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Home My WebLink About2804 LA GRAN VIA; ; CB972577; PermitB U I L D I N G 09/11/~7 14 :59 P E R M I T Permit No: CB972577 Project No: A9703277 Development No: Page 1 of 1 Job Address: 2804 LA GRAN VIA Permit Type: MISCELLANEOUS Parcel No: 216-230-22-00 Valuation: 4,374 Suite: Lot#: Occupancy Group: Reference#: Description: REROOF 1800 SF , LITE TILE : ICBO 2093 Appl/Ownr : SECURE ROOFING 2210 MEYERS AVENUE ESCONDIDO, CA 92029 Fees Required *** Fees : Adjustments: Total Fees: Fee description Miscellaneous Fee 1 * MISCELLANEOUS T TA CITY OF CARLSBAD 760 9058 09/11/97 0001 01 C-PRMT Construction Type : Status: Applied: Apr/Issue : Entered By : 432-4084 02 119-00 NEW ISSUED 09/11/97 09/11/97 JM *** .00 .00 119 .00 it Ext fee Data 119.00 PERMIT 119.00 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 F ·1 FOR OFFICE USE ONLY PERMIT APPLICATION C-1,-Jt: .,---, PLAN CHECK NO. t I l.,J I I CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. ----"--"✓C...:....h-,?T-,,,..---qz;.~ Plan Ck. Deposit ; '1'. u lJ Validated By c;'l)--.., , Date q/;1/Cf---J ' 1. PROJECT INFORMATION Business Name lat this address) Legal Description 5,FD Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel II Existing s' r V Proposed Use Description of Work /' ! of Bathrooms LU"· 2. CONTACT PERSON (H dlfforenl from oppllcand. Name Address City State/Zip Telephone# Fax# 3. ent foi Contrictoi-Oownii' 0 Agenl for Owner !~ -z. '-l <l z_O 2.. Address Telephone# 7 5 ?-[ Lf Lt 2., re1ephone # 6. ' · CONTRACTOR • COMPANY NAME (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 exempf n. Any violation of action 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$5001). oo+" c -Z Z.1 ,,,.,, <12. 7 0 Y Name State License # ~5~_'o/_O~,?~_-:J'_'.7"..,..__ Address License Class _..,~,=c_J_-,__"7~---City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS• COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: _...e/ 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 . .,ff" I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's com ensation insurance carrier and policy number are: Policy No. Z, f S • / <./ f", -'7 ) Expiration Date 1-/-J~ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure worker•· compen1atkm coverage la unlawful, and •haJI aubject an employer to crlmlnal penaltle1 and civil fine• up to one hundred thousand dollars ($ 0, 01, In add t~ co of compe atlon, damages•• provided for In Section 3706 of the Labor code, ~erHt and attomey'a feu. SIGNATURE, ....... C;~'.'._,;__~i_(:;u.~~~::;;L___________ DATE 7 -// -z 2 7. OWNER-BUILDER DECLARATION · 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 sate. 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 salej. 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(s) licensed pursuant to the Contractor's License Law). 0 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 / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name I address / 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 Unclude name / address / phone number I contractors license number): ________________________________________________ _ 5. I will provide some of the work, but I have contracted lhired) the following persons to provide the work Indicated (include name/ address/ phone number/ type of work):. ______________________________________________________ _ PROPERTY OWNER SIGNATURE _____________________ _ DATE ________ _ COMPLETE THIS SEcTiON FOR NON-RESJDENflAt BUii.DINQ 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 25506, 26633 or 26634 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from tha 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 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. :e. . CONSTRUCTION LENDING AGENCY .. ' " . I hereby affirm that there is a construction lending agency for tht performanca of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME _____________ _ LENDER'S ADDRESS, _______________________ _ 9. APPLICANT CERTIFICATION I certify that I have read the application and state that the abov1 Information ts correct and that the Information on the plans Is accurate. I agree to comply with all City ordinances and State lawa relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above inentioned 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 5'0" dtep 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 arid 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 commence ~eriod of 180 days (Section 106.4.4 Uniform Building Code). DATE ____________ _ PINK: Finance I!\ V CITY OF CARLSBAD 1. 2. 3. 4. 5. *6. 7. 8. 9. 10. SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR RER00FING JOB ADDRESS Z! 0 1 L 5 C-1 ~ v? //2 ·., TYPE OF BUILDING: RESIDENTIAL ,K COMMERCIAL __ ROOF SLOPE: RISE Cj inches in 12 inches TYPE OF EXISTING ROOF COVERING 5°'? :5 /(e SHEATHING ) K ~7? NUMBER OF EXISTING ROOF COVERINGS (circle one) 1 2 3 NEW ROOF MATERIAL J 1 /e-CLASs_A._ WEIGHT PER SQUARE)6O /65 NUMBER OF SQUARES ...... l~F __ _ TRADE NAME <l.e.R cv /1.b e., MANUFACTURER /71 {) h J -L ..J ROOF SYSTEM APPROVAL UL No. ____ Other ZL[?O ~ Z07 J IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF YES Y NO __ _ If the answer is no, a roof plan n.ist be provided with this application. 11. 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 y Owner __ _ Contractor Name 5 <2C! U IQ_ /2006 A l.. ' *6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up. City of Carlsbad ■ =-i• I IHI I,;. I •24 ·b I 4 I ,,IA,I 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, 19~ _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: 1. 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# CB972577 DESCRIPTION: REROOF 1800 SF, ICBO 2093 TYPE: MISC CITY OF CARLSBAD INSPECTION REQUEST FOR 09/29/97 LITE TILE JOB ADDRESS: 2804 LA GRAN VIA APPLICANT: SECURE ROOFING CONTRACTOR: PHONE: PHONE: OWNER: PHONE: INSPECTOR AREA NF PLANCK# CB972577 OCC GRP CONSTR. TYPE NEW STE: LOT: 760 432-4084 REMARKS: C/PAM/432-9084 SPECIAL INSTRUCT: INSPECTOR ---~;{)-"---r _____ _ TOTAL TIME: CD 19 LVL DESCRIPTION ST Final structural ACT COMMENTS tlf _____ _ -------------------- DATE 091797 091597 091597 DESCRIPTION Roof/Reroof Roof/Reroof Roof/Reroof ***** INSPECTION HISTORY***** ACT INSP AP NF NR NF NR NF COMMENTS