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Home My WebLink About2812 SOMBROSA ST; ; CB972552; PermitB U I L D I N G P E R M I T 09/09/97 15:39 Page 1 of 1 Job Ad ress: 2812 SOMBROSA ST Suite: Permit Type: MISCELLANEOUS Parcel No: 255-102-06-00 Lot#: Valuation: 4,860 Occupancy Group: Reference#: Description : REROOF 2000 SF, LITE TILE : ICBO 2093 Permit No: CB97255i Project No: A9703248 D.avelogment No: b'5'50 09/~/97 0001 01 02 C-PRMT 119-00 Construction Type: NEW Status: ISSUED Applied: 09/09/97 Apr/Issue: 09/09/97 Entered By: JM Appl/Ownr : SECURE ROOFING 760 432-9084 2210 MEYER AVENUE ESCONDIDO, CA 92029 *** Fees Require *** k Fees: Ad ·ustments: Total Fees: Fee escription Miscellaneous Fee * MISCELLANEOUS T T~ F CITY OF CARLSBAD s Collected & Credits ** .00 ,00 119 .00 Ext fee Data 119,00 PERMIT FE 119.00 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 'ERMll APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438· 1161 1. PROJECT INFORMATION FOR OFFICE USE ONLY Ci)_, PLAN CHECK NO. D OJ<i / EST. VAL. -----4:i......._......,,...,...--.-,...,_,,_ ., \ ~.-=r----1~ V Validated By _ __,1i--"-+.--=.-_...:::;;......,... __ Date _________ ~---- Address [include Bldg/Suite #IL. Business Name lat this addressl '<.fl 2 ~uh.. v"...:,5.; Legal Description s• r·p -lot No. Subdivision Name/Number Unit No. Phase No. Total# of units Assessor's Parcel # Existing Us■ Proposed Use Description of Work e.. ,,-· o otc' SQ.FT. 200 () #of Stories # of Bedrooms # of Bathrooms 2; .. CONTACT PERSON (If dlff1tw1t from appUclintl Address City State/Zip Telephone If Fax# tO\o,giinHi-:i'tconirlictdr ''"0 l5wnei".iD Agilrrt ior dwn11r · · ' 2.2 0 ll!.. Name Addrass Tel&phone II 4. m~-r:.)~~EA; ' . ;_i7'f!_'?'1\'.~~::'•z;;:'.::'~~-,-?',n~~e:~~~':J ·' '''C~'''i:.,,:~•~·;7,';'i. <f;•·; "J -2.. t: 4: '2 Name Address · City State/Zip Telephone II (Sec. 7031.5 Business and Professions Code: Any City or County which requires• permit to construct, alter, improve, demolish or repair any structure, prior to Its issuence, 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 violatio Section 7031.5 y any applicant for a permit subjects the applicant to • civil penalty of n9t more than five hundred dollars I$ 50011. • I ool" c_, 2-2.JQ ~ ,, 4 .e... ( 1 ~ O' sZ.-"'t.4 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: ~ I have and will maintain a certificate of consent to salt-insure for workers' compensation BS 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 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 com sation insur1'"ce carrier and policy number are: / .t'.': (') . Insurance Company ~ /f Policy No. :Z £:.} -/'/f .f -., / Expiration Date / --7 6'.' (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS IS100J OR LESS) O 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 m1nner so BS to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure worka f!1!281tlon covaraga I• unlawful, and 1111111 subj■ct ■n ■mployer to criminal pen11ltle■ and civil fin111 up to one hundred thousand dollars[$ ,0 I, I n t the co•t compenaetion, damage• u provided for In SKtlon 3706 of the labor code, lntere•t end anomey·• f■e,. DATE ,-$ -') SIGNATURE:_.1.._.-,,,::.t.,.."""""::::::::.....jl,£....,.YM!~~6,..-i;:2::::::......,l------------- 7. OWNER-BUILDER DECLARA I 0 I, as owner of the property or my employees with wagas 11s their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Coda: The Contractor's license law does not apply to 11n owner of property who builds or improves thereon, and who does such work himself or through his own employeas, 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 ha did not build or improve for the purpose of salel. O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business end 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 contractorlsl licensed pursuant to the Contractor's license Lawl. D I am exempt under