HomeMy WebLinkAbout2507 LA MACARENA AVE; ; CB981726; PermitB 'I ::: L ~ I N r: P E R M I T
Ob/.J4/~tl 12.~9
Permit No: CB~R1726
ProJect No: A9R0229t
Development No: l-'c,ge 1 of 1
Job Address: 2507 LA MAC"ERENA AV Suite:
Permit Type: MISCELLANEOUS
Parcel No: 255-070-53-lO Lot#:
Valuation: 8,451
Occupancy Group: Reference#:
Descr1rtion: 2700 SF LT WT CLAY TILE
Constru~tion Type:
5tatus :
App:.ied :
Apr/Issue:
NEW
Appl/Ownr : PACIFIC SEASONS
1321 CALLE GOYA
OCEANSIDE CA
ROOFING
Entered By:
760 940-2044
I SSUE-.D
06/04/98
06/04/98
RMA
*** Fees Required ***
Fees:
Adjustments:
Total Fees:
rce description
Miscellaneous Fee# * MISCELLANEOUS TO~
7721 06/04/98 0001 01
C-PRMT
Collected & Credits
.00
.00
174 .00
02
174-00
***
Ext fee Data
174.00 PERMIT FEE
174.00
----~f
F'i10 VAL
E(-.?lfL c;P
CLEARANCE __ ~-------J
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
,
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
FOR OFFICE USE ONLY
PLAN CHECK NO. qz 111-1o
EST. VAL. '? q_s; r
Plan Ck. Deposit ---1,'I-------
Validated By•+,--.,-1{>-o.l.-----
1. PROJECT INFORMATION
M] ._D_•_t_•----""-"----------P:rA4-tt..lr, 0 w-0 '5 :z,vr,5 QSo'? b.A4
Address (include Bldg/Suite #) Business Name (at this address)
legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel#
#of Stories # of Bedrooms # of Bathrooms
2. CON-TACT PERSON (if different hom applicant)
Name Address
3. APPLICANT O Contractor D Agent for Contractor 0, Owner
Name Address
City
0 A.gent for Owner
City
State/Zip
State/Zip
Telephone# Fax#
Telephone II
4. PR:erTY OWNER ~ :bl: ~,119;, [ p, . M AC/4(1 GNA: 21..o-43l.-\9 o3
Name Address City State/Zip Telephone#
5. CONTRACTOR -COMPANY NAME
(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
~emption. Any violation of Section 703 1 . 5 by any applicant for a permit subjects the a plicant to a civil penalty of not more than five hundred dollars I $5001).
T, 1 C 'S< (:,o -Z6L/L!
State Ucense # _'?,_4__.,,,0"-SZ"'-'Z""--11--
Addr ss City State/NM ~~~h:ne #
License Class c; -34' City Business License , f~-!!:.ln~ ~
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:
D 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. g 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 compensation insurance carrier and policy number are:
lnsu,ance Company 6i:a 1£ Fv NQ Policy No. I 4 '1 S' 5 0 LJ -j 7 Expiration Oate I O -"I Z
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS)
D CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as
to becomp~~ubject to the Workers' Compensation Laws of California.
WARNING: Failure to secure workers' compensation coverage i■ unlawful, end shall subject an employer to criminal penalties end civil fines up to one hundred
thousand dollars($ ), i to the cost of compensation, damages as provkfed for In Section 3706 of the '.,8bor code, Interest and attorney's fees.
SIGNATURER-e:uii~iro~~lri~~~~-----------------DATE ~ -'f-j 5'. .
7. OWNER·BUILD
I hereby affirm that I am exempt from t e 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 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. tf, 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).
D 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).
D I am exempt under Section ______ Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials tor 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, slJpervise 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-RESIDENTIAL BUILDING PERMITS 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? D YES D NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO
ts the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 D 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.
8. CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30970) 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 and 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 commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
DATE ~6~-_Lf.,_-_7,_,,S,-:::~' __ _
HITE: File YELLOW: Applicant PINK: Finance
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
I. JOB ADDRESS:
2. TYPE OF BUILDING: RESIDENTIAL x:: COMMERCIAL __ _,
3. ROOF SLOPE: RISE 2 inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) (] 2 3 ~.
5. TYPE OF EXISTING ROOF COVERING SUr,,'it,& SHEATHING 9,9C£;. . 6 It!\ ,p
*6. NEW ROOF MATERIAL. ____ CLAssS,f$ WEIGHT PER SQUARE
7. NUMBER OF SQUARES..,.J.>--t7~-~
8. TRADE NAME C.,L,&-/ fYlr'tX MANUFACTURER O'S :b .LG
9. ROOF SYSTEM LISTING UL No .. ____ lCBO No. ::3$Z: 3
10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE
WEIGHT OF THE PROPOSED ROOF? @ NO
All roof coverings are required to be CLASS A. Combustible roof coverings
of any type or classification are prohibited.
I understand the following inspections are required:
I. Tear Off/Pre-inspection prior to install new roof covering.
2. Final Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for
inspection.
Signature ~:et Date
Contractor >{. Owner Contractor Name
*6 -Rolled Roofing, Standard/~Asphalt/Comp Fiberglass, Built up,
Other. • -? Ac, ·Fi c... ~ EA-%cJl,.)S ~ AJo/ OJ ..Jlv::.,
OA-V,·o '?0 ~ 61 ~-?5'-1£ -77£0
PERMIT# CB981726
DESCRIPTION: 2700 SF LT WT
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 06/23/98
CLAY TILE
TYPE: MISC
JOB ADDRESS: 2507
APPLICANT: PACIFIC
CONTRACTOR:
OWNER:
LA MACERENA AV
SEASONS ROOFING PHONE:
PHONE:
PHONE:
STE:
INSPECTOR AREA PS
PLANCK# CB981726
OCC GRP
CONSTR. TYPE NEW
LOT:
760 940-2044
REMARKS: C/DAVE/
SPECIAL INSTRUCT:
INSPECTOR
TOTAL TIME:
CD
19
LVL DESCRIPTION ACT COMMENTS
ST Final structural
------------------------------------------------------
***** INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP COMMENTS
061798 Roof/Reroof AP PS
061698 Roof/Reroof co PS ROOF WET CONTRACTOR MAD
061598 Roof/Reroof NR PS
060998 Roof/Reroof co PS NEED GAPS IN PLYWOOD
060598 Roof/Reroof co PS FELTED NO ONE ON SITE