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HomeMy WebLinkAbout2646 LA COSTA AVE; ; CB983581; Permit10/19/98 10:40 Paqe 1 of 1 B U I L D 1 N G P E R M I T Job Address: 2646 LA COSTA AV Suite: Permit Type: MISCELLANEOUS Parcel No: 216-280-10-00 Lot#: Valuation: 3,120 Occupancy Group: Reference#: Description: REROOF 3000 SF-COMPOSITION Permit No: l898J?81 Proiect No: A98046S4 Development No: Construction Type: NEW Status: ISSUED Applied: 1J/19/9H Apr/Issue: 10/19/98 Entered By: JM Appl/Ownr : PACIFICA ROOFING 1615 VALENCIA STREET OCEANSIDE CA 92054 7 6 O 9 2 62Hs0£0119/98 0001 01 02 * * I< Fees Required Fees: Adiustments: Total Fees: Fee description Miscellaneous Fee# * MISCELLANEOUS T 'A *** C-PRHT 102-00 Credits .00 .00 102.00 *** it Ext fee Data \._ _________________ _ 102.00 PERMIT FE 102.00 CLEARANCE _________________ -_-_-_-_-=.. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK. NO. ff3 3S!Jt CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit --,/if-,,-_,,~....,_,r--l(J,•"l!:b.,,,,.1....._ __ Validated By ___ lIJ.--==--~------- Date _____ .._1J.,,,,...._"1A-=-i-..,.....,,..... __ <....> Address (include Bldg/Suite #) Legal Description lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use # of Bedrooms # of Bathrooms ;=,.....!~-=-----~.:..:...=....!....:..:.._L.!IC...!.....=----:7.,r,a_:::!!!!!!.._____..:,-'-'LJ:__~-=.~~-.....,c..5i--==-:~:;:--~~=~~~L"d!aJ Name Address Telephone # Fax # @-~~T ~-qi'll!.actqr...,. 0 ~~ieJll~21lY!J.2!Pl...:...0 0 Name Address City State/Zip Telephone# Telephone# (Sec. 7031.5 Business and Professior,~ Code: J>.ny City o.-Cuunty which requires a permit to construct, altar, 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 action 7031.5 by any applicant for a pe,mit subjects the applicant to a civil penalty not more th n five hundred dollars ($5001). '.J~ 'f7l!J ,~ .) J.CN~~ 's U.o!S ... oo State license # _7......_}~9._._f_'-f-.-4--"'';J'---_ Address / _, ,-, City Stata/Zi T~ph_o?el License Class --~-==-:;2,--_,,,'?,c____ City Business License ti ✓ a<O ~..:S ~ ,-, Designer Name Address City State/Zip Telephone State license # -------~-~ W~• OMPQl.$All.P :-;,:_.-;:r~,,. ..... c~• · -1::t,;~ ,.;,_~. .._,,5':,,..!. 1 Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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 ~-My worker's com11ensation insurance carrier and policy number are: ~ 0 / 9 "' Insurance Company S'7)17E': ,rv N ~ Policy No. ~ A 5 -z.. o Expiration Date _ , _ y , (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) 0 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 is unlawful, and shall subject an employer to criminal penaltle1 and civil fines up to one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the labQr code, intere1t and attorney'■ fees. SIGNATURE._____________________________ DATE 11 • ....:.owNER•BUILDER DECLARAJJON ,. • .:.:-~i~, ~ ---~ •.. ,. .~ .... if~~.m~;;·;:~;;;;•;;:t;:;;!.il;;::· ·~;;,;m;;;;~;;;·;;;~.;::;:;~~·~ 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 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, tha 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 tha property, am exclusively contracting with licensed contractor■ to construct the project (Sac. 7044, Busineu and Professions Code: Tha Contractor's License Law does not apply to an owner of property who build• or improves thereon, and contracts for such projects with contractor(■) 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 for construction of the proposed property improvement. 0 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 provide the work indicated (include name / address / phone number / type of work): _________________________________________________________ _ PROPERTY OWNER SIGNATURE DATE ~ ~ClJl)flt.FQJUI..Q~IU)Jfi.(i.~ 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 O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 fHt of the outer boundary of a school site? 0 YES O 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..,__ J;ONSlJIUCliON LENDING AGENCY . m.~~ ",::".;:'\\"';., ~';H-~-!£.ii... ,,, 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 ______________ _ ll.: A-PPUCANT 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 City 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 6'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by e 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 n co menced within 36 s 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 .2""od 'tS 1~ days (Section 106.4.4 Uniform Building Code). APPL1cANrss1GNATURE ----:,,,C:....;~~:~--=--'f'-~""--------------DATE 19 CJcT 9e,- YELLow: Applicant PINK: Finance • 8 • CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS __ ::i ____ t,_"l_~ __ ~_.A __ <!_o_S_7_:;,..cl __ A __ v_s __ _ 2. TYPE OF BUILDING: RESIDENTIAL X COMMERCIAL __ 3. ROOF SLOPE: RISE f:' inches in 12 inches 4. TYPE OF EXISTING ROOF COVERING f:,.} O-OD SHEATHING .S ~ C-E-_D 5. NUMBER OF EXISTING ROOF COVERINGS (circle one)(D 2 3 *6. NEW ROOF MATERIAL C(!J'~JTta>N CLASS..A._ WEIGHT PER SQUARE ,Boo 7. NUMBER OF SQUARES _,.,.3-0,___ __ _ 8. TRADE NAME J-'(?J;S) YQ v1[' MANUFACTURER.__c=i_l._k ____ _ 9. ROOF SYSTEM APPROVAL UL No. _____ Other ___ _ 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 Yelass 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. SI~ DATE ✓ Contractor ---Owner ---Contractor Name ~/Fie.A JIP~-P(N~ *6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up. City of Carlsbad ■ =-i• I I &11,1· I •24·&14 i ,,14 ,; I REROOFING PERMITS A reroofing permit is required for all occupancies when: 1. Removal of the existing roof covering is required by · Appendix, Chapter 15, 199-4 _Uniform Building Code, ' OR 2. A lighter weight roof covering is being replaced with tile. (Engineering calculations may be required for the supporting structure.) The attached Supplemental Building Permit Application must be completed in addition to our standard application. Our adoptive ordinance requires that all replaced roof coverings be CLASS B or higher. REQUIRED INSPECTIONS: l. TEAR 'OFF-Inspection required for existing or new sheathing, prior to underlayment or covering. 2. FINAL INSPECTION 2075 Las Palmas Drive • Carlsbad, California 92009-1576 • (619) 438-1161 • CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB983581 FOR 11/18/98 DESCRIPTION: REROOF 3000 SF-COMPOSITION TYPE: MISC INSPECTOR AREA DH PLANCK# CB983581 OCC GRP CONSTR. TYPE NEW STE: LOT: JOB ADDRESS: 2646 LA COSTA AV APPLICANT: PACIFICA ROOFING CONTRACTOR: PHONE: 760 926-2600 OWNER: REMARKS: C/JOHN/966-2600 SPECIAL INSTRUCT: TOTAL TIME: --RELATED PERMITS-- LVL DESCRIPTION PERMIT# TYPE CB880688 RAD CD 19 ST Final Structural PHONE: PHONE: INSPECTOR --~O'-N _______ _ STATUS EXPIRED ACT COMMENTS Af_ _________ _ ------------------ ------------------ DATE 102798 102798 102298 DESCRIPTION Roof/Reroof Final Structural Roof/Reroof ***** INSPECTION HISTORY***** ACT INSP NR DH NR DH AP DH COMMENTS SHEATHING