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Home My WebLink About2811 SOMBROSA ST; ; CB971781; Permit✓14:14 0 r APPROVAL 1Ns ~~DATE c z-r1 CLEARANCE ______ _ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 FOR OFFICE USE ONLY PLAN CHECK NO. qJ/781 EST. VAL. ,i, L{)7,,4 >ERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 Plan Ck. Deposi J:>f; (iJ Validated By7 .,._~,.,-,-+------- Date __ __.,;;,..,_.~ff'-q.,.+----- I .___,,~CT INFOR~lON / . .L..:s. I f .:.::,_ o 1'"2'-:,. r <;) > c. Addres!i. (include Bldg/S~. #) / 2 ,Y f f ) o f"',-, ? ,--::. r"' Business Name lat this address) legal Description 5 F'U. Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Description of Work / (? /" O v ,! lot Stories # of Bedrooms 7 # of Bathrooms. ---i---,· 2. CONTACT PERSON fH illfl.,..t liilm ,ijij,iicantl Name Address.,.,,,..,.,,,,.. City State/Zip Telephone # Fax # "-'-6;~A,~· ~~:·,-r:~·r.rroz:r]"c?~h~~;:~;;·;'c'2';=~·;r ·'1;··~0 ·2 7. .'t] L· ~j Name Address • cltv State/Zip Telephone I 4. ,)IO;Ei;;vt~~E~ ,., " ''' c',' · '] .~~~ · · ;'!'.Vllli"W,t;~;;:7""'•1!~"'.'M'".'Y! -r;;• ;~~~·,,,,~;/':~/!:: ;••,,,:</ 6 _ J "/ 2..S- ,:~m·e Co~c'ro~~ ~ PA~~F4:~,;;:~:=~~-~«-~~~ L,~~4l5,, ,,,::t~£~& .. ; ~/~*,.,,::::~~~~.,l;~±~~;;,~~~~~~~'~'::,f',b1 f:-~:· ,/ fkf~y (Sec. 7031.5 Business and Professions Code: Any City or County which requires e 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 exel]!llli.on. Anv violation of ion 71µ. t .5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five ~undred dolla~l$6 OJ). >0:c. .,,.= c,,::,( • -r,. 0 <'-z.02.~ <-2-""oa Name Address L} City State/Zip Telephone # State License # S ·7 c) /' J 1/ License Class (" J / City Bu,;ness License # / 2 Q J £ $°' )__ , 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: ~ 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 --;Jl ~ work for which this permit Is issued. ~W" 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 compe,:isation insurance c~rrier and policy number are: , . <' _ t?<· . . _ _ C, 17' Insurance Company '7 fr--; Polley No. 2 Y _; / .l./ 6 -..:, Expiration Date / / /~ MIT IS FOR ONE HUNDRED DOLLARS ($1001 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 any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to hcure workera' co tlon coverage ls W'llawful, and ahaR •ubJect an employer to crlmlnal penaldea and clvU flnu up to one hundNd thousand dollars ($19.~ • in addition the t of co naation, damagq aa provided for in Section 3706 of the Labor.,.~\int~Hl,:: attomey'a fffa. SIGNATURE 1/ .# , DATE_ct:~--__5-;-(V.,.... _ _j_~..J...,_ ~ here~:'a~~!,8t~~\~~mD:;.i.:P~~~~he Contractor's,"h--n'•aw for the following reaso~~· .... ·,., . ··:.. ·: ·,, ',., .• :. -~: ::;\;.:. .. ::;:{.:, ,;..:cc.F'::.,, 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 aale (Sec. 7044, Business and Professions Coda: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who doea such work himself or through his own employees, 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 purpou 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 auch projects with contrectorls) licensed pursuant to the Contractor's LicenH Law). D I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provid1 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 tha following person (firm) to provide the proposed construction !include name / address / 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 / address / phone number/ contractors license oomber): ________________________________________________ _ 5. r will provide some of the work, but I have contracted (hired) the following persons to provide the work Indicated Unclude name / address / phone number I type of work!: ______________________________________________________ _ PROPERTY OWNER SIGNATURE_______________________ DATE _________ _ 'coMPLETE THIS SECtiON FOR NON-REslDiNtiAI. 