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HomeMy WebLinkAbout2709 SOMBROSA ST; ; CB972246; PermitB U I L D I N G 08/11/97 10:50 P E R M I T Permit No: CB97224b Project No: A9702831 Development No: Page 1 of 1 Job Address: 2709 SOMBROSA ST Permit Type: MISCELLANEOUS Parcel No: 255-107-04-00 Valuation: 9,184 Suite : Lot#: Construction Type: Occupancy Group: Reference#: Status: NEW ISSUED 08/11/97 08/11/97 JM Description: REROOF 3200 SF, STANDARD TILE : W/STRUCTURAL CALCS Appl/Ownr : BOB PIVA ROOFING 1192 INDUSTRIAL AVENUE ESCONDIDO, CA 92027 *** Fees Required *** Fees: Adjustments: 760 Applied: Apr/Issue: Entered By : 745-4708 Fees Collected & Credits Total Credits: Total Fees: 194 .00 .00 194.00 Total Payments: .00 .00 194.00 Fee description Miscellaneous Fee #1 * MISCELLANEOUS TOTAL Balance Due: Units Fee/Unit 194.00 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 Ext fee Data 194.00 PERMIT 194.00 FOR OFFICE USE ONLY 1ERMIT APPLICATION PLAN CHECK NO. 9 7 2-2-f '7 CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. ?6: L( . Plan Ck. Deposit (Z? 4: C,t.) Validated By _:i,,....-7, ~ Date ~1 t_{J I. ~o,iECT INFOffMYlON ~ ·,1-,. 70 q ~/'.]I\. I.) '('-0-.:, o._ s f- Business Name tat this address) Lot No. Subdivision Name/Numblf Unit No. Phase No. Total I of units Existing Use Proposed Use remo~~~~~.,,FiiW+1-L!.:!:.-----......;~=-----::-:~/,...,.. ____ --=-.,;;;..,-----.....,,~..,...--oescription of Work SO. FT. #of Stories I of Bedrooms I of Bathrooms Name Addre11 City Telephone I Name Address ·s. ·, cONTRACTOFi"~ COMPANYNAME~·:~ft:~::"1"·',~~· ,.""':!-'¥';-,,.:.1•r,:;.,,.~lH',.,,,, "'11"''" (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 ls licensed pursuant to the provisions of the Contractor'• License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Profeuions Codel or that he Is exempt therefrom, and the basis for the alleged exemption An · ation;:_ S 7031. by any applicant for a rmit bjects th app~lca(' t a civil penalty of Qon, than five hun:7 dotla,?'J{~~)"c:?i Name City State/Zip Telephone # State License ,<a, I 8q3 e) License Class 3-3,_ ~ City Business License# _______ _ Designer Name Address Ctty State/Zip Telephone State License I _________ _ 6. WORKERS' COMPENSATION 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, for the performance ;,-th~k for which this permit is issued. if 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 co ·er •to:y number are: 0 Insurance Company ..J.:ic:J.l.l!~~~:i,...S:::;;,:,!!t2,if::.~~=----Policy No. VCJ..El-1 ?iW '--( Expiration Date h,-{-r u RMIT IS FOR ONE HUNDRED DOLLARS 1♦1001 0R LESS} 0 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 ucure workers' compenntlon coverage Is unlawful, and ahall subject an employer to crlmlnal penaltln and clvl finH up to one hundnd :~~~:u dol 00.000}. In oddHlon to tho coot of componutlon. damages N ,wovkled fo< m Soctkln 3~:ST~ R;J°[ ':qj_,_ and attomey•o !Ho. 7. OWN • UILDEROEClARATION . ..,. . .• • .;,.,c',> #' ,. ,/IC•'' I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D I, as owner of the property or my employees with wages as their sole compensation, will do the work ,nd the structure is not intended or offered for ,akl (Sec. 7044, Business and Profe11lons Code: The Contractor's License Law does not apply to an owner of property who btrilds 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 buildJng 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 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 contrector(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 providt 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 I phone number I contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide tha major work (include name I address / phone number I contractors licenae number): ____________________________________________ _ 5. I will provide some of the work, but I have contracted (hiredl the following persons to provide the work indicated (include name I address I phone number I type of work!,,_------------------------------------------------------- PROPERTY OWNER SIGNATURE _____________________ _ DATE ________ _ 'CiJMPL.En.