HomeMy WebLinkAbout2723 ATHENS AVE; ; CB983995; Permitv Permit No: CB983995 Project No: A9805206
BUILDING PERMIT >
11/19/98 13:43
Page 1 of 1 Development No: Job Address: 2723 ATHENS AV Suite: Permit Type: MISCELLANEOUS
Valuation: 2,448 Construction Type: VN Occupancy Group: Reference#: Description: 24 SQUARES OF COMP. RE-ROOF
Parcel No: 167-391-42-00 Lot#:
Status : ISSUED Applied: 11/19/98
Apr/Issue: 11/19/58
Entered By: MDP 619 793-1968 Appl/Ownr : PATRIOT ROOFING
11772 SORRENTO VALLEY RD #152
SAN DIEGO CA 92121
lle%~l~~%&ol 02 *** *** Fees Required XX*
*rnT - - - -- -87?00 -_-________ -_______________________
Fees : Adjustments :
Total Fees: .00 . 00
87.00 Ext fee Data Fee description
Miscellaneous Fee * MISCELLANEOUS T
__________________ ______-_-_________
87.00 PERMIT
87.00
CITY OF CARLSBAD
Un5 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
Legal Description Lot NO. Subdivision NamelNumber Unit No. Phase NO. Totai X Of units
PLAN CHECK NO.
EST. VAL.
Plan Ck. Deposit 557- QJ
Validated By
ma+-
Existing Use Proposed Use
X Of Bedrooms
z
t Of Bathrooms
2 A essor's P rcd X
Description of Work
2
#of Stories
24 & sa. FT! k- hF
Name Address City Statenip Telephone # Fax #
,. . ,. .. , , . , ., 5. '. CONmAW0R~- OOhiPmFmw~:
[Set. 7031.5 Business and Profallsionr CO County Which requitas I permit to consmct, ah. improva, damoiilih or repair any sructurs. prior to its
i~~uance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant IO the provisions of the Contractor's License Law
[Chapter 9, commending with Section 7000 of Division 3 of the Business and ~ofessions Codel or that he is exempt therefrom. and the basis for the aileged
BXB~ tion Any violation of Section 7031.5 by any applicant for I! permit SubjeN the applicsnt to LI civil penait of not mors than five hundred dollars 195001l.
Name
state License x 71 Mq'L License ciaor c- 39 City Business License X
Designer Name Address City Statenip Telephone
State License I
Workers' Compe
of the work for Which this permit is issued.
Eed. My Worker's compensation insurance Carrier and policy number are:
insurance Company
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 141001 OR LESS1
CERTIFICATE OF EXEMPTION: I cmify that in the performance Of the work for which this permit is issued, I shall not employ any parson in any manner so e9
to become subject to the Workers' compensation Laws of California.
WARNINQ: Fdlun 10 SKU^ workem' somqmn*nion comnp. h unl~wtul, nd ham lubiect M envl0v.r to dmhl padlhs and clvll Rnss up to OM hundred
2121 7q3-I %fl 0 VAdw #152SD 9 SOptzB\1-f $hTI2IOT ~Fll&,fdC. !!772. Statelzt)Zo y,-Ts&py X City Add r a s S
.. ., ,... . - ,.,. .,..,. . , . . der psnalw Of perjury one of the following declarations:
I have and will maintain a cerrificate of consent to self-insure fot workers' compensation as provided by Section 3700 Of the Labor Code. tor the performance
i have and will maintain workers' compensation, as required by Section 3700 of the Labor Code. for the performance of the work tor which this permit is
policy NO. VVGl 059 99 b 2 Expiration Date odos!qq
n 3706 oftk Labor cod.. InlansI and anornay'. f-s.
DATE 11.19 ' 9p
..
I hereby affirm that i am exempt from the Contractor's License Law for the following meson:
I, as owner of the property or my srnpioyssr with wager as their sola compsnration, will do the work and the StIUcture is not intended or offered for sale
ISec. 7044, Business and Profassions Code: The Contractor's License Law does not apply to an ownar of Property Who builds or improves thereon, and who does
such work himself or through his own employees. provided that such improvsmams are not intended or offered for saie. If. however. the building or improvement Is
sold within one year of completion, the owner-builder will have tha burden of proving that he did not build Or improve fOr the purpose of del.
0 i, as owner of the property. am excIusive~y contracting With licensed contractors to construct the project ISec. 7044, Business and Professions Code: The
Contractor's License Law does not apply to an owner of propenv Who builds or impravas thereon. and Contracts for such projects With ~ontractorlsl licensed
pursuant to tha Contractor's Licenae Law).
1, '
2.
3.
4.
number I contractors license number):
5.
I am exempt under Section
I persona~~y plan to provide the major labor and materials for construction at tho proposed property improvement. 0 YES ONO
i [have I have not1 signed an application for a building pewit for the propoaed work.
