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Home My WebLink About2645 LEVANTE ST; ; CB981679; PermitOti/Ol/9H 14:0Y P1qe 1 of 1 B U : L D I N u P E R M I 1 ,Tob Address: lo45 LEVAN.,..F ST !:>uite: P~rMit Type: MISCELLANEOUS Perm: t Nn: C'E>9H t>, l Pro1f ~t ~,: Aid022~q Devel pment No: P3rce: No: ll6-220-J1-00 Lot#: Valuatiun: 2,392 Occupancy Group: Reference#: De::;c-r1pt.::.on: REROOF 2300 ~F COMPOSITION r·0nstruct.on Ty~e: NFW Status: I!:>SUED A,:..pl1ec1: 0f>/01/9t-i Apr/Issue: 00/01/9~ Ente.red By: TM Appl/Ownr : OMNI RUOFING "/f>0 •H 5-28 'D ll.68 B AUTO PARK ESCONDIDO CA 92027 * * * Fees Required *** --------------------------F=>p-:;: Adjustments: Total F0t•s: --~----------------- M1.cellaneous F0e # "MI~CELLANEOUS TO'r .co • 0 (J 87.oo Ext fep Dc.t=i ---~------------ 87,00 PERMIT FLE &7. O(• APPROVAL DATE t -IS -9f \,------- CLE A RANCE P \ Rt CITY OF CARLSBAD 2075 Las Palinas Dr., Carlsbad, CA 92009 (619) 438-1161 ------- PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 Plan Ck. Deposit ===-c--1-L~~-4,.L Validated By•_--1,,-,4:.<w<-\,--,,,..-,~~-- Date, ________ .!",µ~7,1,;J'.--- 1. PROJECT INFORMATION Address (inf'Y.de Bldg/Suite #) Business Name lat this address) ;},C,, 7 5= Li" u A ,vT-e_ Legal Description lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Description of Work #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON (If different from applicant) Name Address State/Zip 3. APPLICANT Q.-eontractor 0 Agent for Contractor O Owner City D Agent for Owner Name Address City State/Zip 4. PRQP/RJY 9Wrj.ER 1'21 I {__ {hVO'I Name Address ,)&'(S L-i'f//lJ,VTc ct+/ltf:~/!IY City State/Zip 5. CONTRACTOR -COMPANY NAME Telephone# Fax# Telephone# Telephone# (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 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 [$5001). Nam, OIT!ll I /(co F t:'JM'-c State License# ,t:· 705"':3/3 Address ;,.,,263 6 /J,U Io ;t),'1;?J>"'-'A£ity L J (, State/Zip c· ~-4 Telephone# {ii' ,)40 · 7,v~ 2g' ·{ License Class _ _st"_-o,!._<-~'-----1 City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION 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 of the work for which this permit is issued. ~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 compens~ion insurance carrier and policy number are: ~ ~ :) Insurance Company 5 I A / e F v!t'l/ () Policy No. Jc)J b ~ 9 Y .. -Q? Expiration Date S-: / 9' a_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) 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 secure workers' compensation coverage la unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars 00,00 , in ed~io o the cost of compensation, damages as provided for in Section 3706 of the Labor code, int,reat and attorney's fees. @). SIGNATURE {t'i, L / DATE C, " / -<) y{ J 7. OWNER-BUILDER DE RATION 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 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). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials tor 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 I address / phone number / contractors license number): 4. 1 plan to provide portions of the work, bl,!t I have hired the following person to coordinate, supervise and provide the major work (include name / address I 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 I 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 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? 0 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 O 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 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 _____________ _ 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 Citt 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 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 is co enced f r a period of 180 days (Section 106.4.4 Uniform Building Code). > DATE b C I -') € APPLICANT'S SIGNATURE WHITE: File YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING I. JOB ADDRESS: 2. TYPE OF BUILDING: RESIDENTIAL V COMMERCIAL. __ __,_ 3. ROOF SLOPE: RISE { inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) (V 2 3 5. TYPE OF EXISTING ROOF CQVERING ,;f(fl/cf SHEATHING ;;/; () . . · · r, '-'f'<C(rlf,'> *6. NEW ROOF MATERIAL)//,;,.'0/t~ CLASS fr WEIGHT PER SQUARE 7. NUMBER OF SQUARES ;;t3 . 8. TRADE NAME }:..-; /c /J,1fS-(:c4 t iiANUFACTURER.-'J;'-. .:....) /'-e_--__ __, 9. ROOF SYSTEM LISTING UL No. ICBO No .. ____ __, 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? &i NO 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: I. Tear Off/Pre-inspection prior to install new roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signature___;«i .......... A_1~--=---{y~--=/'-. /'-/4c...k...:l'--''r7_\_Z-__ ·· _Date Contractor L/Owner ____ Contrac r_Name '[)/11 fl/ i ilt1VI:_ (' A i/.p_ *6 -Rolled Roofing, Standard/Lite Tile~h:it/c~~E,")Built up, Other. PERMIT# CB981679 DESCRIPTION: REROOF 2300 SF TYPE: MISC CITY OF CARLSBAD INSPECTION REQUEST FOR 06/11/98 COMPOSITION STE: INSPECTOR AREA PD PLANCK# CB981679 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 2645 LEVANTE ST APPLICANT: OMNI ROOFING CONTRACTOR: PHONE: 760 945-2833 OWNER: REMARKS: C.BILL HERBLEIN SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION ::~::: d/ ~ /I/ INSPECT01i,7~? ~£-- ACT COMMENTS _1_9 __ s_T _F_i_n_a_1_s_t_ru_c_t_u_r_a_1 _______ ~ --------------- ------------------------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION 060298 Roof/Reroof ACT INSP AP PD COMMENTS