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Home My WebLink About2505 LA MACARENA AVE; ; CB960420; Permit03/13/96 15:16 Page 1 of 1 B U I 1Job Address: 2505 LA MACERENA Permit Type: MISCELLANEOUS Parcel No: 2S5-070-52-00 Valuation: 6,888 Occupancy Group: Description: 2400 SF RE-ROOF : ENG CALCS Appl/Ownr : URBACH ROOFING L D I N G P E R M I T Permit No: CB960420 Project No: A36006l'l Development No: AV Suite: Lot#: 6494 03/13/96 ~01 01 C2 Construction Type: PWffw 149.oo Reference#: W/CLAY TILE & Status: ISSUED Applied: 03/13/96 Apr/Issue: 03/13/96 Entered By: RMA 619-431-5113 2131 PALOMAR AIRPORT RD #300 CARLSBAD CA 92009 *** Fees Required Fees: Adjustments: Total Fees: Fee description Miscellaneous Fee #1 * MISCELLANEOUS TOTA *** ~• I ' CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 .oo .oo 149.00 *** Ext fee Data 149.00 PERMIT FEE 149.00 PERMIT APPLICATION o4aD City of Carlsbad Building Depart-,t 2075 Las Pal..,. Dr., Carlsbad, CA 92009 (619) 438-1161 I. JSP.ilM.11 l'YPB From List 1 (see back) give code of Permit-Type: ___________ _ For Residential Projects Only: From Llst 2 (see back) give Code of Structure-Type: ____________________ _ Net Lrn;.vGain of Dwelling Units 2. PRCllF.C'f INFORMATION FOR OFFICE USE ONLY Address a 5(;5' J..c,. 111 c:t.~ a,,,,;_, 8u,idmg or Suue No. Nearest Cross Street /1'\ i'<C.:[.,~"()\) /l" l.EGAL DESCRIP'I ION Lot No. Subd1V1s1on Name/Number Omt No. Phase No. # OF BEDROOMS # OF BATilROOMS I NAME (last.name first) ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE 4. APPUCANI D(WNIRACIOR OAG£NI FORCONIRACIOR uuwNtK DAGEN! FOR OWNER NAME (last name first) UJe8/ICH /l(v~J/lc.,ADDRESS .;J. l3I Pt.lorn~ CJ,,.~ /ed.. -4J ?,0(.) CI1Y ~ STATE (Pr ZIP CODE <o,ooq DAY TELEPHONE 4':,l-':i'/1?> 5. PROPFJtiY OWNEk NAME (last name first) a.letarid-u,) c~. & 11/e; ADDRESS J 5'15' u.. m .. ...a,,.,,.I) ... ~ Cl1Y ~ STATE cA ZIPCODE q'),.(;(Jf DAYTELEPHONE 4'?)/,-'11,'f NAME (last name first) ADDRESS dJ / 3/ ~ ~ /l,J... .ft 3 W CI1Y ~ te!,c,.t.-,-,.,J.~ATE<..A ZIP CODE q')-oor DAY TELEPHONE 4 3 / -S"( (] ~ STATELIC. # t,~if'U8 LICENSE CLASS C-3'/ CI1YBUJINESSLIC. # IJ100;J,'/1'1 DESIGNER NAME (last name first) ADDRESS µl1t11Y 7. WORkkits WMPENSAIION STATE ZIP CODE DAY TELEPHONE STATE LIC. # Workers' Compensation Oeclaranon: I hereby afhrm that I have a certihcate of consent to self-msure issued by the b1rector of lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department ?~on 3800, Lab. C). INSURANCE COMPANY 5 n,/.J POLICY NO. a35-91, l,f),t~IRATIONDATE /-/-f'7 rt1 1cate o xempbon: certJ at m t e pe ormance o e wor or w 1c t 1s permit 1s 1ssu , s a not emp oy any person m any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. OWNmt-HOllDitll DEC!lARAIIUN □ ,vlf\ □ □ Uwner-Bu!Jder oedarafion: I hereby afhrm that I am exempt from the Contradofs License Law for the followmg reason: 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 Llcense 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 chat 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.). 