-tillS $ECtiON FOIi NO~'-IUilbiNcf ,PQMl'tjf dNt.Y~ff:F~}'./i.tr;,1:;.f,>.!;~~1".((~~.~~~~Bif[iW\Y~i~~r~ff~.liJ!:! : : /"P~l''" }"'"f'"l!:--·r • , .. , ; ., Is the applicant or future building occupant required to submit a business plan, ecutaly hazardous materials registration form or risk management and prevention program under Sections 26506, 25533 or 26634 of the Pre1lev•Tanner Hazardous Substance Account Act7 0 YES O NO Is the applicant or future bLildlng occupant required to obtain a permit from the air pollution control district or air quality management district1 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site1 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 POUUTION CONTROL DISTRICT. ,a. ' i:ONstiiUC'ribrll.ENiillliilliiENc'I' ,.,.~·•·c'f•"' ... ,r ,,c.,-·.• ., ••• -:, •O"•• , ,. ' ..... ,. '•W', . I hereby affirm that there Is a construction lending agency for the performance of the work for which this permlt Is issued ISec. 3097(JJ Civil Code). LENDER'S NAME_____________ LENDER'S ADDRESS, _______________________ _ •9~ APPUCANT cEJitlFICA tiONf' i\!Jlc'''.'~:"·t1-7rs,.,:;r::1,.i~;:~•":-1f~P''"l!P"'."'":"F~-:;-\eT.1:.":•~"-\'~o,~•:.;,1·1m'~'': .·.z-:cr.Ji:.;;~·~.~,.i7i:ml:J;:::'.:.,r~f,o~ ;:i!:::R~t.1;:-r~·-T:"".'~::O:"' ,I,~·~ -, · · , ... _,, .. T~· · I certify that I have reed tha application and state thllt the ebov1 Information I• correct and that the information on the plan, ls accurate. I agree to comply with 111 City ordinances end State lews relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned property for-lnspt1ctlon purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE crrv OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND 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 exc,vatlons over s•o• 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 enc d within 366 days from the date of tuch permit or If the building or work authorized by such permit is suspended or abandoned at any time after the k for a period of 1 80 deya (Section 106.4.4 Uniform Building Code).. 7 APPLICANT'S SIGNATURE --,j~~;Z'.:7E.~Z::.=::::::::::~~==--"""'=======----DATE -B,,,,_~t~l_-_q~-~r-------- 1. 2. 3. 4. 5. *6. 7. 8. 9. 10. 11. ~ V CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING JOB ADDREss ,?-70 er 2011::L b M:-"'W& f;t: TYPE OF BUILDING: RESIDENTIAL. __ COMMERCIAL __ ROOF SLOPE: RISE l( inches i~ 3l2 inches TYPE OF EXISTING ROOF COVERING .,,J..2 SHEATHING -z:k, rp NUMBER OF EXISTING ROOF COVERINGS (circle one} (9 2 3 NEW ROOF MATERIAL &Dttcr,,,./...e_ ±,/...a-CLASS.L'.::L: WEIGHT PER SQUARE Cf. S NUMBER OF SQUARES .3-J TRADE NAME Cr1 I~ MANuFACTURER .... ~--%"'"H-"-/_:::-:e.,._ ___ _ ROOF SYSTEM APPROVAt UL No. ____ Other /C'B_Q!fE,'7" 0 IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF YES ___ NO >?-- If the answer is no, a roof plan 11111st be provided with this application. Fire rating of roof: Class A,x_._c1ass 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. s DATE Contractor ___ Owner __ _ Contractor Name <J;$dt) (i);\)o._ (/?o6(t) *6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up. CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB972246 FOR 08/25/97 DESCRIPl'ION: REROOF 3200 SF, STANDARD TILE W/STRUCTURAL CALCS TYPE: MISC JOB ADDRESS: 2709 SOMBROSA ST APPLICANT: BOB PIVA ROOFING CONTRACTOR: OWNER: PHONE: PHONE: PHONE: INSPECTOR AREA TP PLANCK# CB972246 OCC GRP CONSTR. TYPE NEW STE: LOT: 760 745-4708 REMARKS: C/KEITH/745-4700 SPECIAL INSTRUCT: TOTAL TIME: INSPE7; CD LVL DESCRIPl'ION ACT COMMENTS _1_9 __ s_T _F_i_n_a_1_s_t_r_u_c_t_u_r_a_1 _______ ~--------------- -------------------------------------- ***** INSPECTION HISTORY***** DATE 081397 081297 081297 DESCRIPl'ION Roof/Reroof Roof/Reroof Frame/Steel/Bolting/Welding ACT INSP AP TP AP TP AP TP COMMENTS DUP SEE 8/12 SOLID SHETING FOR TILE ROOF REINF FOR STD TILE