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Home My WebLink About2503 SOMBROSA PL; ; CB973840; PermitFOR OFFICE USE O~ Y PLAN CHECK NO. T7 5P~ PERMIT APPLICATION EST. VAL. f'?'?°Cl CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 Plan Ck. Deposit --:::""'µ.;,....,CL'-'"-- Validated By-::=::-::>°""'::-'7":"':::---- Date __ ...k-~'f-..._."r--.'-,''----- Address (include Bldg/Suite #) Business Name lat this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Proposed Use # of Bathrooms Name Address City State/Zip Fax # ,_,;;:'::2AP,(luCAN_nv:0rm.rea~~-~~o1ifoi,ii~~~~1;~~I:]£fl!~~t±:r:.;:~:;::.~ :c', j q.,., e'5,Liv ;"'5:>tot1 ;,,)d-'i~-i-h:i,':s~, on Trq, I tlJL,6 l.4./x-c [Js,,.,~rc c}J 'f )SJ o 'j'o"!-6 7Y -r~~ Name Address City State/Zip Telephone # Address Telephone# {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, commending 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. A'1:y1vj~ation of Section 70~1 !5 by any applicant for a permit subj~s the lic,ant to a civV penalty of n t mo{& than five hundred dollars ft500I). r:::, (t;''/'\.,--l"-,,,:;-\.v/.lct 0 Y1 7S :s,, :,qwi sr c fii!<iV ,s-tq c "!1'1/o cc:. q) C/r'J,~/z,r:s Name Address City State/Zip Telephone II State Liconso I O 7 36 3 / License Class __ !'.)_;, _______ _ City Business License II _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ ,.:;.:,;:,i,WOJiKU$-'.QQMPB(MllOf[rQ_?i3ii~w.j(YL>i,s,';c~)'J·f\:'., ,~:;}1:·:;• ~} ~~ ,~::Jtt,./r "' · : , ;,"';: j~_0.·i~~/4:,;(Jt8\Euir~~~t~~~iS\M'~1r•};j;;;f?~Zi~",l}:¾,;i..~;J¼Ji~!,'.; .(;;,;. Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, tor the performance of the work for which this permit is issued. E 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 insur,nce carrier and policy number are: /-/--9- lnsu,anco Company A-rlf O V\Ci "\ T Policy No. &, c:>'.J '?'do/ l 9 Y "lt/ Expi,ation Dato,....:,t __ 'ic...,..t __ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESSJ D CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not em'ploy any person in any manner so as to be,;:ome subject to the Workers' Compensation Laws of Califomia. WARNING: Fellure to Hcure workers' compenN1ion coverage Is unlawful. and shall aubject an employer to crbnlnal penatdn end civil fines up to one hundred thousand dollars ($100,000), In addition to the cost of compenaation, damaga, as provided for In Section 3706 of the Labor code. htterut and attorney'• fee■. SIGNATURE______________________________ DATE _________ _ 7~ , ;t>Wiiif!fl-lii~~~-J,'kr~A7;.'·",,t~~Jt:'k~:2.,;~~i'.?;Slttt,1rl¥:}~~·~·~)~1~~~~;-".~::,f~~.1~t@!l1:,;f~~-~~,tf;~'~J~~~,,i~1;t;~1 I hereby affirm 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 tor 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). D I, as owner of the property, am exclusively contracting with licensed contractors to const,uct 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 contrector(s) licensed pursuant to the Contractor's License Law). D 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 propoaed 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-------------- :¢0M~~!il!l~~/ifflif,,l~]lt/--~;;i,,,~;,'.,t~(11'~~i!.'l!:: ts 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 Act7 D YES D 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 D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 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 AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there ls a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i} Civil Codel. LENDER'S NAME _____________ _ I certify that I have read 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 Cartsbad 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 ANO 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 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 abandoned at any time after t work is com rice~or a riod of 180 days (Section 106.4.4 Uniform Building Code). I\ -\i -'1~1' DATE ---'"''-----------APPLICANT'S SIGNATURE WHITE: File YELLOW: Applicant PINK: Finance ~ • City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS:. d-)0 :':> '::>0 ,1,,b,os"'P(. Lar/sb°'<;l 2. TYPE OF BUILDING: RESIDENTIAL )(-COMMERCIAL __ ..., 3. ROOF SLOPE: RISE q inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) (J 2 3 5. TYPE OF EXISTING ROOF COVERING Voo t SHEATHING-'->1'-0 __ ..., *6. NEWROOFMATERIAL t,'[e CLASS __ WEIGHTPERSQUARE 7. NUMBEROFSQUARES J[,l;) I 8. TRADE NAME ________ MANUFACTURER VVl.0111 ~r 9. ROOF SYSTEM LISTING UL No. ____ .ICBO No. )..,o<\\.:;> 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO S~TAIN THE WEIGHT OF THE PROPOSED ROOF? YES ~ 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 least 2 rungs above the roof for inspection. Signature ~ :1;./-,~¥1 Contractor ___ Owner ___ Contractor Name ls, v1 r + L; v in 7st""1 *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. PERMIT# CB973840 DESCRIPTION: REROOF 3000 SF, ICBO 2093 CITY OF CARLSBAD INSPECTION REQUEST FOR 03/16/98 LITE TILE INSPECTOR AREA PS PLANCK# CB973840 OCC GRP TYPE: MISC JOB ADDRESS: 2503 SOMBROSA PL APPLICANT: DOO RITE CONSTRUCTION CONTRACTOR: OWNER: REMARKS: C/JULIE/ SPECIAL INSTRUCT: TOTAL TIME: AM PLEASE CD LVL DESCRIPTION 19 ST Final Structural STE: CONSTR. TYPE NEW LOT: PHONE: 619 482-1313 PHONE: PHONE: INSPECTOR _(lf: ____ :P~s ____ _ ACT COMMENTS ---------------- DATE 012198 012198 ***** INSPECTION HISTORY***** DESCRIPTION Roof/Reroof Final Structural ACT INSP CO PS CO PS COMMENTS ROOF INSTALLED NO INSP. aa,r~otc._, 7h,n-If &CJ// 1flFF. TO fletnl~ FlJtc-S? J;, ~ _J?-eci-r/l' /7. z;. D.'J) ?<Ptl/< ;,f-1 4'riP-6v7-~c:, f:--oer-&~~ o~ 5he,1>t-i,/hj HP G4p (\/0 ~p-e&riM. 191 G'4-!?-lrf-C, 3/;t: M 9/ft.J-L ~~?-s 7:J;- ~ lvl-,,l.v,r ~12'.f TO <3 <,,,.,JlfVe/2 . '/'/;'/91' ~~