I have contracted with the following person lfirml to provide the proposed ConstNction (include name I addmas I Phone number I contmctors license numberl:
I plan to provide portions of the work. but I have hired the foliowing parson to coordinate. SUPeNiae and pravida the major work lincluda name I address I phone
I will provide soma of the work. but I have contracted Ihiredl the following perrons to provide the work indicated Iinclude name I address I phons number I type
Business and Rofeasions Code for this reason:
PROPERTY OWNER SIGNATURE DATE
:kOMPLETE TnISSECTJON FOR IyDN-REsIoByTuL. ~.Euii~m;oNLv"
1s the applicant or future building ocwpsnt required to submit a business plan, acuteiy hazardous materia15 registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Prsslsy-Tanner Hazardous Substance Account Act7 0 YES 0 NO
IS the applicant or tuture building occupant required to obtain a permit tiom the air pollution control district or air quality msnagsmsnt district? 0 YES 0 NO
1s the facility to be constructed within 1,CQO fwt of the 0me1 boundary of II school site? YES 0 NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE iSSUE0 UNLESS THE APPLICANT HAS MET OR IS MEETiNG THE
REOUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND TNE AIR POLLUTION CONTROL DISTRICT.
.. .. :E. .CQNgTRURiDN.MCDINGiN3EN&
I hereby affirm that there is a construction
LENDER'S NAME LENDER'S ADDRESS
performance of the work for which this Permil is issued ISsc. 3097lil Civil Codel.
I Cenifv that i have read the application and state that the above information is coirecl and that the information on the plans is accurate. I agree to complv with ail
City ordinances and State iaws relating to building ConstNction. I hereby authorize representatives Of the CitV of Carl8b.d to enter upmi the abovs'ientioned
PIOP~~V for inspection purpoo~~s. I ALSO AGREE TO SAVE. iNDEMNlFY 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 dsmolnion 0, constructim Of strUctUre6 over 3 Stories in height.
EXPIRATION Every permit issued by the Building Official under tho provirions of this Code shall expire by limitation 0nd become null and void if the building or
work authorizeu by such the date of such permit or if the building or Work authorized by such permit is suspended
or abandoned at any time 0 days ISaction 106.4.4 Uniform Building Codal.
APPLICANT'S SIGNATURE DATE I l*lq*qFf
WHITE: Fils YELLOW: Applicant PINK: Finance
~~ ~~~ ~~
CITY OF CARLSBAD
UIP~EKNTAL BUILDING PEWIT APPLICATION FOR REROOFIN6
1.
2.
3.
4.
5.
*6.
7.
8.
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10.
11.
JOB ADDRESS 2323 PrTHaJS WENJUG
rYPE OF BUILDIIIC: RESIMflTIALL COWERCIAL -
ROOF SLOPE: RISE 4212 inches in 12 inches
TYPE OF EXISTINS ROOF COVERINS 5
NEW ROOF MTERIAL cmmsmd
NWBEROFSQUARES a a\
TW #ME WFACTURER 6AF
IS THE EXISTING STRUCTURAL MSIBW SUFFICIENT TO WSTAXW THE WEIGHT OF
If the answer Is no, a roof plan must be provlded wlth this appllutlon.
Fire rrtlng of roof: ChSS AX Clrss B-
WlMBER OF EXISTINS ROOF COVERIRS 9m:1nc (drcle one) 1 Smp 3
UASSL YEIW PER SQUARE 3.
ROQF SYSTEM APPROVAL UL lo. gz\ 0-
TMEPROlOSfDROOF YES x 110
I understand the folloring lnspectlons arn raqulred:
1. Terr Off/Pm-lnsprctlon prlm to Installlng MI roof covering.
2. Fi~l Inrpectlon
I rgree to prwlde a ladder extending Jt least 2 mngs above th8 roof for inspection.
sxw MTE
*6 - Rolled RooflMJ. Tlle, fhke. Shingle. Asphrlt/Cmp Fiberglass. Wilt up.
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB983995 FOR 11/24/98 INSPECTOR AREA
DESCRIPTION: 24 SQUARES OF COMP. RE-ROOF PUCK# CB983995
TYPE: MISC CONSTR. TYPE VN
JOB ADDRESS: 2723 ATHENS AV STE : LOT : APPLICANT: PATRIOT ROOFING PHONE: 619 793-1968
CONTRACTOR: PHONE :
OWNER: PHONE :
OCC GRP
REMARKS: C/PATRIOT ROOF/619/793-1968 AM INSPECTOR SPECIAL INSTRUCT: AM PLEASE
TOTAL TIME: -
CD LVL DESCRIPTION ACT COMMENTS
15 ST Roof/Reroof
DATE DESCRIPTION
***** INSPECTION HISTORY *****
ACT INSP COMMENTS
CITY OF CARLSBAD I E (760) 436-3550
BUILDING DEPARTMENT 2075 LAS PALMAS DRIVE
PERMIT NO. "-
FOR INSPECTION CALL (760) 438-3101. RE-INSPECTION FEE DUE? 13 YES
PHONE
@ CODE ENFORCEMENT OFFICER
- Send #
MICHAEL d. PETKW INSURANCE em3 DoueLas ELM. sum 151
ROSEVM.LE,CA. WWl.
PH:ldW8444600 FA)(:016852-2231
WllD
1LIUIrnCD"
PATRIOT ROOFING. INC D0A
A-1 ACCURATE ROOFING
11?72 SORROENTO VALLEY RD . SUITE 152
THB CERTlFlCATE IS ISWED A8 A MATTER OF INFORMATON ONLY AND CONFERB NO Rw)Hf8 UPON THE CERTIFICATE HOWR THUl CERTIFICATE DOE8 NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE PWCIEI) BELOIN.
IN8URERS AFFORDINO CWEMEE
-
IWLMJRES A I FRlON INSURANCE COMPANY
we1 0579882 2
EVIDENCE OF INSURANCE