HomeMy WebLinkAbout2721 SOCORRO LN; ; CB994619; Permit12-15-1999
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
Applicant:
City of Carlsbad
Miscellaneous Permit Permit No:CB994619
Building Inspection Request Line (760) 438-3101
2721 SOCORRO LN CBAD
MISC
2155412100
$7,950.00
RE-ROOF 2996 SF 30 SQ
Subtype: REROOF
Lot#: 0
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
12/15/1999
GMF
12/15/1999
12/15/1999
HENRICKSON ROOFING COMPANY INC GAVIN PATRICK J&KEENE JUDITH L
9830 VINE ST
LAKESIDE, CA 92040
619-561-5500
Total Fees: $161.00
Miscelaneous Fee #1
Miscelaneous Fee #2
TOTAL PERMIT FEES
Inspector:
2721 SOCORRO LN
CARLSBAD CA 92009
Total Payments To Date: $0.00
7199 12/15/99 0001 01 02
Balance Due:
$161.00
$0.00
$161.00
C-PRHT 161-00
$161.00
FINAL APPROVAL
Date: 1-b-Dl,) Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as 'fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Fa'ilure to fimely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any
fees/exactions of which ou have reviousl been iven a NOT/CE similar to this or as to which the statute of limitations has reviousl otherwise ex ired.
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
I Ce (
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NO. C6"tq4e, l'j
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
EST. VAL. _l:'i.o.::.5~~c.._ ____ _
Plan Ck. Deposit ________ _
Validated By_,:,,u _______ _
Date,_.J1_.2._l,_.124['1a.'r.,_ ________ _
Legal Description Lot No. Subd~on Name/Number Unit No. Phase No. Total II ot units
Assessor's Parcel I P,opoHd Use
#of Stories I of Bedrooms I of Bathrooms
;i.__
Name Addreu City State/Zip Telephone I Fax II
/:'I; :'.:iA,etifiAllff';~~+ild'ilfll ! iii!li ~IX~--~~~-:.,· ;:~,::,. ,; ..
Name Address City State/Zjp Telephone I
i,t,~ftU;~'!;.,.W:;;4arJB:zw.t& CJ ··:Zil&Q&Jl&&i&EfkW--,S~w~~~m}Jiff,::,'.f':.~-~:~r; ... --
Name State/Zip Telephone II
li'S'libNfillitl\'6
(Sec. 7031.5 Business and Profusions Cod■: Any City or County which ,-quirn a permit to connrvct, att11r, improve, de~o.tiah or repair any stru~ure,_ prior to Its
issuance, also requires the applicant far such permit to file I signed statement that he ia licenud purauant to the provtatons of the Contr■r:t.or • license Law
(Chapter 9, commending with Section 7000 of Oiviaion 3 of the Business and Professions Codel or_ thlt he Is exempt therefro~, and the basrs for the alleged
exemption. Any violation of Sec-tit 703 ~~y any applicant for a permrt subjects the applicant to a civil penalty of not more than frve hundred dollars f $5001). 41•9 11, Q, /./~"~ ;-" 1 1 9f(}t) 11,.,e SI. G,, '126'[ 4 &.t~I -ft/-5 -,;-0(!
Name Address City State/Zip Te ephone I
): State License I 7 J'S 7.s-License Cius__________ City BusiMU License I A,'fL.{e() WR.
Designer Name Addreu City State/Zip
State License I
it:' ''."WCJRKmt;•wii:··~Mii·i'Eil;-·;iiliil'tlii· rnio~N2S•2ii;.~e~=!E;,,;tS!t\\·m:-~Ei=~"'T~,;;;i;:;::<Z,\:. ......... ,.~~..:.:_z..~·=r::·1:·--::,,:~":!~~-=-.. :-~--:"."': ;:
w;;:ers' Compe~sation Declaretion: I hereby affirm ~de; Ptl~atty of ,;;Ju~";,: ~f the
0
fui"i~~n; declaratio~~: ~ , . . , ,
Telephone
0 I have and will maiintain • certificate of consent to aelf-insure for workers' compensation as provided by Section 3700 of the labor Code, for the performance
of the work tor which this permrt is iuuad.
0 I have and will maintain workers' compensation, H required by Section 3700 of the labor Code, for the performance of the work for which this permit 1s
issued. My worker's compensation insurance carrier and policy number are:
Insurance Company______________________ Policy No. Expiration Date, ________ _
!THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FDA ONE HUNDRED DOUAAS rnoo, OA LESS)
0 CERTIACATE OF EXEMPTION: I certify that in the performance of the wor1c for which this ~rmit is iuuad, I shall not employ any parson in any manner ao as
to become subject to the Workers' Compensation Laws of Calitomia.
WARNING: Failure to Hcure wonr:en· compenution coverage ii unlawful, and ahlQ aubiect an ernployef to criminal panahiu ■nd civil fmH up to on■ hundred
thou1&nd doUara IUOD,000), In tldditkm to the con of compensation, d■mecJU u provided tar In Section 3708 of the Labo, code, lmarett ■net attorney's fua.
