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Home My WebLink About2620 MALLORCA PL; ; CB983788; Permit• B U I L D I N G P E R M I T Permit No: CB983788 Project No: A9804941 Development No: 11/04/98 15:05 Paqe 1 of 1 Job Address: 2b20 MALLORCA PL Suite: Permit Tvpe: MISCELLANEOUS Parcel No : 216-180-14-00 Lot#: Valuation: 2,600 Occupancy Group: Reference#: Construction Type: NEW Status: ISSUED Applied: 11/04/98 Apr/Issue: 11/04/98 Entered Bv: JM Description: REROOF 2500 SF COMPOSITION Appl/Ownr : URBACH ROOFING 760 431-5113 2131 PALOMAR AIRPORT CARLSBAD CA 9200~ Jc** Fees Required Fees: Adjustments: Total Fees: Fee description 87.00 .00 87,00 * 7\ * Fees Collected & Credits -------------------------------------------- Total Credi t~32 11/04/98 0001 o~o 02 Total Payments: C-PRM:roo 87-00 Balance Due: 87.00 Units Fee/Unit Ext fee Data ---------------------------------------------------------------------------Miscellaneous Fee #1 Jc MISCELLANEOUS TOTAL > 87 ,00 CLEARANCE -----=-=-=-=.::==:::.::_:::_-::--_~_ ----------- 87. 0 o PERMIT FEI 87.00 ________ _.., -_,, __ ~- PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 EST. VAL. ----f'-,<--+-------- Plan Ck. Deposit -"'--:-"-''"'-LL..L,----,,--- Validated By•_-t7"--/4-<1,,..,1-/-,--,,h--,4-- Date, _______ ....L-4~'-'I---''-"''- Address (include Bldg/Suite I) Business Name lat this address) ol<, a o mo._ II v>e '-,._ PL Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Assessor's Parcel I ;it<,-l'iO··IY Proposed Use Name Address City State/Zip Telephone # ;Tu.~c~.'"•1t~~iJ ~i,q~~Oi.Jb:,G~9,o.t~tp,[¢Qilii.s:lP.il~d;O..Qyjp"j~1tG~h9~ t~{~Q.;.,1)eh~!ffi£A¥if's-t;~y~.,:-;~~-±.i~ ~ -. {/2K6ACH f?ooF 1nq .J.no Fax# State/Zlp 9~&109'Telephone I 7(,e--3/-3/-571.:J CA Name Address City State/Zip ~~t'ili.~~.}t~:.~'- ?~•-'(?JI,, -'It, '7 / Telephone I (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, atter. improve, demolish or repair any structure, prior to tts issuance, also requires the applicant for such permit to file a signed statemant that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending wtth 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 tor a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). Ult1'3,4lH Rourm;J Jnc_, ,;/131 P,4/'.lWk tky,&£ ~ -11?00,Ca,/s-h,,1 C/1 t?;,oO'I 7&•-'i?-J->"113 Name Address City State/Zip Telephone # State License , {; & ~ 3 7 j License Class C -3 'i Ctty Business License , / J; DO Q i'f Designer Name Address City State/Zip Telephone State Ucense I __________ _ ~~~OMPENSATIOrQl~~~-.~~~;~~~g_~~.:::··" ··0-.·.~.:.c~".2~:1""~:.::~j;.i;~rt,'f!,'0,r:}~tV-r-~~£~~:.tit:_~_!K~~~j;~r_< ~~· ... : "-:.:_ . , "'" 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 IS provided by Section 3700 of the Labor Code, for the performance of the won: for which this permit is issued. Cd"'! have and will maintain 'workers' compensation, as required by Section 3700 at the Labor Code, for the performance of the work for :which this permit is issi.ied. My worker's compensation insurance carrier and policy number are: lnsuranc• Company s-,.,te C:-U nt,l, Policy No. ;;i if 5 -9 j ll n If 9,.,_ Expimion Dm._/_-_/_-c...Y~9 __ _ (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 eny manner so as to become subject to the Workers' Compensation Laws of California. thousand dollars SIGNATURE aecura•workers' compenNtion conrage is unlawful, and shall subject an employer to criminal penalties and civil fines up to orHt hundred ,000). in "tion to e cost of mpen ation, damages H provided for in Section 3706 of the ~ ~~in?t and attorney's fella. ~ = ~~ 7. ' >0:WNEH•BUILO ·. · L ,'.-'.:~~~;,:l:.~1;"..'.·cri:-i;~}ff&~~~~f~~~:~::{:•.~,.-".:.:;0,~{.'.:.:';~,;/_ •.;" ,"'_~:.f'.. I hereby affirm that I am exempt from the 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 build£ 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 aale). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project !Sec. 7044, Bus.ineu and Professions Code: The Contnictor's License Law does not apply to an owner of prope,ty who build• or improves thereon, and contlacta for euch projects with contractor(a) licensed pursuant to the Contractor's Licenae 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. 1 {have / have not) signed an application for a building permit for the proposad 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. 1 will provide some of the work. but 1 have contracted (hired) the following persons to provide the work indicated (include name I address/ phone number/ type ct world.,_------------------------------------------------------------- PROPERTY OWNER SIGNATURE ________________________ _ DATE _ CO_MaUEJHlS "SECTION;FOR N.01HlES/DEl{]ML.J.UIUilNG,PW.-11'.UtONLY ~~i.:i3:~~";-n'.'./t'1ff,;;';·SJ,¥t#$·M',!6~•~,~';Sf~~"i::-;:~~t:~·~· !$ '±!~ !t~;:lic::-:t er futt.:ra tuildlr,; occupant iaqlJor•,j t,;i ,s,ui,mit • Oubine:i.s p1an, acuteiy nazardoua material• reg1stret10n term er ~Ii:. maNgement end praventron program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES O NO Is the applicant or future building occupant required to obtain • permit from the air pollution control district or alr qualitv management district 1 0 YES O NO Is the facility to be constructed wrthin 1,000 feet of the outer boundary ot a school 1it11 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A ANAL CERTIRCATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFACE OF EMERGENCY SERVICES AND THE AIR POUUTION CONTROL DISTRICT. :l&t~.NSTRIJCTION· LENDIN·G:AGENCY-7:-"~~~~~~t..'..:~~;•· .:· '.~-~1!,:~:; :,'.:.:~·:-;:!':",;;..~:: ~-~' r::~::.t-•.: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is iaaued ISec. 3097111 Civil Code). LENDER'S NAME ______________ _ ',; _,_.APf'UCANT-CERTIFICATION · I certify that I have rHd the application and state that the above information is cotrect and that the intormatlon on the plans is accurate. I agru to comply with all City ordinances and State laws relating to building construction. I hereby authorize reprenntativu of the Citv of Carlabad to enttr upon the above mentioned propeny for inspection pwposas. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CrrY 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 la required for excavation. over 5•0• deep end demolition or construction of atructwu over 3 atoriea in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by Hmitation end become null and void if the building or wort authorized by such permit ta not commenced within 365 days from the date of such permit or if the building or wort authorized by such permit is suspended or abandoned It any time eftor the w is mmencod for penod o 180 days !Section 106.4.4 Uniform Building Codol. 1 !:! APPUCANT"S SIGNATURE _ _j,_~{Q_~~~-/L!.~-d'_~~~=:::::::::_____ DATE /1/~eze: WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS ~(;ao 7Yla..//pnct4 Pl- 2. TYPE OF BUILDING: RESIDENTIAL v COMMERCIAL __ 3. ROOF SLOPE: RISE 4 inches in 12 inches 4. TYPE OF EXISTING ROOF COVERING SJ-,c,_,li,µ.,, va,v P/'fW~HfiiTHING ________ _ 5. NUMBER OF EXISTING ROOF COVERINGS (circle one)GJ 2 3 *6. NEW ROOF MATERIAL -a,ph,df F,1:u,,_:Jast Jh,n~ss_A_ WEIGHT PER SQUARE. ___ _ 7. -NUMBER OF SQUARES J 5, 5' 8. TRADE NAME Elk PRtsnr,c;.e, IL .lSyn. MANUFACTURER __ =c~/k _______ _ 9. ROOF SYSTEM APPROVAL UL No. _____ Other /C-l!>O -&e. S'-11'-I 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF YES ~ NO ___ _ If the answer is no, a roof plan must be provided with this application. 11. 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. SIGN DATE Contractor .,...,---Owner --- r URBACH ROOFING, INC, 2131 PALOMAR AIRPORT RD, #300 Contractor Name CARLSBAD, CA 92009 ----+-----'~/""1™~1 "i-431si1;c;-s;,,-1 ~,se"=~--- 7<,o *6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/C9mp Fiberglass, Built up. /;ljJ-CJ CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB983788 FOR 11/16/98 DESCRIPTION: REROOF 2500 SF COMPOSITION TYPE: MISC JOB ADDRESS: APPLICANT: CONTRACTOR: OWNER: 2620 MALLORCA PL URBACH ROOFING PHONE: PHONE: PHONE: INSPECTOR AREA DH PLANCK# CB983788 OCC GRP CONSTR. TYPE NEW STE: LOT: 760 431-5113 REMARKS: C/KAREN/431-5113 SPECIAL INSTRUCT: INSPECTOR --~Ob-'--'~~~------- TOTAL TIME: CD 19 LVL DESCRIPTION ST Final Structural DATE DESCRIPTION 110998 Roof/Reroof ACT COMMENTS /!11 ______ _ ***** INSPECTION HISTORY***** ACT INSP AP DH COMMENTS SHEATHING