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Home My WebLink About2278 PLAZUELA ST; ; CB972899; Permit8 U I L D I N G P E R M I T Permit No: CB972899 Project No: A970 3676 Development No : 10/14/97 11 :55 Page 1 of 1 Job Address: 2278 PLAZUELA ST Permit Type : MISCELLANEOUS Parcel No: 216-340-04-00 Valuation: 2,976 Suite: Lot#: Occupancy Group : Reference#: Description : REROOF 31 SF, COMPOSITION : ASTM D3018 WITH TWO SKYLIGHTS Appl/Ownr : HACIENDA ROOFING 451 OLIVE AVE VISTA. CA 92083 760 0198 10/14/97 0001 01 02 Construction 'fHRHT NEW 50-00 Status : ISSUED Applied: 10/03/97 Apr/Issue : 10/03/97 Entered By : JM 630-7850 Fees Required *** Fe s Collected & Credits *** Fees : Adjustments: Total Fees: Fee description Miscellaneous Fee #1 Miscellaneous Fee #2 A MISCELLANEOUS TOTA~ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 .00 89 .00 50.00 Ext fee Data 89 .00 PERMIT FEE 50 .00 PERMIT FEE 139 .00 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 FOR OFFICE USE ONLY PLAN CHECK NO. CZ7~9ft EST. VAL. 2 17h Plan Ck. Deposit tfZ?.,.ZJb Validated By __ __,,-,,r.--,---+=--'7":::-::a. Date. _________ L.1~---::=...t----''-,j"" 1. PROJECT INFORMATION 2278 Plazuela St. Address (include Bldg/Suite #I Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # 216-340-04-00 Existing Use Single Family Dwelling Proposed Use Description of Work :£ ~~1 B8Z:t41/ # 5/ats:F C&ft1p Vista, CA. 92083 (760) 630-7850 #of Stories 2. .CONTACT PERSON Cit different from applicant) Hacienda Roofing, Inc., 451 Olive Ave., Name Address City State/Zip Telephone # Fax# 3. APPLICANT fi Contractor O Agent for Contractor O Owner O ·Agent for Owner -~H~a~c~i~e~n~d~a:!....!R~o~o~f~i~n~g~,....a!aI~n~cw,~•.......:4~5~1~0~1.....,i~v~e__.cA~v~e~,~-'-'Yui~s~ruai.,..,~C~A'=""'",_~9~2~D~S~3,__---:::~-=-(76Q) 63D-785D Name Address City State/Zip Telephone # 4. PROPERTY OWNER ___ RULaub.1-AliUo~due~rLS:::>.UD~DL,,-.~2~2~1~s;;,....~PJJ~a~z~1~1~e~J~a;1,-S~t~,-,..Carl~bad, CA. 92009'--------'(..:..7..:..60=..,.):.__::_6.::..34..:..-~5-=-03.::..7c.__ __ City State/Zip Telephone # Name Address 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 exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars I$ 5001). Hacienda Roofing, Inc., 451 Olive Ave., Vista, CA. 92083 (760) 630-7850 Name Address City State/Zip Telephone # City Business License# 488400 License Class __ C_-_3_9 _____ _ State License # --'3=-6.:..:.5.:3_1_4--___ _ 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: O 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. fl 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 compensation insurance carrier and policy number are: Insurance Company Legion Ins. Co. Policy No. WC10526090 Expiration Date 09-15-98 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) O 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 aecure workers' com naatlon coverage I unlawful, end shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($1 0), In add n t~ coat amagea as provided for In Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE V'· DATE 10-02-97 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O 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). O 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). O 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. 0 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 / 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 (include name / address / phone number/ 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 / type of work):. ________________________________________________________ _ PROPERTY OWNER SIGNATURE _____________________ _ DATE __________ _ COnriFLETc. THIS SECTION FOR NON-Ri:SilJEi• ,iAL iiUlLDli.G i'i:RMITS 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? 0 YES O NO ls the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES. 0 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. fa. CONSTRUCTION LENDING AGENCY I hereby affirm 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, ________________________ _ fg, APPLICANT CERTIFICATION . 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 Citt of Carlsbad to enter upon the above mentioned 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" 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 t e date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the is commenced of 1 ys (Se,"'1't>n.=lti.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE _____ l_0;:_-_;0:.=2:....-..:.9..:..7 __ WHITE: File YELLOW: Applicant PINK: Finance 1. 2. 3. 4. 5. "6. 7. 8. 9. 10. I!\ • CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING JOB ADDRESS. _________ 2_2_1s_P_l_az_u_e_1a_S_t_. ______ _ TYPE OF BUILDING: RESIDENTIAL x C0"4ERCIAL __ ROOF SLOPE: RISE 4 inches in 12 inches TYPE OF EXISTING ROOF COVERING space SHEATHING _______ _ NUMBER OF EXISTING ROOF COVERINGS (circle one) G) 2 3 NEW ROOF MATERIAL Fiberglass shingles CLASS A WEIGHT PER SQUARE z4o NUMBER OF SQUARES 30.5 ------ TRADE NAME __;P_:r.;;e;:;.st;:.:i:.:,qe;:u;:;.e_:I:._ _____ __:MANUFACTURER. __ E_lk_C_or_:p~o-r_at_1_·o_n __ _ ROOF SYSTEM APPROVAL m-. ASTM D-3018 Other ___ _ IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF YES _x __ _ NO ___ _ If the answer is no, a roof plan must be provided with this application. 11. Fire rating of roof: Class A x 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. 10-02-97 SIGN DATE Contractor __ x __ Owner __ _ Contractor Name --------------- "6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up. City of Carlsbad M =Jill f-11 el·l•ZA·kl Ii ,,14 e 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, 1994,llniform 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 CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB972899 FOR 10/22/97 DESCRIPTION: REROOF 31 SF, COMPOSITION ASTM D3018 WITH TWO SKYLIGHTS TYPE: MISC JOB ADDRESS: 2278 PLAZUELA ST APPLICANT: HACIENDA ROOFING CONTRACTOR: OWNER: REMARKS: C/HACIENDA ROOF/630-7850 SPECIAL INSTRUCT: RESET FROM 10-21-97 TOTAL TIME: PHONE: PHONE: PHONE: STE: 760 630 INSPECTOR AREA PK PLANCK# CB972899 OCC GRP CONSTR. TYPE NEW LOT: 850 CD 19 LVL DESCRIPTION ACT COMMENTS ST Final Structural AP _____ _ ------------------ ------------------ ------------------ ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 102197 Final Structural CA PK RESET FOR 10-22-97 101697 Roof/Reroof AP PK 101697 Frame/Steel/Bolting/Welding AP PK 101597 Roof/Reroof CA PK RESET FOR 10/16/97 101597 Frame/Steel/Bolting/Welding CA PK