HomeMy WebLinkAbout2736 CHESTNUT AVE; ; CB951160; PermitBUILDING. PERMIT
08/24/95 11:11
Page 1 of 1
Job Address: 2736 CHESTNUT AV
Permit Type: MISCELLANEOUS
Parcel No: 167-392-06-00 Lot#:
Valuation: 4,617
Suite:
Permit No:
Project No:
Development No:
3326 08/24/95 0001 01
C-PK'HT
CB951160
A9501702
02
119.00
anstrucTixoii J-yyc. IMI-,»»
^cupancy Group: Reference*:
Ascription: RE-ROOF, LIGHT WEIGHT CONCRETE
Appl/Ownr : ROMO, EMILIE 619-729-5602
2736 CHESTNUT AV
CARLSBAD, CA 92008
*** Fees Required *** *** . Fees Collected
Fees: 119.00.
Adjustments: .00
Total Fees: 119.00
Fee description
Status: ISSUED
Applied: 08/24/95
Apr/Issue: 08/24/95
Entered By : RMA
& Credits ***
Total Credits: .00
Total Payments: .00
Balance Due: , 119.00
Units Fee/Unit Ext fee Data
Miscellaneous Fee #1
* MISCELLANEOUS TOTAL
119.00 119.00 PERMIT
119.00
INSP. *>s
CLEARANCE
FINAL APPROVAL
*>s DATE
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT^ APPLICATION
"City of Carlsbad Building Department
2075 Las PaI mas Dr., Carlsbad, CA 92009 (619) 438-1161
1. PERMIT TYPE
From List 1 (see back) give code of Permit-Type: K f\ &~ JT /T"~X. <>
For Residential Projects Only: From List 2 (see back) give
Code of Structure-Type:
Net Loss/Gain of Dwelling Units
PLAN CHECK NO.
EST.VAL
PLAN CK DEPOSIT
VALID. BY_
DATE
2. PROJECT INFORMATION FOR OFFICE USE ONLY
Address
Nearest Cross Street <po M "/-y v «c C
LEGAL, DESCRIPTION
W
Lot No.3 1 Subdivision Name/Number Unit No.Phase No.
CHECKBELOW IF SUBMilTEU:
D 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL ( (2, "7 —CL " O6.'*-XISTING USE PROPOSED USE .S^r
DESCRIPTION OF WORK
A /SQ. FT. / /,# OF STORIES # OF BEDROOMS Jj # OF BATHROOMS z.3. (juNTACr/PERSUM {.a oitterent trom applicant;
NAME (last name first)^ A
CITY STATE
ADDRESS
ZIP CODE DAY TELEPHONE
4. APPLICANT U CONTRACTOR U AGENT l-'OR CONTRACTOR " IS OWNER U AGENT KOR OWNER
NAME (last name first) /k,^ £Vn ///je^001^55 ^& "7 3 ^>
STATE (^1 ZIP CODE J6fxDAY TELEPHONE
/
7 ,P- '7 f
5. PROPERTY OWN!
NAME (last name first)
CITi
it i
/- 4T 0
ADDRESS
STATE DAY TELEPHONE
6. CONTRACTOR
NAME (last name first)
CITY
ADDRESS
STATE
STATE LIC. #
ZIP CODE
LICENSE CLASS
DAY TELEPHONE
CITY BUSINESS LIC. #
Dl&KJNKR NAMK (last name first)
/V— '/T —CITi'STATE ZIP CODE
ADDRESS
DAY TELEPHONE STATE LIC. #
7. WOKKEKS" COMPENSATION
Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to self-insure issued by the Director ot Industrial
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
Certificate of Exemption: I certity that in the performance of the work tor 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.
"" 10
SIGNATURE/S.^-XW/j^/y!''^ DATE
8. OWNER-BU TION
owner-Builder Declaration: I hereby attirm that I am exempt trom tneConlractors License Law tor tne following 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 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).
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 permit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
SIGNATURE DATE X~ —
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING 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 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
D YES D NO
Is the applicant or future building occupant required to obtain a permit from the 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 Q NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT
HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
9. CONSTRUCTION LENDING AGENCY
FTiereby affirm that there is a construction lending agency tor the pertormance ot the work tor which this permit is issued (Sec 3097(i) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPLICANI ChRllMLAnON
I certify that 1 have read the application and state that the above information is correct. I agree to comply with all City ordinances 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 ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CTTY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS
AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SATO CITY IN CONSEQUENCE OF THE 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 time after the work is commenced for a period of 180 days (Section 303 (d) Uniform Building Code).
' -LICANTS SIGNATURED DATE:^r
'WHITE: File YELLOW: Applicant PINK: Finance o
d .. ' . - • • .^®K
CITY OF CARLSBAD
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDRESS
2. TYPE OF BUILDING: RESIDENTIAL/7<v COMMERCIAL
3. ROOF SLOPE: RISE inches in 12 inches
4. TYPE OF EXISTING ROOF COVERING
5. NUMBER OF EXISTING ROOF COVERINGS (circle one) £P 2 3
*6. NEW ROOF MATERIAL 7*7 /^- _CLASS WEIGHT PER SQUARE
7. NUMBER OF SQUARES /^
8. TRADE NAME cr^y/e- fit><f&'*^//ruf It & MANUFACTURER £?W/e-
9. ROOF SYSTEM APPROVAL UL No/ Other -
10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF
THE PROPOSED ROOF JES )C NO '
If the answer is no, a roof plan must be provided with this application.
11. Fire rating of roof: Class A 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.
SIGNK DATE
Contractor Owner \)C Contractor Name
f X
*6 - Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up.
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB951160 FOR 10/06/95 INSPECTOR AREA
DESCRIPTION: RE-ROOF, LIGHT WEIGHT CONCRETE PLANCK* CB951160
OCC GRP
TYPE: MISC CONSTR. TYPE NEW
JOB ADDRESS: 2736 CHESTNUT AV - STE: LOT:
APPLICANT: ROMO, EMILIE PHONE: 619-729-5602
CONTRACTOR: PHONE:
OWNER: PHONE:
REMARKS: RS/EMILY/729-5602 INSPECTOR £)
SPECIAL INSTRUCT:
TOTAL TIME:
CD LVL DESCRIPTION ACT COMMENTS
15 ST Roof/Reroof /tf S / k/A
***** INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP COMMENTS
090895 Roof/Reroof AP MP
City of Carlsbad
Building Department
OWNER-BUILDER VERIFICATION
Attention Property Owner:
An 'owner-builder' building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay in
processing and issuing your building permit. No building permit will be issued until this verification is
received.
1. I personally plan to provide the major labor and materials for construction of the proposed property
improvement (^ef or no) _.
2. I (have/have not) jn^i^.^^ 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:
Name Ax A- : :(/ - . -
Address ; City ; ;
Phone • Contractors License No.
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise,
and provide the major work:
Name >i
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following persons to provide the
work indicated:
Name Address Phone Type of Work
Signed:
Property Owner Y~
Date:.--
2O75 Las Palmas Drive • Carlsbad, California &2OO9-1 576 • (619)438-1161