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Home My WebLink About2669 MADISON ST; ; CB980617; PermitPERMIT. APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Pal mas Dr., Carlsbad CA 92009 (760) 438-1161 Legat Description Lot No. Subdivision Nlme/Numblr t7 FOR OFFICE USE ONL y C/J , PLAN CHECK NO. 7_72()0( 7 EST. VAL. ('YJl.j Plan Ck. Deposit ---,---'~.:::..!::.i.= Validated By ____ u:~.:..,-,,S,-r Oate _______ ....La=/....~-1-.../t.""-- Untt No. Ph■se No. TO!•I I ot units e lof Storin I or Bathrooms 2. , CONTACT PERSON ell dlffnnl tiom ........,; .. ..__, ...... _ --•-~""".'---... --. - City State/Zip Telephone I Fax II ,3. '0.i.goniio;Qwno, // ·---;_ ,.. ~ r,. "r'fi:c.r_ ', ,t,,C (v,,U' V , IP ~ Name ' Address City State/Zip Telephone I Cl~ 4«:I~RJ;:WN✓~ l4ame ~[>ct ~~tf{/:dlix·iJ'i:~o.c. Q6,,) L/:Jr/-7>~3 Address Ctty Si.te/Zip Te~phone I 6. CONTRACTOR • COMPANY NAME (Sec. 7031.5 Business and Professions Code: Any City or County which requires• permit to construct, alter, Improve, demolish or repair any structure. prior to Its issuance, also requires the applicant for such permit to file ■ signed 111t1ment that he ls licenNd pursuant to the provilkml of the Contractor's License Lew (Chapter 9, commending with Section. 7000 of Division 3 of the Businn1 Ind Prof ... ions Codi) or thlt hi ls eJCemPt therefrom, 1nd the basis for the 1ll1ged Anv violetion of Section 7031.5 by any applicant for a permtt • the applicant to cMI penalty of not more thin five hundred doHars 1950011. 6 LA---' c; b 6c.., le¥-';,,/ City Slete/Zip ~oleph~ State UcenH , <zG /1'7 I/ Uconu Clllu G -3: z City Bullnw IJcwe , / ? ~~ Name Oesigner Name Addreu Cltv State/Zip Telephone Stete License I _________ _ 6. WORKERS' COMPENSATION ... ,. .•~--------.. ., ... W_?!!S,ls' Compensation Declaration: I hereby affirm under penalty of perjury ona of the following dedaratlonl: f!r' I have and will ma,nta,n a certlfrcata of consent to 1elf•lnsura for work1r1' com""'8tion n provided by Section 3700 of the Labor Code, for the performance of t~ork for which this permit is Issued. ~ pa' I have and will maintain workers' compensation, as required by Section 3700 of the Labor Coda, for the perfor1Mnce of tha work for which this permit is ( issued. My worker's compenHtion i~ and policy number are: r _ C t:? " / c:, Insurance Company s-8e;t( ~ PoHc:v No. ;,.-g::; 7 <1 ,<.':11-,CSI '; Elq>itotlon Dote / _/ /7 / CTHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FDR ONE HUNDRED DOLLARS 1'1001 DR LESSI / t 0 CERTIFICATE OF EXEMPTION: I certify that In tha parfonnance of the work for wNch thia permtt ii luued, I lhall not employ eny person in any menna, ao 11 to become subject to the Workers' Compenution Laws of California. WARNING: FaUure t la unlawful, and ahd aullject .. .....,.,., to crtmlnal p■nllldea and c1Y11 flnn up to one hundNd thousand dollars t ......... n pnmded tor In Sac:dan 3708 of tt. Labor ooda, lmarat and lhDffllY'• ,._, ~IGNATURE DATE _________ _ 7. OWNER·BUILD N '.""'-":-"', ,. ·. '·"·.:rr,;,~.-,,'f'!'...,• .. ·Y .... --.-i'fS'j'r.'· .~. • exempt from the Contractor'• Lie-• Law tor the following r•non: D e property or my employees with w1099 •• thlir sole compenaetton, will do the work and the atructure II not Intended or ottered for aale (Sec. 7044, Busi and Profeuiona Codll: Tha Contrector'■ Unna• Law doet not apply to an owner of property who build■ or Improve■ thereon, and who doN 1uch work hlmHlf or through l'Na own ernployNS, provided that •uch fmp,ovementa ere not Intended or offared far Ale. tf, however. thl bullclng or lmpnwement la sold within one ve•r of completion, the owMt-bullder win heYII the burden of provtng that hi did not buHd or tmproye tor the purpoee ot .... ,. D I, es owner of the property, em exclusively contracting wtth licenud contrectors to construct the protect IS.C. 7044, BulfnNI Ind Proteulonl Codi: Tha Contractor's License Lew dou not apply to an owner of property who buMdl or improvn thereon, and contracta for IIUCh pro;.cu wtth contractorl•I llc9nlld pursuant to the Contractor's Licenee Law). D I am exempt under Section ______ Businna and Profeaatona Code for this ru,on: 1 . I personally plan to provide the major labor 1nd materials for construction of tha p,DpOHd property Improvement. D YES ONO 2. I (have/ have noO signed an applicatton for• building permtt for the proposed work. 3. I have contracted wtth the following person tftnnl to pro-Ade the propoud conatructton Onctude nama / ■ddrea I phone number/ contractors~• number): 4. I plan to provide portions of the work, but I heve hired tha following person to coordinet:1, 1uperviee and provide the fflll}or work {include name / eddreu / phana number J contractors license number),,_--------------------------------------------- 6. I will provide some of the work, but I have contracted (hired) tha followlng pe,90rt9 to provkle the work indicated flnclude name/ llddren / phone number I type of work).,·_------------------------------------------------------- Is the applicant or future building occupant ,aquirad to aubmlt a bu8inns plan, acutely hawdoul material■ 1egiebatto., form or risk man■gemant and p,■11•110011 program under Sections 25506, 26533 or 25534 of the Prntey. Tanner Hu■Nloul Subltllnce Accowlt Act1 D YES O NO la the applicant or future buUding occupant required to obtain a permtt from the air poifutlon control~ or ■Ir queNty man1D8ffl9nt dlstrtct7 0 YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of e school •h:e? D YES O ·NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET DA IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ll. •-coNSTRucnoN LEN01NG AGENCY .. ·'""" .... , ....... .., .•. .., ... , ..... ..,., ,. . .,--~:~.'!":~:-"'""'~ ..... ,,_,, ___ ,,,,._.~·-· ....... .:.•:· . ..----... -•:-,:,•...--,., ~ ...... ,... I hereby affirm that there is • construction lending agency for the performance of the work for wNch this permtt la tuued (Sac. 3097(i) Civil Code). LENDER'S NAME_____________ LENDER'S ADDRESS, _________________ ..c.. __________ _ ;9, APPLICANT CERTIFICATION --· -.,. ·-~-' .. , __ '~-. '••·~,..,,., •• ,,,,.,,,,, ~ ·''!'"'~_,., .. I certify that I have read the application and state that the above Information ii correct and that the lnformetion on the plans la eccurate. I agrn to comply with alt City ordinances and State laws relating to buildtng construction. I hereby authorize repreaantltivea of the Cttt of Cart.bad to inter upon the above mentioned property for inspection purpo1u. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY 9N ANY WAY ACCRUE AGAINST SAID CITY 9f CONSEQUENCE OF THE GRANTING OF THIS PERMIT. YELLOW: Applicant PINK: Finance I!\ • City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDREss&66:z: )yt~ ~p ?.>-u,$ 2. TYPE OF BUILDING: RESIDENTIAL ~· COMMERCIAL __ ~ 3. ROOF SLOPE: RISE-f½.--r inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) d) 2 3 5. TYPE OF EXISTING ROOF COVERING/.:¼u?-7=?=6HEATHING . *6. NEW ROOF MATERIAL A CLASS. __ WEIGHT PER SQUARE 7. NUMBER OF SQUARES / 7 8. TRADE NAME_C~c;.,~c[:~·-____ MANUFACTURER . UL No. ICBO No. if .?-( A.,) 9. ROOF SYSTEM LISTING 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? ~ 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: 1. 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. Signatur Date )-/~/z§P , 2 Contractor ~:ner .• -Contractor Nam&vz i? /..... T/4£""-S.cvv *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad ■ ~,111c 11,1-N •JA•G;;;, ,IA ,11 REROOFING PERMITS . A reroofing permit is required for all occupancies when: 1. Removal of the existing roof covering is required by Appendix, Chapter 15, 1994 Uniform Building Code, OR 2. A lighter weight roof cover 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 A or higher. REQUIRED INSPECTIONS: I. TEAR OFF: Inspection required for existing or new sheathing, prior to installing new underlayment or covering. 2. FINAL INSPECTION: 2075 Las Pal mas Drive • Carlsbad, California 92009-1576 • (619) 438-1161 PERMIT# CB980617 DESCRIPTION: REROOF 1700 SF, TYPE: MISC CITY OF CARLSBAD INSPECTION REQUEST FOR 03/02/98 BUILT UP ROOF JOB ADDRESS: 2669 MADISON ST APPLICANT: RLT ROOFING CONTRACTOR: PHONE: PHONE: PHONE: INSPECTOR AREA RB PLANCK# CB980617 OCC GRP CONSTR. TYPE NEW STE: LOT: 760 945-3706 OWNER: REMARKS: C/JERRY/434-9833 SPECIAL INSTRUCT: INSPECTOR _____ _,_fl.& ..... =----- TOTAL TIME: CD 19 LVL DESCRIPTION ST Final Structural ------------------------------------------------------ ACT COMMENTS IEP. ____ _ ***** INSPECTION HISTORY***** DATE DESCRIPTION 022698 Roof/Reroof ACT INSP AP RB COMMENTS