SIGNA TURE:;c::::;;::;:::;::::;::;::::;;::;-;:;;=::::::;::;;;:;;;:;;:;:::;::;::::;;::;;::;;;:;;;;;;:;;;;;;:,;;;:;;:;;;:;;;:~:;::;;:: DATE ________ _
7 ;,_;:·•stsWNBi:SUftl:>Elt'tlECDOIATftjN"'~•~~,f~,.,:.~•~J.,',-:;:,~.1.~~~~f;E'·'~~-:~:,.'!';:;.~:.: .. ";':~~-".'.'1~-:('::;r_i,·. ~-~·';·:··. :·-~~--:~
I hereby affirm that I am exempt from the Comractor's License Law tor the following reHon:
0 I, as owner of the propany or my employees wtth wages as their sole compensation, will do the work and the structure is not Intended or offered for Hie
(Sec, 7044, Business and Profeaaions Code: The Contractor's License Law does not ■PPtv to an owner of property who builds or improves thereon, and who does
such work himself or through his own ems,tovees, provided that such improvements ere not imended or offered for s■le. If, however, the building or improvement is
sold within one year of comptetion, the owner-builder will have the burden of provtng that he did not build or improve for the purpose of Hie).
D J, as owner of the property, am exclusively comractlng with licensed comractors to construct the projlct ISec. 7044, BuaineH and Profehiona Code: The
Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contract, for such projects with contractorls) hcensed
pursuant to the Contractor's licenaa law).
0 J am exempt under Section ______ BuaineH and Profassions Code for this reason:
1. I personally plan to provide the major labor and materials for consttUction of the proposed property improvement. 0 YES ONO
2. I (have/ have not) signed an application for• building permit for the proposed work.
3. I have contracted with the following ~rson lfirm) to provide the proposed construction !include name / address / phone number i contractors hcense number):
4, l plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the maJor work linclude name/ address/ phone
number/ contractors license number).,_-------------------------------------------------
5. I will provide some of the work, but I have contracted (hired) the following persona to provide tha work indicated !include name / address / phone number / type of work): ______________________________________________________ _
PROPERTY OWNER SIGNATURE_______________________ DATE _________ _
COMPLETETI!IS.SECT1Dllt'FO!lW~~~$2;.4/ii!~Ja;.:;;;,'.:,c,;_""C::-.'._c~.'.:·
ls the applicant or future building occupant required to aubmrt a business plan, acutely hlzatdoua materials registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Pralf■y-Tanne, Hazardous Sutmanca Account Act? O YES O NO
Is the applicant or future building occup■m required to obtain a permit from the air POiiution control djstriC't or air quality management district? 0 YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school alte1 0 YES O NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT IE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POUUTION CONTROL DISTRICT.
1' 8;_:'.'.WNSTRUCTi6Nrl£NDJNG·~~~'7:Q~{i;~~':;;:,;::;;fk,.f'.'.t.k~~~';::;,~~;:,;:_;;;.,,,,.s-~:~~tf"!!+..'~:.: --~ ,.'..
I hereby affirm that there is a construction lending agency for the performance of the work for Which this permit is issued (Sec. 30971/) Civil Code).
LENDER'S NAME_:;:::;::;::;:;::;:;:;:;;;:;:;;;;;:;;;;;;::;;;;;;;:;:;;;:~.,.,.;LENDER'S ADDRESS'.::::::=====-:---:----------------:9 •. ,.::~A"ffllCANT-..CERTJFICAl'ION~t~~~:tJ:iff.FJM~~~l-;,¾~~~~~~!:r,~
l ~ertify .that I have read the application and state that the above Information Is COl'T8ct and that the information on the plans is accurate. I agree to comply with all
Crty ordinances and State laws relating to bWlding construction. I hereby authorize represematives of the Citt of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES
JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. .
OSHA: An OSHA permit is required for excavations over s•o• dHp and demolition or construction of structurea over 3 stories in height.
EXPIRATION: Every permit issu_ed by the Bulldinu O~i~ial under the provision■ of this Code ■hall expire by !imitation and become null and void if the building 0 ,
work •uthor1zed by s~ch permit 1s not c~mmenced wlthrn 3 days from the date at such permit or if the building or work authorized by such perm,t ,s suspended
or abandoned et any time aher the work 1s commenced eriod of 1 BO days !Section 106.4.4 Uniform Building Code).
DATE j/--1.r-'h
YELLOW: Applicant PINK: Finance
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOBADDRESS:;)..77--/ 5ocorrt U.l'Jc-Le.. Cos/c-.
2. TYPE OF BUILDING: RESIDENTIAL V COMMERCIAL __ -'
3. ROOF SLOPE: RISE '-tin inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) 1 2 3
5. TYPE OF EXISTING ROOF COVERING i4:l,c. SHEATHING u t2<1t, IT' l1.o ..
/Jo,Jl<r"f-' *6. NEW ROOF MATERIALt,,,kM:s CLASS __ WEIGHT PER SQUARE
7. NUMBER OF SQUARES_j_Q __ ~
8. TRADE NAME _______ MANUFACTURER _____ ----'-
9. ROOF SYSTEM LISTING UL No. ____ lCBO No. i;.11.. 4Clo
10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE
WEIGHT OF THE PROPOSED ROOF? § NO
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 _______________ Date
Contractor ___ Owner _____ Contractor Name
*6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up,
Other.
City of Carlsbad Inspection Request
For: 1/5/2000
Permit# CB994619
Title: RE-ROOF 2996 SF 30 SQ
Description:
Type:MISC Sub Type: REROOF
Job Address: 2721 SOCORRO LN
Suite: Lot 0
Location:
APPLICANT HENRICKSON ROOFING COMPANY INC
Owner: GAVIN PATRICK J&KEENE JUDITH L
Remarks:
Total Time:
Inspector Assignment: PD ---
Phone: 7604389190
lnspectodi!_ yfv\
Requested By: JUDY
Entered By: CHRISTINE
CD
19
Description At{) Comments
Final Structural ____________________ _
Associated PCRs +----------------------
Inspection History
Date Description
12116/1999 15 Roof/Reroof
Act lnsp Comments
AP PD