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Home My WebLink About2505 SOMBROSA PL; ; CB983290; PermitPERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 Address (include Bldg/Suite I) ,a 51/'.[ .$c,m b1<,••lt Pl.. PLAN CHEC Business Name lat this address) Legal Description Lot No. Subdivision Name/Number Unit No, Phase No. Existing Use Proposed Use Total I of units Name Address City StatelZ.ip Telephone # Fax # ~t~~~~~1:i~#;ii~0!:.:&1,CE~~~1P"r~wi~P.2:.~:0..9~Ml2i2ClA-9~!ir:.t~cO_wiiert~~S1iiiat~ref--;¾,~~~:,ri£~ ~ "'· ,·:_ -... -_,_ UIU31/ct-t l?OOH?'l9 ,b,c, oli3t Ptk¾m"-1 a,~ f(.,i. i/()0 .~ OI 92,opr Name Add,esa . City State/Zip Telephone I (Sec. 7031.5 Business and Professions Code: Ariy City or County which requires a permit to construct, alter, Improve, demolish or repair any structure, prior torts 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, Ind the basis for the alleged exemption. Any violation of Section 7031 .5 by any applicant for a ,..eermit subjects the _applicant to a civil penalty of not more than five hundred_ dollars 1$5001). lll?BA\.1-:\: R0tiw• Jou ,,11~\ Y&om9A, Qi,,f>,D& R.J.-tl?QU .(ArtL\,llf.!O CA q;.ooq Name ,_f Address City State/Zip Telephone# f)Ut1·'-f~t~Sll,3 State License # \o O? 1>'\ )'. License c,... ( ;)_,<'.\ City sus;neu License I , / q QO J.. Jj' Design1r Name Address City State/Zip Telephone State License # __________ _ ~~QJUWis:~OMPEN~TIOlti~s:t~~ .. ~~i;{M~~~;.i:_~'.7-~-..'..:-·~.::J-~l'f~i.~~ir~;,:;~ili';:~~~"li,~~·•~~;"~~~t;2f..::'i.r:,::~ :;.·;~,:._;:.:. __ , ,._ Workers' Compensation Declaration: I her1by affirm under panalty of perjury_ one of the following declarations: 0 I have end will maintain a certificate of consent to self-insure for workers' compenaation as provided by Section 3700 of the Labor Code, for the performanca of 199 work for which this permit Is issuad. 0'" 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 issi,ed. My worker's compensation insurance carrier and policy number are: lnsurenca Compeny _~S~:l@==-~-=~J.,~---------- mus SECTION NEED NOT BE COMPLE"TEl IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$100) OR LESS) D 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 Hcure•worken' compensation coverage la unlawful, and shall subject an employer to criminal pe,nattiu and civil fines up to one hundred thous.and dollars 0,000), in addi n to mpenaation, damages aa provided for in Section 3706 of thll ~ coda. erut and attomey'a f■tla. SIGNATURE-1,:L_,~'½/~:t...__,~a.,_~~~~,!_------,-----,---,:--:, DATE -f':f."'~=,<+.-'-+-- : -'-'.:~~':...~~,1:-:i'y~:.:'.fi~~--~------·.=~-""-'·~ .,i':5',:.;~,~,:-?,:~~:i,:'_ .;-;_~ · I hereby attirm that I am exempt from the 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, Businus and Professions Code: Tha Contractor's Licensa Law does not apply to an owner of property who builds or improvu 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 aale). 0 I, u owner of the property, am exclusively contracting with licensed contractors to ·construct tha project (Sec. 7044, Busine.u and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts tor auch projects with contractorts) licenaed pursuant to the Contrector's License Law). 0 I em 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 / addrus / 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 I 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 / tvPe of work): ____________________________________________________________ _ L:==~~~~~;:N;.OON-R.ESl-~.~.;i~ooEl(JJl!L.eiW~. :i11; __ U~ll.D~IIINi!G3.fPl!IM;;WlltSi::ioiiNiil~Y~,._;, .. ;.~'::·.::;..:.;:~~-'..,.~~~~r:.,;_r;L~:;i"'~i~:~§•i'1'i·i;ilq£i:j!l:~~AIITIE~ii'fttffi.j~:!'f:!~,-~=~iilf'#":'~•:i=:-·-·~~~~~•;:~ .. ~-~~:~2,_~21.!J.~~;g_:;;:~;;:t:~- ~ th~ !l~plic:::-:t er ft.:ture buildlnQ c.