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Home My WebLink About2506 SOMBROSA PL; ; CB971893; PermitFOR OFFICE USE ONLY >ERMIT APPLICATION PLAN CHECK NO. y1/,f i3 ' CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. ·~~ ~) Plan Ck. Oepos~z= f () Validated By z_~~ Date 7/ift/'17 Legal Description Lot No, Subdivision Name/Number Unit No. PhueNo. Total # of Ufflts Asseqor's Patee! # Proposed Use ~~TuJ:~i~·,~rr;;1p;::"§lasf(;~:'Pr~w·,~;:i~i5~~J·~9t~~'6 Name Addru1 City S.tate/Z)p Telephone# ig;·, •,/~--cONTRACtO~•:. CbmtANY:'NAMl:!~-F~,~,.,ifl,r~xJ~¥~•e\~~~~:;,"'1~0 -•'~' s; !Sec. 7031.5 Business and Prof,ssions COde: Any City or Countv which requfrq • permit to conltfuct, alter, Improve, demolish or repair any structure. prior to h:s issuance, also reQuires the applicant for such permit to f»e • ,igned statement thlt he Is licensed pursuant to the provialons of the Contractor's License Law {Chapter 9, commending with Section 7000 of DMsJon 3 of the Buaine.u and Profnsiona CodeJ or thlt he la exempt therefrom, and the bui1 for the alleged e ,•"f!Ption. Any v atton of Section 7031.5 by any applicant for I permit subjects the appJicant to a civN. ty c: mora than five hundred doflars lt500)). 11,v, • <lot i...v · · • " <, 7 -t>0 1-/ Address C-~ City Stete/Zly '! Tel::!" I Llcenae Closs ~~~.c...J.~.,____ City Susln ... Lie.,,.. I l '/L)"l_ l~ 8. Designer Name A \ 7\ St•t• License # -~'~ V,,'-'/.~:t ..... ~--- WORKERS' .CDMPENSA TION Address City Workers' Compensation Declaration: I hereby affirm under penalty of perjurv one of the following declarations: SteteJZip 0 I have and will maintain a certificate of consent to self--insure for workers' compenaatlon as provided by Section 3700 of the Labor Code, for the perlormance e work for which this permit is issued. . I have and will maintain workers' compensation. as raquj,ed by Section 3700 of the Labor Code, for the performance of the work for which this permit is d. My worker's co pen&1ti insurance carrier end Policy number are:.._ JJ / /4 Insurance Company '-· viv&ticvNo. _lA.l,, tf/7D?./j-OD E){pi,atlonOate /D~J _ 2 {THIS SECTION NEED NOT BE COM ED If THE PERMIT IS FOR ONE HUNORED DOUARS IUOOI OR LESS) 1 ' 0 CERTIFICATE OF EXEMPTION: I c•rtify thet in the performance of the work for which this ~mlt is iuued, I 1haU not employ any person in •nv manner ao •• to tutcome subject to the Workers' Compm,etion Laws Of California. WARNING: Fallunt to Hctn worlan' compenutian coverage ls \l'llewful, and lhal aubject an employer to cdmlnal pen8lt\u Md clvfl flnH up to OM hundred thouunddollaro~I00.00 ).ln.to~tol. ~ .. ,,..-torln-3708ollhe.._codo,.,_lllld-.Y'•-· SIGNATURE_,e:;;:..:;;,i,,.=-.i!L_=-=i,.:,,c....:;:..L._.s.._____________ DATE 7-/ '-f ~ 'J 7 7. OWNEA-B~tioN:-.,.-,,,,~ __ .,.,'.· :~;' ,:~•-:'';;\'':~-":-•-'.·,;: -,. --'~;L\;;,:,'~':t~-':,::1:::_::,::s,:~:;-:;.:;;.,.,,;."':;;.•:;:,~,.~,,-,.i.;,ts!'.~~:;,:c~11,;:.,,:r;.-.· ·•,: .. ;·~\i~Pt,,;'J;?' >'.C-"": I hereby •ffirm that I am e>cempt from the Contractor'• Lleenu Law for th9 following reeson: 0 I, u owner of the property or my employees with wages es their sole compensation, wiH do the work and the structure Is not intended Of offltfed for sate (Sec, 7044, Business and Profeuions Code: The Contractor'• Ucente Law doe, not apply to an owner of property who builds or improve, thereon, end who does such work hlmseft or through his own employns, provided that auch improvements a,e not Intended or ottered for sale. ff, however, the building or improvemaint is sold within one ve•r of completion, the owner-builder will have the burden of proving that he did not build or Improve tor the purpose of atle). D I, as owner ot the property, am exclusively contrect:lng with licensed contractors to construct the p,oject tSec. 7044, 8ua:inea end Profeaalonl Code: The Contractor's Ucense Lew don not epply to an owner of property who bunds o, improv11 thereon, and contracts for auch projects with contractorlsl ficenHd pursuant to the Contractor's Llc1nse L1wl, 0 I am e>cempt under Section _____ Busineu and Profnslons: Code for this reason: 1 . I personally plan to provict. the major tabor ■nd materials for construction of the J)l'oposed property )mprovement. D VES ONO 2. 