HomeMy WebLinkAbout2469 OCEAN ST; ; CB970224; PermitB U I L D I N G P E RM I T Permit No: CB970224
02/06/97 08:06 Project; No: A9700315
Page 1 of 1 Development No:
Job Address: 2469 OCEAN ST Suite:
Permit Type: MISCELLANEOUS
Parcel No: 203-021-03-00 Lot#:
Valuation: 3,168 Construction Type: NEW
Occupancy Group: Ref erence#: Status: ISSUED
Description: RE-ROOF,3300 SF COMPOSITION Applied: 02.106/97
Apr/Issue: 02/06/97
Entered By: RMA
Appl/Ownr : SECURE ROOFING 619 432-9084
2210 MEYERS AV
ESCONDIDO CA 92029
* Fees Required *** Collected & Credits
Adjustments: 00
Fees: 105.00
Total Fees: 105.ou .00
Fee description 1 '1
9 02/06/91 &gOlo 01 02
00
Miscellaneous Fee #11 PERMIT FEE
MISCELLANEOUS TOTA 105 .00
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rTIIL APPROVL..-
P.4 DATE_2- ~'I
[.ARANCE
CITY OF CARLSBAD
2075 Las PalniasDr., Carlsbad, CA 92009 (619) 438-1161
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PERMIT APPLICATION
CITY OF CARLSBAD BUILDING. DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009 -.,—
(619) 438-1161
FOR OFFICE USE ONLY
PLAN CHECK NO._________
71 iiti EST.VAL. __________
Plan Ck. Deposit
Validated By________________________
Date Lfg1
Address (include Bldg/Suite IL • A Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of Units
Assessor's Parcel 1
, / ... Existing Use Proposed Use
Descn SQ. FT. ption of Work /?e " ot'' i' o o
I of Bathrooms
O I'
Address City State/Zip
City State/Zip
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to it
s
issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law
(Chapter 9. commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged
exemption. Any violation o,S.,tion 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$5001). .— 1 -- --- - -- - ,..(. ,,t__ s- _ • C. Name Address
State License I S- 0 9.26 License Class / 3 7
City State/Zip
City Business License I
Designer Name Address City State/Zip Telephone State License I
WOCOMPENTION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performa
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of the work for which this permit is issued.
J2J I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit i
s
issued. My worker's compe atio insure a carrier and policy number are:
Insurance Company (?/" (?fr)7) Policy No.41 I /2_t 7 (7-.I Expiration Data
(THIS SECTION NEED NOT BE COMPLETED IF TAE PERMIT IS FOR ONE HUNDRED DOLLARS I$1001 OR LESS)
CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as
to become subject to the Workers' Compensation Laws of California.
WARNING: Failure to secure-workers' compensation coverage is unlawful. and shell subject an employer to criminal penalties and civil fines up to one
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thousand dollars ($100 00), in addition the cost of mpensation. damages as provided for In Section 3706 of the Labqr code, Interest and attorney's teds.
SIGNATURE DATE 7. OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sal
e
(Sec. 7044. Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, an
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such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvemen
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sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
I, as-owner of the property, am exclusively contracting with licensed contractors to construct The project (Sec. 7044, Business and Professions Code: The
Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s)
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pursuant to the Contractor's License Law).
0 I am exempt under Section Business and Professions Code for this reason:
I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO
I (have I have not) signed an application for a building permit for the proposed work.
I have contracted with the following person (firm) to provide the proposed construction (include name I address! phone number I contractors license number):
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! phone
number / contractors license number):
I will provide some of.the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address / phone number /type of work):
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PROPERTY OWNER SIGNATURE DATE QMWTHIS$ECTIOP&FOR
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO
Is the applicant or future building occupant required to obtain a permit from the sir pollution control district or air quality management district? 0 YES 0 NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 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.
ONSTRUCTION ENDINAGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME LENDER'S ADDRESS_____________________________________________________
APPLICANT CERTlFlCATlONi
I certify that I have read the application and state that the above information is correct and that the information on the plans Is accurate. I agree to comply with all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentio
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property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABILITIES,
JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0 deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the
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work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended
or abandoned at any time after the work is ommenced to edd of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE (_......_7_.a-2Z...,L_—,. DATE -2 —
0-- '' T7
WHITE: Filc-'tEtcApplicant PINK: Finance
I
1 CITY OF CARLSBAD
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
JOB ADDRESS 7 '7 f3 /7 (Qr 41,19-
TYPE OF BUILDING: RESIDENTIAL y COMMERCIAL
ROOF SLOPE: RISE 4' inches in 12 inches
TYPE OF EXISTING ROOF COVERING cA,,cJcs SHEATHING c1k
NUMBER OF EXISTING ROOF COVERINGS (circle on-Ie) 1 2 3
*6. NEW ROOF MATERIALf1/c 4/ 0 -. ____ CLASS_ WEIGHT PER SQUARE .3 ?O
NUMBER OF SQUARES T7 ?
TRADE NAME ?-T'&d) /-JJ<' MANUFACTURER_______________
ROOF SYSTEM APPROVAL UL No. Other__________
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 V Class B____
I understand the following inspections are required:
Tear Off/Pre-inspection prior to installing new roof covering.
Final Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for inspection.
SIGN DATE
Contractor Owner Contractor Name_____________________________
*6 - Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up.
CITY OF CARLSBAD
INSPECTION REQUEST
PER1ilT# CB970224 FOR 02/18/97
DESCRIPTION: RE-ROOF,3300 SF COMPOSITION
TYPE: MISC
JOB ADDRESS: 2469 OCEAN ST
APPLICANT: SECURE ROOFING PHONE:
CONTRACTOR: PHONE:
OWNER: PHONE:
INSPECTOR AREA
PLANCK# CB970224
0CC GRP
CONSTR. TYPE NEW
STE: LOT:
619 432-9084
REMARKS: MW/MARK/432-9084
SPECIAL INSTRUCT:
TOTAL TIME:
CD LVL DESCRIPTION
15 ST Roof/Reroof
-P INSPECTOR
zz A rvd (./
ACT COMMENTS
INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP COMMENTS
020797 Roof/Reroof AP DC