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 Llcense 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 Llcense Law). I am exempt under Section _______ Business and Professions Code for this reason: (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 Llcense Law (Chapter 9, commencing 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 of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500)). SIGNATIJRE DATE COMPLEIE IHIS SECIION FOR NON-RESIDENIIAL BOIWING PERMll'S ONLY: 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? □YES □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 ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES ONO IF ANY OF 11IE ANSWERS ARE YES, A FINAL CERTIFICATE OF oa:IJPANCY MAY NOT BE J!iSUED AF11!R JULY 1, 1989 UNLESS 11IE APPLICANT HAS MET OR IS MEIITING 11IE REQUIREMENTS OF 11IE OFFICE OF EMERGENCY SERVICES AND 11IE AIR POILUTION CX>NTilOL DISI111Gr. 9. WNSIROCIIUN LENDING AGENCY I hereby affirm tfiat tfiere 1s a construction lending agency for the perfonnance of the work for which this permit ts issued (Sec 3097 (I) CtvU Code). LENDER'S NAME LENDER'S ADDRESS 10. APPIJCAN I CFJtIOiCA:liON I certify that I have read the apphcabon and state that the above miormat1on 1s correct. I agree to comply with all City ordmances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I AlSO AGREE 1U SAVE INDEMNIFY AND KEEP HARMIJ!SS 11IE CI1Y OF CARISBAD AGAINSf AIL IJABIUl1ES, JUDGMENTS, CDSTS AND EXPENSES WIDCII MAY IN ANY WAY MDUJE AGAINSf SAID CI1Y IN CX>NSEQIIENCE OF 11IE GRANTING OF 11IIS PERMIT. OSHA: An OSHA pennit is required for excavations over S'O" 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 building or work authorized by such pennit 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 aban at any time after e work is commenced for a period of 180 days (Section 303(d) Uniform Buii¥'.;12' APPLICANTS SIGNATURE DATE: . ~ OW: t PINK: Fmance 0 1. 2. 3. 4. 5. *6. 7. 8. 9. 10. 11. ~ • CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING JOB ADDRESS J5oo La. ma..<;,O.Mn.,_,. ~ TYPE OF BUILDING: RESIDENTIAL~ COMMERCIAL __ ROOF SLOPE: RISE 5 inches in 12 inches TYPE OF EXISTING ROOF COVERING Sl/f'rHe SHEATHING ______ _ NUMBER OF EXISTING ROOF COVERINGS {circle one)(j) 2 3 NEW ROOF MATERIAL _Ti-'-'1'-'-/e,=--_____ CLASS __ WEIGHT PER SQUARE.-----'-9-"-Si..::::O __ NUMBER OF SQUARES ~) ........ '/ ___ _ TRADE NAME CnnruttTtle /Po~ MANUFACTURER Ett-6-1-l, l{w~.'.) B¼l-ud ROOF SYSTEM APPROVAL UL No. ____ Other /Ce,o -IL{f(:p(po IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF If the answer is no, Fire rating of roof: ,.,......... YES ___ _ NO ___ _ a roof plan must be provided with this application. Class A t.-/ 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. Contractor __ ,L~ Owner __ _ DATE r URBACH ROOFING, INC • . 2131 PALOMAR AIRPORT RD~ #300 Contractor N ame __ _...l __ ___.c,,,AUJR..,Ls,.a,,,,4""0 . ....,c""AL9.,.2.,.oo.,.9L-_4----l. (619J 431-s113 j *6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up. CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB960420 FOR 03/22/96 DESCRIPTION: 2400 SF RE-ROOF W/CLAY TILE & ENG CALCS TYPE: MISC INSPECTOR AREA PY PLANCK# CB960420 OCC GRP CONSTR. TYPE NEW STE: LOT: JOB ADDRESS: 2505 LA MACERENA AV APPLICANT: URBACH ROOFING CONTRACTOR: PHONE: 619-431-5113 PHONE: OWNER: PHONE: REMARKS: MW/KAREN/431-5113 SPECIAL INSTRUCT: INSPECTOR"""------------ TOTAL TIME: --RELATED PERMITS-- CD 15 LVL DESCRIPTION ST Roof/Reroof PERMIT# TYPE CB890319 PLUM ------------------------------------------------------ STATUS EXPIRED ACT COMMENTS if_ b&d{._, ***** INSPECTION HISTORY***** DATE 031996 031896 DESCRIPTION Roof/Reroof Roof/Reroof ACT INSP AP PY NR PY COMMENTS OK TO COVER