1 (have/ hive not) signed an application for• building permit for the proposed work. 3. I have contracted with tt. fotlowing pe,aon lflrm) to provide the proposed construction linclude name I eddren I phone number/ contractor• lie.nae 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 Onclude name I addren I phone number/ contractors license number):. _________________________________________ _ 6. I will provide some of tMI work., but I have contracted (htredl the following persona to provide the work indJcated linclude name I addteaa / phone number I type of workl: __________________________________________________ _ PROPERTY OWNER SIGNATURE_______________________ DATE _________ _ ·coMPI.ETETHIS'SEctioNfOli~JWll'At'liWblilo'i'UMrti'.dNi.~?!ll'!:Jii,;!!~~!i~~:~;,t,.,.'1·c'l:'!!f''i'!e~f/ Is the applicant or futu,e building occupant ,equked to •ubmtt • business plan, acut8'y M11rdou1 matert.19 rqlstratlon form or riak management and p,eventlon program under Sections 26506, 25533 or 26634 of the Pres:ley--Tanner Hazerdous Sub•tance Account Ac:t? 0 YES O NO Is the applicant o, future bUlding occupant required to obtain I permit from the ab-pollution control dletrict or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 fut of the outer boundery of• school 11te7 0 YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNUSS THE APPI.ICANT HAS MET DR IS MEETING THE REDIJ>REMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLWTION CONTROL DISTRICT. I hereby affirm that there 11 1 construction Jendlna agency for the performance af the work for which this permit Ja iasued (Sec. 309711) Civll Code). LENOER"S NAME_____________ LENDER"S ADDRESS ~9: · · APNCAkfCERtiFlc.liiOri~~,~-!'!f~,i.~~~:",;o,~;..)'~~~:-~:FP?S~·¥"';;ti?;;,_,.;;'.";':';;_\•11ti. ;;:::r.~;;.;;.:w;?,_,;;~.,~;;1~:;; __ ;,;;.,;,;r~;;;:;,.;;; .. ;; ... ;;· .:;,;:•;.,.;;;;;:i:.,;;,~;;?t::;,:;,:;_;J:;,,~;<!;:.: !";,::,::;:-·t:;"" .:::·::,::,'!;::<::::7;;; ~::·:::;:r~:::,;;:::, :: .• ::;1,;:::., :;:,;;-, I certify that 1 have read the application and state thet the above lntorm.tlon Is coneet end that 1h11 lnforrnltion on the plans is ICCUflte. I -or•• to comply wfth ~ City ordinances and St•t• law& relating to bulking oonstructlon, I hereby IUthorize ~ativ• of the Ott of Carlsbad to ent9r upon the ebove mentiMI property fo, lnopor:tlon -•· I ALSO AGRE£ TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY Of CARLSBAD AGAINST ALL LIABflJlW JUDGMENTS. COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEDIJENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is r~r•d for excavatiON over 6'0,. dffp and demolition or COOltrUction of structures over 3 stories, In height. EXPIRATION: Every permit ls,ued by the Building Official under the provisioN of this Code shefl expire by limitation and become null end void If the building work euthori111d by such permit Is not commenced whhln 365 dlyt from th• date of such permit or It the building or work authorited by such permit Is suspenc:i or abandoned at any time after ?n:7~ f:r~ 108.4.4 Uniform BuildJng Coda). APPLICANT'S SIGNATURE -~--.,._._.,__<.i2_¥=.,-~------~--------DATE J-/ /,f-"J / "•Ut-rr e·,,. vi::,' r'II" r:,,._,.1,,.,,,... C>INV ~;,,,.,.,,. .. I. 2. 3. 4. 5. *6. 7. 8. 9. 10. 11. CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING JOB ADDRESS a 5 Ci.:> So-b--o €:P.. P \. TYPE OF BUILDING: RESIDENTIAL.L._ COMMERCIAL __ ROOF SLOPE: RISE 4 inches in 12 inches TYPE OF EXISTING ROOF COVERING SJ.f-d<<.-SHEATHING Skl:f? NUMBER OF EXISTING ROOF COVERINGS (circle one)Ci> 2 3 NEW ROOF MATERIAL L,-1-c, -r.k, CLASS-A,_ WEIGHT PER SQUARE 561:> NUMBER OF SQUARES _?Q"""""'---- TRADE NAME l..1tr.1 (,en.,,yy+ Ti / ~ ROOF SYSTEM APPROVAL ijL No. 4/efoc> MANUFACTURER ~I e Other JlibC> IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF YES ( NO __ _ If the answer is no, a roof plan 111st be provided with this application. Fire rating of roof: Class AL 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. DATE Contractor + Owner __ _ Contractor Name.......:.Cbu=...;._.=;..(J~__;~=-'yll-'lc....;v_~.;_;::;c...w_..;. __ *6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/COIIP Fiberglass, Built up.