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HomeMy WebLinkAbout2207 RECODO CT; ; CB981536; PermitPERMIT APPLICATION FOR OFFICE USE ONLY C PLAN CHECK NO. ?£2/J 36 CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL.------~~~- Plan Ck. Deposit -"""f,;:;:.~+-+<1-r4,._.L Validated By, __ ....1,,~-,...~;,,,_=~~,- Date, _______ .L/-L:::.~;.....c....1,~ 1. PROJECT INFORMATION ;2207 'RQ,et)t)Q e,,. Business Name (at this address) Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units 2. CONTACT PERSON (H different from,appHcantJ Name Address City State/Zip Telephone# Fax# □ A""1;for0wc:._..\. ity Telephone# 4. PROPEf\TjY OWNER ..:SDE?-_HDr\~o Name np;J ft.e C Obo LI ddr ss 5. 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 e.::sption. Any violation of ~rion 7031.5 by any applicant f r a permit subject the applicant to a Cr nalty of not more han fiv ?ndre O' 1$!f'?];o ( Name Address City Stat, Ucense # -~&~G~· ~'<~g"'Yg+{c=--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: 0 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. . o&f._ 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 £Slm~e-~sation il'WJrance carrier and policy number are: / / Insurance Company hO!ll&'.) t; C,.E,j f._. Polley No.hi j) f...:S.2: / 9(€,c, O'), Expiration Date c/, /1 qt;{ (THIS SECTION NEED NOT BE COMP(ETEi?.F THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) DA LESS) T ' 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 secure workers' compe ation coverage is unlawful, and shall aubject an employer to crtmlnal penalties and clvll fines up to one hundred thousand dollars 1$100,000), in ad · ion to :th coat of compensation, damages es provided for in Section 3708 of the Labor c e, Interest and attorney's fees. SIGNATURE _______ -l.L..:=<--IJ.-------------------DATE __ ...::~..l<:l.£,L:/.~- 7. OWNER-BUILDER DECLARATION l hereby affirm that I am exempt from the ontractor's License Law for the following reason: O l, 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). 0 l, 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(sl 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. l (have/ have not) signed an application for a building permit for the proposed work. 3. l 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 ________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDINO 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 Act7 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? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 D YES O 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. 8. 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 _____________ _ 9. APPLICANT CERTIFICATION I certify that I have read the application and state that the above information is corre nd 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 aut 1ze representatives of the Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNI AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACC AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep d demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official und 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 ommenced 'thin 36 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 wo k for period of 1 80 days (Section 106.4.4 Uniform Building Code). DATE __ 4'+/-6-:;iu.,°lf-',/ q,_,,,~--APPLICANT'S SIGNATURE WHITE: File YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: 2. TYPE OF BUILDING: RESIDENTIAL D(__ COMMERCIAL __ _,_ 3. ROOF SLOPE: RISE LI inches in 12 inches t0) 4. NUMBER OF EXISTING ~OF COVERING (circle one) v2 3 5. TYPE OF EXISTING ROOF COVERING -~EATHING . *6. NEW ROOF MATERIAL. l4 CLASS f5:j1 WEIGHT PER SQUARE 7. NUMBER OF SQUARES Ji) . 8. TRADE NAME ;:5.rJf¼c(J? MANUFACTURER 'g_M( 0-+ t [ Q, 9. ROOF SYSTEM LISTING UL No. ____ ,ICBO No. 1{bl() 10. IS THE EXISTING STRUCTURAL DESIGN ~ICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? W NO All roof coverings are.required to be CLASS A. Combustible roof coverings of any type or classification are prohibited. I understand the following inspections are required: 1. Tear Off/Pre-inspection prior to install new roof covering. 2. Final Inspection I agree to provide a ladder e ending at least 2 rungs above the roof for inspection. Contractor '.X, Owner ____ Contractor Name *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. PERMIT# CB981536 DESCRIPTION: REROOF 2000 SF ICBO 4660 TYPE: MISC CITY OF CARLSBAD INSPECTION REQUEST FOR 06/05/98 LIGHT TILE JOB ADDRESS: 2207 RECODO CT APPLICANT: JAEGER ROOFING CONTRACTOR: PHONE: PHONE: STE: INSPECTOR AREA PY PLANCK# CB981536 OCC GRP CONSTR, TYPE NEW LOT: 800 580-1792 OWNER: REMARKS: C/CAROL SPECIAL INSTRUCT: PHONE: INSPECTOR -----+·-://_j ______ _ { 7' TOTAL TIME: CD 19 LVL DESCRIPTION ST Final Structural ------------------------------------------------------ ,1/ ***** INSPECTION HISTORY***** DATE DESCRIPTION 052198 Roof/Reroof ACT INSP AP PY COMMENTS EXISTING SHEATHING