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HomeMy WebLinkAbout2608 LUCIERNAGA ST; ; CB980630; PermitB U I L D I N G P E R M I T Permit No: CB98[1b3U Proiect No: A9800~0J Development No: 02/2b/98 1.l:52 Page 1 of 1 Job Address: 2608 LUCIERNAGA ST Permit Type: MISCELLANEOUS Parcel No: 215-290-20-02 Valuation: 1,530 Suite: Lot#: 4434 02/26/98 0001 01 C-PRMT C,onstruction Type : 02 63-00 Occupancy Group: Reference#: Status: Applied: VN ISSUED 02/26/98 02/26/98 MDP Description: 15 SQUARES OF COMP. RE-ROOF Apr/Issue: Appl/Ownr : PATRIOT ROOFING 11772 SORRENTO VALLEY SAN DIEGO, CA. 92121 *** Fees Required *** Fees: Adjustments: Total Fees: Fee description Miscellaneous Fee 1 * MISCELLANEOUS T 'A RD. #152 619 Entered By: 793-1968 Collected & Credits .oo .oo 63.00 *** Ext fee Data 'II 63.00 PERMIT 63.00 ERMIT PERMIT HAS EXPIRED IN ACCORDANCE WITH U.8.C. sec1_10N_1_os_.4. __ 4 _SIGNATURE-~--· ... ----- 1,N::_NAL AP:.,~.c0VA L \cLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (6 19) 438-1161 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. ____ _ EST. VAL. CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 Plan Ck. Deposit ________ _ Validated By __________ _ Date, ______________ _ Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel I Existing Use I I Proposed Use 3 Description of Work I S-C(.) S<f> • SO. FT. #of Stories # of Bedrooms # Of Bathrooms Name Address City State/Zip Telephone# Fax# ':imil~~Wlikiot~~i M Name Address City lJi♦+,00reoNTMCToR,~·COMPANY:l·NAU~~~-m~~~@~~~~4fua;~~EF~ (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 exempfftYl, Any viola ·on of ection 7031 .5 by any applicant for a permit subjects the appli a to a civil penalty of not more than five hundred dol rs ($500)), f'l"j 152_ -Cf2 2 . · t::tl:i Name State License # License Class -'c...._-_?ft....,_.,_ ___ _ Designer Name Address City State/Zip Telephone State License # _________ _ fi;:;;c,>wORKElis~,,.COMPQISA'QON;~ V~1:.:~,~J~1lliilJ;d8-~~J2t1ffJ!:~~m1~:;a;:F14:tt~~~~k~~~~t:i,;lk;tt;;~~~~ 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 ~e work for which thts permit Is issued. Jl3 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 compen~at,on insurance earner and policy number are: / / lnsu,ancaCompany lg:uori Insurance,... PolicyNo.lAGI Q!?:ffih2.. Expi,attonData 2 S "I? CTHIS SECTION NEED Ncri7BE 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 become subject to the Workers' Compensation Laws of California. WARNING: Failure to aecure worken' compenntion coverage la unlawful, and ahell subject an employer to criminal penaltln end clvl fin•• up to one hundred thousand dollars ($100,000), In addition to the cost of compenntlon, damages u provldad for In Section 3706 of the Labor code, lnterut and attorney's fees. SIGNATURE____________________________ DATE ________ _ :7,J•:,:owra;.&,ulU>ER:DEcLARAnoN1,\:vf<Jii@-:+,i-~'j,j~~~~\~~4'rj~~f~ITT~i~~::ff::,~~~~~~-it~.~ I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D I, as owner of the property or my employees with wages as their sole compensation, will do tha work and the structure is not intended or offered for sala (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 offarad for sale. If, however, the building or Improvement la 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 projact (Sac. 7044, Buslnaas and Professions Coda: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractorls) 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 for construction of the proposed property Improvement. D 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 provida the work indicatad (include name/ address / phona number / type of work):. ______________________________________________________ _ PROPERTY OWNER SIGNATURE ;CQ,..IUT!til'HIS'S&CTIOl\ll'Olt~~IIQ. DATE Is the applicant or future building occupant required to suomit a business plan, acuteiy 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 Is the facility to be constructed within 1,000 feet of the outer boundary of a school sita? D YES D NO IF ANY OF THE ANSWERS ARE YES, A RNAL 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. l~S]~0•.,..1JariO .• :t•Q··••..-r.uelt:ii:~~Ll:~'.~i-+~•,m11!imttr!..tU!.i:1:u;,_s~il&k.:.~1\r;~:-:-w ·>· ':· ·:;)?JSi" ' .... ~;~~\:~;· ~ .i 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. ________________________ _ -~~~i~fi'UC.t.9ff~Cll!P1~ii:~4~.¼~~.r-.~¥1Mii"IIIM'.iiai"J!1••-............... ~~~~t1ii.~~H!:,it~: 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. 1 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 rk · om men ed for a period of 180 days (Section 106.4.4 Uniform Building Code). ,_ d APPLICANr-s SIGNATURE ...:slh~~~[:==:______________ DATE 2='-""2b"""c..-_9L£LL-_____ _ WHITE: File YELLOW: Applicant PlNK: Finance I!\ • CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS .ZbOi? Ll..tC-1El2.NA<=tl\ LA COSTA °lw:fi 2. TYPE OF BUILDING: RESIDENTIAL l( C0"'1ERCIAL -- 3. ROOF SLOPE: RISE (:,: 12.. inches in 12 inches 4. TYPE OF EXISTING ROOF COVERING SH:A-J.!'..R SHEATHING 1/2-11 plywood 5. NUMBER OF EXISTING ROOF COVERINGS (circle oneCJ} 2 3 *6. NEW ROOF MATERIAL C.0MPQ~/TIO[\) CLASS Pr WEIGHT PER SQUARE 3({) lb. 7. NUMBER OF SQUARES J 5 Q1 8. TRADE NAME G/J F MANUFACTURER_GA~.,_:f ______ _ 9. ROOF SYSTEM APPROVAL UL No._____ Other ___ _ 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF YES X NO __ _ If the answer is no, a roof plan must be provided with this application. 11. Fire rating of roof: Class A Y 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. SIGN DATE Contractor -,,.,X'-"---Owner __ _ Contractor Name &mot Roofing I W • *6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up. CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB980630 FOR 02/27/98 DESCRIPTION: 15 SQUARES OF COMP. RE-ROOF TYPE: MISC STE: INSPECTOR AREA PLANCK# CB980630 OCC GRP CONSTR. TYPE VN LOT: JOB ADDRESS: 2608 APPLICANT: PATRIOT CONTRACTOR: LUCIERNAGA ST ROOFING PHONE: 619 793-1968 OWNER: REMARKS: C/PATRIOT ROOF/619/793-1968 SPECIAL INSTRUCT: TOTAL TIME: CD 15 LVL DESCRIPTION ST Roof/Reroof ------------------ ------------------ ------------------ PHONE: PHONE: INSPECTOR ACT COMMENTS (jf ____ _ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS