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Home My WebLink About2732 CHESTNUT AVE; ; CB961142; Permit06/21/96^ 14:11 Page 1 of i Job Address: B u L D I U G PER MIT AV Valuation: Occupancy Group: : 167-392-08-00 Suite: Lot#: Permit No: CB961142 Project No: A9601623 Development No: 8177 06/21/96 0001 01 <p , -C--PRHT .- 3.04,00 Descriptionr 30 "SQUARES OF —-' Ref«r«nce#: •-. Construction Type: VNCOMP.•RE-ROOF Appl/Ownr : BETYAR, RELA 2265 VIEW STREET OCEANSIDE, CA. 92054 *** Fees Required *** Fees : Adjustments : Total Fees: Fee description 104,ou .' .00 ,104; 00 Miscellaneous Fee #1 * MISCELLANEOUS TOTAL' 519 967-5988 Status: ISSUED Applied: 06/21/96 Apr/Issue: 06/21/96 Entered By • MDP Fees Collected & Credit;*** ..Credits; - ,. i Total Payments'*. ' .-•,', \ -Balance Due; "••'-."104. D-6 ' .00 . 00 uaits; Fee/unit Exi»j;jo Data 104.00 PERMIT 104.00 CLL FINAL APPROVAL 507. T D, CITY OF CARLSBAD 2075 Us Palmas Dr, Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr.. Carlsbad, CA 92009 (619) 438-1161 1. PERMIT TYPE From List 1 (see back) give code of Permit-Type: For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: _ Net Loss/Gain of Dwelling Units . 2. PROJECT INFORMATION PLAN CHECK NO.- / I EST.VAL PLAN CK DEPOSIT, VALID. BY ~ DATE FOR OFFICE USE ONLY Suite No. Nearest Cross Street LEGAL DESCRIPTION Lot No.Subdivision Name/Number Unit NoT Phase No. CHECK BELOW IF SUBMITTED: D 2 Energy Calcs D 2 Structural Calcs Q 2 Soils Report D1 Addressed Envelope ASSESSOR'S PARCEL DESCRIPTION OF WORK t£&g>f T£^ &, „ f SQ. 1FT. £>*-* <^>%.{J'*^^> # OF STORIES / PROPOSED USE # OF BEDROOMS # OF BATHROOMS 3. (JUN1AL.1 FtKbUN 1.11 NAME (last name first) CITY iterent trom applicant) STATE ADDRESS ZIP CODE DAY TELEPHONE 4. APPJJCANT iJCONlKAClOR NAME (last name first) DACiENT FOR CONTRACTOR ADDRESS U OWNER CITY STATE ZIP CODE WNER D AGENT (/&£$} <£V FOR OWNER DAY TELEPHONE ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 6. CONTRAC1TJR NAME (last name first) ra^T^/H^ I/@&$~ CITY &C£fr£>^lD€ STATE C& STATE LIC. # m>0?-0l. DESIGNER NAME (last name tirst) CITY STATE ^"WORKERS' COMPENSATION ADDRESS ^-4^ (/(B^ ^ * ZIP CODE iV&fty DAy TELEPHONE 7 b ? "" S> ? LICENSE CLASS *\ CITY BUSINESS LIC. # ADDRESS ZIP CODE DAY TELEPHONE T^<£ £OC>i-<v >'W'C^V"T - X (J STATE LIC. # Workers Compensation Declaration: I hereby affirm that I have a certiticate ot consent to selr-msure issued by the Director of Industrial Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY 5T>Tg POLICY NO.. i ? *> ? 3£? '<?<*EXPIRATION DATE Certificate ot Exemption: I certify that in the performance of the work tor 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. SIGNATURE DATE 8. OWNER-BUILDER DECLARATION Uwner-Builaer Declaration: Tnereby attirm that 1 am exempt trom tne Uontractor's License Law tor tne 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). D I am exempt under Section Business and Professions Code for this reason: (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, commencing 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 [$500]). SIGNATURE DATE COMPLETE THIS SECTION FOR NON-HESIDENTIAL 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? D 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 D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES P NO IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1.1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9. CONsTJlUmON LENU1NU AGENCY I hereby attirm that there is a construction lending agency tor the pertormance ot the work tor which this permit is issued (Sec 30970J Civil Code). LENDER'S NAME LENDER'S ADDRESS JU. ArrUljAW 1 1 certiry that I have read the application and state that the above intormation is correct. 