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HomeMy WebLinkAbout2718 SOCORRO LN; ; CB980289; PermitB U I L D I N G P E R M I T 02/02/98,15 :48 Permit No: CB980289 Project No : A9800364 Development No: Page , 1 of 1 Job Address: 2718 SOCORRO LN Suite: Permit Type: MISCELLANEOUS Parcel No: 215-542-09-00 Lot#: Valuation: 2,496 Construction Type: NEW Occupancy Group: Reference#: 3634 02/02/98toll0.1l.~1 I~UED Apµl:-~: 0 2/0W.~ Apr/Issue: 02/02/98 Entered By : RMA Description: RE-ROOF,2600 SF-COMPOSITION Appl/Ownr : HACIENDA ROOFING INC 451 OLIVE AV VISTA CA 92083 Fees Required Fees : AdJustments: Total Fees: Fee descr1.pt1.on Miscellaneous Fee 1 * MISCELLANEOUS T TAC *** 760 630-3417 Fees Collected & Credits ot l Credtts: ot~l P · Ba a .00 .00 90.00 *** it Ext fee Data 90. 00 PERMIT FEI 90.00 PERMIT H EXPIRED IN ACCORDANCE Willi u.11.c RMIT ¥ SECTION 303 (dl ---StGNAlURE- OAtt------- FINAL APPROVAL I INSP. _____ DATE .CLEARANCE _____ _ CITY OF CARLSBAD 2075 Las Palrnas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION CITY Of CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 FOR OFFICE USE ONLY PLAN CHE5_ NO. <j!:° lYC/ EST. VAL. y q ( Plan Ck. Deposit ___ 7"""'71" ___ _ Validated By:':::--+,--,-l--',"-,,\;--::-:--- Date, __ -f7""""""H;z:,..+..::....i~'!--- 1. PROJECT INFORMATION Address (include Bldg/Suite II 2718 Socorro Lane Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total# of units Assessor's Parcel I 215-542-09-00 Existing Use Single Family Dwelling Proposed Use Description of W?rk Remove shake roofing. SO. FT. #of Storie7:, # of Bedrooms # of Bathrooms Install fiberglass shingles. 2,600 2. CONTACT Pi!UiO!fQl':!111-1'<>0>~ :::',Jj;I o' ·· · ':? ,;,'.;:• 'N:·' ,;, . C~~ f}6J [Tl O"-\- Name Address City State/Zip Telephone# Fax# ::i. : ,AP!lµCANT ;,mi¢o~;il!l:ll?A1ii!i~.~:1,!1El;~g!!(]llll3.:Allont for Owner Hacienda Roofing, Inc., 451 Olive Ave,, Vista, CA. 92083 (760) 630-7850 (760) 630-3417 Name Addrell City State/Zip Telephone# 4. , PROPERTY OWNEII La Costa, CA. 92009 (760) 431-6814 Name Address City State/Zip Telephone# &;"" ·>·coNTRAcToR ~~coMPAN~NAME4s~'11'1~W,;,~:=·:~'.·,:;' ":i"?~t; ·,. t:> · · >~>-' ."<.' ~._· --~ (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 e 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 penalty of not more than five hundred dollars l$5001). Hacienda Roofing, Joe,, 451 01iye Ave •• Vista. CA. 92083 (760) 630-3417 Name 365314 Add•ess C39 City State/Zip 48840t\'Phone # State License # __________ License Class__________ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 8. WORKERS' COMPENSATION,'.:_:_ os,.~, .: ... " ...... . 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 of the work for which this permit is issued. 0 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 insurance carrier and policy number are: Insurance Company Legion Ins. Co. Policy No. WC10526090 !THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) Expiration Date, ___ 0_9_-_1_5_-_9_8_ 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: Fallu;e to secure workers' compenution coverage la unlawful, and shall subject an employer to criminal penahlea and civil fines up to on• hundred thouund dollll 90.000), In to coat of , dllmagea u provided for In Section 3706 of the Labor code,,_ Interest and attorney's fffs. DATE Ql-28-'18 ?IC)N~f"t"~~i·ra• '":~'~'"'•F·" -, , ·•,-_.,<-" I hereby affirm that I am exempt from the Contractor's Licen e Law for the following reason: O 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 Ucenn Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employeea, 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 construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law doe& 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'• License LawJ. 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 con1truction 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 parson (firm) to provide the proposed construction !include name I 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 the major work (include name I address I phone number I contractors license number):. ________________________________________________ _ 6. l 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).:_------------------------------------------------------ PROPERTY OWNER SIGNATURE ______________________ _ DATE __________ _ '.CQMIUTe:flilS• SEC:TIOil:l'OR;M:ON,81i'MililY1M'-lii.lltlilN<lil'l:IIMl:rS;Olff.Y;""',) . 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 26606, 26533 or 26634 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 district? D YES D NO Is the facility to be conatructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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. ~-~~o.1'5'"'UCTIOtAJ:N,Qdf<ifA ... ~~R~~'.t~;Wt~(\~Ai{F?J.~': ;:;: .... , 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, ______________________ _ te~•::.>t<APNCANT~FlCATION.~?.f'.!t:~,tfir8~si:r+;?~.~~:i:·iF/6r~f~::"f:':~~::,,¾:'.:::,~:t.:::· 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 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 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 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 it the building or work authorized by such permit is not commenced within 365 de s 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 ark is commenced p io f 180 df"9'1S tion 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE {L~ t DATE Ql-29-98 PINK: Finance 1. 2. 3. 4. 5. *6. 7. 8. 9. 10. CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING JOB ADDRESS ___ 27_1_s_so_c_o_r_ro_L_an_e ____________ _ TYPE OF BUILDING: RESIDENTIAL_x_ COMMERCIAL __ ROOF SLOPE: RISE 4 inches in 12 inches TYPE OF EXISTING ROOF COVERING space SHEATHING --------NUMBER OF EXISTING ROOF COVERINGS (circle one) (D 2 3 NEW ROOF MATERIAL Fiberglass shingles CLASS A WEIGHT PER SQUARE ---- 240 lbs. NUMBER OF SQUARES 26 __ r_r_e=st=1_·-q=u=e:I:~~~: ____ MANUFACTURER __ E_1_k_C_o_r_p_or_a_t_i_on ___ _ TRADE NAME ROOF SYSTEM APPROVAL QKXW ASTM D-3018 Other -----IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF YES_x __ _ NO ___ _ If the answer is no, a roof plan must be provided with this application. 11. Fire rating of roof: Class A_x_ 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. 01-29-98 SIGN DATE Contractor ---X Owner __ _ Contractor Name ---------------Hacienda Roofing, Inc. *6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up. PERMIT# CB980289 DESCRIPTION: RE-ROOF,2600 TYPE: MISC CITY OF CARLSBAD INSPECTION REQUEST FOR 03/11/98 SF-COMPOSITION INSPECTOR AREA PLANCK# CB980289 OCC GRP JOB ADDRESS: 2718 APPLICANT: HACIENDA CONTRACTOR: SOCORRO LN ROOFING INC STE: CONSTR. TYPE NEW LOT: PHONE: 760 630-3417 OWNER: REMARKS: C/630-7850 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION PHONE: PHONE: d L? INSPECTOR~(5{';c__.,~~~__,~ (;(/.__c.,,,.,._ ______ _ ACT COMMENTS _1_s __ s_T _R_o_o_f_f_R_e_r_o_o_f _________ ~ ______________ _ ------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS