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Home My WebLink About1716 TAMARACK AVE; ; CB981699; PermitB U I L D I N G P E R M l T Permit No: CB981699 Project No: A9802260 Development No: Ob/03/98 09:11 Page 1 of 1 ,Job Address : 1716 TAMARACK AV Suite: Permit Type: MISCELLANEOUS Parcel No: 207-2b0-47-00 Valuation: 3,744 Lot#: Occu~ancy Group: Reference#: Description : REROOF 3600 Sf COMPOSITION Appl/Ownr : BOBG PIVA ROOFING 1192 INDUSTRIAL AVE ESCONDIDO CA 92029 Fees Required fees : Adjustments: Total Fees: Fee description Miscellaneous Fee# ~ MISCELLANEOUS TO *** 760 7647 06/03/98 0001 01 02 Construct ion T91;f'i/!T NEW 102-00 Status: ISSUED Applied: 06/03/98 Apr/Issue: Ob/03/98 Entered By : ,"JM 745-4700 .00 .00 102.00 Ext fee Data 102.UO PERMIT FEE 102.00 CLEARANCE _________ _ ....... _ . ..,. ___ _ I CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 FOR OFFICE USE 0 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. ----'---'-----'----'--H,--,-,..,,--- Plan Ck. Depos::it~..-----"'-'-'=::1.-,,.;.,<... Validated By·~::::.U~~;_,-/2..,.,,--- Date· ______ !=':C/--->Ll,.-.L\.,/--- Business Name !at this address) Legal Description Lot No Subdivision Name/Number Unit No. Phase No. Total# of units ~sessor's Parcel# Existing Use Proposed Use I {it.iiey' j.Q. u»;,D?!½\:'.t<. ·-[ct-.>/.lt;l\:tr,j -,AJ¥'L y VI t\J Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms 2. CA-- Name Address City state/Zip Telephone# Fax# 3. APPLICANT D Contraotor~Or Contractor O Owner O Agent for Owner Name Address City State/Zip Telephone# 4. PROPERTY OWNER /b)t31'2t:1( -/,:T\J,14 V21k(( Name City State/Zip Telephone# 5. 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, commendmg 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 violation f Section 70 1.5 by any applicant for a permit subjects the applicant to a civil penaltv of not more than five hundred dollars [$5001). ,v4 · Address License Class __ c __ -_3_5~----City State/Zip ~Pt;l,~ City Business License # l }a/ ~ 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: 0 J 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--h-a'Q"eiind will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is ~ed. My worker's compensation msu~ce carrier and policy number are: . Q. h O -! _ 0 Q !nsuranceCompany s~ 1:Yvl,.-<'J PohcyNo.Otfb zfs'ooo .l. ·1/) ExpirationDate (1._ / .... 11 {THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT 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 s erage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100 pensation, damages as provided for in Section 3706 of the/bor co~:r.!:{1terest and attorney's fees. SIGNATbRE __ -f.~L.c~/-.!dL...,,,~:'.:::==~--~-~------------DATE _ _._c___3:::_·,_7_.,/Lc__ __ _ 7. OWNER-BUil 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 ottered 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, however, the building or improvement is sold within one year of completion, the owner-builder wilt 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 ot property who builds or improves thereon, and contracts tor 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 tor 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 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 ________________________ _ DATE ________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY 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? D YES D 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 ls the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency tor 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 ! 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 b 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 · · 5 days from the date of such permit or 1f the bu1ldmg or work authorized by such permit 1s suspended or abandoned at any time after th r a eriod of 1 80 days (Section 106.4.4 Uniform Building Code). DATE ~6'~· ~·J'_·~f_\; ____ _ WHITE: File YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: 2. TYPE OF BUILDING: ~ ____ COMMERCIAL __ _,_ 3. ROOF SLOPE: RIS . ches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) cD 2 3 5. TYPE OF EXISTING ROOF COVERING 5(/!i/0; SHEATHING wo.O *6. NEW ROOF MATERIAL Qty/J CLASS 1/: WEIGHT PER SQUARE 7. NUMBER OF SQUARES 3 6 8. TRADE NAME._,_(;7_"-=1-/C=-___ MANUFACTURER (;}_/( (411.::mt,Jc{>t,.,c,o<J UL No. ICBO No. 3 3/J~ 9. ROOF SYSTEM LISTING 10. IS THE EXISTING STRUCTURAL DESIGN~FICIENT 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 install new roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. / c~----Owner ____ Contractor Name ( J 01} ~ ( VA-- *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. PERMIT# CB981699 DESCRIPTION: REROOF 3600 SF TYPE: MISC CITY OF CARLSBAD INSPECTION REQUEST FOR 06/10/98 COMPOSITION STE: INSPECTOR AREA PS PLANCK# CB981699 ace GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 1716 APPLICANT: BOBG PIVA CONTRACTOR: TAMARACK AV ROOFING PHONE: 760 745-4700 OWNER: REMARKS: C/PIVA/745-4700 SPECIAL INSTRUCT: TOTAL TIME: CD 19 LVL DESCRIPTION ST Final Structural ------------------------------------ ------------------ PHONE: PHONE: INSPECTOR ACT COMMENTS ;1fl_ /Zt)i«L, ef? ***** INSPECTION HISTORY***** DATE DESCRIPTION 060498 Roof/Reroof ACT INSP AP PS COMMENTS