-:cupa;nt •~U<r.J lo •uUmit • bu1oine:.. µIan, acuteiy hazardous material• reg1strat1on term 01 rial!: management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Subltance Account Act1 0 YES O NO Is the applicant or future building occupam required to obtain I permit from the air poUution control district or air quality management district] 0 YES D NO Is the facilrty to be constructed within 1,000 feet of the outer boundary of a school site? D YES O NO IF ANY OF THE ANSWERS ARE YES, A ANAL CERTIACATE OF OCCUPANCY MAY NOT IIE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POUUTION CONTROL DISTRICT. :S-~!ii;o.~S'.TRUCTION LENDtNG'AGENCY:5 ~'.'=-~~~~~~J~~, •. /\~~:m~;-~_;:.:~/:::-;:~l~~~i -· · -r::= ori: -'!.-:--f;f~::_:•·:-- 1 hereby affirm that there is a construction lending agency for the performance of the work for which thi• permit la: iHued (Sec. 309711) Civil Code). LENDER'S NAME_______________ LENDER'S ADDRESS ~;._ , .. APPUCAHT-CERTIFICA TION .,,';.,~ -; .:·; · : -·. ··•~,::.: "~:.~:,;-:J;:;~;:;_~~c·'._·;:~!-.i~·':i~-'"'~•~~ .. ~.:.:!;.~;,:!'l'ii~';j·jmi·i.;i!ii~~-fiill!!:i· "'-;.:~~;:.,~:::-:.~-~:~--~~,.2·~:~~'~;;.,-. -~=-------- 1 certify that I have rHd the application and state that the above information is correct and that the Information on the plans is accurate. I agrH to comply with all City ordinance• and State laws relating to building consuuc:tion. I hereby authorize repruemativa of the City of Cart.bed to enter upon the above mentioned p,openy for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABILmES. JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ,-,.y WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit I• required for excavations owr 5•0• dffp and demolition or construction of ltNCtUrel owr 3 1toriu in height. EXPIRATION: Every permit iuued by ihe Building Official Wider the provisions of this Code shall expire by limitation and become null and void it the building or work authorized by such permit ls not commenced within 366 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time aft::g~is com~•:: ,,.~::t 180 days (Section 106.4.4 Uniform Building Codel. ., ) APPUCANT'S SIGNATURE ~ ~ DATE ~A~ e: WHITE: File YELLOW: Apphcant PINK: Finance ~ V CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS ;) 5 u S Sorn br< ,, sr-i l'l11 Cf TYPE OF BUILDING: RESIDENTIAL v COMMERCIAL ---- ROOF SLOPE: RISE '-/ inches in 12 inches 2. 3. 4. 5. TYPE OF EXISTING ROOF COVERING Shah.,,•.,, SHEATHING ______ _ NUMBER OF EXISTING ROOF COVERINGS (c!rcle one) Q,) 2 3 *6. 7. NEW ROOF MATERIAL· TU:ie. A Sna..Ju.., CLASS_[l_ WEIGHT PER SQUARE '5& 0 lbs j NUMBER OF SQUARES -~ef~}_' __ _ 8. TRADE NAME TctU(. fl s H l'tlu, MANUFACTURER 1t te.tr.A /Coo l,. .,.i f1,,;d.,.<c±-., 9. ROOF SYSTEM APPROVAL UL No. ')'I0-11./f? Other JCdO -'IC/u& 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF 11. THE PROPOSED ROOF If the answer is no, Fire rating of roof: YES ---- ........--NO ___ _ a roof plan must be provided with Class A I/' Class B ---- this application. 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 DATE Contractor ---Owner --- URBACH ROOFING, INC, 2131 PALOMAR AIRPORT RD., 11300 Contractor Name l. CARLSBAD, CA 92009 --+l-----'~("'f7'Hfmi-? ,43;..;1;,-sa...1.,;13r"''------ '1uv r *6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up. PERMIT# CB983290 DESCRIPTION: RE-ROOF,2800 TYPE: MISC )1~1 CITY OF CARLSBAD INSPECTION REQUEST FOR 11/10/98 SF-LT WT CONCRETE JOB ADDRESS: 2505 SOMBROSA PL APPLICANT: URBACH ROOFING INC CONTRACTOR: PHONE: PHONE: OWNER: PHONE: INSPECTOR AREA DH PLANCK# CB983290 OCC GRP CONSTR. TYPE NEW STE: LOT: 760 431-5113 REMARKS: C/ROGER/431-5113 SPECIAL INSTRUCT: INSPECTOR {))-) __ _,,,,_,_ _______ _ TOTAL TIME: CD 19 LVL DESCRIPTION ST Final Structural ACT COMMENTS Af --------------- ------------------------------------ ------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION 110298 Roof/Reroof ACT INSP AP DH COMMENTS SHEATHING