'iOi(ljiNcf PERMrti'-dNi.'YiWTii'f,"?~,..ll-1:·"t9f'.'•1:o/"f,T~,'."'.'{Y'-~~51.1,,:~11i;l~'¥~7"'"'.',:P• ;· •:'fY:::'ff·t«·:·'.'~"'''"": t !-{" -r, ~-- 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 26505, 25533 or 26534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES D NO Is the applicant or future bLiilding occupant required to obtain a permit from the air pollution control district or air quality management district7 D Yf;S D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 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 POUUTION CONTROL DISTRICT. :a. CONstftUcTioN. LEND1NG AGENCY·';:-r~•·~""')·· ,,.... .... ,.";T '-~·y""'*'";'."' :r"'"r;":'.~:"'·•,..':''."""" ·a,·. • ... --,-·1,-,-.. ,.~, ... ,,,, '".""" "• .-,. "":'. " · ., """"''·'" ,,,,., · I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit ls issued (Sec. 3097(1) Civil Code). LENDER'S NAME______________ LENDER'S ADDRESS ________________________ _ 19. APPLICANT cERTIFtCAtiON::,;,,·,•;r .,,.-~'t'\T~' ;·~:'.,"'..jfll!;~'.,~f"l:-f';:z~ ·-:,,0 ::-r,;;r~~:;:tAf.i,¥.r. .. ,•, -·,:,;":': ~,.1,i,"i.:'p::.-~:•{"'Y.~~-,;;~F'!P',if.l"',,.''T?7[:-c:.;::~-~~., ,::::;r:,:: , !""'"",.., 'T' ' '"·!".,'.'.;: I certify that I have read the application and state that the above Information Is corr•ct 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 heteby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY ANO KEEP HARMLESS THE Cm' 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 ahall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 385 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 rk Is commenced a erlod of 1 days (Section 106.4.4 Uniform Building Code}. ) /_J(J-.: APPLICANT'S SIGNATURE J_.L. _ _;:_:_7 L~~=======-'-----------DATE .£.... 7:le 1. 2. 3. 4. 5. *6. 7. 8. 9. 10. I?\ V CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING JOB ADDRESS 2. f / / So.02 b •" 0 5" "i 5I . TYPE OF BUILDING: RESIDENTIAL V COMMERCIAL __ ROOF SLOPE: RISE Lf inches in 12 inches TYPE OF EXISTING ROOF COVERING 5fa "t )<p SHEATHING ______ _ NUMBER OF EXISTING ROOF COVERINGS (circle one) (V 2 3 NEW ROOF MATERIAL =11k /21{!, CLASSE... WEIGHT PER SQUARE 5::; u NUMBER OF SQUARES ..,..,L.<-4?---ir.---:-- TRADE NAME £4,h !;le; MANUFACTURER ;;· ~J le ROOF SYSTEM APPRO~L UL No._____ Other ___ _ IS THE EXISTING STRUCTURAL DESIGN SUFFIC~ TO SUS~ THE WEIGHT OF THE PROPOSED ROOF YES ---NO LCB (} L/ (, L u If the answer is no, a roof plan aist be provided with this application. 11. Fire rating of roof: Class AX-_ 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. CL-~ t--~0--J) SIGN DATE Contractor ½ Owner Contractor Name .fc? C. I.! Cc fJ-:.ol-Inc~ *6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/COIIIP Fiberglass, Built up. PERMIT# CB971781 DESCRIPTION: REROOF 1800 SF, ICBO 4660 TYPE: MISC CITY OF CARLSBAD INSPECTION REQUEST FOR 08/06/97 LITE WGHT TILE STE: INSPECTOR AREA PY PLANCK# CB971781 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 2811 SOMBROSA ST APPLICANT: SECURE ROOFING, INC CONTRACTOR: PHONE: 760 432-9084 OWNER: REMARKS: C/PAM/432-9082 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION PHONE: /j ;J_ '"7;J PHONE: -d/__ INSPECTO~=""---------- ACT COMMENTS _1_9 __ s_T _F_i_n_a_1_s_t_r_u_c_t_u_r_a_1 _______ /i;f_ /; ,J f+i- ------------------------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION 070897 Roof/Reroof ACT INSP AP PY COMMENTS SHEATHING OK/WRONG TILE