Section ______ Business end Professions Coda 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. t (have/ have notf signed an application for II building permit for the proposed work. 3. I have contracted with the following person lfirm) to provide the proposed construction (include name / address / phone number / contractors license numberl: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervisa and provide the major work !include name I address I phone number/ contractors license !'A.lmberJ:. ______________________________________________ _ 5. I will provida some of the work, but J have contracted (hirad) the following persons to provide the work indicated (include name I address / phone number / type of work I: ________________________________________________________ _ Is the applicant or future building occupant required to submit B business plen, acutely hazardous materlela registration form or risk management and prevention program under Sections 25506, 25533 or 26534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O ·No ts the applicant or future bL,ilding occupant required to obtain II permit from the air pollution control district or ■fr quality management dlstrict7 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of • school site7 0 YES O NO JF 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 I.ENDING·AGENCY.?''"''?"t t' I hereby affirm that there is a construction lending agancv for the performance of the work for which this permit Is issued {Sec. 3097(i) Civil CO'del. LENDER'S NAME______________ LENDER'S ADDRESS _______________________ _ '9. APPLICANT CERTIFICATION';';':~' ''''rG':,: · ',-:?"'1P":x,::,;': ,,;,,,:,t•F··''TJ;Cct~~,:".':ili;:ir:,r:c,~~: ,,:,;,;:,::;.:;; .:•·, ,C'I2L ·: :"t':::,:;:r,Lii< :rJ:::.:C:''": :',?".'.,;' • " ··; ,.-'• I certify that I have read the application and state thet the abova Information I• i::ouect and that the information on the plans Is eccurate. I agree to comply with all City ordinances and State Jaws relating to building construction. I heteby euthorize representatives of the Cltt 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 11nv time after the rk erlo_g of 180 days !Section 106.4.4 Uniform Building Codef. DATE _<7,,_-_.f ___ -7'·~-~2_1 __ _ 1. 2. 3. 4. 5. 7. 8. 9. 10. CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING JOB ADDRESS 2__? / z__ StJ e:z/2 r o; rz TYPE OF BUILDING: RESIDENTIAL )( COriNERCIAL __ ROOF SLOPE: RISE 5· inches in 12 inches . TYPE OF EXISTING ROOF COVERING 5'..:{-,ke. SHEATHING_~_k__,.;;·-__ rT)4"--__ _ NUMBER OF EXISTING ROOF COVERINGS (circle one) 0) 2 3 l NEW ROOF MATERIAL #ut"7UW CLASS/l WEIGHT PER SQUARE s--go /f;5 NUMBER OF SQUARES 2_ 6 ----- TRADE NAME ~(,,NC /s~s MANUFACTURER 1'1PJ Oh I~ ,,,, ROOF SYSTEM APPROVAL UL No. ____ Other / c1_[?0-P 20 ~ 3 IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF YES _y NO ----If the answer ts no, a roof plan 11111st be provided with this-application. 11. Fire rating of roof: Class A Y Class B __ I understand the following inspections are required: 1. Tear Off/Pre-;nspection 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. DATE Contractor Y Owner ---Contractor Na111e S:e-0t1/~ /<00{'-:714 C • *6 -Rolled Roofing, Tile, Shake. Shingle. Asphalt/C011p Fiberglass, Built up. PERMIT# CB972552 DESCRIPTION: REROOF 2000 SF, ICBO 2093 TYPE: MISC CITY OF CARLSBAD INSPECTION REQUEST FOR 09/15/97 LITE TILE STE: INSPECTOR AREA PLANCK# CB972552 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 2812 SOMBROSA ST APPLICANT: SECURE ROOFING CONTRACTOR: PHONE: 760 432-9084 OWNER: REMARKS: C/PAM/432-9084 SPECIAL INSTRUCT: TOTAL TIME: LVL DESCRIPTION PHONE: PHONE: /J /J ~ INSPECToRL½'-----",_::2~_,__.cf?iA.:..,_ ______ _ ACT COMMENTS CD 19 ST Final Structural Jb2 ---~--- ------------------------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION 091097 Roof/Reroof ACT INSP AP PD COMMENTS