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HomeMy WebLinkAbout2720 SOCORRO LN; ; CB971329; PermitFOR OFFICE USE ONLY PERMIT APPLICATION c;-, .? l -_:; PLAN CHECK NO. 1 ( { , 'c~ j_ CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST VAL ~,..;; 0/ ) . ' ' ~, t~s :=,, Plan Ck. Deposit= ,°i 1 \ 7 ) Validated Bv fZif!;]I· ~ Date f-__::: I Business Name lat this address) Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Description of Work # of Bathrooms Name ddress City State/Zip Fax# !3. ' APPLICANT □ contractor . '0:iliieni'ior Eorii,,jciof' · 0 6wiie,··□ Ag,rii lor 6wni, Name Address CitY State/Zip Telephone# 4. PROP ,r;7r" Name Address City State/Zip Telephone# :a~,,~, cONtRACroR-~ coMPANY:NAMif':u"'1~,..f""''0 "1'-"'"'1o/'""' , .. ,,.'W.,_,,.,-,-.,,,.,~,:--0-·,,,.,· (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 /ts !nuance, 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. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil panalty of not more than five hundred dollars ($5001), Name Address City State/Zip Telephone# State License # _________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION 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. I have and will maintain worker.s' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is d, My worker's compensation in~ance ca~er and policy number are: /.J L (, ~ , 'J-- lnsurance Company S/;J/e 8f~i,/I · Policy No/~/27 1/:5 Expiration Date// y 9 fTHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workera' compensation coverage Is unlawtw, and ahaH subject an employer to crlmJnal penalties and civil fines up to one hundred thousand dollars ($ ,0001, I t for In Section 3708 of th-~~•bor code, ln-'I8,t and attorney's fees. OATE °'c:, -_:?/-yz_ ,. t 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 ere 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 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). D l 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. 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 I 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 I address / phone number / type of work): ___________________________________________________________ _ 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 D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quallty management district? 0 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 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. :a, ' CONSTIIUCTioNlENb1NG·AGENt:'V7 ;";"''-'', .,.! ,.t•-::~-:::~~,,,,t,JT~"!•~"''• .,-., '"· -,r,' ''..' "' ·"' _.-,. ., ' .. ,. ' ": ., . I hereby affirm that there is e construction lending agency for the performance of the work for which this permit is issued (Sec. 3097111 Civil Code). LENDER'S NAME______________ LENDER'S ADDRESS ________________________ _ i9, . APPLICANT cEFiTiflcATiON ·::''ff;.1': .--;,-,,. l'l':·:. '';:'.;r~p.t:'.:'''TI""("_-.-,~;-"'"'r,''·'_T·-;~·.:17 '.U:'J:~t'):';.'!!'.-";J'!'::\~"''.; ·--~,,.::.:; ::·, ·'· "" ;:::.~ .. :,:r:,,,. ;;·l." , •. -,:,:..;;.::"!.w .•,,. ,";'' .... ; ' I cenify 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 Cltt of Car1sbad 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 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 excavations over 5'0" deep and demolttion 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 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 after the wor d for a period of 180 days (Section 108.4.4 Uniform Building Code) .. -.p APPLICANT'S SIGNATURE . ~,:::--DATE _J --__.( /-9'r-- CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS ;l 7 o20 ~ alf Ro 2. 3. 4. 5. *6. 7. 8. 9. 10. 11. TYPE OF BUILDING: RESIDENTIAL V-COMMERCIAL ----- ROOF SLOPE: RISE V inches in 12 inches TYPE OF EXISTING ROOF COVERING /flii'Sfazlc£ SHEATHING._.5}_;/4_(_,_P_· ___ _ NUMBER OF EXISTING ROOF COVERINGS (circle one) 1 2 3 NEW ROOF MATERIAL .,_LJ...,C'J"-W.:...,?,~'//'----___ CLASS J'1 WEIGHT PER SQUARE ,:)3() ' NUMBER OF SQUARES _,,>->t"-"D""'--- TRADE NAME .......__f:..._/-"""/(,__ ______ MANUFACTURER.___,b._~_._/K-'-"------ ROOF SYSTEM APPROVAL UL No. S-11 ( Other ___ _ IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF v YES ___ _ NO ___ _ If the answer is no, a roof plan must be provided with this application. Fire rating of roof: Class A r 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. > s-:2/~ 9})- DATE Contractor ~ Owner --- *6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up. PERMIT# CB971329 DESCRIPTION: REROOF 3000 SF, TYPE: MISC CITY OF CARLSBAD INSPECTION REQUEST FOR 05/22/97 COMPOSITION INSPECTOR AREA PLANCK# CB971329 OCC GRP CONSTR. TYPE NEW STE: LOT: JOB ADDRESS: 2720 SOCORRO LN APPLICANT: SAN DIEGO ROOFING CONTRACTOR: PHONE: 619 256-1800 OWNER: REMARKS: BJN/ SPECIAL INSTRUCT: TOTAL TIME: --RELATED PERMITS-- CD 15 LVL DESCRIPTION ST Roof/Reroof PERMIT# TYPE CB890504 RAD ------------------ ------------------ ------------------ PHONE: PHONE: INSPECTOR..,_ __________ _ STATUS EXPIRED ACT COMMENTS #----- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS