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Home My WebLink About2623 COLIBRI LN; ; CB983230; PermitPermit No- CB983230 Project No A9804211 Development No 1466 09/24/98 0001 01 02 C-PRMT 102-00 BUILDING PERMIT 09/24/98 16 17 Page 1 of 1 Job Address 2623 COLIBRI LN Suite. Permit Type MISCELLANEOUS Parcel No 215-535-21-00 Lot# • Valuation 3,016 Construction Type NEW Occupancy Group Reference* Status ISSUED Description- 29 SQS REROOF TO COMP SHINGLE Applied 09/24/98 Apr/Issue 09/24/98 Entered By BT Appl/Ownr . K-CO 619-268-0600 5152 ABERDEEN ST SAN DIEGO CA 92117 *** Fees Required *** .*•** Fees Collected & Credits A** Fees 102 Adjustments . Total Fees. 102 Fee description Miscellaneous Fee #1 k MISCELLANEOUS TOTAL 00 00 ,00 Total Credits : Total Payments/ Balance Due • Units Fee/Unit > 102. 00 , 00 00 102 00 Ext fee 102 00 102 00 Data PERMIT FEE EXPIRED PERMIT ™'RED IN ACCORDANCE WIIHUM. DATE..SIGNATURE FINAL APPROVAL INSP. CLEARANCE DATE 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 1 PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO . EST VAL Plan Ck Deposit. Validated By Date 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 tt Existing Use Proposed Use Descnption of Work 2 CONTACT PERSON (If different from 3 APPLICANT O Contractor rtfAgent for Contractor Q Owner Name Address City State/Zip Telephone* / Name Q 5 CONTRACTOR - COMPANY NAME Address City State/Zip Telephone 9 •(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 exemption Any yfolatiofl of Section 7031 5 by any applicant for aperrnit subjects the applicant to a^yii\ penatty/yf rjo^t morejban five hundred dollars-) S gOOJ) Name State License # Address License Class L A City State/Zip City Business License * / £*• U Designer Name -o/l ^^~\ jy AddrBSS CltY State/Zip Telephone State License # jfiMff /'_^ 6 WORKERS' COMPENSATION " ""' " "" , Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations Q I have end will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance \pf tW work for which this permit is issued p>r 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 comfibnfationpDsurapf^camer anj> policy number are / Lf C~ / Insurance Company Policy No Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) Q 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 i Workers' Compensation Laws of California urjs workers cpmpensatipnyjcoyergga. Is unlawful, and shall subject an employer to criminal penaltiesjsnd civil fines up to one hundred a feesimpensatlon. damages a* provided for in Section 3706 of the Labor DATE to become subject to WARNING Failure thousand dollars ($1 SIGNATURE 7 OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason Q 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 aele) G 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) n 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 l~l YES f~lNO 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 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 e 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? Q YES O NO Is the applicant or future building occupant required to obtein a permit from the air pollution control district or air quality management district? Q YES CD NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school sita? Q YES D 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 3097(i) Civil Code) LENDER S NAME [/ [ I ) [/ Jf ^^ 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 Cit> 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 byfhe Vuldmg Official unjejjbe-pjovtst5nsof this Code shall expire by limitation and become null and void if the building or work authorized by such permit is n/t comnlehc*J wijhi8=3SS^a)« WJn/fmKdate of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the/work jk Afcrfon^d/6r f pM,,<U rfjfoo days (Section 106 4 4 Uniform Building Code)/~ APPLICANT S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: 2. TYPE OF BUILDING: RESIDENTIAL 3. ROOF SLOPE: RISE_il_mches in 12 inches f/ X COMMERCIAL 4. NUMBER OF EXISTING ROOF COVERING (circle one) l 2 5. TYPE OF EXISTING ROOF COVERING ItidO C SHEATHING *6. NEW ROOF MATERIAL * t CLASS" 7. NUMBER OF SQUARES 8. TRADE NAME & I WEIGHT PER SQUARE 9. ROOF SYSTEM LISTING MANUFACTURER UL No. AJfl ISlCBO No. 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? |YES NO \r -- 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: 1. Tear Off/P re-inspection prior to install new roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 j^ings above the roof for inspection. Signature Contractor!Owner Date Contractor Name *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. tl 6-S CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB983230 FOR 09/29/98 DESCRIPTION: 29 SQS REROOF TO COMP SHINGLE COLIBRI LN TYPE: MISC JOB ADDRESS: 2623 APPLICANT: K-CO CONTRACTOR: OWNER: REMARKS: C/851-6200 PM PLEASE SPECIAL INSTRUCT: INSPECTOR AREA PLANCK# CB983230 OCC GRP CONSTR. TYPE NEW STE: LOT: PHONE: 619-268-0600 PHONE: PHONE: INSPECTOR TOTAL TIME: CD LVL DESCRIPTION 15 ST Roof/Reroof ACT COMMENTS DATE 7 DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS 9OX420R07 SAN FRANCISCO, CA y4V2-080 COMPENSATION I IN S U H A N CE I™UN O CERTIFICATE OF WORKERS' COMPENSATION INSURANCE JUNE 18, 1933 FOLIO VJWBER CITY OF sflN DIEGO flTTNs DEVEiUjP^T SERVICES 1SS£ FIRST flVENL'6, I* SflN DIEGO Cfl 9Sl01 J0£: P'-L. vPE L_ Th!3 is to cert'fy that :\e have issued a vghd //orkerb' Co-r-penaatioi ^sjrancs pc'!oy IP a to-m appr--.ec h_y l',t C ,:!'i. -r Insurance Conmissfoner to the errnloyer- nsmao bslow for tns poHqv per^oo indicated This po'lcy Is no; subject to aancallatcn by the Fjno excen* tipcn t^X d&ys Hc\dpce vvl'ten rio^c^ to i"ia e- ip aj-f sa Ws will a'so r.ve you "P&N da>b' advano^ nonte sho'jid *v,is pc,ic> be car.telltd pno'to Its rwnra =-<[,. i1.' 0' This certi? c^e o* insurance is not an mau'anca policv' ar,d does nc< amenc, exlenc o- alter the cc er?g = , fo-. i«. '-.. I •• policies Jested ne*.;^ Naavlthstancng any rec^.remart. term, or cond^cr of any coTfrfit c.>r utr>sr J^CJ,-P. -,• ,:> respect to which 'fa certificaTS of insurance -nav be issued or rnav p^rrein, ths irsjrai-i-tj sf;o>d63 ty !• : • -'• •- descnoed herein :s s^bjsc: To 2'! ths Terns. e\clusior>s and condit'cm* cf sucr- p^iciss AUTHORIZED RKPSESE\TAT'VE EMPLOYER'S LIPBILITY lrCLJD!«,Q DtFCr-'SI CO£TSs ENTITLED C£PUFI"ftTE SOLDERS' 'CiTICEi E 06/15/38 13 ATTACHED TD ^NU FDPJ«5 ft P^RT OF TH:S PQLICV. EMPLOYER K-CO P 0 BOX 176724 SftN DIEBQ CH 9&177 NR