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Home My WebLink About2824 CACATUA ST; ; CB972995; Permit/q&L 'aZ%4zb' BUILDING PERMIT Permit No: CB972995 10/10/97 12:34 Project No: A9703815 Page 1 of 1 Development No: Job Address: 2824 CACATUA ST Suite: Parcel No: 215-370-06-00 Lot#: cm 193.06 Valuation: 9,720 Construction Type: VN Occupancy Group: Reference#: Status: - ISSUED Description: 40 SQUARES OF TILE RE-ROOF Applied: 10/10/97 Apr/Issue: 10/10/97 I Permit Type: MISCELLANEOUS - m%w97 WlO1 02 Entered By: MDP Appl/Ownr : URBACHN ROOFING 760 431-0738 3131 PALOMAR AIRPORT RD. .oo .oo 193.00 ' Ext fee Data .---------------- 193.00 PERMIT 193.00 . ary OF CARLSBAD #n5 Las palmas Dr., carlsbad, CA 9ZW (619) 438-1161 - FOR OFFICE USE ONLY PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 PLAN CHECK NO. 4 7- EST. VAL. Plan Ck. Deposit Validated By (61 9) 438-1 161 Address city statamp 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 RS issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisionr of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Codel or that he is exempt therefrom, and the basis for the alleged exemption. Any viol tion of Section 7031.5 by any applicant for a permit Name Address Citv statemp Telephone X State License # lP 0 237 s License Class c 7 City Business License t I 00 287 Designer Name Address City statamp Telephone State License X acts the applicant to a civil penalty of not more than fivp hundred dollars 1$50011. UXbdl 26 o/;~ Jh c 3L2L Palmaw rP)t-f-&A 1 5k. 300 &rlgkd C+ ImoCr 731 511 3 WQBK€RSj; 5OMPENSATK) em' Compensation Dedarati 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 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 . My worker's compensation insurance carrier and policy number are: 0 of the work for which this permit b issued. Insurance Company , - k Gld * Policy No. 2 8 5- % mz/'& YOa- Expiration Date & (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLURS ltlOOl 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.workm' compensation wvoraga i8 unhwful. and shall subject an employof to crihl p.ruttiU and civil finer up to om hundred thousand dollars ~$100.000~. in addition to the cost of compensation. damages as provided for b, Section 3706 of the Labcy code. Intamst end attomy's fws. SIGNATURE DATE I hereby affirm that 1 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 sola 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, howevu, the building or improvement is sold within one year of completion, the owner-builder will hva the burden of proving that he did not build or improve for the purpose of mIeL 0 I, as ownu of the property, am axclurively contracung with licansed contractors to construct the project (Sac. 7044, Busi~u and Rofesrions Code: The Contractor's License Law does not apply to an owner of property who builds or improver thereon, and contracts for much projeaa with contractor(a) licensed pursuant to the Contractor's Licenu Law). 0 1. 2. 3. 7. OWNERBUILDER DECLARATlON t I am exempt under Section I penonally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0 I (have I have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone numbor / contractors license number): Business and Professions Code for this reason: 4. number I contractors license number): 5. of work): PROPERTY OWNER SIGNATURE DATE _WWlEJETH1s SECTION FQR A!OJM€SiD~tlUIWNo PERMIISON Is program under Sections 25505,25533 or 25534 of the Rdey-Tanner Hazardous Substance Account Act? 0 YES 0 NO b Um applicant or future building occupant roquird to obtain a permit from the air pollution control dhct or air quality management district? b tho faali to ba constructad within 1,OOO fa of the outu boundary of a rchml rite? I plan to provide portions of the work, but I have hired the following person to coordinate, supervrse end provide the major work (include name / address I phone I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated linclude name / address / phone number / type a:pl:c:nt or futsre tuldinj tt~upsnt i6qwd io submit a business pien, acutely MZaraOua matariala registration torm or rsk management and prevention 0 YES 0 NO 0 YES 0 NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT 6E ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE OF A0 I hereby affirm that thera is a construction lending agency for the performance of the work for which thia permit i8 hued (Soc. 3097lil Civil Code). LENDER'S NAME LENDERS ADD 3.- APPLKWUT I certify that I have 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 and State laws relating to building construction. I hereby authorize representatives of the City of Cadsbed to enter upon the above mentioned propetty for inspeaon purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CllY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AQAINST SAID CITY IN CONSEOUENCE OF THE GRANTING OF THIS PERMIT. OSW An OSHA permit is requirad for excavations over 5'0' deep and demdion or constn~ction of nructuu over 3 stories in height. EXPIRATION: Every permit issued by the Building Official Under tho provisions of thm Code shall expire by limitation and become null and void if the building or work authonmd by such permit P not commenced within 365 days from the date of such permit or if the building or work ruthonred by such permit IS suspended or abandoned at any time after th APPLICANT'S SIGNATURE DATE Lq/.i;. 4 Uniform Building Code). WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. 2. 3. 4. 5. +6. 7. 8. 9. 10. 11 . JOB ADDRESS 2% 29 J st.Q.& TYPE OF BUILDING: RESIDENTIAL 30 COMMERCIAL ROOF SLOPE: RISE 4 inches in 12 inches TYPE OF EXISTING ROOF COVERING Shk-hku SHEATHING 5 NEW ROOF MATERIAL 6 A %*. T, '00. CLASS A NUMBER OF SQUARES TRADE NAME ~1 - & &&?5 h&&& MANUFACTURER y&&,&& ROOF SYSTEM APPRO~L UL NO. Other IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF YES -& NO If the answer is no, a roof plan must be provided with this application. Fire rating of roof: Class A Class B U NUMBER OF EXISTING ROOF COVERINGS (circle one) 0 z 3 WEIGHT PER SQUARE #wb ' I understand the following inspections are required: I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Contractor $ Owner Contractor Name *6 - Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up. c CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB972995 FOR 10/27/97 INSPECTOR AREA NF DESCRIPTION: 40 SQUARES OF TILE RE-ROOF PLANCK# CB972995 TYPE: MISC CONSTR. TYPE VN JOB ADDRESS: 2824 CACATUA ST STE : LOT: APPLICANT: URBACHN ROOFING PHONE: 760 431-0738 CONTRACTOR: OWNER: OCC GRP It PHONE : PHONE : 4'' 4% J' REMARKS : C/KAREN/ 4 3 1-5 11 3 INSPECTOR SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION 19 ST Final Structural ACT COMMENTS ***** INSPECTION HISTORY ***** DATE DESCRIPTION 101497 Roof/Reroof ACT INSP COMMENTS AP NF SEE INSPEC CARD