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 S'O" 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 work is commenced for a period of 180 days (Section 303(d) Uniform Buildin " " APPLICANT'S SIGfJAtyR*? DATE: ' WHITE: FUe YELLOW: Applicant PINK: Finance CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1 . JOB ADDRESS 133 ^ 2. TYPE OF BUILDING: RESIDENTIAL K COMMERCIAL _ 3. ROOF SLOPE: RISE 5"* inches in 12 inches 4. TYPE OF EXISTING ROOF COVERING §& 9fo&£ SHEATHING 5. NUMBER OF EXISTING ROOF COVERINGS (circle one) (£? 2 3 *6. NEW ROOF MATERIAL • (k*Q&it>3*t. SHfr)j£ CLASS AT WEIGHT PER SQUARE_?££_ 7. NUMBER OF SQUARES 8. TRADE NAME STlag _ MANUFACTURER 9. ROOF SYSTEM APPROVAL UL No. _ Other 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF YES Vi NO If the answer is no, a roof plan must be provided with this application. 11. Fire rating of roof: Class A X! Class 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. • A* * DATE Contractor \ Owner _ Contractor Name *6 - Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up. CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB961142 FOR 07/15/96 INSPECTOR AREA DESCRIPTION: 30 SQUARES OF COMP. RE-ROOF PLANCKtf CB961142 OCC GRP TYPE: MISC CONSTR. TYPE VN JOB ADDRESS: 2732 CHESTNUT AV STE: LOT: APPLICANT: BETYAR, RELA PHONE: 619 967-5988 CONTRACTOR: PHONE: OWNER: PHONE: REMARKS: RS/967-5988 INSPECTOR^ SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 15 ST Roof/Reroof ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 071196 Roof/Reroof AP DC OK TO COVER 070996 Roof/Reroof CO DC NOT READY STATE COMPENSATION INSURANCE FUND HOME OFFICE SAN FRANCISCO ANNUAL RATING ENDORSEMENT IT IS AGREED THAT THE CLASSIFICATIONS AND RATES PER $100 OF REMUNERATION APPEARING IN THE CONTINUOUS POLICY ISSUED TO THIS EMPLOYER ARE AMENDED AS SHOWN BELOW. HERE ARE YOUR NEW RATES FOR THE PERIOD INDICATED. IF YOUR NAME OR ADDRESS SHOULD BE CORRECTED OR IF INSURANCE IS NOT NEEDED FOR NEXT YEAR, PLEASE TELL US. CONTINUOUS POLICY 1301863-95IMPORTANT THIS is NOT A BILL SEND NO MONEY UNLESS STATEMENT IS ENCLOSED THE RATING PERIOD BEGINS AND ENDS AT 12:01AM PACIFIC STANDARD TIME BELA BETYAR CONSTRUCTION 2370 SPRUCE ST CARLSBAD, CALIF 92008 NAME OF EMPLOYER- RATING PERIOD 8-01-95 TO 8-01-96 CODE NO. 5027 5028 5201 5201 5205 5205 5213 5222 5225 5403 5432 5446 5447 BETYAR, BELA (AN INDIVIDUAL EMPLOYER AND NOT JOINTLY WITH ANY OTHER EMPLOYER) PRINCIPAL WORK AND RATES EFFECTIVE TO 08-01-96 BUILDING CONSTRUCTION MASONRY MASONRY CONCRETE OR CEMENT WORK—POURING OR FINISHING OF CONCRETE SIDEWALKS CONCRETE OR CEMENT WORK—POURING OR FINISHING OF CONCRETE FLOOR SLABS CONCRETE OR CEMENT WORK—POURING OR FINISHING OF CONCRETE SIDEWALKS CONCRETE OR CEMENT WORK—POURING OR FINISHING OF CONCRETE FLOOR SLABS CONCRETE CONSTRUCTION—N.O.C. CONCRETE CONSTRUCTION—IN CONNECTION WITH BRIDGES OR CULVERTS REINFORCING STEEL INSTALLATION CARPENTRY CARPENTRY WALLBOARD APPLICATION WALLBOARD APPLICATION IT PREMIUM UM PREMIUM ENT PERIOD )T JOINTLY 08-01-96 BASE RATE 16.32 14.25 12.40 12.40 10.60 10.60 11.34 17.27 13.84 29.04 9.32 14.51 12.41 $1 INTERIM BILLING RATE* 16.32 14.25 12.40 12.40 10.60 10.60 11.34 17.27 13.84 29.04 9.32 14.51 12.41 ,150.00 $650.00 MONTHLY R SD COUNTERSIGNED AND ISSUED AT SAN FRANCISCO JUNE 9, 1995 POLICY FORM K (OVER PLEASE)' H (" OHM I 0