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Home My WebLink About2707 SOMBROSA ST; ; CB972574; PermitB U I L D I N G P E R M I T Permit No: CB972574 Project No: A9703274 Development No : 09/11/97 12 :28 Page 1 of 1 Job Address : 2707 SOMBROSA ST Suite: 9040 09/11/97 0001 01 02 Permit Type: MISCELLANEOUS Parcel No : 255-107-05-00 Lot#: C-PRttT 148-00 Valuation : 6,561 Construction Type : Occupancy Group : Ref erence#: Status: VN ISSUED 09/11/97 09/11/97 MOP Description: 27 SQUARES OF TILE ROOF Appl/Ownr : *** Fees PIVA ROOFING 1192 INDUSTR I AL AVE ESCONDIDO, CA . 92029 Requ ired *** 760 Applied : Apr/Issue : Entered By: 745-4700 Pees Collected & Credits ---------,;---------------------------------- Fees : Adjustments : Total Fees : Fee descripti on Miscellaneous Fee * MISCELLANEOUS T ..rr'g ~al Gred t s : Total Payments: Balance Oue. Un its f ee /Unit .00 .00 148 .00 Ext fee Data ------------------------~------------------ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 148.00 PERMIT 148 .00 PERMIT APPLICATION FOR OFFICE USE ONLY ,-7c..J PLAN CHECK NO.LJ ~ 1._, ') I EST. VAL. /'i. 8, CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 Plan Ck. Deposit ________ _ Validated By __________ _ Date, _____________ _ 1. P~CT INFORMATION_,,-. 1- .(b-'] OJ ~ D M !.,) f" D s 0...,. 5t- Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units (._ 7 # of Bathrooms Name , . Address City State/Zip Telephone# Fax# :3~ CJ'NT. ~or:. ?~gent 'fqrtOf'IWl~OI' -..v--r €!Z. ---470. State/Zip Telephone# 0 City State/Zip Telephone# ~;·' ''.CONTIIACTOR ·.;COMPANY'.NAME''''· ,,,,,,,,,,,· (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 exe ·on of Secti 31.5 b ny applicant for a ~!JI!.i.! sub~ th applfan~ top civ· penalty of not more than fi~e hundred dollars ($50011. ,..,.....11..:.2..1.il::'.---ll-..J.J.,.'Ll,,..~~1-4,~"'--~-µl_:'1lJo1--=...=:.:!al.J.!::.+.:..L:f.rL~L+-=='--~~'--<::J"'---?~~=--7~-=~:..L706 Addres City State/Zip 'I Telephou# State License # '4""-~-'~~...,..,___ license Class C--) q City Business license II I 0--b ~ / q 0 Designer Name Address City State/Zip Telephone State License # _________ _ .41,. ,WORKERS'..COMPetlSATION, .... Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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. D 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 olicy nu J Insurance Company __ -(;.:i□;:,.£L~~<:l---'~:..J:Z,,:=;~:::::s;.,__ Policy No. ,J )~7,C:b il).--{Expiration Date ONE HUNDRED DOLLARS ($1001 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 ucwe worken' compensadon coverage la unlawful, and •hall subject an employer to criminal penaHlea and civil finea up to one hundred thousand dollars 1$1 01,Jn d to the coat of compensation, damage• aa provided for In Section 3706 of the Labor~••~~ and attorney'• fees. SIGNATURE, __ ~~(,d.~~S::::~=====----------------DATE 1--/ ( -'::J___j. 7. OWNER;BUltDER DECl::ARATION" 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 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. D YES ONO 2. t (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. l will provide some of the work, but I have contracted (hired) the following parsons to provide the work indicated {include name I address / phone number / type of work),:_----------------------------------------------------------- PROPERTY OWNER SIGNATURE ______________________ _ DATE __________ _ '.CQl',ll!L£l'.E3'Hl8'SECTIONl'DIUi'Ol¢RESIDsmAt:liillil>iNGiPENIIIT$0NtY, 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-Tanner Hazardous Substance Account Act7 0 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 district7 D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D NO IF ANY OF THE ANSWERS ARE YES, A ANAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUE!;) UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. lei '~QHSTRUCTil>NUl!IDJNGIA!WiliY;:\:1:;:;;;;;t;, ,,,;;,;;;:;i·: ' 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, ________________________ _ !S'~·:.'