HomeMy WebLinkAbout2606 SOMBROSA ST; ; CB004376; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
11/27/2000 Miscellaneous Permit Permit No:CB004376
Building Inspection Request Line (760) 602-2725
Job Address: 2606 SOMBROSA ST CBAD
Permit Type: MISC Subtype: REROOF
0
Status:
Parcel No: 2551110300 Lot#: Applied:
Valuation: $2,600.00
Reference #:
Project Title: HAGUE-REROOF 2500 SF COMP
Applicant:
SECURE ROOF INC
7356 TRADE ST
SAN DIEGO CA 92121
800 338-6868
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
HAGUE GARY L&CATHERINE A
2606 SOMBROSA ST
CARLSBAD CA 92009
ISSUED
11/27/2000
JM
11/27/2000
11/27/2000
Total Fees: $87.00 Total Payments To Date: $0.00 Balance Due: $87.00
Miscelaneous Fee #1
Miscelaneous Fee #2
TOTAL PERMIT FEES
Inspector: ~
PERMIT
FINAL AP
Date: {]_, • I
bR%AL
c, OD
I
Clearance:
$87.00
$0.00
$87.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collecUvely
referred to as "fees/exactions.'' You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
fees/exactions of which vou have oreviouslv been civen a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise exoired
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
1. PROJECT INFORMATION
,;2 ho & Som B!Zo S,4 s,
FOR OFFICE USE ONL (2/ J2'7 I
PLAN CHECK NO._:_(__:il:Ll>L...->-=•-fv:J_
EST. VAL. _________ _
Plan Ck. Dep!,l,"j'...-~--------
Va\idated By•..:,,.JJ/-::....;:,_~-4=-~.+---
Date, _______ -411,..l./.L.'..'4c._ __
Address (include Bldg/Suite #)
SF 1)
Business Name (at this address)
leg a I Description Lot No. Subdivision Name/Number
Assess~]' s Parcel #
tE -RMI=
Description of Work
Existing Use
SFi>
SO. FT.
2. CONT ACT PERSON (if different from applicant)
/?08£'12-T )Yt7mS6tv , 3 SZ TP1Dc;
Name
3. APPLICANT
SccuR-C
Name
0 Contractor
P._ooF WC-
4. PROPERTY OWNER
Crti--,z I' ff/> Cgu E
Name ?
Address
~ Agent for Contractor
73 rr, T!U-i)E
Address
Address
5. CONTRACTOR -COMPANY NAME
D Owner ST
#of Stories
S.T
City
0 Agent for Owner
s 1>
Citv
City
Unit No. Phase No. T eta\ # of units
Proposed Use
# of Bedrooms # of Bathrooms
State/Zip Telephone# Fax#
State/Zip Telephone#
State/Zip Telephone#
(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 penalty of not more than five hundred dollars 1$5001).
S&U-11!-C /ZDoF /;-,C-· Tf',l, 7RA-OE fr .5 '). CA J'S-¥°-b'7°5-7/,£,5
Name Address City State/Zip Telephone#
License Class __ <!,_"2; __ 9______ City Business License # /.2 0 3 b S-~ State License # _SC_"!~o_f~3_<1 ___ _
Designer Name fJ A
State License # -----'°'-----
Address City State/Zip Telephone
6. 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 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 compensation insurance carrier and policy number are:
Insurance Company ____ • .. ~5_TlnE __ · ---~A,< ___ ,-.._1) ________ _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS)
Expiration Date_~{)~/_,_)_o_,~/_o_/ __ I
0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work tor 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 secure workers' compensation coverage is unlawful, and shall subject an employer to c!"iminal penalties and civil fines up to one hundred
:~~~•=~~:;Har~-•-~addltio~~,: co~nsation, damages as provided for In Section 3~:~:f the~ 2, code :;::rest and attorney's fees.
7. OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 \, 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 tor 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 tor sale. lf, 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 tor the purpose of sale).
0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Busmess 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(s) licensed
pursuant to the Contractor's License Law).
0 I am exempt under Section ______ Business and Professions Code tor this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO
2, I (have/ have not) signed an application tor 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 1 have hired the following person to coordinate, supervise and prov"ide 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 ________________________ _ DATE __________ _
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
b ihe dpp\icdnt or future building occupant required to subm1t a busmess 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? D YES O NO
Is the applicant or future building occupant required to obtain a permit tram ~he air pollution control district 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? D 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.
8. CONSTRUCTION LENDING AGENCY
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, ________________________ _
9. 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. l agree to comply with all
City ordi11ances and State laws relating to building co"nstruction. 1 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 1s suspended
or abandoned at any time ~r th~--,ork is comm6Jtced tor~ period of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE'--~/bLd,_, --~ DATE // /2 7 /ov
I
WHITE: File YELLOW: Applicant PINK: Finance
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDRESS: j foo(,, -.S!rr,,,/:,yuS<t ST
2. TYPE OF BUILDING: RESIDENTIAL--1)Q~ __ COMMERCIAL. __ ~
3. ROOF SLOPE: RISE ~ inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERIN~ (drcle one) (1' ~ 3 .
5. TYPE OF EXISTING ROOF COVERING Srk<t/u SHEATHi'm:( ½¥£</ .
*6. NEW ROOF MATERIAL 1 I Li:. CLASS A WEIGHT PER StiUARE 5' · 'f ::,~
7. NUMBER OF SQUARES __ :Z_l_~
8. TRADE NAME f--!AL I E'AJbA MANUFACTURER f"li o µ&;..,,.z._
9. ROOF SYSTEM LISTING UL No. ____ lCBO No. 3 '7'-f l'>
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:
@rear Off/Pre-inspection prior to install new roof covering.
~) Final Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for
inspection.
Date Ii /:i. 7 / a..!
I
Contractor ):0 Owner _____ Contractor Name .Se«ure Jc~,,,{,' ,.J.,.-<", ·
*6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up,
Other.
City of Carlsbad Bldg Inspection Request
For: 12/5/2000
Permit# CB004376
Title: HAGUE-REROOF 2500 SF COMP
Description:
Type:MISC Sub Type: REROOF
Job Address: 2606 SOMBROSA ST
Suite: Lot 0
Location:
APPLICANT SECURE ROOF INC
Owner: HAGUE GARY L&CATHERINE A
Remarks:
Total Time:
CD Description
19 Final Structural
~ Comments
Associated PCRs
Inspection History
Date Description
11/28/2000 15 Roof/Reroof
Act lnsp Comments
AP TL
Inspector Assignment: TL ---
Phone: 8586937663
Inspector:~
Requested By: SECURE ROOF
Entered By: CHRISTINE