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HomeMy WebLinkAbout2633 ABEDUL ST; ; CB994087; Permit11/01/1999 City of Carlsbad Miscellaneous Permit Permit No:CB994087 Building inspection Request Line (760) 438-3101 Job Address: 2633 ABEDUL ST CBAD Permit Type: MlSC Subtype: REROOF Status: ISSUED Parcel No: 21 53502900 Lot #: 0 Applied: 11/01/1999 Valuation: $3,744.00 Entered By: JM Reference #: Plan Approved: 11/01/1999 Project Title: REROOF 3600 SF COMPOSITION Inspect Area: C”r 102.00 1s- wmw101 02 I FINAL APPROVAL Inspector: Date: \!-\?+? Clearance: NOTICE: Piease take NOTICE that approval of your project includes the‘lmposition’ of fees, dedications, reservations, or other exations hereafter wllechvely foilow the protest procedures setfolth in Government Code Section 66020(a), an6 file the protest and any oher required lnfomation with lhe City Manager for referred to as “feeslexactions.’ You have 90 days from fie date this prmlwas issued to pmtest imposition of these feeslexactions. if you protest them. you must processing in accordance wlh Cadsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the spcfied feeslexactons DOES NOT APPLY to water and sewer mnnectioo fees and Capam changes, nor planning, zoning, grading or other similar application prm%irg or service fees in wnnection with this pmW NOR DOES IT APPLY to any feedexations of which you have previously been qiven a NOTICE similar to this, or as to which the statute of limitations has PreViOUSIY othemise expired CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 FOR OFFICE USE 0 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT PLAN CHECK NO. 2075 Las Palmas Dr., Carlsbad ~%A 92009 EST. VAL. Plan Ck. Deposit Validated By Date (760) 438-1161 1. PRRlECTINM TI N Address (include BldglSuita XI Business Name la1 this address1 Legal Description Lot NO. Subdivision NamelNumbsr Unit NO. Phase No. Total X of units 1 Existing Use Proposed Use 'a dc #of Stories X of Bedrooms X of Bathrooms .. .. . Name Address City StatelZip Telephone X Fax X 4. PROPERTY OWNER ,. Name Address City SPtelZip Telephone X 6. .' CONWCTDR - CDMPANY UAME ' .' ' ' ISec. 7031.5 Business and Professions Coda: Any City or County which reuuiles a permit to construct. alter, improve, demoiish or repair any structure, prior to its ~SSUBIICO, also requires the applicant for such permit to fils a signed statement that ha is licensed pur.5umt to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Codel or that he is exempt therefrom, and the basis for the alleged . ,. .. .. exemption. Any for a permit subjects the applicant to a ci il penalty of not more then five hundred dolla~'l65001l. ' 8, 536-0 OI,'ye&. CA- 91oY3 726-6760 . State License X 312 7 41 Name Address City Statelzip Telephone X Designer Name Address City Statelzip Telephone License Class city ~uttness License X 43 Ja 00 . -WORKERS' COMPENSATION Osciaration: I hereby affirm under penalty of perjury one of the following declarations: ,, I have and will maintain B certificate of consent to self-insure for workers' compensation as provided by Section 3700 Of the Labor Code, for the performance I have and will maintain workers' compensation. as required by Section 3700 of the Labor Code, far the perfolmmce of the work for which this permit is Insurance Company poiicy No. d fg- fl Expiration Date ITHIS SECTlON NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLlARS 1$1001 OR LESS1 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. ,itoool)oY OJ-OI-OO shall subject an employer to srlrninal pmltles and cl~ll fines up to on. hundred provided for in Section 3706 of the Labor code,. Interest and attorney's fees. IGNATURE DATE 11- 01- 9 9 7. OWNER-B~ER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the foilowing reason: I. LIS owner of the property or my empioyeeo with wager IS their sole compensation. will do the work and the structure is not intended or offered for sale such work himself or through hi6 own employees. provided that such impmvemants are not intended or offered for sale. It. however, the building or improvement is 1Sec. 7044, Businsso and Professions Code: The Contractor's License Law doer not apply to an owner of property who builds or improves thereon. and who does soid within one year of cornpiation. the owner-builder will have the burden of proving that ha did not build or improve for the purpose of sale). 0 I. as owner of the prop8rtyl am exciusiwly 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 contmctorls) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section 0usinsss and Professions Coda for this mason: 2. I (have I have not) signed an application for a building permit for the proposed work. 1. I person~lly plan to provide the msjor labor and materiais for construction of the proposed property improvement. YES ON0 3. I have contracted with the following person lfirml to provide the proposed cOnStr(lCti0n (include name I address I phone number I contractors license number): 4. I plan to provide portions of the work, but I have hired the fallowing person to coordinate. wpewise and provide the major work (include name I address I phons number 1 contractors iIcenoe number): 5. i will provide soma of the work. but I have contracted (hired) the foilowing persons to provide the work indicated (include name I address 1 phone number I type of work): COMPLETE THIS SECTION FOR NON-RESIDDYMI BUILDING PERMTTS ONLY PROPERTY OWNER SIGNATURE DATE 1s the applicant or future building occupant required to submit a business pian. acuieiv hazardous materials registration form or risk management and prevention program under Sections 25505. 