HomeMy WebLinkAbout2792 HIGHLAND DR; ; CB951640; PermitB U I L D I N G
lLO::l/95 08:32
Paqe 1 of 1
Job Address: 2792 HIGHLAND DR
Permit Type: MISCELLANEOUS
Parcel No: 156-141-16-00
Valuation: 2,400
P E R M I T
Suite:
Lot#:
Permit No: CB95164U
Project No: A9 )02399
Development. No:
. : ~ 'f '. >( ~
Occupancy Group: Reference#:
Construction Type: NEW
Status: ISSUED
Applied: 11/09/9S
Apr/Issue: 11/09/95
Entered By: RMA
619-737-9323
Description: RE-ROOF,2500 SF, ASPHALT COMP
Appl/Ownr : DIRKES, STEVE
***
2792 HIGHLAND DR
CARLSBAD, CA 92008
Fees Required *** Fees Collected & CreditG *** --------------~-----------------------------
Fees:
Adjustments:
Total Fees:
Fee description
Miscellaneous Fee #1
* MISCELLANEOUS T TAL
>
Total .Credits:
Total Pa~ments:
Balance Due:
Units tee/Unit
90.00
.UO
. () u
90.00
Ext fee Data
90.00 PERMIT
90.00
r ~· APPRO"f L __ J) DATE /· ~"' · q h INSP. _
CLEAR. ,.., .. _________ _
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION ~ ~ PLAN CHECK NO. qs-I b LtD
City of Carlsbad Building Deparbm!nt
FSf. VAL. __ )' _'::(~CJ_D ___ _ 2075 Las Pal..s Dr., carlsbad, CA 92009 (619) 438-1161
I. PFltMII I'YPE PLAN CK DEPOSITnc.ri:=~------
VAIJD. BY _ __,n,1-',,,.,,~..,.,c-------
DATE t'l/'11<.-
From Llst 1 (see back) give code of Permit-Type: ____________ _
For Residential Projects Only: From Llst 2 (see back) give
Code of Structure-Type: ____________________ _
Net l.Dss/Gain of Dwelling Units
2. PRClJF.Cf INFORMATION FOR OFFICE USE ONLY
Address ·z_. "">"\ "2..
Nearest Cross Street
mt o. ase o.
CHECK BEWW IF SO Bl D:
D 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
NiSESSOR'S PABCRI, EXISTING USE PROPQSED USE
DESCRIPTION OF WORK /t5f ft ,4-vT
SQ. FT. 7--S°'b Cb # OF STORIES # OF BEDROOMS # OF BATIJROOMS
3. WN IACI PERSON (JI duferent from applicant)
NAME (last name first) ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
NAME (lase name first) DI~~, "?:,~5" ADDRESS
STATE ZIP CODE DAY TELEPHONE
NAME (last name first)
CITY STATE
STATE LIC. #
ZIP CODE
LICENSE CLASS
ADDRESS
DAY TELEPHONE
CITY BUSINESS LIC. #
DESIGNER NAME (last name llrst) ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. #
7. WUkkilltS4 WMPENSA:t ION
workers' compensation uec1arat1on: I hereby affirm that I have a cert1hcate of consent to selr-msure issued by the O1rector of lndustnal
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 POLICY NO. EXPIRATION DATE
cerottcate ot t:xemptlon: I certify that m the performance of the work for which this permit 1s issued, I shall not employ any person m any manner
so as t~me su~ to the Wo~~nsation ~ws,ofCalifomia. l \ -. (:e--< ~~ \\-. 9)
SIGNATURE I DA
8_ oWNER-B0IIDRll DRCiARAhUN
□
□
Owner-Bmlder Dedarahon: I hereby afhrm that I am exempt from the Confracfofs License Law for the iollowmg reason:
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.).
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 Llcense 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).
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 pennit
subjects the applican a civil penal:f;:5.,t,El~re than five hundred dollars [$500]).
SIGNA'J1JRE • 1,,,-DATE j l 'Jr
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □YES □NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
□YES □NO
ls the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□ YES □ NO
IF ANY OF TIIEANSWERS ARE YES, A FINAL CERTIFICATE OF CXOJPANCYMAY NOTBEJ\iSUED AFTER JULY 1, 1989 UNLllSS TIIEAPPLICANT
HAS Mirr OR IS MEETING 11IE REQUIREMENTS OF 11IE OFFICE OF EMERGENCY SERVICES AND 11IE AIR POLI.UTION CONTilOL DISTRICT.
9. WNSIROCUUN IENDING AGENCY
I hereby afhnn that there 1S a construction lendmg agency for the performance of the work for which th1S penmt 1S 1SSued (Sec 3097(!) CIVli Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPllCAN I CERIIFICAIION
I certify that I have read the apphcatJOn and state that the above mformauon ts correct. I agree to comply with ail City ordmances 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 AISO AGREE 1U SAVE INDEMNIFY AND KEEP HARMLESS 11IE CfJY OF CARISBAD AGAINST ALI. LIABILITil!S, JUDGMENTS, <XlSTS
AND EXPENSFS WlllCH MAY IN ANY WAY ACCRUE AGAINST SAID CfJY IN CONSEQUENCE Of 11IE 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 'me after the work is commenced for a period of 180 days (Section 303(d) Uniform Buildin e). , r-
APPLICANT'S SIGNATURE .-~-• ,.:::_J;.__ DATE:_,_~_,_~<//
TE: F" YELLOW: Applicant PINK: Finance
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4.
5.
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CITY OF CARLSBAD
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
JOB ADDRESS Z792.-1-\U,7\:tL~ ~
TYPE OF BUILDING: RESIDENTIALK COMMERCIAL --
ROOF SLOPE: RISE t.-inches in 12 inches
TYPE OF EXISTING ROOF COVERING Y?tN? $\1~ SHEATHING :'git, PPED
NUMBER OF EXISTING ROOF COVERINGS (circle one) {t) 2 3
NEW ROOF MATERIAL N:,f'~, Jc.o1--1.f' CLASS __ WEIGHT PER SQUARE ; '7 C \ b
NUMBER OF SQUARES __..Zfi''-"----
TRADE NAME f"~t~t': fµb MANUFACTURER __ _,6:~l-¥---..a,.._ _____ _
ROOF SYSTEM APPROVAL UL No._____ Other ApJ11 -D> c\ "l,--"i> ~ ""f'<f
IS THE EXISTING STRUCTURAL DEZ SUFFICIENT TO SUSTAIN THE WEIGHT OF
THE PROPOSED ROOF YES NO ----
If the answer is no, a roof pl~n.,,st be provided with this application.
Fire rating of roof: Class A_j,!5.._ 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.
11 /-i ( ... "I
SIGN DATE
Contractor ---Owner X::::: Contractor Name _____________ _
*6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up.
05/15/~6 INSPECTION HISTORY LISTING
FOR PERMIT# CB951640
DATE INSPECTION TYPE INSP ACT COMMENTS
01/26/96 Roof/Reroof RI RI MW/STEVEN/729-8392
12/12/95 Roof/Reroof RI RI MW/STEVE/737-9323
12/12/95 Roof/Reroof DC AP GRG OK TO COVER
11/30/95 Roof/Reroof RI RI MW/STEVEN/729-8392
11/30/95 Roof/Reroof DC PA OK TO CVR HSE/CALL FOR CRPRT
11/29/95 Roof/Reroof RI RI MW/STEVEN/729-8392/737-9323
11/29/95 Roof/Reroof DC NR 9:30 NO CARD
11/29/95 Roof/Reroof DC co 3:30 NO !ADDER/NO CARD
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