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Home My WebLink About2621 ROOSEVELT ST; ; CB951752; Permit-- B U I L D I N G 11 /29/95 11:UU Page 1 of 1 Job Address : 2621 ROOSEVELT ST Permit Type: MISCELLANEOUS Parcel No: 203-101-23-00 Valuation: 2 ,880 P E R M I T Suite: Lot#: Permit No : CB951 752 Project No: A9 5 025 4 4 Development No : 4862 ..1/29, 5 01 Construction Type: Occupancy Group: Reference#: Status : NEW I~SUED 11 /29/95 11/29/95 RMA Description: RE-ROOF-3000 SF-BUILT-UP Appl/Ownr : ONEY ROOFING 29219 JUBA RD VALLEY CENTER, CA *** Fees Required Fees : Adjustments : Total Fees : Fee description Miscellaneous Fee #1 * MISCELLANEOUS TOTAL 92082 Applied: Apr/Issue: Entered By: 619-751-2150 Tot a l Payments: Balan ce Due: Units Fe e/Unit .00 .00 90.00 *** Ext fee Data 90. OU PERMI r FE! 90 .00 PERMIT APPLICATION PLAN CHECK NO. City of carlsbed Building D-rtment 2075 Las Palaas Dr., carlsbed, CA 920D9 (619) 438-1161 I. JSP.kMI I I iPE From List 1 (see back) give code of Permit-Type: ____________ _ For Residential Projects Only: From list 2 (see back) give Code of Structure-Type: ____________________ _ Net Loss/Gain of Dwelling Units 2. PRCllF.CT INFORMATION FOR OFFICE USE ONLY ~aWLI looS~v/Jr-7"' <.sr '1r"earest Cross Street Bu1ldmg or Smte No. IEAL DESCRIP I ION Lot No. SutX11VIston Name/Number 0mc No. Phase No. □ 2 Energy Cales D 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PARCEL DESCRIPTION OF WORK g<!' Q/J:. ~ ~~JJSE SQ.FT OF STORIES # OF BEDROOMS # OF BATHROOMS I NAME (last.name first) ADDRESS ZIP CODE CITY STATE DAY TELEPHONE LI AGEN I FOR CON iRACIOR ADDRESS ZIPCODE q, DOWNER OAGENI FOR OWNER DAY TELEPHONE tf~ME (last name firs..tl 0 H.!E~ 071 > CITY / d?.i!pQ6 6. WN1 uK STAn;& ADDRESS ZIP CODE C.z::;_ Qrc: DAY TELEPHONE ADDRESS''J___ '1 ;i, I 1: NAME (last name f9:!JC) ,,_.. • .. 0AJ6Y (A.00,-1,-)c;, CITY f,/,4,,1.J..Jff 6','SNi°7Sf STAn:&-ZIP CODE (} .;2.C)ir.2-DAY TELEPHONE ~ UCENSE CLASS CITY BUSINESS UC. # /.:J.. CJ 1/ S-0 STATE UC.# as name 1rst CITY STATE ZIP CODE DAY TELEPHONE STATE UC.# 7. WORkEks OOMPENSA:IIDN Workers1 Compensauon Oeclarat1on: I hereby afhrm that I have a cert1hcate of consent to seif-msure issued by the Director of lndustnal 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). EXPIRATION DATE / -/ · SIGNATURE DATE 8. OWNFlt-B0llDrut bfi!LAitA:HUN □ □ □ Owner-Builder Declaration: I hereby afhrm that I am exempt from the Confradofs License Law for the ioliowmg 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 Llcense 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 Llcense 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 Llcense 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]). SIGNATIJRE DATE COMPLEIE IRIS SECIION FOR NON-RESIDENIIAL BUILDING PERMIIS 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? □YES □NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES □NO IF ANY OF 11Il!ANSWERS ARI! YES, A FINAL CERTIFICATE OF cxx:uPANCY MAY NCITBE ISSUED AFil!RJULY 1, 1989 UNLESS11Il! APPIJCANT HAS MET OR IS MEETING 1111! REQUIREMENTS OF 1111! OFFICE OF EMERGENCY SERVICES AND 1111! AIR POILIJ110N ffiNTilOL DISllUCT. 9. WNS'lkOCJIDN lliNDING AGENCY I hereby afhrm iliat there lS a construction lendmg agency for the perfonnance of the work for which this permit 1s 1SSued (Sec 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPi1CAN I C£Rl1FICAJION I certify that I have read the apphcat1on and state that the above mlormatlon 1s 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 Al.50 AGREE 10 SAVE INDEMNIFY AND KEEP HARMLESS 1111! Cl'lY OF CARlSBAD AGAINST AIL UABILITIF.S, JUDGMENTS, <XlSTS AND EXPENSES WHICH MAY IN ANY WAY MilUIE AGAINST SAID Cl'lY IN ffiNSEQUENCE OF 1111! 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 the date of such permit or if the building or work authorized by such permit is suspended or abandone t any time after the · commenced for a pericxl of 180 days (Section 303(d) Uniform Buildi~ APPUCANl"S SIGNATURE DATE: //. f I PINK: Finance 0 I ~ CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS jlU/ £ooSli<l a;...r s ;- 2. TYPE OF BUILDING: RESIDENTIAL __ COMMERCIAL _L 3. ROOF SLOPE: RISE h_ inches in 12 inches 4. TYPE OF EXISTING ROOF COVERING Q5cu+ r ",(' SHEATHING.__.Cc:...1 .1....,~----- 5. NUMBER OF EXISTING ROOF COVERINGS (circle one)W 2 3 *6. NEW ROOF MATERIAL /sq,1-, c u(' CL.ASS /J WEIGHT PER SQUARE :i..b... 7. NUMBER OF SQUARES ___.·9c..:O::;._ __ _ 8. TRADE NAME (7 1 /4, C MANUFACTURER. _________ _ 9. ROOF SYSTEM APPROVAL UL No. ..!// /' /) Other ttsrn .?~c:>9 10. 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_..,K.... 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. SIGN DlTE Contractor X -' Owner __ _ Contractor Name 0N#'I d;:,r:,,,C/,rvC I *6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass~) '-. 01/11/97 DATE 11/30/95 11/30/95 INSPECTION HISTORY LISTING FOR PERMIT# CB951752 INSPECTION TYPE Roof/Reroof Roof/Reroof INSP ACT COMMENTS RI RI MW/GEORGIA/751-2150 DC CO 10:30 NOT READY HIT <RETURN> TO CONTINUE .••