The URL can be used to link to this page

Home My WebLink About2767 HIGHLAND DR; ; CB983034; PermitB U I L D I N G P E R M I T Permit No: CB983034 Project No: A9803949 Development No: 09/09/98 13:50 Page 1 of 1 1 Job Address: 2767 HIGHLAND DR Suite: Permit Type: MISCELLANEOUS Parcel No: 156-120-69-00 Lot#: Valuation: 3,328 Occupancy Group: Reference#: Description: RE-ROOF,3200 SF-COMPOSITION Appl/Ownr : BOB PIVA ROOFING 1192 INDUSTRIAL AV ESCONDIDO CA 92029 760 0909 09/09/98 0001 01 02 C-PRMT 102-00 Construction Type: Status: Applied: Apr/Issue: Entered By: 545-4700 NEW ISSUED 09/09/98 09/09/98 RMA *** Fees Required *** Feeb Collected & Credits *** Fees: Adjustments: Total Fees: Fee description Miscellaneous Fee #1 * MISCELLANEOUS TOTA I I ll'<S I '--"'--C ______ DA" E .00 .00 102.00 Ext fee Data 102.00 PERMIT FEE 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. 2 [ JO S ~ EST. VAL. _________ _ CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 Plan Ck. Deposit -------f.H-7t----:=cc- 1. ~'t; ""°RMAT19N . L 4-k 'I N t'.H.!e.Avl CLl Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. -? Subdivision Name/Number Unit No. Phase No. Total # of units KCS: < A\l0~, Parcel # • Cl . lµ<YO✓-l Existing Use ~WA\/;cS ~ /fPA-Y Corv1.P 5,(Jcl/4?Ll:$ J .'.2 t/..•roposed Use Description of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms Name :3 •. A Name 4. PROPERTY OWNER l'.'f\<P V\ ti't Name OIi. Address City State/Zip Telephone# Fax# d State/Zip 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. y vi tion (i')Section 7031.5 by any a licant for a permit subjects the applicant to a civil penalty of not more than fivepund~d do ars ($5001). 0 ,1 VA-t vtl()JS vrt.. ')'(~ -Oo Name Q ('_ State License # _.,'.)~[~€~i~3~~{S~-Address Q_ License Class __ 3~-~ l _____ _ City State/Ziij' Telephone # , City Business License # J2-f2/2 £l --VA Designer Name Address City State/Zip Telephone State License # _________ _ 8, WORKERS' .COMJ>DISATION. 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. D I h~ 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 com:::sation insurance carrier and policy number are: __ /? _ 0 9 Insurance Company :Z ~ Policy No. 0 '{ ~ 'i gMCI 7 Y ( ) Expiration Date_~b~~L-~/ __ ITHIS 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. cure workers' compensatlon coverage I• unlawful, and •hall •ubject an employer to crlmlnel penahies and civil fines up to ona hundred ), In ltfon t t of compensation, damages H provided for In Sectlon 3706 of~., ~erest and attomey's fees. ------DATE-~ 7_ -J1__2-__,,-A~--- 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, 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). 0 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(sl licensed pursuant to the Contractor's License Law). D 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. D YES ONO 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firml to provide the proposed construction (include name I address I phone number I 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 linclude name I address I phone number I 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 I type of work): ___________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ COMPLETE THIS SECTION FOR NON./IESIDENT/AL 8UiLDIN13PERMITS'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? 0 YES D NO Is the facility to be constructed within 1,000 feet 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. . . ~ONSTRUCTION I.ENDING AGENCY I hereby 'llffirm 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. APPLIC,.'INT CERTIFICATION'''" I certify that J h,we 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 rid State laws relating to building construction. l hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned property for insp&l~tion purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, C0ST:1 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 perr,,it 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 pt.rmit is n , commenced within ays from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time aft.Jr the iod of 180 days (Section 106.4.4 Uniform Building Code)9 -f-/J ! APPLICANT'S SIGNATURE ----DATE --~-'~ ,Q__~------- WHITE: File YELLOW: Applicant PINK: Finance PERMIT# CB983034 DESCRIPTION: .RE-ROOF, 3200 TYPE: MISC CITY OF CARLSBAD INSPECTION REQUEST FOR 09/24/98 SF-COMPOSITION STE: INSPECTOR AREA PD PLANCK# CB983034 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 2767 APPLICANT: BOB PIVA CONTRACTOR: HIGHLAND DR ROOFING PHONE: 760 545-4700 OWNER: REMARKS: C/DAN/745-4700 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION PHONE: -, & p::::~CTO~=~~~~~=---•----- ACT COMMENTS _1_9 __ s_T _F_i_n_a_1_s_t_r_u_c_t_u_r_a_1 _______ f_ ------------------ ------------------ ***** INSPECTION HISTORY***** DATE 091598 091098 090998 DESCRIPTION Roof/Reroof Roof/Reroof Roof/Reroof ACT INSP AP PD CA TP CA TP COMMENTS City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: 2. TYPE OF BUILDING: RESIDENTIAL ¥ COMMERCIAL. __ _,_ 3. ROOF SLOPE: RISE i inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) (y 2 3 5. TYPE OF EXISTING ROOF COVERING 4.lt>Q.0 SHEATHING. ___ _,_ *6. NEW ROOF MATERIALG7W\ () CLASS ft:: WEIGHT PER SQUARE 7. NUMBER OF SQUARES_°3_2_~ s. TRADE NAME RIC MANUFAcTuRER.-----"Gl.._,-='c=-_ __, UL No. ICBO No. ~~ / r;---9. ROOF SYSTEM LISTING 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? YES 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: ~r Off/Pre-inspection prior to install new roof covering. ~al Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Contractor ___ Owner ____ Contractor Name *6 • Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other.