PHONE: INSPECTOR AREA PS PLANCK# CB980927 OCC GRP CONSTR. TYPE NEW STE: LOT: 760 745-4100 OWNER: REMARKS: C/DANIEL/745-4700 SPECIAL INSTRUCT: INSPECTOR __ ?--+->~------- TOTAL TIME: CD 19 LVL DESCRIPTION ST Final structural DATE 040198 033198 DESCRIPTION Roof/Reroof Roof/Reroof ACT COMMENTS d}>_ ____ _ ***** INSPECTION HISTORY***** ACT INSP AP PS CO PS COMMENTS NO GAP AT ENDS