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HomeMy WebLinkAbout2205 RECODO CT; ; CB984240; PermitFOR OFFICE USE ON PERMIT APPLICATION PLAN CHEC O,~~.:;_µj._,~Lf (} CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 1. PROJECT INFORMATION 1., 1-rF;, RD ccJ O c-r-~-· - Address (include Bldg/Suite I) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Assessor's Parcel I 3 \ q 00 Existing Use Proposed Use D NJ. ( •• , F,f -.. f[Jf)[) f.t/\ -~ •( r•_d,.,,,ms , of Bothrooms ? /?/..Jlf-7 --4'\_;..c1i.ch. __ .:"f'r•'··tJ.~---Jfe,Q!;K{.~ Jc UJ/JY. ..,~ State/Zip Telephone I Fax# 1 A iii ii· Sb iJ {, 1C/,5'1;'/ ,c; I 77 City State/Zip Telephone I _ c1-(cvJ.st-£d '(q q;)tf5cr ytt/153-6'/fg/ 4. ::~OPERTY _p.~~ !" ,( J:, I\ .\ '--_-:,_IJ£_J) l'.Yttt [',I_ Name Addreu City State/Zip Telephone I ' &. CONTRACTOR. COMPANY NAME Name Stote License , __ -_1'-'.I .. a-'-\ -'i'-o __ O~signer Name Address City State/Zip Telephone State License I _________ _ 8, WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penatty of perjury one of the following decleretlons: D I heve end will meintein e certlficete of consent to self-Insure for workers' compensation es provided by Section 3700 of the Lebor Code, for the performence of the work for which this permit is issued. 'iJI I have and will maintain workers' compensetion, es reQuired by Section 3700 of the Labor Code, for the performance of the work for which this per it is Ts'ued. My worker's co pe ation insurence c.arrier en loli~y number ere: .... / // C lnsuranceCompany ce__, r\ licyNo. M\0v\ D)5Ci&tjd-O(i E,cpiretionDete,_,_/-4,_:..,,,_.1..._, !THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*1001 OR LE&SI D CERTIFICATE OF EXEMPTION: I certify thet in the performence of the work for which this permlt Is Issued, I shell not employ eny person in eny manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Fellure to ucure workers' compenutkm con,age ll thouund doUers ($100,000), In llf:lc:Htlon to the cos f compenud wtul, Ind shell subject an employer to crlmlnel penehles ■nd clvD Inn up to one hWMlred SIGNATURE iLlt,., s u provided for In Section 3708 of the Labor code, ~-""omey'a fee■• DATE :).. 's,. 7. OWNER-BUILDER DECLARATION . ''ft'l'~ .~ • I hereby effirm that I em exempt from the Contrector's License Law for the following reason: D I, as owner of the property or my emptoyns with wages es their sole compensation, will do the WOfk end the structure Is not intended or offered for sele (Sec. 7044, Business end Professions Code: The Contractor's License Law does not eppty to en owner of property who builds or Improves thereon, end who does such work himself or through his own employees, provided thet such Improvements ere not lmended or offered for ule. If, however, the bulldlng or Improvement Is sold within one veer of completion, the owner-builder will have the burden of proving that he did not bulld or Improve for the purpo11 of 11le). D I, as owner of the property, em exclusively contracting with licen■ed contractors to construct the project CSec. 7044, Business end Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, end contrects for such projects whh contrector(sl licen11d pursuant to the Contractor's License Lewi. D I am exempt under Section ______ Bu1lness end Professions Code for this reason: 1. I personally plan to provide the m1}or labor end materials for construction of the proposed property Improvement. D YES ONO 2. I I have I have not) signed an applicetion for e building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (Include neme / eddress / 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 provtde the mejor work (Include name / address I phone number/ contrectors license number): ____________________________________________ _ 5. I will provide some of the work, but I heve contracted Chiredl the following persons to provtde the work Indicated Clnclude neme / address / phone number / type of work): ______________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ .• ''!t"~--.. ,~-'. Is the ■pplicent or future building occupant required to submit • business plen, ecutely hazardous m■teriels registration form or risk management end prevention program under Sections 25505, 25533 or 25534 of the Presley-Tenner HH:ardoUS Substance Account Act? D YES D NO Is the applicant or future building occupant reQuired to obtein e permit from the air pollution control dtst:ri_ct or elr Queltty menagement district7 D YES O 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 ANO THE AIR POLLUTION CONTROL DISTRICT. ia,-CONSTRUCTIONL.ENOINGAGENCY -··· ,---·-,·,,--c,:'"'~-,,~.,.,, ... ,. .•. ,. '"" .,--·-· ,.,-,., I hereby affirm that there is e construction lending agency for the performance of the work for which this permh Is issued (Sec. 3097fl) Civil Code}. LENDER'S NAME ______________ _ LENDER'S ADDRESS, _______________________ _ is. APPLICANT CERTIFICATION I certify that I have reed the epplicatlon end state that the above informetion is correct end thet the Information on the plens is accurate. I egree to comply with ell Citv ordinences and Stete lews releting to building construction. I hereby euthorize repruentetives of the Citt of Cerlsbad 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, J~DGMENTS, 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 excevetions over 5•0· deep and demolition or construction of 1tructures over 3 stories in height. EXPIRATION: Every permit issued by the Building Officlel under the provisions of this Code shall expire by limitation 1nd become null end void if the building or work authorized by such permit is not commenced within 365 days from the dete of such permit or If the building or work euthorized such permit is suspended or abandoned at any time after the w k Is comm need for a perl f 180 deys I ction 106.4.~ Uniform Building Code). fl--G-q .,--. / APPLICANT'S SIGNATURE ___ _;;.,~~cli!,Ll,.,IC:__~~r:,;,,q~L~/--------DATE ____ _,_ _ _, 11'-__ iY ___ _ PINK: Finance PERMIT# CB984240 DESCRIPTION: RESURFACE 300 SF TORCH DOWN TYPE: MISC CITY OF CARLSBAD INSPECTION REQUEST FOR 12/22/98 ROOF DECK- STE: INSPECTOR AREA DH PLANCK# CB984240 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 2205 RECODO APPLICANT: A-1 ALL AMERICAN CONTRACTOR: CT ROOFING PHONE: 619 581-5177 OWNER: REMARKS: C/581-5177 SPECIAL INSTRUCT: TOTAL TIME: CD 19 LVL DESCRIPTION ST Final structural ------------------ ------------------ ------------------ PHONE: PHONE: INSPECTOR __;D:.._}_4 _______ _ ACT COMMENTS bf_ __,__f;.,_.__Jµ_A 1...-_______ _ ***** INSPECTION HISTORY***** DATE DESCRIPTION 121798 Roof/Reroof ACT INSP AP DH COMMENTS SHEATHIN