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HomeMy WebLinkAbout2401 SONORA CT; ; CB972563; PermitB U I L D I N G 09/10/97 12:35 Page 1 of 1 Job Address: 2401 SONORA CT Permit Type: MISCELLANEOUS Parcel No: 167-381-15-00 Valuation : 3,360 P E R M I T Suite: Lot#: Permit No: CB972563 ProJect No: A9703261 Development No: 8989 09/10/97 0001 01 C-PRMT Construction Type : 02 Occupancy Group: Reference#: Status: 105-00 NEW ISSUED 09/10/97 09/10/97 RMA Description : RE-ROOF,3500 SF,COMPOSITION Appl/Ownr : URBACH ROOFING 760 Applied: Apr/Issue: Entered By: 431-5113 2131 PALOMAR AIRPORT RD ST 300 CARLSBAD CA 92009 Fees Required *** Fees: Adjustments: Total Fees: Fees Collected & Credits q tal redits: Tota Payments: Balance Due: .00 .00 105.00 *** Fee description Units E'ee/Unit Ext fee Data Miscellaneous Fee #1 * MISCELLANEOUS T TA ...._ _______________ __ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 105.00 PERMIT FEE 105.00 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 FOR OFFICE USE ONLY PLAN CHECK No.!(1 EST. VAL. 7 ,j@ Plan Ck. Deposit---,,-,,----- Validated By ___ .....,p--~---::,-,---- 1. PROJECT INFORMATION Address /include Bldg/Suite #) ·;z_ 'I-or So-</ocA, <!_T Business Name fat this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Axisting Use • /Ce::, i ()E A.J T/,1L... Proposed Use ...3 Name Address City State/Zip Telephone # Fax # 3. A.~PLICANi' ,a'·contractor . ..-CJ Agent for Cont"rador D Ownei-0 Agl!nt for Owner · ·-_ · · " 41 31 d?Ato#fA/.2 /-h-eAY'?T<:L> Sl-e x..o (.:-,,A?t5~ W !'e/.B/fc· H A.~ dc:)F,., ;1./e, ./-di<,.., . Name Address City State/Zip Telephone# 4. PROPERTY OWNER ,11 i;, 'Ji-»( /2 _', Name City State/Zip Telephone I s. CONTRACTOR. 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 exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil Pttnalty of not more than f.ive _hundred dollars 1$50011. ;_J;f',{3/t<H ,6?/JoF-'P'e j:",;t.c:.. ;;;_131,,0,;;,o"il'!R gjvJRJ.eTJ9b 5fe3oa C,;1J{?(51;:YJ.O- Name . ..L ,,..,.._ _ _ CY Address City State/Zip_ Telephone# L../-3/ -s-// -~ State License # fCK_.,.l 13 7 ° license Class C -3 + City Business License # [2.oo L ~9 _:> I Designer Name Address City State/Zip Telephone State license # _________ _ 8. WORKERS" COMPENSATION 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 Sectlon 3700 of the Labor Code, for the performance of the work for which this permit is issued. ,ql r 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: , / lnsu,.nce Company ,·Sf!f rt E«&Z> Policy No. 25{';,---97 tlu/-<f(YL Expiration Data /,L9li'. (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) 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 eny manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage ls unlawful, and shall subject an employer to criminal penaltlea and civil fines up to one hundred thousand dollars ($100,000}, In addition to the coat of compensation. damages•• provided for In Section 3706 of the Labor code, Interest and attorney's fees. SIGNATURE______________________________ DATE _________ _ 7. OWNER-BUILDER DECLARATION "":~<'~,: :·1·•·.;, ,.,, • ., .·, !'!-','·.: ' I hereby affirm that I am exempt from the Contractor's license Lew 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, howaver, 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 contractor(a) licensed pursuant to the Contractor's LicenJe 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. l (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 I address I phone number/ contractors license number): ________________________________________________ _ 5, I wm provide some of the work, but I have contracted !hired) the following parsons to provide the work indicated !Include name/ 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 Act? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control distr~ct or air quality management district? 0 YES D NO Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school site 1 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. CONSTRUCTION LENDING AGENCY " ,T, '""" , .. _,.... ,.. -· ···· ., ' t hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 3097fi) Civil Code}. LENDER'S NAME ______________ _ LENDER'S ADDRESS ________________________ _ C9. APPLICANT CERTIFICATiON 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 If the building or work authorized by such permit is not commenced 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 after th~ is commence1 for a period of 1,PO days (Section 106.4.4 Uniform Building Code). . APPucANrs s1GNATURE . OJ~~ Ui~,,..L..-oATE r/40 /9 7 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_-':)_=· ...... lf=D_,l'--'A...,...en~?={n,4---=~{3=0..:;,-c-if=------- TYPE OF BUILDING: RESIDENTIAL X' COMMERCIAL __ ROOF SLOPE: RISE .,/ inches in 12 inches TYPE OF EXISTING ROOF COVERING S)7,:J/5'c& SHEATHING. _______ _ NUMBER OF EXISTING ROOF COVERINGS (circle one) _Q,, 2 3 NEW ROOF MATERIAL :f:.fk_,,/)ry;e, ~CLASS A WEIGHT PER SQUARE ,2(oe)/fu · NUMBER OF SQUARES -~S- TRADE NAME ~/q, /).~., ·z: MANUFACTURER U4PfflfJ,4/ ~ ROOF SYSTEM APPROVAL~ No. . OtherlSin--{301"{-~~ 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. Fire rating of roof: Class A_i_ Class B __ I understand the following inspections are required: e£( 1. Tear Off/Pre-inspection prior to installing new roof covering. /ci,(2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. SIGN DATE Contractor J' Owner __ _ *6 -Rolled Roofing, Tile, Shake, Co,tmto, .... ~ Ms /('o-,,/-· \h-ic_ Shingle, Asphalt/Comp Fiberglass, Buift ~ PERMIT# CB972563 DESCRIPTION: RE-ROOF,3500 TYPE: MISC CITY OF CARLSBAD INSPECTION REQUEST FOR 09/16/97 SF,COMPOSITION JOB ADDRESS: 2401 SONORA CT APPLICANT: URBACH ROOFING CONTRACTOR: PHONE: PHONE: OWNER: PHONE: INSPECTOR AREA PK PLANCK# CB972563 OCC GRP CONSTR. TYPE NEW STE: LOT: 760 431-5113 REMARKS: C/ROGER/431-5113 INSPECTOR =-__ /1.) __ F-______ _ SPECIAL INSTRUCT: PAGER 989-1929 PAGER LADDER ON SITE TOTAL TIME: LVL DESCRIPTION ACT COMMENTS CD 19 ST Final Structural Af' ____ _ ---------------------------------------------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION 091197 Roof/Reroof ACT INSP AP PK COMMENTS