HomeMy WebLinkAbout2603 COLIBRI LN; ; CB930817; PermitBUILDING
08/16/93 ^8 38
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Job Addreg* 2603 COLIBRI LN
fv Permit Type MISCELLANEOUS
Parcel No- 215-535-11-00
Valuation 0
Construction Type NEW
Occupancy Group
Description. 27 SQ TILE REROOF
PERMIT
Suite
Lot*
Reference*
Appl/Ownr : ONEY ROOFING COMPANY
29219 JUBA ROAD
VALLEY CENTER, C.
*** Fees Required **
Fees
Adjustments
Total Fees
Fee description
Permit No CB930817
Project No A93U1172
Development No
3511 08/16/93 0001 01 02
C-PRMT 150-00
Status ISSUED
Applied 08/16/93
Apr/Issue 08/16/93
Entered By DC
619 751-2150
Miscellaneous Fee
* MISCELLANEOUS T<
cted & Credits ** *
, 00
00
150 00
Ext fee Data
150 00 BP-REROOF
150 00
CITY OF CARLSBAD
2075 Las Ptbnis Dr , Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION
City of Carlsbad Building Department
2075 Las Palmas Dr . Carlsbad. CA 92009 (619) 438-1161
I PERMIT TYPh
A U Commercial U New Building U Tenant Improvement
B D Industrial D New Building D Tenant Improvement
C D Residential D Apartment D Condo D Single Family Dwelling Q Addition/Alteration
D Duplex D Demolition D Relocation D Mobile Home D Electncal D Plumbing
D Mechanical D Pool D Spa D Retaining Wall D Solar D Other
2 PROJECT INFORMATION
PLAN CHECK NO
1ST VAL
PLAN CK DEPOSIT,
VAUD BY
DATE
FOR OFFICE USE ONLY
Building or Suite NoAddress
Neafes^CCross Street
/LEGAL DESCRIPTION.a Lot No Subdivision Name/Number Unit No Phase No
varrmf
D 2 Structural Calcs
1IV s
D 2 Energy Calcs D 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
DESCRIPTION OF WORK
SQ # OF STORIES
3 IAJNIAL.
NAME
CITY
JIM (U aillerenl trom applicant^
STATE
ADDRESS
ZIP CODE DAY TELEPHONE
4 APPLICANT
NAME
Q CONTRACTOR UAGENI I-OR CONrRACIOK
ADDRESS
UOWNhK UAGhNlhOROWNb.il
CITY STATE ZIP CODE DAY TELEPHONE
5 PKOPIiK
NAME
CITYi
OWNKK
STATE
ADDRESS
ZIP CODE DAY TELEPHONE
6 CONTRACTOR
NAME i
CITY STATE
STATE L1C
UhblCjNliK NAMli
ADDRESS
ZIP CODE
LICENSE CLASS
DAY TELEPHONE
CITY BUSINESS L1C #
AIJUKhSb
CITY STATE ZIP CODE DAY TELEPHONE STATE LIC #
7 WORKERS' COMPENSATION
Workers'Compensation Declaration I hereby affirm that I have a certificate of consent to sell insure issued by the Director ol Industrial
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 (Section 3800, lab C)
INSURANCE COMPANY /TlTor
POLICY NOpnn 7,lor which tms>
DN DATE
Certihcate ot Exemption I certify that in the performance of the work
so as to become subject to the Workers Compensation laws of California
permit is issu I shall not employ any person in any manner
SIGNATURE DATE
8 OWNER-BUIIDER DECIARATION
Owner Builder Declaration I hereby attirm that I am exempt from the Contractors License Law lor the following 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 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 )
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)
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 License 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])
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'n YES n 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
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
D YES D NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNI.ESS TI IE APPLICANT
HAS MET OR IS MEETING 11 IE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POIJJJTION CONTROL DISTRICT
9 CONSTRUCTION LENDING AGENCY"~~~~~~"~"~~~~~~~~~~~~~^^~^~~~~~
I hereby allirm that tliere is a construction lending agency lor the performance of the work lor which this permit is issued (Sec 3097(i) Civil Code)
LENDERS NAME LENDER S ADDRESS
10 API'UCANI ChHIlrlCAIION
I certity that I nave read the application and state that the above information is correct T agree to comply with all City ordinances and State laws
relating to building construction 1 hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection
purposes I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CTIY 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
OSIIA An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stones 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 lime after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code)
APPLICANTS SIGNATU,DATE
.OW Applicant PINK. Finance
PERMITS CB930817
DESCRIPTION: 27 SQ TILE REROOF
TYPE: MISC
JOB ADDRESS: 2603 COLIBRI LN
APPLICANT: ONEY ROOFING COMPANY
CONTRACTOR:
OWNER:
REMARKS: MH/751-2150
SPECIAL INSTRUCT:
TOTAL TIME:
CD LVL DESCRIPTION
15 ST Roof/Reroof
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 08/27/93 INSPECTOR AREA PY
PLANCKf CB930817
OCC GRP
CONSTR. TYPE NEW
STE: LOT:
PHONE: 619 751-2150
PHONE:
PHONE:
INSPECTOR
ACT COMMENTS
***** INSPECTION HISTORY *****
DATE DESCRIPTION
081893 Roof/Reroof
ACT INSP COMMENTS
AP PY SHEATHING/EXT PLMB VENTS