.:;_;~CANT:1CERTI~tiolt1t0:;::?:;; .: _,. · · · """ > I certify that I have read the application and state that the above inform11tion 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 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 permi i ot commenc 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 aft rk · need for a period of 180 days (Section 106.4.4 Uniform Building Code). DATE ~C1-__,t,,_,_/---'-if?___,___ WHITE: File YELLOW: Applicant PINK: Finance 1. 2. 3. 4. 5. *6. 7. 8. 9. 10. 11. CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING JOB ADDRESS ~7C>7 s'oW\b co s:a_ TYPE OF BUILDING: RESIDENTIAL~ C01t4ERCIAL __ ROOF SLOPE: RISE Lt O inches in 12 inches TYPE oF ExisnNG RooF covERING 6ii11 k--< sHEATHING s&JA¼:J NUMBER OF EXISTING ROOF COVERINGS (circle one) (I) 2 3 NEW ROOF MATERIAL :;17/---e..-cLASs.i WEIGHT PER SQUARE_C(,__ __ NUMBER OF SQUARES ~ :;2 / TRADE NAME €a fi!c; Gp MANUFACTURER €°i)l:Y ROOF SYSTEM APPROVAi( UL No. ____ Other )Cr?, 0 Lf{;,66 IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF YES ~ NO __ _ If the answer is no, a roof plan must be provided with this· application. Fire rating of roof: Class A~ 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. SI DATE Contractor ---Contractor Name Gob W1uq, CI2o,£s Owner --- *6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/C0111p Fiberglass, Built up. PERMIT# CB972574 DESCRIPTION: 27 SQUARES OF TYPE: MISC CITY OF CARLSBAD INSPECTION REQUEST FOR 09/24/97 TILE ROOF JOB ADDRESS: 2707 SOMBROSA ST STE: INSPECTOR AREA PD PLANCK# CB972574 OCC GRP CONSTR. TYPE VN LOT: APPLICANT: PIVA ROOFING PHONE: 760 745-4700 CONTRACTOR: PHONE: OWNER: PHONE: ~ REMARKS: C/KEITH 745-4700 INSPECTO ~cj.,,L.___.!:::..:::~::....:::::::::::::=~- SPECIAL INSTRUCT: CONTRACTOR WILL CALL INSPECTOR TO TUPA MEE CONTRACTOR WANTS TO BE PRESENT FOR INSPECTION. TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 19 ST Final Structural ~ f!ApfA/k_,foll, p;pµi'z 5 er --------------------------------------rrc ***** INSPECTION HISTORY***** DATE 091997 091297 DESCRIPTION Final Structural Roof/Reroof ACT INSP CO PD PA PD COMMENTS ON LAND PERMIT# CB972574 DESCRIPTION: 27 SQUARES OF TYPE: MISC CITY OF CARLSBAD INSPECTION REQUEST FOR 09/19/97 TILE ROOF STE: INSPECTOR AREA PD PLANCK# CB972574 OCC GRP CONSTR. TYPE VN LOT: JOB ADDRESS: 2707 SOMBROSA ST APPLICANT: PIVA ROOFING CONTRACTOR: PHONE: 760 745-4700 OWNER: REMARKS: C/B PIVA ROOFING/745-4700 SPECIAL INSTRUCT: TOTAL TIME: CD 19 LVL DESCRIPTION ST Final Structural -------------------------------------- -------------------- PHONE: ~ /'J:/ p::::~CTO~ ~~ ACT COMMENTS r1-i) ---------- ***** INSPECTION HISTORY***** DATE DESCRIPTION 091297 Roof/Reroof ACT INSP PA PD COMMENTS ON LAND 'I I NOTICE CITY OF CARLSBAD BUILDING DEPARTMENT 438-3550 2075 LAS PALMAS DRIVE ~ATE (/-/9---11 LOCATION "J /0 7 PERMIT NO. _______ _ tr . L 438-3101. RE-INSPECTION FEE DUE? □ YES FO~ION, CONTACT "? lL PHONE CODE ENFORCEMENT OFPICER •