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Home My WebLink About2485 GARFIELD ST; ; CB972578; Permit- B U I L D I N G P E R M I T Permit No: CB972578 Proiect No: A9703278 Development No: 09/2'3/97 16:00 Page 1 of 1 Job Address: 2485 GARFIELD Permit Type: MISCELLANEOUS Parcel No: 203-022-09-00 Valuation: 5,832 Occupancy Group: ST Suite: Lot#: Reference#: Description: REROOF 2400 : ICBO 3523 SF, CLAYMAX LITE Appl/Ownr : SECURE ROOFING 2210 MEYERS AVENUE ESCONDIDO , CA 92029 'l<l<J<. Fees Required *** Fees: Adjustments: Total Fees: Fee description Miscellaneous Fee Miscellaneous Fee * MISCELLANEOUS T 760 9437 09123/97 ...M Cons+-ruct ion 1,?-.Qk. ~1 NE02 ~tcrt'ffltf. SSUE!0-00 Applied: 09/11/97 Apr/Issue: 09/11/97 Entered By: JM 432-9084 it PROVAL ,00 134.00 30.00 *** Ext fee Data 134.00 PERMIT FE~ 30 .00 REINPECT 164.00 '1, .,t.::;::;;a;;;;;;;;;....DATE /o -I?--7 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION FOR OFFICE USE O~? £....."' '1cj PLAN CHECK NO. o/ / ~/} CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. __ 7:.,.__f ..._J ...... 2---'b"'='"-,---- Plan Ck. Deposit ___ /,.........c.3_t'f:--'-, =tl~i;;'.>_ Validated By ____ ..:7~:::::;::--A_· ~---- Date ___ .....,.q;+-<{/'-",l~-~-7--- 1. PROJECT INFORMATION Business Name (at this address) Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use ~ fU . Description of Work 2. CONTACT PERSON (If different from appllc:entl Name 3. Name 4. PROPERJY OWNER · Eo ,,.~ s z/ftS Name 6. CONTRACTOR • COMPANY NAME Address gent for Contractor O Owner -Z.?.. )<J Address Address Proposed Use Fax# City State/Zip Telephone # (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 its 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 exempti n. Any violation of action 7031 .5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars I$ 5001). ~ /. o<:>~ -Z z.., p$ ~ v2. 7Z-o r Name State License # 5 ~ 0 R J ~ License Class --'(2_,:. =--2=---2~---City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: ..,.0 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 performance of the work for which this permit is issued. ,...er 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 is issued. My worker's co~:nsation insurance carrier and policy number are: /-/-J 0 Insurance Company ~ s/ e.,. /"Zuz d Policy No. 'Z. G'S -/</P'S -~ ) Expiration Date_..,_ ____ ~_.__O_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS) O CERTIFICATE OF EXEMPTION: I certify that in the performan.ce of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($ 0, 0), In add · t ti'! cos of compe sation, damages as provided for in Section 3706 of the labor code, IAerest and attorney's fees. SIGNATURE.~~..6.--==----/,!'.......!~~~...,~--~-:=-=.=:;..£L~------------DATE 7 -// -Z 2 7. OWNER-BUILDER DECLARATION• I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O 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 sale (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 who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is 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). O 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) licensed pursuant to the Contractor's License Law). O I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (have / have not) signed 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 / address / phone number / contractors license number): 4. 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): ______________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number/ type of work): ________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ _ DATE -----------COMPLETE THIS SECTION FOR NON-RESIDENT1AL BUILDINO PERMITS'ONtY 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 O NO is the applicant or future building occupant required to obtain a permit from the air pollution control district or air Quality management district ? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school 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. 08. . CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work ior which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS __________________________ _ 9. APPLICANT CERTIFICATION 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 Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, 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 an·d void if the building or 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 commence o P,eriod of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SiGNA TURE DATE _____________ _ PINK: Finance I!\ V CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS 2 4 f? 5 CS-4 rf; c(d S" f 2. 3. 4. 5. *6. 7. 8. 9. 10. 11. TYPE OF BUILDING: RESIDENTIAL;,<( COMMERCIAL __ ROOF SLOPE: RISE L/ inches in 12 inches TYPE OF EXISTING ROOF COVERING S"/2 e; )<e, SHEATHING J A 11) NUMBER OF EXISTING ROOF COVERINGS (circle one) (y 2 3 T NEW ROOF MATERIAL -zr;~ · CLASSL WEIGHT PER SQUARE t:cJO /65' NUMBER OF SQUARES _2__,~--- TRADE NAME C:l'?:.!f r(/ c; X MANUFACTURER V, S. ~ c' ROOF SYSTEM APPR(lVAL UL No.____ Otherf ~ jJ ~ tJ-"?'S 2 "J IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF YES _v NO __ _ If the answer is no, a roof plan 11111st be provided with this· application. Fire rating of roof: Class A,,,,,.-Class B. __ 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. 1-11-"}7 SIGN DATE Contractor j/ Owner __ _ Contractor Name._:::.~..::e:...:¢1=w:,....1.f..:c....._.,c.,£.....;:..::;6.=.0.:.f--=h:::....;:...c..,.sb-- *6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up. PERMIT# CB972578 DESCRIPTION: REROOF 2400 SF, ICBO 3523 TYPE: MISC CITY OF CARLSBAD INSPECTION REQUEST FOR 10/17/97 CLAYMAX LITE STE: INSPECTOR AREA PK PLANCK# CB972578 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 2485 GARFIELD ST APPLICANT: SECURE ROOFING CONTRACTOR: OWNER: REMARKS: C/PAM/432-9084 SPECIAL INSTRUCT: PHONE: 760 zz:4321 84 PHONE: , PHONE: INSPECTOR,_----':;;_ ________ _ TOTAL TIME: LVL DESCRIPTION ACT COMMENTS CD 19 ST Final Structural #------------------~ ------------------------------------ ***** INSPECTION HISTORY***** DATE 092497 092297 091997 091897 DESCRIPTION Roof/Reroof Roof/Reroof Roof/Reroof Roof/Reroof ACT INSP AP PD NS NF CO PK NR PK COMMENTS SHEATHING NEEDS RE-INSP FEE PAID RE-INSP FEE REQ WILL RECALL NOON