HomeMy WebLinkAbout2704 SOCORRO LN; ; CB030750; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
03-13-2'003 Miscellaneous Permit Permit No: CB030750
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2704 SOCORRO LN CBAD
MISC Subtype: REROOF Status: ISSUED
03/13/2003
SB
03/13/2003
03/13/2003
Parcel No: 2155431200 Lot#: 0 Applied:
Valuation: $7,587.00
Reference #:
Project Title: BROWN RES 2700SF REROOF
WO SHAKE TO LT WT CON TILE
Applicant:
ART ROOFING
558 PARK BROOK ST. 91977
619-267-6854
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
PERMIT FEE
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
BROWN C BRENDA TRUST 09-16-91
2704 SOCORRO LN
CARLSBAD CA 92009
0326 03/13/03 0002 01. 02
$140.00
$0.00
$0.00
$140.00
CGF" 140-00
Total Fees: $140.00 Total Payments To Date: $0.00 Balance Due: $140.00
FINAL APPROVAL
PERMIT APPLICATION
FOR OFFICE USE ONL yc"&::,3o 7 So
PLAN CHECK NO. 7£ 8 L
EST. VAL. 7 ~0 7 • CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit-~-------
Valid.ated By ~~{,
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'2:704 Socp/l..4.J LA,.>£; 9lm'i
Address (include Bldg/Suite #) Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use Proposed Use
# of Bathrooms
Name Address
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City
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City
City
State/Zip
CA 5:&H-
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State/Zip
Telephone# Fax#
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. (1&0) lj 3fJ-3849
Telephone#
(Sec. 7031.6 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
Any viola\ion of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundr d dollars 1$5001).
F ,J ,-/U~ fl,roK PILI ALJ,( 'll'i1r b/ ~ 8
State License# }55"311 License Class --~(~-~3-J~----City Business license # _______ _
Designer Name Address City State/Zip Telephone
State License # _________ _
111/ii~lOOW\li.iI!:iOMJi.at.l!iArl!:i!l.:,.:,,~,I, ;,;r.:
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 l 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______________________ Policy No. Expiration Date _______ _
ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS)
/J(J' 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
';;'become subject to the Workers' Compensation laws of California.
WARNING: Failure to a cure workers' compensation coverage la unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($10 001, In ition o the cost of compensation, damages as provided for in Section 3706 of the Labo' cod7, interest and attorney's fees.
SIGNATURE ' DATE OJ _IJ/0'1
fl£tli\l'.Owliel!~UlllPEl~llilll"i!.'ti'O · . · · .. · 7 C · . · ·. .
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: Tha 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 improve"lents 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(sl licensed
pursuant to the Contractor's License law). ·
D 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. 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/ 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 / address / phone number / type
of work): ___________________________________________________________ _
PROPERTY OWNER SIGNATURE ______________________ _
C:!i.r/Jifm:i!;fi:lilil 'sEdll'iONlfQRl#Qr#/~/IJEJ!tuf./;;al.li~lllNl!'l'ERMlt~;O,ll!.LY' .' :·
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 Act? 0 YES O NO
ls 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 constructed 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.
~ii: 'Ji:Qlll\TRl./1:l'IQN lE!'!l!NGlllGEl'(CY. '• .•.
1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097HJ Civil Code).
LENDER'S NAME _______________ _ LENDER'S ADDRESS __________________________ _
;&ir:'CAP.PMCANl'CERTlflCAttot,1/;;:;;'•
t 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 if the building or work
authorized by such permit is not commenced within 180 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 work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE ___________________________ _ DATE
WHITE: File YELLOW: Applicant PINK: Finance
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDRESS: L rO'-\ $oui.w..o U..i~ 1 uu.s'!14c1 9'Z.9cf;
2. TYPE OF BUILDING: RESIDENTIAL b( COMMERCIAL. __ _,_
3. ROOF SLOPE: RISE S--inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) d) 2 3
5. TYPE OF EXISTING ROOF COVERING '/t." SHEATHING 058 .
/6> *6. NEW ROOF MATERIAL A CLASSS60. WEIGHT PER SQUARE
7. -NUMBER OF SQUARES d--T
s. TRADE NAMEC~A1.Lir-i MANUFACTURER/v10ruifit.l.JF.:.ri1.i.
9. ROOF SYSTEM LISTING UL No. __ ~_ICBO No. lb Sl,
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 instali'new roof covering.
2. Final Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for
inspection.
Signature_~., ..... ~----·_ft1.,.2c....~--,,'--c----Date---'() ..... 3"-J/<-<-/.,,_3f-/o=-)-· __ _ -r /I
Contractor / Owner ____ Contractor Narre ______ _
*6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up,
Other.
City of Carlsbad Bldg Inspection Request
For: 07/16/2003
Permit# CB030750
Title: BROWN RES 2700SF REROOF
Description: WD SHAKE TO LT WT CON TILE
Type:MISC Sub Type: REROOF
Job Address:
Suite:
Location:
2704 SOCORRO LN
Lot
APPLICANT ART ROOFING
0
Owner: BROWN C BRENDA TRUST 09-16-91
Remarks: can you final
Total Time:
CD Description Act Comment
Inspector Assignment: JE ---
Phone:
Inspector: -~j_w __
Requested By: CHRISTINE
Entered By: CHRISTINE
19 Final Structural _if_ 11;;;_,-HS-
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments
03/25/2003 15 Roof/Reroof AP JE OK TO COVER