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Home My WebLink About2790 MADISON ST; ; CB972197; PermitB U I L D I N G 08/05/97 16 :15 Page 1 of 1 Job Address: 2790 MADISON ST Permit Type : MISCELLANEOUS Parcel No : 203-110-27-00 Valuation : 3,605 P E R M I T Suite: Lot#: Permit No: CB972197 Project No: A9702771 Devel opment No: Construction Type: Occupancy Group: Referen ce#: Status: NEW ISSUED 08/05/97 08/05/97 JM Description : REROOF 3500 SF, TORCH APPLIED : ICBO 3992 Applied: Apr/Issue: Appl/Ownr : TWM ROOFING 4445 ESTATE DRIVE FALLBROOK CA 92028 *** Fees Required Fees : Adjustments : Total Fees: Fee description Miscellaneous Fee ~1 * MISCELLANEOUS T0TAD *** Fee 760 Entered By: 731-0777 Collected & Credits .00 .oo 104.00 Ext fee 104.00 104.00 APPROVA~L l~SP. DATE B: u, f7 .. ____ _ CLEARANCE ..... ._._ __ _ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 *** Data PERMIT FE FOR OFFICE USE ONLY >ERMlT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 PLAN CHECK NO. 'fl 2/17 EST. VAL. :{6/J'J Plan Ck. Deposit aoo ~:~:._•_t•_d_B_v _________ ..1,_':~:!~'.5;::;/4"~~"...,'=',,_z-=.-=--=--=--=--- 1. PRo.iECT INFORMATION ;;n"lo m i,,,o,So~ s,. Address (include Bldg/Suite I) Businen Name lat this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Assessor's Parcel I Existing Use Proposed Use SQ. FT. #of Stories # of Bedrooms II of Bathrooms &- Name Address City State/Zip Telephone# ·4. ~ PROP~il1Y·bWNl!fl ,r,,-::.,n• ;J!<",_:,wg-;.,)-,>1;1,~•~~~~,~:rsr~~~~~~.T'~,n~-~-..,~ir,-_"::rr ~- -:5"A-M6<, ~ •~<., ~LA x'\:• \.~ (_o';,'"{.;>. Name Address City State/Zip Telephone# (Sec. 7031.5 Business and Professions Code: Any City or Countv 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 IChapte, 9, commanding with Section 7000 of Division 3 of the Business and Professions Coda) or that he Is exempt th9refrom, 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 penahy of not more than five hundred dollars 1$500)1. '.I w !Y' \LoPF 1 ~C, '½'::\:':!"S 6:';,, 11,t c: 'DG!-£fu<.,B~ QA-1\-ZO-z.8 '731 o T">l Name Address City State/Zip Telaphona , State License , '5 \&\ j'\.t 'S Licanse Class C. -~ City Business Ucense I \ ~ c;f\ '1 ':f Designer Name Addresa Ctty State/Zip Telephone State License I _________ _ 8. WORKERS' COMPENSATION 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~lnsure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. le., I have and will maintain workers' compensation, es required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compens_ation insurance carrier and policy numbar are: . / \ Insurance Company ½Q\.,()lc;J 'bfse\6;. Policy No. '4\IJC.-'\ff<l3?-oo Expiration Date \ I '18 · ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS InooI OR LESSI D CERTIFICATE OF EXEMPTION: I certify that In the performance of the work for which this permit Is issued, I shall not employ eny person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to ucure workers' compensation coverage Is unlawful, and lhal subfect an employer to crtmktll penalties and civll fines up to one hundnd thousand dollars 1$100,009k~ ~o the cost of compenaation, damages u provkled for In Section 3708 of the Labor ":'9-~ lnter•t and attomey's feu. SIGNATURE "'Jpy.., -~ DATE ~1 S::1'12 7. OWNER-BUILDER DECLARATION ' , ' ·' ' '" -:·;,,,. ,.,, " ' !'-" I hereby affirm that I am exempt from the Contractor's License Law for the 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 Profusions Code: The Contractor'• License Law does not apply to an owner of property who builds or Improves thereon, Iod who does such work himself or through his own emplayus, 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 Of improve for the putpose of sale). D I, as owner of the property, am exclusively contracting with licensed contractora 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 project• with contractor(s) licensed pursuant to the Contractor's License Law). D I am exempt under Section ______ Business and Professions Code for this reuon: 1 . I personally plan to provide the major labor and materials for construction of the proposed property Improvement. D YES ONO 2. I (have/ have not) signed an Ipplicatton 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 Unclude name / address / phone number/ cont,actors license oombar): ____________________________________________ _ 5. I will provide aome of the work, but I have cont,acted (hired) the following persons to provide the work lncicated (include name/ address/ phone number/ type of work): _____________________________________________ -,-________ _ PROPERTY OWNER SIGNATURE _____________________ _ DATE ________ _ !COMPLETE THIS SEctiON -FQfl ~-'liOilbiHd··P&MrtJ.'dHL~f.>'~~~,J;f.,l?··'it':"'.'e\f'~"1'/~t:.1:t:P'!'.¥~;~?,,:~,1_f~8l~~f~~"'~;~· ·, "'r:,Tl' .;'' . ·, '".''1":: -\ "'" "·'" Is the applicant or future building occupant required to submit a bualness plan, acutely hazardous materials reglistratlon form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Prffley-Tanner Hazardoul Substance Accoi.mt Act1 D YES D NO Is the applicant or future bt.ilding occupant required to obtain a permit from the air pollution control district or eir quality manegement district7 D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of • school slte7 D YES D 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. i8. C"t)Nsiili.ictiON.liNDINQ\4,QENcY "Fr""'?;,."'l•.'fl':'.·•~c;i7~' ·;t;~7!''7'!;'-~T;;~;.:•:'-"'"''" ''.'-'' • . 'de '"'i"'!:-:l:CSl :· i'' ,; · """.'' •.,_,..,, -' · •:,S"r1>:•," '· '~"··' · I hereby affirm that the,e is a construction lending agency for the performance of the work for which this permit ls issued ISec. 309711) Civil Code). ,, " LENDER'S NAME_____________ LENDER'S ADDRESS _______________________ _ 19~ .APP:LICANT CEIITIFICA tibl'H'" !':;t'!!'?' ,·.":rr·~· ,: ;;:rr.r~1?7~';.1;:~•'·~w:,7 :pi.f":IT;~:.c·'-~s:-.,,.l,l'lt:i'-"''' ~;.;~::•: c:,;;~w.,~:~;..::,-.;~r.~z-:-::tlf.~i?"..7~·,wy:-r;;:,~~~~-':;.-::;: r ·,;,,_ -_· \ -.---: __ ,, :" I certify that I have read the eppJication ind state that the above lnformetlon 11 correct and that the lnforrnetion on the plans Is accurate. I agrH to comply with 111 City ordin1nces and State laws relating to bulk:flng constructktn. I hereby authorize repreunt:atives of the Ott of Carlsbad to enter upon the above mentioned property for Inspection purpo1es. I ALSO AGREE TO SAVE. lNDEMNIFY 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" dnp 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 366 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 commen:d lor ~~rlod of 180 days ISection 108.4.4 Uniform Building Code). \ APPLICANT'S SIGNATURE :;:;! (Jw.. '")Y\~ DATE __ '?-'-'-\ <;"=-'°']'--'-------- ,,,,.,,..r-. i:;,. VJ:• 1 '"'"'· /\,... .... 1:~,.,.,• 1'1t.JV. l:in<>n"" I!\ V CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS ;;:l 7".) 0 IY) P\01 So~ 51, 2. 3. 4. 5. *6. 7. 8. 9. 10. 11. TYPE OF BUILDING: RESIDENTIAL X. COMMERCIAL __ ROOF SLOPE: RISE ___ inches in 12 inches ( fLl\-r) TYPE OF EXISTING ROOF COVERING ~,..:r-lApv,1/C.1!-1We1..SllEATHING j?L-'fwc.oC:> NUMBER OF EXISTING ROOF COVERINGS (circle one) .i1) 2 3 "' NEW ROOF MATERIAL 1>,.s. l,..1,a ~ A-l'P CLASS A WEIGHT PER SQUARE \OS "'fP17oic, NUMBER OF SQUARES _s..;;..aa.:5 __ _ TRADE NAME -r~~-'¾2!?1-16-0 S>i:;,"1€1V\. MANUFACTURER._U;;..-_s_. l...;.N_T..:E:..:c...;__ ____ _ ROOF SYSTEM APPROJAL UL No._____ Other lC.<?:P• °5'1Cfd- IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF YES .>< NO __ _ If the answer is no, a roof plan n,st be provided with this application. Fire rating of roof: Class AX 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. SIGN DATE Contractor X:: I Owner __ _ Contractor Name. _____________ _ *6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/CDIIIP Fiberglass, Built up. City of Carlsbad ■ ~1 111 f.II,1·1 .,JA•bll 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 • PERMIT# CB972197 DESCRIPTION: REROOF 3500 SF, ICBO 3992 TYPE: MISC CITY OF CARLSBAD INSPECTION REQUEST FOR 08/18/97 TORCH APPLIED INSPECTOR AREA TP PLANCK# CB972197 OCC GRP JOB ADDRESS: 2790 MADISON ST APPLICANT: TWM ROOFING CONTRACTOR: STE: CONSTR. TYPE NEW LOT: PHONE: 760 731-0777 PHONE: L/ PHONE: OWNER: REMARKS: C/TOM/731-0777 SPECIAL INSTRUCT: TOTAL TIME: CD 19 LVL DESCRIPTION ST Final structural INSPECTOR ------,j,,,7'~--------- ACT COMMENTS ;Iii!_---------- -------------------- DATE DESCRIPTION 081197 Roof/Reroof ***** INSPECTION HISTORY***** ACT INSP AP TP COMMENTS EXISTING PATCHING@ DRY ROT