HomeMy WebLinkAbout2410 STROMBERG CIR; ; CB982532; PermitB U I L D I N G P E R M I T
08/12/98 09:23
Permit No= CB982532
Project No= A9803546
Development No= F'age 1 of 1
Job Address: 2410 STROMBERG CR Suite : 9993 08/12/98 0001 01 02 Permit Type: MISCELLANEOUS C-PRMT 87-00 Parcel No= 167-230-14-00 Lot#=
Valuation= 2,496 Construction Type: NEW
Occupancy Group= Reference#= S tatu5: ISSUED
Applied: 08/12/98
Apr/Issue = 08/12/98
Entt::.•red By: BT
945-6846
Description: TEAR OFF AND REPLACE WITH NEW
~ FIBERGLASS SHINGLE.24 SF
Appl/Ownr : MIKE JOHNSTON ROOFING
31908-8C DEL CIEL □ EST[
BONSALL CA 92003
Fees Required *** Fee~ Collected & Credits ***
Fee-=-=
Adj u::,trnent::,:
Total Fees=
Fee description
M,scellaneous Fee#
* MISCELLANEOUS TOT
..... ,~0£:.---.. ,, _1:,f'\hP <" -• ---·
;-FTNAL
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
,00
.00
87.00
Ext fee Dr:~ta
87.00 PERMIT FEE
87.00
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PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161 Validated By __ ___....,._......,.:d---+--:::r-
Date _________ -+.r.,-1---i...+1.....--
1. PROJECT INFORMATION
Business Name (at this address)
Legal Description Subdivision Name/Number Unit No. Phase No. Total II of units
Assessor's Parcel II Existing Use Proposed Use
II of Bedrooms II of Bathrooms
Name
3. APPLICANT ~rector
Address
0 Agent for Contractor 0 Owner
Designer Name /<:7~ <;Zr C,
State license ll""/:z..__..1'22'.:"--"'---'~ ...... -----
Address
8. WORKERS' COMPENSATION
City
0 Agent for Owner
3 c1..__
State/Zip Telephone II
(f} ~ta_teJ; /2 /1 Telephone II "o µ {;.Wit {..' <i' 9 o1 t:Jp 3
City Business License II
City
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
Fax II
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.
O 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 _____________________ Policy No._____________ Expiration Date _______ _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS)
[Q"" 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 worlcera' co -IJlll!ig'nnlawful, and shalt subject an employer to criminal penalties and civil fines up to one hundred
1®,000 In addition t .,. , damages ea provided for In Section 3~:eT:f~ ~-~~•/;~y's fees.
,trZ?f_ ~~ c:::r
he Contractor's License Law for the following reason:
0 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).
0 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).
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. 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 _________ _
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-Tenner Hazardous Substance Account Act? 0 YES O 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? 0 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 ______________ _ LENDER'S ADDRESS ----------------------------9. APPLICANT CERTIFICATION
I certify that I have reed 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 SAIO 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 authoriz.ed 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 108.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE DATE ---------------
WHITE: File YELLOW: Applicant PINK: Finance
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDRESS: J 'II O .J f Yo l'Yl he r 3 C , -r
2. TYPE OF BUILDING: RESIDENTIAL V COMMERCIAL __ __,_
3. ROOF SLOPE: RISE t./ inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) @ 2 3
3· fq,o ~ 1, 5. TYPE OF EXISTING ROOF COV~Rl,NG c-,,,,,,po SHEATHING ~ de
*6. NEW ROOF MATERIAL#..~:'"',;,;,i'.:fcLAss...?/1.1 WEIGHT PER SQUARE
7. NUMBER OF SQUARES ;J, </
8. TRADE NAME if',er;-v,CcJ·-~,.,__ __ M__,_ANUFACTURER [A/1/TC:c:J
9. ROOF SYSTEM LISTING UL No., ____ ,ICBO No., ____ __,
10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE
WEIGHT OF THE PROPOSED ROOF? @) 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 extending at lea t 2 rungs above the roof for
inspection.
*6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up,
Other.
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB982532 FOR 08/19/98
DESCRIPTION: TEAR OFF AND REPLACE WITH NEW
FIBERGLASS SHINGLE,24 SF
TYPE: MISC
JOB ADDRESS: 2410 STROMBERG CR
APPLICANT: MIKE JOHNSTON ROOFING
CONTRACTOR:
PHONE:
PHONE:
STE:
945-6846
INSPECTOR AREA DH
PLANCK# CB982532
OCC GRP
CONSTR. TYPE NEW
LOT:
OWNER:
REMARKS: C/MIKE/809-4108
SPECIAL INSTRUCT:
PHONE:
INSPECTOR -~°''--I/) ________ _
TOTAL TIME:
CD
19
LVL DESCRIPTION
ST Final Structural
ACT COMMENTS
/jf ______ _
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***** INSPECTION HISTORY*****
DATE DESCRIPTION
081398 Roof/Reroof
ACT INSP
AP DH
COMMENTS
SHEATHING