25533 or 25534 of the Preslsy-Tanner Hazardous Subsranis Account Act7 0 YES NO is the epplicant or future building omupant required to obtain B permit from the air pOllUtion control district or air quality mmagemant district7 0 YES 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 1s the facility to be Constructed within 1,000 fast of the Outer boundary Of a school site7 YES NO 9. CONSTRUCTION LENDING AQENCY REQUiREMENTS OF THE OFFICE OF EMERGENCY SERViCES AN0 THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is B construction lending agency for the performance of the work for which this permit is issued (Set. 3097111 Civil Code). 9. APPUCANT CERTIFICATION LENDER'S NAME LENDERS ADDRESS i cenifv 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 COnStrURiOn. I hereby authorize representatives of the CitV Of Carlsbad to enter upon th8 above mentmad JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAO AGAINST ALL LIABILITIES, OSHA An OSHA permit is required for excavations over 5'0" deep and demolition or Construction Of structures over 3 stories in height. visions Of this Code shall expire by limitation and become null and void if the building 01 0 days (Section 100.4.4 Uniform Building Code). the date of such permit or if the building or work wthotized by Such permit is suspended $$4PPLICANT'S SIGNATURE DATE //- of- 44 WHITE: File YELLOW Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: 276 33 NbdJ 3 2. TYPE OF BUILDING: RESIDENTIAL x COMMERCIAL 3. ROOF SLOPE: RISE 6 inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) 1 2 3 5. TYPE OF EXISTING ROOF COVERING wJs@SHEATHI Q G &"< D 3 *6. NEW ROOF MATERIAL Efk y% CLASS/3WElGHT PER SQUARE 7. NUMBER OF SQUARES 3& 8. TRADE NAME E/d MANUFACTURERfLA/ &fReJ%!pi . 9. ROOF SYSTEM LISTING UL No. ICBO No. WEIGHT OF THE PROPOSED ROOF? @ NO 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE 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 OfflPre-inspection prior to install new roof covering. 2. Final Inspection h I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signature /& k Date )/-1-97 Contractor X Owner Contractor Name *6 - Rolled Roofing, StandardlLite Tile, AsphalffComp Fiberglass, Built up, Other. City of Carlsbad Inspection Request For: 1 111 5/99 Permit# CB994087 Inspector Assignment: Title: REROOF 3600 SF COMPOSITION Description: Type: MlSC Sub Type: REROOF Job Address: 2633 ABEDUL ST z7 cp5 Suite: Lot 0 Location: APPLICANT VISTA ROOFING CO. INC. Owner: STODULSKI FAMILY TRUST Remarks: Phone: 0000000000 Inspector: PC Total Time: Requested By: VISTA ROOFING Entered By: CHRISTINE CD Description 19 Final Structural Inspection History Date Description Act lnsp Comments 11/5/99 15 Roof/Reroof AP DA 11/4/99 15 RwflReroof CO DA STARTED ROOFING-WITHOUT NAIL INSP City of Carlsbad Inspection Request For: 1 1/4/99 Inspector Assignment: ee Permit# CB994087 Title: REROOF 3600 SF COMPOSITION Description: Type: MlSC Sub Type: REROOF Job Address: 2633 ABEDUL ST $7 cs Suite: Lot 0 Location: APPLICANT VISTA ROOFING CO. INC. Owner: STODULSKI FAMILY TRUST Remarks: Total Time: CD Description Act Comments 15 RooflReroof 5-n Phone: 0000000000 Inspector: * Requested By: VISTA ROOF Entered By: CHRISTINE Date Description Inspection History Act lnsp Comments 1": so P.O. BOX 807, SAN FRANCISC0,CA 94101 -0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ,, ,, ISSUE DATE 01-01-09 POLICY NUMBER 286-00 UNIT OOO1204 CERTIFICATE EXPIRES 01-01-00 , . .; ,., ... ,. " 'i,. , ' CITY OF OCEANSIDE. BUILDING OEPT. OCEANSIDE CA, 92054 300 N. HILL STREET ,. JOB: ALL OPERATIONS This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon lodays' advance written notice to the employer. We will &.o give you 10 days' advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not mend. extend or alter the coverage afforded by the policies listed herein. Notwithstanding any requirement, term, or condition of any contract or other document with respect to which this certificate of insurance may be issued or may pertain. the insurance afforded by the policies described herein is subject to all the terms. exclusions and conditions of such policies. , . .. .. ., . . ~ .< _, ., ., . ,I , ., '. , ., . %. . PRESIDENT ., ,_ EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE WSTS: Sl.OOO.OOO.00 PER OCCURRENCE. VISTA ROOFING CO.. INC P 0 DRAWER 2137 VISTA CA 92085 VISTA RDOFINQ CO., IN'.. ANO/OR YOU-HAUL CONCRETE. INC. oomncn. 12-18-98 mdna